ENSAYOS CLÍNICOS DE INTERVENCIÓN

Antes de participar en un estudio, hable con su proveedor de atención médica y conozca los riesgos y beneficios potenciales.

Este estudio evalúa la seguridad, los biomarcadores y las tendencias de eficacia en diferentes niveles de dosis del fármaco en investigación tominersen en personas de 25 a 50 años con EH prodrómica (signos sutiles muy tempranos de EH) o en fase manifiesta temprana. Tominersen es un fármaco en investigación que se ha estudiado en varios ensayos clínicos desde 2015, incluido en un estudio de Fase III llamado GENERATION HD1 que probó dos modalidades de dosis diferentes de tominersen en adultos con EH manifiesta.

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AB-1001 es una terapia génica en investigación desarrollada originalmente por BrainVectis, que fue adquirida por AskBio en 2020. AB-1001 se denominaba anteriormente BV-101. Se trata de un estudio de fase I/II para determinar la dosis  y evaluar la seguridad, la tolerabilidad y la capacidad de producir el resultado deseado (es decir, la eficacia) de una inyección intracerebral única de AB-1001 (anteriormente BV-101) en el cuerpo estriado de adultos con enfermedad de Huntington de en fase inicial.

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El estudio PIVOT-HD es un ensayo de fase II que analiza la seguridad del PTC518, un nuevo fármaco reductor de Huntington, en pacientes con EH. El PTC518 es un comprimido oral (que se toma por la boca todos los días) que no sólo trata de reducir la huntingtina (HTT) en el cerebro sino que también trata la EH en todo el cuerpo (cerebro, músculo, sistema inmunológico…).

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Este estudio de intervención se encuentra actualmente en fase 1b/2a y evalúa la seguridad y tolerabilidad en pacientes adultos con EH de manifestación temprana, utilizando el fármaco llamado WVE-003

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El objetivo principal de este ensayo es estudiar la eficacia y seguridad de SOM3355 en pacientes con la enfermedad de Huntington (EH). El SOM3355, que se ha utilizado para la hipertensión, se estudiará en este ensayo de fase 2b para establecer si ayuda con la corea en la EH. Un grupo recibirá el fármaco (dos dosis y uno de placebo) por vía oral dos veces al día durante 12 semanas. Se reclutarán 129 participantes.

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El ensayo clínico europeo de fase Ib/II de AMT-130 para el tratamiento de la EH explorará la seguridad, la prueba de concepto y la dosificación en un total de 15 pacientes con enfermedad de Huntington manifiesta temprana, divididos en una cohorte de cinco personas con enfermedad de Huntington manifiesta, de dosis baja y abierta (los pacientes saben lo que reciben), seguida de una cohorte de nueve pacientes de dosis más alta y abierta.

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oxidative seres

an imbalance between unstable molecules called «free radicals» and protective «antioxidants» in your body

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Metabolism & bioenergetics

describe how your body turns food into fuel and uses that energy to live. 

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Small Molecule

a tiny chemical compound, much smaller than big biological structures like proteins, that can easily travel inside our cells to act as medicine (like aspirin or ibuprofen), a building block (like glucose), or a signaling tool in the body, often taken as pills because they’re easy to absorb and distribute

 

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Nucleic acid

(DNA and RNA) are the essential information-carrying molecules in all life, acting like blueprints that store and transmit genetic instructions for building and operating cells, directing everything from growth to protein production, and passing traits from parents to offspring.

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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.