PACE-HD

RESULTADOS DE LA ACTIVIDAD FÍSICA Y EL EJERCICIO EN LA ENFERMEDAD DE HUNTINGTON (PACE-HD)

Sin información

NOSOTROS

PATROCINADOR

Cardiff University

PARTICIPANTES

116

PACE-HD está estudiando si los participantes (con la enfermedad de Huntington manifestada de forma temprana) que se comprometen con el programa de actividad física, consiguen hacer un seguimiento y completar la intervención de 12 meses. El grupo de intervención activa será supervisado y e incentivado por un entrenador/fisioterapeuta de forma regular. Los resultados en las pruebas motoras y cognitivas, se compararán con un grupo de unos 60 participantes a los que sólo se les supervisará haciendo sus actividades físicas de forma habitual. El objetivo del estudio es ver si los pacientes con EH, al ser acompañados y estimulados en un programa especializado de actividad física, siguen el programa y se benefician del entrenamiento.

Fecha estimada de finalización del estudio: 31 de agosto de 2020

Edades elegibles para el estudio:

18 años o más (adulto, adulto mayor)

Sexos elegibles para el estudio:

Todos

Acepta voluntarios sanos:

No

Criterios de inclusión

  • Diagnóstico de enfermedad de Huntington, confirmado por pruebas genéticas
  • Mayor de 18 años
  • Participante (actual o recién inscrito) en el estudio Enroll-HD
  • Hasta el estadío de la enfermedad en fase 2 (TFC 7-13)

Criterios de exclusión

  • Diagnóstico de enfermedad de Huntington de tipo juvenil
  • Antecedentes de afecciones neurológicas comórbidas como esclerosis múltiple o derrame cerebral
  • Afecciones ortopédicas agudas (en el último mes), por ejemplo, esguince o fractura de tobillo
  • Incapacidad o falta de voluntad del participante o del tutor legal para dar su consentimiento informado por escrito

ALEMANIA

TRIAL SITE:
George-Huntington-Institut 

Address: Münster, Germany, 48149.

Active, Not Recruiting

TRIAL SITE: 
Universitätsklinikum Ulm

Address: Ulm, Baden-Württemberg, Germany, 89081

Active, Not Recruiting

ESPAÑA

TRIAL SITE:
Merce de Deu de la Mare

Address: Barcelona, Spain, 08035

Active, Not Recruiting

TRIAL SITE: 
Fundacion Jimenez Diaz

Address: Madrid, Spain, 28040

Active, Not Recruiting

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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.