WE45491

Recruiting

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SPONSOR

Hoffmann-La Roche

PARTICIPANTS

600

For participation in this epidemiological(branch of medicine which deals with the incidence, distribution and control of diseases) study, a single-day visit at the study site is required. Participants will be recruited from HD clinics, and they will be asked to answer questions regarding their demographics, including sex, age, race and ethnicity, and their medical and medication history. At the end of the visit, a blood sample will be drawn to allow testing for a single nucleotide polymorphisms (SNPs) on the wild-type Huntington (wtHTT) and mutant Huntington (mHTT) alleles.

SNPs pronounced ‘snips’, are a single-letter spelling difference in a gene. They are common and most don’t change the function of the gene.

We have talked of SNPs before. WAVE Life Sciences was the first company to use this technique in HD trials: Precision 1 and 2 and Select.

Email: global-roche-genentech-trials@gene.com

Ages Eligible
for Study:

25 Years to 60 Years (Adult )

Sexes Eligible
for Study:

All

Accepts Healthy Volunteers:

No

  • Have signed the Informed Consent Form (ICF)
  • Aged 25 to 60 years, inclusive, at the time of signing the ICF
  • Confirmation of Huntington Disease (HD) gene expansion mutation carrier status
  • Confirmation of Total Functional Capacity (TFC) ≥9 and Total Motor Score (TMS) >6 within 12 months prior to signing the ICF
  • Ability to tolerate blood draws.

LOCATIONS

COUNTRIES

DENMARK

TRIAL SITE: Rigshostalet, Hukommeisesklinkken

Address: Copenhagen, Denmark

Email: global-roche-genentech-trials@gene.com

GERMANY

TRIAL SITE: Charite, Universitatsmed

Address: Berlin, Germany

Email: global-roche-genentech-trials@gene.com

TRIAL SITE: St. Josef Hospital

Address: Bochum, Germany

Email: global-roche-genentech-trials@gene.com

TRIAL SITE: Universitätsklinikum Erlangen

Address: Erlangen, Germany

Email: global-roche-genentech-trials@gene.com

TRIAL SITE: Universitätsklinikum Ulm

Address: Ulm, Germany

Email: global-roche-genentech-trials@gene.com

ITALY

TRIAL SITE: Fondazione IRCCS Instituto Neurológico Carlo Besta

Address: Milan, Italy

Email: global-roche-genentech-trials@gene.com

TRIAL SITE: Universita Degli Studi Di Firenze

Address: Florence, Italy

Email: global-roche-genentech-trials@gene.com

POLAND

TRIAL SITE: Szpital Sw Wojciecha

Address: Gdansk, Poland

Email: global-roche-genentech-trials@gene.com

TRIAL SITE: Wojskowj Instytut Medycyny Lotniczej

Address: Warsaw, Poland

Email: global-roche-genentech-trials@gene.com

PORTUGAL

TRIAL SITE: Hospital de Santa Maria – Serviço de Neurologia

Address: Lisbon, Portugal

Email: global-roche-genentech-trials@gene.com

TRIAL SITE: CNS – Campus Neurológico

Address: Torres Vedras, Portugal

Email: global-roche-genentech-trials@gene.com

SPAIN

TRIAL SITE: Hospital Universitário de Badajoz

Address: Badajoz, Spain

Email: global-roche-genentech-trials@gene.com

TRIAL SITE: Hospital de la Santa Creu i Sant Pau

Address: Barcelona, Spain

Email: global-roche-genentech-trials@gene.com

TRIAL SITE: Hospital Universitário de Burgos, Servicio de Neurologia

Address: Burgos, Spain

Email: global-roche-genentech-trials@gene.com

TRIAL SITE: Hospital Ramon y Canal

Address: Madrid, Spain

Email: global-roche-genentech-trials@gene.com

UK

TRIAL SITE: Birmingham and Solihull Mental Heath Foundation

Address: Birmingham,UK

Email: global-roche-genentech-trials@gene.com

TRIAL SITE: Addenbrookes Hospital 

Address: Cambridge, UK

Email: global-roche-genentech-trials@gene.com

TRIAL SITE: Hospital for Neurology and Neurosurgery

Address: London, UK

Email: global-roche-genentech-trials@gene.com

TRIAL SITE: John Radcliff Hospital

Address: Oxford,UK

Email: global-roche-genentech-trials@gene.com

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SNP-single nucleotide polymorphisms

a single-letter spelling difference in a gene. SNPs, pronounced ‘snips’, are common and most don’t change the function of the gene.

