This is a first-in-human (FIH) study of RG6496 that will assess the safety and tolerability of single-ascending doses of RG6496 administered to huntington's disease gene expansion carriers (HDGECs). The study consists of two parts: Part 1 \[single-ascending dose\] followed by Part 2 \[open-label extension (OLE)\].
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
Westmead Hospital
Westmead, New South Wales, Australia
RECRUITINGNew Zealand Brain Research Institute
Christchurch, New Zealand
RECRUITINGPart 1: Number of Participants With Adverse Events (AEs)
Time frame: Up to approximately 24 months
Part 1: Change From Baseline in Neurological Assessment
A neurologic examination including fundoscopy, will be performed by a neurologist or an ophthalmologist depending on local practice. A neurologic examination will include an assessment of mental status, level of consciousness, cranial nerve function, motor function, sensory function, reflexes, gait, and coordination.
Time frame: Up to approximately 24 months
Part 1: Percentage of Participants With Suicidal Ideation or Behavior, as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS) Score
C-SSRS measures 4 constructs as follows: severity of ideation, intensity of ideation, behavior, and lethality of actual suicide attempts. Binary (yes/no) data are collected for 10 categories. Numeric ratings are provided for intensity of ideation (if present), from 1 to 5, with 1 being the least severe and 5 being the most severe.
Time frame: Up to approximately 24 months
Part 1: Change from Baseline in Montreal Cognitive Assessment (MoCA)
MoCA is a rater-administered, participant completed assessment (PerfO instrument) used to detect cognitive impairment. It contains a series of basic assessments, including attention and visuospatial tasks. The total score ranges from 0 to 30, where lower scores indicate greater impairment.
Time frame: Up to approximately 24 months
Part 2: Number of Participants With AEs
Time frame: Up to approximately 38 months
Part 2: Change From Baseline in Neurological Assessment
A neurologic examination including fundoscopy, will be performed by a neurologist or an ophthalmologist depending on local practice. A neurologic examination will include an assessment of mental status, level of consciousness, cranial nerve function, motor function, sensory function, reflexes, gait, and coordination.
Reference Study ID Number: BP45378 https://forpatients.roche.com/
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Time frame: Up to approximately 38 months
Part 2: Number of Participants With Suicidal Ideation or Behavior, as Assessed by C-SSRS Score
C-SSRS measures 4 constructs as follows: severity of ideation, intensity of ideation, behavior, and lethality of actual suicide attempts. Binary (yes/no) data are collected for 10 categories. Numeric ratings are provided for intensity of ideation (if present), from 1 to 5, with 1 being the least severe and 5 being the most severe.
Time frame: Up to approximately 38 months
Part 2: Change from Baseline in MoCA
MoCA is a rater-administered, participant completed assessment (PerfO instrument) used to detect cognitive impairment. It contains a series of basic assessments, including attention and visuospatial tasks. The total score ranges from 0 to 30, where lower scores indicate greater impairment.
Time frame: Up to approximately 38 months
Part 1: Plasma Concentration of RG6496
Time frame: Up to approximately 24 months
Part 1 and Part 2: Number of Participants With Anti-drug Antibody (ADA) in Plasma to RG6496
Time frame: Part 1: Up to approximately 24 months; Part 2: Up to approximately 38 months
Part 1 and Part 2: Change From Baseline of Mutant Huntingtin Protein (mHTT) Concentrations in Cerebrospinal Fluid (CSF) Over Time
Time frame: Part 1: Up to approximately 24 months; Part 2: Up to approximately 38 months