GENERATION HD2

Reclutando

INFORMACIÓN

PATROCINADOR

Hoffmann-La Roche

PARTICIPANTES

360

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.

La nueva Fase II del ensayo GENERATION HD2 es un ensayo clínico «controlado con placebo», lo que significa que uno de los grupos recibirá una sustancia sin principios activos (también conocida como «placebo»); que se parece al fármaco que se está probando pero que en realidad no contiene ningún medicamento. La comparación de los resultados de los distintos grupos ayuda a los investigadores a saber si los cambios observados se deben al fármaco o son fruto de la casualidad.

Se trata de un ensayo doble ciego, lo que significa que ni el participante ni el médico del ensayo clínico pueden elegir o conocer el grupo en el que se encuentra el participante hasta que finaliza el ensayo. Este método ayuda a evitar el sesgo. No obstante, el médico del ensayo clínico puede conocer en qué grupo está el participante en caso de que su seguridad estuviese en peligro.

SEMINARIO WEB SOBRE LAS ACTUALIZACIONES DEL ENSAYO GENERATION HD2

2 Febrero, 2023

Edades elegibles para el estudio:

De 25 a 50 años

Sexos elegibles para el estudio:

Todos

Acepta voluntarios sanos:

No

Las personas pueden participar en este ensayo si cumplen ciertos criterios, entre ellos si:

  • Tienen entre 25 y 50 años (al inicio del ensayo).
  • Tienen una puntuación CAP (un cálculo de investigación basado en la edad y el número de veces que se repite la sección mutada dentro del gen de la EH – conocido como número CAG) de 400 a 500.
  • Han sido diagnosticados de EH manifiesta temprana o son portadores del gen anómalo de la huntingtina y están empezando a mostrar signos tempranos y sutiles de EH (conocidos como EH prodrómica). Esto sólo puede ser determinado tras un examen detallado realizado por un médico.
  • Pueden tolerar donaciones de sangre, punciones lumbares y resonancias magnéticas.
  • Tener una persona que pueda actuar como «acompañante de ensayo» durante todo el estudio.

Es posible que no puedan participar en este ensayo las personas que

  • No pueden caminar sin ayuda
  • No pueden someterse a una resonancia magnética
  • Tienen implantada una derivación o catéter para el sistema nervioso central
  • Están recibiendo o han recibido anteriormente determinados tratamientos, incluidos los de la EH, que pueden afectar a los niveles de HTT.
  • Padece otras enfermedades, como migrañas crónicas, ciertos problemas de salud mental o ciertas infecciones.
  • Está embarazada o en periodo de lactancia, o tiene previsto quedarse embarazada durante el ensayo clínico o poco después.

PAÍSES

LISTA

alemania
  • Facility: Charité – Universitätsmed. Berlin, Klinik für Psychiatrie und Psychotherapie; Abt. Neuropsychiatrie.
  • Address: Bonhoefferweg 3, 10117 Berlin, Germany
  • Facility: St. Josef-Hospital, Neurologische Klinik der Ruhr-Uni; Huntington-Center NRW, Abt. Neurodegeneration Bochum.
  • Address: St. Josef-Hospital, Gudrunstraße 56, 44791 Bochum, Germany
  • Facility: German Center for Neurodegenerative Diseases (DZNE)
  • Address: Bonn, Germany, 53127
  • Facility: Universitätsklinikum Erlangen, Abteilung Molekulare Neurologie
  • Address: Erlangen, Germany, 91054
  • Facility: Universitätsklinikum Schleswig-Holstein / Campus Lübeck; Zentrum für Seltene Erkrankungen
  • Address: Lübeck, Germany, 23538
  • Facility: Universitätsklinikum Ulm; Klinik für Neurologie
  • Address: Ulm, Germany, 89081
  • Facility: Uniklinik RWTH Aashen, Klinik für Neurologie
  • Address: Aachen Germany 52074
Austria
Dinamarca
  • Facility: Rigshospitalet, Hukommelsesklinikken
  • Address: Koebenhavn Oe, Denmark, 2100
España
  • Facility: Hospital Universitario la Fe; Servicio de Neurologia
  • Address: Avinguda de Fernando Abril Martorell, 106, 46026 València, Valencia
  • Facility: Hospital Universitario de Burgos. Servicio de Neurología
  • Address: Av. Islas Baleares, 3, 09006 Burgos
  • Facility: Hospital Universitario de Burgos. Servicio de Neurología
  • Address: C. de Sant Quintí, 89, 08025 Barcelona
  • Facility: Hospital Universitario de Badajoz; Servicio de Neurología
  • Address: Av. de Elvas, s/n, 06080 Badajoz
  • Facility: Hospital de Cruces; Servicio de Neurologia
  • Address: Cruces Plaza, s/n, 48903 Barakaldo, Bizkaia
  • Facility: Hospital Ramon y Cajal; Servicio de Neurologia
  • Address: M-607, 9, 100, 28034 Madrid

