Effect of PBT2 in Patients With Early to Mid Stage Huntington Disease



Status:Completed
Conditions:Neurology
Therapuetic Areas:Neurology
Healthy:No
Age Range:Any
Updated:11/18/2012
Start Date:April 2012
End Date:October 2013
Contact:Jill Lowell
Email:Jill_lowell@urmc.rochester.edu
Phone:1-800-487-7671

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A Randomized, Double-blind, Placebo-controlled Study to Assess the Safety and Tolerability, and Efficacy of PBT2 in Patients With Early to Mid-stage Huntington Disease


Huntington disease (HD) is an inherited neurodegenerative disease which affects over 30,000
people in both the United States and Australia. HD is characterized by brain cell death that
usually begins between the ages of 30 to 50, and results in motor, cognitive and behavioral
signs and symptoms. While there are medications to help relieve some of the disease
symptoms, there is no known treatment to address the cognitive impairment associated with
HD.

Normally occurring metals in the brain play a significant role in diseases such as Alzheimer
disease and more recently, HD. PBT2 is a drug designed to interrupt interactions between
these biological metals and target proteins in the brain, to prevent deterioration of brain
cells. PBT2, has shown in animal models, and as well as in a small group of patients with
Alzheimer's disease, it may improve cognition. There is some indication in animal models of
HD, that the drug may improve motor function and control and reduce the amount of brain cell
degeneration. Based on these results, this clinical trial is investigating whether the drug
will have similar effects with HD patients.

PBT2-203 will evaluate how safe and well tolerated PBT2 is at a dose of 100 mg or 250 mg a
day administered as oral daily capsules compared to a placebo over six months treatment
period. The trial will also measure whether there is an effect on cognitive abilities as
well as other HD symptoms including motor and overall functioning of individuals with HD.


Inclusion Criteria:

- Patients who:

1. Provide signed informed consent in accordance with local regulations.

2. Have Huntington disease including clinical features of HD and a CAG repeat
number ≥ 36.

3. Have a Total Functional Capacity between 6 and 13, inclusive.

4. Have cognitive impairment as demonstrated by a MoCA score of ≥ 12.

5. Are ≥ 25 years of age.

6. If taking tetrabenazine, have been on a stable dose for at least 3 months.

7. If female, are either a) of childbearing potential and compliant in using
adequate birth control or b) not of childbearing potential.

8. If male, is either a) of reproductive potential and compliant in using adequate
birth control or b) not of reproductive potential.

9. Have a study partner who is willing to provide consent and spends on average at
least two hours a day for at least four days a week with the patient, is fluent
in the English language, and who agrees to attend certain study visits and
provide accurate information about the patient.

10. Are able to swallow oral capsules.

11. Are fluent in the English language for the administration of rating scales and
have sufficient visual, hearing and motor skills to complete procedures.

Exclusion Criteria:

- Patients who:

1. Have an allergy to PBT2 or its excipients.

2. Have other known primary neurodegenerative disorders associated with dementia.

3. Have known dementia syndromes due to non-primary CNS disease.

4. Have another condition that in the investigator's judgment is resulting in
clinically significant cognitive impairment.

5. In the opinion of the investigator, have any clinically significant uncontrolled
medical or psychiatric illness, including history of seizures.

6. Have clinically significant cardiovascular, hepatic, renal, pulmonary, metabolic
or endocrine disease that, in the opinion of the investigator, would interfere
with an individual's participation in the study.

7. Have a calculated creatinine clearance at Screening of <50mL/min.

8. Have a history of malignancy diagnosed within 2 years of Screening.

9. Are pregnant or lactating females.
We found this trial at
15
sites
9500 Gilman Dr
San Diego, California 92093
(858) 534-2230
University of California at San Diego UC San Diego is dedicated to the advancement of...
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3400 N Charles St
Baltimore, Maryland 21205
410-516-8000
Johns Hopkins University The Johns Hopkins University opened in 1876, with the inauguration of its...
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6701 Country Club Drive
Golden Valley, Minnesota 55427
888-993-5495
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Golden Valley, MN
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Miami, Florida 33124
(305) 284-2211
University of Miami A private research university with more than 15,000 students from around the...
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1 Brookings Drive
St. Louis, Missouri 63110
 (314) 935-5000
Washington University Washington University creates an environment to encourage and support an ethos of wide-ranging...
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47 New Scotland Ave
Albany, New York 12208
(518) 262-3125
Albany Medical College Albany Medical Center is northeastern New York's only academic health sciences center...
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655 West Baltimore Street
Baltimore, Maryland 21201
(410) 706-7410
University of Maryland School of Medicine Established in 1807, The School of Medicine is the...
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Charlestown, Massachusetts 02129
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410 W 10th Ave
Columbus, Ohio 43210
(614) 293-8652
The Ohio State University, Wexner Medical Center Located in Columbus, The Ohio State University Wexner...
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Englewood, Colorado
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263 Farmington Ave
Farmington, Connecticut 06030
(860) 679-2000
University of Connecticut Health Center UConn Health is a vibrant, integrated academic medical center that...
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Kirkland, Washington 98034
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630 W 168th St
New York, New York
212-305-2862
Columbia University Medical Center Situated on a 20-acre campus in Northern Manhattan and accounting for...
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13400 E. Shea Blvd.
Scottsdale, Arizona 85259
480-301-8000
Mayo Clinic Arizona Mayo Clinic in Arizona provides medical care for thousands of people from...
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