PTC518 for Huntington's Disease

Not currently recruiting at 31 trial locations
PA
JC
Overseen ByJody Corey-Bloom
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: PTC Therapeutics
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new drug called PTC518 for individuals with Huntington's disease (HD). The main goal is to assess the drug's safety and its effects on the body compared to a placebo (a pill with no active drug). Participants will take either 5 mg, 10 mg, or 20 mg of PTC518, or a placebo, for 12 months. The trial seeks participants with a confirmed HD diagnosis who face daily life challenges due to the disease. As a Phase 2 trial, this research focuses on evaluating the treatment's effectiveness in an initial, smaller group of people.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. However, you cannot have received any experimental treatments for Huntington's Disease within 90 days before the study or during the study.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that PTC518 has been well tolerated in studies. The treatment did not cause serious health problems, even at different dose levels. Early human studies found no harmful effects that would prevent increasing the dose. Participants did not experience issues that stopped the treatment from being administered at higher doses. Overall, these studies suggest that the safety of PTC518 looks promising.12345

Why do researchers think this study treatment might be promising for Huntington's Disease?

Researchers are excited about PTC518 for Huntington's Disease because it offers a novel approach compared to current treatments like tetrabenazine and deutetrabenazine, which primarily manage symptoms. PTC518 works by targeting the underlying cause of the disease, aiming to reduce the production of the mutant huntingtin protein, which is responsible for the disease's progression. This direct targeting could potentially slow down or alter the course of Huntington's Disease, offering hope for a more effective treatment. Additionally, the treatment is available in multiple dosages (5 mg, 10 mg, and 20 mg), allowing for flexibility in addressing different patient needs.

What evidence suggests that PTC518 might be an effective treatment for Huntington's Disease?

Research has shown that PTC518 holds promise for treating Huntington's disease. In this trial, participants will receive different dosages of PTC518—specifically 5 mg, 10 mg, or 20 mg—or a placebo. Studies have found that PTC518 lowers levels of the Huntingtin protein in the blood, which is linked to the disease, with noticeable reductions as early as week 12. Early results also suggest that PTC518 can slow the progression of movement problems, indicating early signs of benefits. These studies reported the treatment to be safe and well-tolerated. These findings offer hope that PTC518 could provide real benefits for people with Huntington's disease.12367

Are You a Good Fit for This Trial?

This trial is for people with Huntington's Disease who have a specific range of scores on the UHDRS scale, confirming their functional capacity and independence. They must have a genetically confirmed diagnosis with certain CAG repeat lengths. Excluded are those who've had gene therapy for HD, recent participation in other studies, or conditions that could interfere with study procedures.

Inclusion Criteria

You have a UHDRS Total Functional Capacity (TFC) score of 13 or less.
My functional abilities are slightly reduced due to my condition.
I am in Stage 2 of Huntington's disease based on specific health scores.
See 4 more

Exclusion Criteria

Any medical history or condition that would interfere with the ability to complete the protocol-specified assessments (for example, implanted shunt, conditions precluding magnetic resonance imaging [MRI] scans)
Pregnancy, planning on becoming pregnant during the course of the study or within 6 months of end of treatment, or currently breastfeeding
I have not been in any experimental studies or treatments in the last 90 days.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive PTC518 or placebo once daily orally for 12 months

12 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Placebo
  • PTC518
Trial Overview The study tests PTC518's safety and its effects compared to a placebo in individuals with Huntington’s Disease. Participants will be randomly assigned to receive either the drug or placebo to determine if there are any differences in outcomes between the two groups.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Placebo Group
Group I: PTC518 5 mgExperimental Treatment1 Intervention
Group II: PTC518 20 mgExperimental Treatment1 Intervention
Group III: PTC518 10 mgExperimental Treatment1 Intervention
Group IV: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

PTC Therapeutics

Lead Sponsor

Trials
75
Recruited
6,300+

Dr. Matthew B. Klein

PTC Therapeutics

Chief Executive Officer since 2023

BA from the University of Pennsylvania, MD from Yale University School of Medicine, MS in Epidemiology from the University of Washington School of Public Health

Dr. Stuart W. Peltz

PTC Therapeutics

Chief Medical Officer since 2023

MD from Harvard Medical School

Published Research Related to This Trial

In a study involving 227 participants with Huntington's disease, pridopidine at a dosage of 90 mg/day showed a potential improvement in motor function, although the primary analysis did not reach statistical significance (P = .08).
Pridopidine was generally well tolerated by participants, indicating it may be a safe option for further investigation in treating motor symptoms of Huntington's disease.
A randomized, double-blind, placebo-controlled trial of pridopidine in Huntington's disease.[2022]

Citations

PTC518 PIVOT-HD Study Achieves Primary EndpointThe study met its primary endpoint of reduction in blood Huntingtin (HTT) protein levels (p<0.0001) at Week 12 and favorable safety and ...
Huntington Drug PTC518 Meets Primary End Point in ..."These PIVOT-HD results confirm that PTC518 lowers Huntingtin protein and shows early signals of clinical benefit with a favorable safety ...
A Study to Evaluate the Safety and Efficacy of PTC518 ...The primary goal of this study is to evaluate the safety and pharmacodynamic effects of PTC518 compared with placebo in participants with HD.
Interim PIVOT-HD Results Demonstrate Evidence of ...In addition, at Month 12, PTC518 treatment resulted in a notable slowing in progression of motor symptoms as assessed by the TMS (2.0 points ...
Pharmacokinetics and pharmacodynamics of PTC518, an oral ...The maximal reduction of HTT protein was not attained after 21 days of PTC518 treatment, indicating a potentially higher than 35% reduction at ...
NCT06254482 | An Extension Study to Evaluate the Long- ...The primary goal of this study is to evaluate the long-term safety and pharmacodynamic effects of PTC518 in participants with HD. Detailed Description.
J002 Twelve-month interim data from PIVOT-HDFinally, PTC518 treatment was well tolerated, with no treatment-related serious adverse events and no dose-limiting toxicities. There were no treatment-related ...
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