Activo, No Reclutando

  • Facility: Hospital Universitario Virgen Macarena; Servicio de Neurologia
  • Address: Av. Dr. Fedriani, 3, 41009 Sevilla

Activo, No Reclutando

francia
  • Facility: CHU Angers Cedex 9, Neurologie.
  • Address: Rue Larrey 2, France, 49933
  • Contact: Christophe Verny
  • Facility: Hopital Henri Mondor, Service de Neurologie
  • Address: 51 Avenue de Lattre de Tassigny, Creteil, 94010 France.
  • Contact: Anne-Catherine Bachoud-Lévi
  • Facility: Hôpital de Hautepierre – Hôpitaux Universitaires de Strasbourg
  • Address: Strasbourg, 1 Avenue Moliere, 67200 France.
  • Contact: Christine Tranchant
  • Facility: Roger Salengro Hospital
  • Address: Lille, Rue du Prof. Laine, 59037 France.
  • Contact: Clémence Simonin 
  • Facility: University Hospital Center Saint Eloi Hospital
  • Address: Montpellier, 80 Avenue Augustin Fliche, 34295 France
  • Contact: Cécilia Marelli
  • Facility: Marseille University Hospital Timone
  • Address: Marseille, Rue saint pierre, 13385 France.
  • Contact: Jean-Philippe Azulay
  • Facility: Hospital Center University De Bordeaux
  • Address: Bordeaux, Place Amelie Raba-Leon, 33076 France.
  • Contact: Cyril Goizet
  • Facility: CHU Toulouse, Hôpital Purpan
  • Address: Place Du Docteur Baylac, 31059 France.
  • Contact: Jérémie Pariente
italia
  • Facility: Ospedale Bellaria; Istituto delle Scienze Neurologiche
  • Address: Bologna, Emilia-Romagna, Italy, 40139
  • Facility: Fondazione IRCCS Istituto Neurologico Carlo Besta; U.O.C. Genetica Medica-Neurogenetica
  • Address: Milano, Lombardia, Italy, 20133
  • Facility: Azienda Ospedaliera Sant’Andrea UOC Neurologia
  • Address: Roma, Lazio, Italy 00189
polonia
  • Facility: Szpital Sw. Wojciecha; Oddzial Neurologiczny
  • Address: Gdansk, Poland, 80-462
  • Facility: Krakowska Akademia Neurologii Sp z o.o. Centrum Neurologii K Krakow, Poland, 31-505
  • Address: Krakow, Poland, 31-505
  • Facility: Instytut Psychiatrii i Neurologii
  • Address: Warszawa, Poland, 02-957
portugal
  • Facility: CNS – Campus Neurológico
  • Address: Torres Vedras, Portugal, 2560-280
  • Facility: Hospital de Santa Maria – Serviço de Neurologia, Lisboa, Portugal. Contact: Leonor Correia Guedes
  • Address: Av. Prof. Egas Moniz MB, 1649-028 Lisboa, Portugal
  • Contact: Leonor Correia Guedes
reino unido
  • Facility: Chapel Allerton Hospital; Clinical Genetics Leeds
  • Address: United Kingdom, LS7 4SA
  • Facility: UCL Hospital NHS Trust
  • Address: London, United Kingdom, NW1 2PG
  • Facility: University Hospitals Birmingham NHS Foundation Trust
  • Address: Birmingham, United Kingdom, B152TH
  • Facility: Addenbrookes Hospital
  • Address: Cambridge United Kingdom CB20QQ
  • Facility: John Radcliffe Hospital Neurosciences
  • Address: Chinnor, United Kingdom, OX39DU
  • Facility: Southampton University Hospitals, NHS Trust
  • Address: Southampton, United Kingdom, SO166YD
suiza
  • Facility: Neurozentrum Siloah
  • Address: Gümligen, Switzerland, 3073
  • Facility: Universitätsspital Basel Neurologie
  • Address: Basel Switzerland 4031
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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.