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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03225833
Registration number
NCT03225833
Ethics application status
Date submitted
17/07/2017
Date registered
21/07/2017
Date last updated
10/02/2022
Titles & IDs
Public title
Safety and Tolerability of WVE-120101 in Patients With Huntington's Disease
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Scientific title
A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase 1b/2a Study of WVE-120101 Administered Intrathecally in Patients With Huntington's Disease
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Secondary ID [1]
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WVE-HDSNP1-001
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Universal Trial Number (UTN)
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Trial acronym
PRECISION-HD1
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Huntington's Disease
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - WVE-120101
Treatment: Drugs - Placebo
Experimental: WVE-120101 (Dose A) or placebo -
Experimental: WVE-120101 (Dose B) or placebo -
Experimental: WVE-120101 (Dose C) or placebo -
Experimental: WVE-120101 (Dose D) or placebo -
Experimental: WVE-120101 (Dose E) or placebo -
Treatment: Drugs: WVE-120101
WVE-120101 is a stereopure antisense oligonucleotide (ASO)
Treatment: Drugs: Placebo
0.9% Sodium Chloride
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Safety: Number of Patients With Treatment-emergent Adverse Events (TEAEs)
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Assessment method [1]
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All TEAEs reported or observed during the study, including TEAEs resulting from concurrent illnesses, reactions to concurrent medications, or progression of disease states
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Timepoint [1]
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Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])
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Primary outcome [2]
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Safety: Severity of Adverse Events
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Assessment method [2]
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Number of patients who experienced a severe treatment-emergent adverse event. Severity was evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0
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Timepoint [2]
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Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])
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Primary outcome [3]
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Safety: Number of Patients With Serious TEAEs
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Assessment method [3]
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A serious TEAE is defined as any event that results in death, is immediately life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or is a congenital anomaly/birth defect not present at Prescreening.
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Timepoint [3]
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Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])
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Primary outcome [4]
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Safety and Tolerability: Number of Patients Who Withdraw Due to TEAEs
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Assessment method [4]
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Timepoint [4]
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Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])
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Secondary outcome [1]
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Pharmacokinetics (PK): Maximum Observed Concentration (Cmax)
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Assessment method [1]
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Cmax of WVE-120101 in plasma
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Timepoint [1]
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Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.
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Secondary outcome [2]
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PK: Time of Occurrence of Cmax (Tmax)
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Assessment method [2]
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tmax of WVE-120101 in plasma
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Timepoint [2]
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Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.
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Secondary outcome [3]
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PK: Area Under the Plasma Concentration-time Curve (AUClast)
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Assessment method [3]
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AUClast from time 0 to the last quantifiable concentration of WVE-120101 in plasma
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Timepoint [3]
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Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.
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Secondary outcome [4]
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PK: Terminal Elimination Half Life
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Assessment method [4]
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Terminal elimination half life of WVE-120101 in plasma (t1/2)
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Timepoint [4]
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Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.
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Secondary outcome [5]
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Pharmacodynamics
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Assessment method [5]
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Percentage change from baseline in concentration of mutant huntingtin (mHTT) protein in CSF
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Timepoint [5]
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Day 1 to last observation - up to Day 140 (32 mg cohort) or Day 196 (all other cohorts)
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Secondary outcome [6]
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Clinical Effects: Total Functional Capacity (TFC)
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Assessment method [6]
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Percentage change from baseline to the last measured time point in the Total Functional Capacity score, administered as part of the Unified Huntington's Disease Rating Scale (UHDRS). Total Functional Capacity is scored 13 (normal) to 0 (severe disability).
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Timepoint [6]
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Day 1 to last observation - up to Day 140 (32 mg cohort) or Day 196 (all other cohorts)
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Eligibility
Key inclusion criteria
Key
* Prescreened with targeted SNP on the same allele as the pathogenic CAG expansion
* Ambulatory, male or female patients aged =25 - =65 years
* Clinical diagnostic motor features of HD, defined as Unified Huntington's Disease Rating Scale (UHDRS) Diagnostic Confidence Score = 4
* Early manifest HD, Stage I or Stage II based on UHDRS Total Functional Capacity Scores =7 and =13
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Minimum age
25
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Malignancy or received treatment for malignancy, other than treated basal cell or squamous cell carcinoma of the skin, within the previous 5 years.
* Received investigational drug or implantable device in prior 3 months or investigational oligonucleotide in prior 6 months or 5 half-lives of the oligonucleotide, whichever is longer
* Clinically significant medical condition, unstable psychiatric symptoms, substance abuse, or pregnancy
* Inability to undergo brain MRI
* Bone, spine, bleeding, or other disorder that exposes the patient to risk of injury or unsuccessful lumbar puncture
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
17/07/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
11/05/2021
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Sample size
Target
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Accrual to date
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Final
61
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC,WA
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Recruitment hospital [1]
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Westmead Hospital - Sidney
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Recruitment hospital [2]
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Royal Brisbane & Women's Hospital - Herston
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Recruitment hospital [3]
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Royal Melbourne Hospital - Carlton
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Recruitment hospital [4]
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Monash Health - Clayton
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Recruitment hospital [5]
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Alfred Health - Melbourne
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Recruitment hospital [6]
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Calvary Health Care Bethlehem - Parkdale
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Recruitment hospital [7]
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North Metropolitan Health Service - Perth
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Recruitment postcode(s) [1]
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2145 - Sidney
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Recruitment postcode(s) [2]
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QLD 4006 - Herston
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Recruitment postcode(s) [3]
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3053 - Carlton
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Recruitment postcode(s) [4]
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3168 - Clayton
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Recruitment postcode(s) [5]
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3004 - Melbourne
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Recruitment postcode(s) [6]
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3195 - Parkdale
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Recruitment postcode(s) [7]
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6910 - Perth
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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Alberta
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Canada
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State/province [2]
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Ontario
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Canada
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State/province [3]
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Quebec
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Country [4]
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Denmark
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State/province [4]
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Aarhus
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Country [5]
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Denmark
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State/province [5]
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Copenhagen
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Denmark
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State/province [6]
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Odense
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Country [7]
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France
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State/province [7]
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Créteil
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Country [8]
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France
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State/province [8]
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Paris
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Country [9]
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Germany
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State/province [9]
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Muenster
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Country [10]
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Poland
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State/province [10]
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Gdansk
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Country [11]
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Poland
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State/province [11]
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Warsaw
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Country [12]
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United Kingdom
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State/province [12]
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Devon
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Country [13]
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United Kingdom
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State/province [13]
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Glasgow City
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Country [14]
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United Kingdom
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State/province [14]
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Liverpool
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Wave Life Sciences Ltd.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
PRECISION-HD1 is a Phase 1b/2a multicenter, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of single and multiple doses of WVE-120101 in adult patients with early manifest Huntington's disease (HD) who carry a targeted single nucleotide polymorphism (SNP) rs362307 (SNP1).
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Trial website
https://clinicaltrials.gov/study/NCT03225833
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Trial related presentations / publications
Rodrigues FB, Wild EJ. Huntington's Disease Clinical Trials Corner: April 2020. J Huntingtons Dis. 2020;9(2):185-197. doi: 10.3233/JHD-200002. Rodrigues FB, Wild EJ. Huntington's Disease Clinical Trials Corner: February 2018. J Huntingtons Dis. 2018;7(1):89-98. doi: 10.3233/JHD-189001.
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Public notes
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Contacts
Principal investigator
Name
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Medical Director, MD
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Address
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Wave Life Sciences
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/33/NCT03225833/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/33/NCT03225833/Prot_SAP_000.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT03225833
Download to PDF