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GENERATION HD2. A Study to Evaluate the Safety, Biomarkers, and Efficacy of Tominersen Compared With Placebo in Participants With Prodromal and Early Manifest Huntington's Disease

Phase 2
Active, not recruiting
Conditions
Huntington Disease
Interventions
Registration Number
NCT05686551
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This study will evaluate the safety, biomarkers, and efficacy of tominersen compared with placebo in participants with prodromal and early manifest Huntington's Disease (HD).

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
301
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Tominersen 60 milligrams (mg)Tominersen 60 mg-
PlaceboPlacebo-
Tominersen 100 mgTominersen 100 mg-
Primary Outcome Measures
NameTimeMethod
Incidence and Severity of Adverse Events (AEs), With Severity Determined According to the AE Severity Grading ScaleUp to approximately 24 months
Change From Baseline in Clinical Laboratory Results - Cerebrospinal Fluid (CSF) White Blood Cell (WBC)From baseline visit (Day 1), and months 4, 8, 9, 12, 16
Change From Baseline in Clinical Laboratory Results CSF ProteinFrom baseline visit (Day 1), and months 4, 8, 9, 12, 16
Change From Baseline in Structural Magnetic Resonance Imaging (MRI) Assessing Any New Abnormalities Including Radiographic Features Consistent With Hydrocephalus and Other Relevant MRI Safety FindingsFrom baseline, months 4, 8, 12, 16 and up to approximately month 24
Percentage Change From Baseline in Geometric Means of CSF Mutant Huntingtin (mHTT) Protein Levels at Month 9Baseline, Month 9
Change From Baseline in Composite Unified Huntington's Disease Rating Scale (cUHDRS) Scores (non-U.S. Sites) at 16 MonthsBaseline to 16 months

Change in scores on the scale.

Change From Baseline in Total Functional Capacity (TFC) Scores (U.S. Sites) at 16 MonthsBaseline to 16 months

Change in scores on the scale.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Montreal Cognitive Assessment (MoCA) ScoresFrom baseline, months 4, 8, 12, 16 and up to approximately month 24
Percentage of Participants With Suicidal Ideation or Behavior (I/B) as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS) at Each Visit, Including Detailed Focus on Any Individual Cases Identified as Having Severe I/B During the Study ConductUp to approximately 24 months
Change From Baseline at 16 Months for the Assessments of TFC (non-U.S. Sites) ScoresBaseline to 16 months
Change From Baseline at 16 Months for the Assessments of cUHDRS (U.S. Sites) ScoresBaseline to 16 months
Change From Baseline at 16 Months for the Assessments of Symbol Digit Modalities Test (SDMT) ScoresBaseline to 16 months
Change From Baseline at 16 Months for the Assessments of Stroop Word Reading (SWR) ScoreBaseline to 16 months
Change From Baseline at 16 Months for the Assessment of Total Motor Score (TMS)Baseline to 16 months
Change From Baseline in CSF Neurofilament Light Chain (NfL) Levels at 16 MonthsBaseline to 16 months
Incidence of Anti-drug Antibodies (ADAs) at Specified Timepoints Relative to the Prevalence of ADAs at BaselineFrom baseline, months 4, 8, 12, 16 and up to approximately month 24
Titers Determined if ADAs are IdentifiedFrom baseline, months 4, 8, 12, 16 and up to approximately month 24

Trial Locations

Locations (72)

Uab Medicine

🇺🇸

Birmingham, Alabama, United States

Barrow Neurological Institute

🇺🇸

Phoenix, Arizona, United States

University of California Davis Medical System

🇺🇸

Sacramento, California, United States

CenExel Rocky Mountain Clinical Research, LLC

🇺🇸

Englewood, Colorado, United States

Georgetown University

🇺🇸

Washington, District of Columbia, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

University of South Florida

🇺🇸

Tampa, Florida, United States

Northwestern University

🇺🇸

Chicago, Illinois, United States

University of Iowa Hospitals and Clinics

🇺🇸

Iowa City, Iowa, United States

John Hopkins University School of Medicine

🇺🇸

Baltimore, Maryland, United States

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Uab Medicine
🇺🇸Birmingham, Alabama, United States

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