 
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at risk

You do not know if you carry the genetic mutation for HD gene 

 
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TFC-total functional capacity

A standardized rating scale for function in HD, used to assess capacity to work, handle finances, perform domestic chores and self-care tasks.
Scores range from 0 to 13, with higher scores indicating better functional capacity. 

 
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Double-blinded

 means that neither the participant nor the clinical trial doctor can choose or know the group the participant is in until the trial is over. This approach helps to prevent bias.

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Open label

A trial in which the patient and doctor know what drug is being used. Open label trials are susceptible to bias through placebo effects.

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Gene therapy

a technique that aims to treat or prevent diseases by modifying a person’s genes. It involves introducing, removing, or changing genetic material (DNA or RNA) within a patient’s cells.

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UHDRS- Unified Huntington Disease Rating Scale

A standardized neurological examination that aims to provide a uniform assessment of the clinical features of HD

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CAG repeat

The stretch of DNA at the beginning of the HD gene, which contains the sequence CAG repeated many times, and is abnormally long in people who will develop HD

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Wild-type

the opposite of ‘mutant’. Wild-type huntingtin, for example, is the ‘normal’, ‘healthy’ protein

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Tolerabilty

How well a person can handle a treatment without having serious or uncomfortable side effects.

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Striatum

Part of the brain that  coordinates multiple aspects of cognition, including both motor and action planning, decision-making, motivation, reinforcement, and reward system.

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Randomized allocation

A type of allocation strategy in which participants are assigned to the arms of a clinical trial by chance.

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Radioligand

a radioactive substance that binds to a specific target in the body, allowing visualization of that target’s distribution and activity

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Protein

Protein builds, maintains, and replaces the tissues in your body. The building blocks of life.

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Premanifest / Prodromal

Prior to onset or diagnosis of movement symptoms.

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Placebo

A placebo is a dummy medicine containing no active ingredients. The placebo effect is a psychological effect that causes people to feel better even if they’re taking a pill that doesn’t work.

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PK - Pharmacokinetics

The movement of drugs through the body

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PD - Pharmacodynamics

The body’s biological response to drugs

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PET scan

Positron emission tomography which produces detailed 3-dimensional images of the inside of the body.

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Neuron

Brain cells that store and transmit information

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MRI

Magentic resonance imaging: A technique using powerful magnetic fields to produce detailed images and visualizes the structure of organs, tissues, and bones 

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mHTT

Mutant huntingtin protein. The protein produced by the faulty HD gene.

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Manifest

after HD diagnosis, or when symptoms are already showing

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Longitudinal study

A study where each participant is looked at several times over a time period – unlike a cross-sectional study, where each participant is looked at only once

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HTT

one abbreviation for the gene that causes Huntington’s disease. The same gene is also called HD and IT-15

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fMRI

functional MRI:As with MRI, a technique using powerful magnetic fields  but focusing on brain function by measuring and mapping changes in blood flow, revealing which areas of the brain are active during specific tasks or cognitive processes

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CSF - cerebrospinal fluid

A clear fluid produced by the brain, which surrounds and supports the brain and spinal cord.

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Efficacy

A measure of whether a treatment works or not

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ASO(Antisense oligonucleotides)

A type of gene silencing treatment in which specially designed DNA molecules are used to switch off a gene

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Biomarker

a test of any kind – including blood tests, thinking tests and brain scans – that can measure or predict the progression of a disease like HD. Biomarkers may make clinical trials of new drugs quicker and more reliable

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BDNF

Brain-derived neurotrophic factor: a growth factor that may be able to protect neurons in HD.

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Allele

one of the two copies of a gene

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Plasma

Liquid component of the blood.

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Gene

The basic unit of heredity passed from parent to child. Genes are made up of sequences of DNA and are arranged, one after another, at specific locations on chromosomes in the nucleus of cells.

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Phase

Clinical trial phases are different stages of research that assess the safety and effectiveness of a new medical treatment or intervention in humans.

Each phase has a specific goal and involves a different number of participants. Generally, there are 4 phases (I-IV), with Phase I focusing on safety and dosage, Phase II on efficacy and side effects, Phase III on comparing the new treatment with standard treatments, and Phase IV on long-term safety monitoring.