Huntington's Disease Clinical Trial
Official title:
Phenylbutyrate Development for Huntington's Disease (PHEND-HD): A Multi-Center, Double-Blind, Placebo-Controlled Study With Open-Label Follow-Up to Determine the Safety and Tolerability of Phenylbutyrate in Subjects With Huntington's Disease
The purpose of this study is to evaluate the safety, tolerability and clinical impact of 15-grams daily of sodium phenylbutyrate (phenylbutyrate) in Huntington's disease and to lay the groundwork for possible subsequent trials designed to specifically address its ability to slow or halt the progression of the disease.
Huntington's disease (HD) is an autosomal dominant disorder resulting in selective loss of
neurons in the striatum—an area of the brain that controls movement, balance, and
walking—and other areas of the brain. The disease is characterized by progressive motor and
cognitive decline. There is no cure or even plausible treatment to offset the fatal course
of the disease. Therefore, any treatment that ameliorates the disease would be of enormous
importance.
The purpose of this double-blind, placebo-controlled study—with open-label follow-up—is to
determine the safety and tolerability of 15-grams daily of oral phenylbutyrate in people
with HD. The study will enroll 60 individuals. Eligible participants will be initially
randomized to receive either phenylbutyrate or the matching placebo for 4 weeks.
After the placebo-controlled phase, all participants will enter the open-label phase to
receive phenylbutyrate for 12 weeks. Participants will be followed for one month off
phenylbutyrate.
This combination of a short-term double-blind, placebo-controlled phase followed by a longer
open-label phase will favor the primary goals of detecting toxicity and intolerability while
facilitating recruitment and maximizing number of subjects on study drug.
;
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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