A Study to Evaluate the Safety and Efficacy of PTC518 in Participants With Huntington's Disease (HD)

Last updated: February 19, 2025
Sponsor: PTC Therapeutics
Overall Status: Active - Not Recruiting

Phase

2

Condition

Dyskinesias

Treatment

Placebo

PTC518

Clinical Study ID

NCT05358717
PTC518-CNS-002-HD
2021-003852-18
  • Ages > 25
  • All Genders

Study Summary

The primary goal of this study is to evaluate the safety and pharmacodynamic effects of PTC518 compared with placebo in participants with HD.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Genetically confirmed HD diagnosis with a cytosine-adenine-guanine (CAG) repeatlength from 40 to 50, inclusive

Eligibility for HD-ISS Stage 2 Group (Parts A, B, and C):

  • A Unified Huntington's Disease Rating Scale (UHDRS)-Independence Scale (IS) score of 100

  • A UHDRS Total Functional Capacity (TFC) score of 13

  • A score between 0.18 and 4.93 inclusive on the normed version of the HD prognosticindex (PINHD)

Eligibility for HD-ISS Mild Stage 3 Group (Parts D, E, and F):

  • A UHDRS Total Functional Capacity (TFC) score of 11 or 12, or a UHDRS TFC score of 13 with an UHDRS IS score of <100

Exclusion

Key Exclusion Criteria:

  • Receipt of an experimental agent within 90 days or 5 half-lives prior to Screeningor anytime over the duration of this study, ribonucleic acid (RNA)- ordeoxyribonucleic acid (DNA)-targeted HD-specific investigational agents such asantisense oligonucleotides, cell transplantation, or any other experimental brainsurgery

  • Any history of gene therapy exposure for the treatment of HD

  • Participation in an investigational study or investigational paradigm (such asexercise/physical activity, cognitive therapy, brain stimulation, etc) within 90days prior to Screening or anytime over the duration of this study

  • Any medical history of brain or spinal disease that would interfere with the lumbarpuncture process safety assessments

  • Any medical history or condition that would interfere with the ability to completethe protocol-specified assessments (for example, implanted shunt, conditionsprecluding magnetic resonance imaging [MRI] scans)

  • Pregnancy, planning on becoming pregnant during the course of the study or within 6months of end of treatment, or currently breastfeeding

Note: Other inclusion and exclusion criteria may apply.

Study Design

Total Participants: 252
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 2
Study Start date:
April 25, 2022
Estimated Completion Date:
August 15, 2025

Study Description

Participants will first be randomized to Part A or Part B or Parts D or E in a 1:1 randomization ratio, depending on their Huntington's disease Integrated Staging System (HD-ISS) staging criteria and then to active treatment (PTC518 5 mg in Parts A and D and 10 mg in Parts B and E) or matching placebo within each part in a 2:1 ratio of active treatment to placebo. A Drug Safety Monitoring Board (DSMB) Charter will undertake an unblinded review of safety data from the 5 and 10 mg dosing groups and provide a recommendation on when Parts C and F (with a 20 mg active treatment arm) can be initiated. At that time, participants will be randomized to any study Part that is currently open for enrollment, and then to either active treatment or placebo (in a 2:1 ratio) within that Part.

Connect with a study center

  • Monash Health

    Clayton, 3168
    Australia

    Site Not Available

  • Westmead Hospital

    Sydney, 2145
    Australia

    Site Not Available

  • Medical University Innsbruck

    Innsbruck, 6020
    Austria

    Site Not Available

  • Centre hospitalier de l'université de Montréal (CHUM)

    Montreal, QC H2X 3H8
    Canada

    Site Not Available

  • The Ottawa Hospital, Parkinson's and Movement Disorders Clinic

    Ottawa, K1Y 4E9
    Canada

    Site Not Available

  • University of British Columbia (UBC)

    Vancouver, V6T 2B5
    Canada

    Site Not Available

  • Centre Hospitalier Universitaire d'Angers

    Angers, 49100
    France

    Site Not Available

  • Hôpital Universitaire de Marseille Hôpital de la Timone

    Marseille, 13385
    France

    Site Not Available

  • Brain and Spine Institute Paris

    Paris, 75013
    France

    Site Not Available

  • Charite University Medicine Berlin

    Berlin, 10117
    Germany

    Site Not Available

  • Ruhr-Univ. Bochum St. Joseph-Hospital

    Bochum, 44791
    Germany

    Site Not Available

  • George-Huntington-Institut

    Münster, 48149
    Germany

    Site Not Available

  • Ulm University, UKU, Dep. of Neurology

    Ulm, 89081
    Germany

    Site Not Available

  • Irccs Istituto Delle Scienze Neurologiche Di Bologna Uoc Clinica Neurologica

    Bologna, 40139
    Italy

    Site Not Available

  • IRCCS Carlo Besta Neurological Institutte

    Milan, 20133
    Italy

    Site Not Available

  • IRCCS Casa Sollievo della Sofferenza Research Hospital

    San Giovanni Rotondo, 71013
    Italy

    Site Not Available

  • Leiden University Medical Center

    Leiden, 2333 ZA
    Netherlands

    Site Not Available

  • University of Otago, New Zealand Brain Research Institute

    Christchurch, 8011
    New Zealand

    Site Not Available

  • Hospital Universitario Cruces

    Barakaldo, 48903
    Spain

    Site Not Available

  • Hospital de la Santa Creu I Sant Pau

    Barcelona, 8025
    Spain

    Site Not Available

  • Hospital Universitario Burgos

    Burgos, 90550
    Spain

    Site Not Available

  • Hospital Ramón y Cajal

    Madrid, 28034
    Spain

    Site Not Available

  • The Barbery National Centre for Mental Health

    Birmingham, B15 2FG
    United Kingdom

    Site Not Available

  • Cardiff University Schools of Medicine and Biosciences

    Cardiff, CF10 3AX
    United Kingdom

    Site Not Available

  • The Leeds Teaching Hospitals NHS Trust, Chapel Allerton Hospital

    Leeds, LS7 4SA
    United Kingdom

    Site Not Available

  • UCL Queen Square Institute of Neurology National Hospital for Neurology and Neurosurgery

    London, WC1N 3BG
    United Kingdom

    Site Not Available

  • Manchester University NHS Foundation Trust

    Manchester, M13 9WL
    United Kingdom

    Site Not Available

  • University of Alabama at Birmingham

    Birmingham, Alabama 35294
    United States

    Site Not Available

  • University of California, San Diego

    La Jolla, California 92037
    United States

    Site Not Available

  • Rocky Mountain Movement Disorders Center

    Englewood, Colorado 80113
    United States

    Site Not Available

  • Georgetown University

    Washington, District of Columbia 20007
    United States

    Site Not Available

  • Columbia University, G.H. Sergievsky Center

    New York, New York 10032
    United States

    Site Not Available

  • Vanderbilt University Medical Center

    Nashville, Tennessee 37212
    United States

    Site Not Available

  • The University of Texas Health Science Center at Houston; McGovern Medical School

    Houston, Texas 77030
    United States

    Site Not Available

  • University of Washington Department of Neurology

    Seattle, Washington 98195
    United States

    Site Not Available

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