Huntington Disease Clinical Trial
Official title:
Beta Testing of a New Assessment Protocol for Assessment of Complex Therapies in Huntington's Disease (HD)
Huntington's disease (HD) is an inherited neurodegenerative disease for which there are no
existing disease-modifying treatments.
Repair-HD is an EU FP7 consortium that aims to establish all the preclinical requirements
for transplantation of stem cell-derived neurons in HD in order to replace those lost to the
disease process. These requirements include the generation of new clinical assessments for
detailed monitoring of patients with HD who have undergone cell replacement therapy.
This protocol describes the beta testing of a new clinical assessment battery: Core
Assessment Protocol for Intrastriatal Transplantation in HD version 2 (CAPIT-HD beta /
CAPIT-HD2). CAPIT-HD beta represents a substantial revision of a previous CAPIT-HD battery
published over 20 years ago, which is in need of updating in order to accommodate knowledge
from clinical transplant studies over this time and to take advantage of technological
advances in patient assessment.
HD is a complex disorder in which there is relentless deterioration of motor, cognitive and
behavioural functions, usually from mid-life onwards. The original CAPIT battery aimed to
capture elements of change in all three domains, but was based predominantly on subjective
semi-quantitative assessment tools that have poor inter-rater reliability. Moreover, a
number of deficits, such as impairments in social cognition, were not recognised when the
original CAPIT-HD battery was constructed, so we have developed novel assessments of these
deficits, some of which are included in CAPIT-HD beta. The beta testing will take place in
established HD clinical centres in Cardiff, Manchester, Paris, and Munster by teams of
researchers who are experienced in leading clinic research in HD. Patients with early to
moderate HD will be assessed at baseline, and at one and twelve months later, to assess the
reliability and sensitivity of the CAPIT-HD beta battery. Arrangements for data storage and
analysis are in place.
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