770 Participants NeededMy employer runs this trial

Votoplam for Huntington's Disease

(INVEST-HD Trial)

Recruiting at 91 trial locations
NP
Overseen ByNovartis Pharmaceuticals
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: Novartis Pharmaceuticals
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if votoplam, an oral medication, can safely slow the progression of Huntington's disease (HD) in individuals with early symptoms. Participants will receive either votoplam or a placebo (a pill with no active drug) to compare effects. Those with a genetically confirmed diagnosis of HD, specific gene characteristics, and the ability to walk may be suitable for this trial. The goal is to assess whether votoplam can significantly impact HD symptom management. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants the opportunity to contribute to a potentially groundbreaking treatment for HD.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Is there any evidence suggesting that votoplam is likely to be safe for humans?

Research has shown that votoplam is generally well-tolerated by people with Huntington's disease. In earlier studies, researchers tested votoplam for two years at different doses. The safety results from these studies aligned with previous findings, indicating consistent safety for votoplam. Some side effects occurred, but they were usually manageable and rarely led to treatment discontinuation. This suggests votoplam could be a safe option for those with early symptoms of Huntington's disease. However, since reactions vary, discussing any concerns with a healthcare provider is important.12345

Why do researchers think this study treatment might be promising for Huntington's disease?

Unlike traditional treatments for Huntington's Disease, which mainly focus on managing symptoms, Votoplam offers a potentially groundbreaking approach by targeting the underlying mechanisms of the disease. Researchers are excited about Votoplam because it works by modulating specific proteins associated with the progression of Huntington's. This novel mechanism of action could not only slow the disease's progression but also improve the quality of life for patients in ways current medications do not. If successful, Votoplam could represent a significant shift towards more effective treatments for Huntington's Disease.

What evidence suggests that votoplam might be an effective treatment for Huntington's disease?

Research has shown that votoplam may help treat early symptoms of Huntington's disease (HD). One study found that votoplam reduced the amount of the huntingtin (HTT) protein in the blood, which is linked to the progression of HD. Over two years, participants taking votoplam experienced up to a 52% slowdown in the disease's progression. The treatment proved more effective at higher doses. In this trial, participants will receive either votoplam or a placebo at random. These findings suggest that votoplam could help slow the development of HD symptoms.12346

Are You a Good Fit for This Trial?

This trial is for adults aged 21-70 with early-stage Huntington's disease confirmed by genetic testing (CAG repeat of 40 or more), who can walk and meet certain scores on movement and function tests. Women must not be pregnant or breastfeeding, and people with serious heart issues, active hepatitis, HIV, or prior experimental brain treatments can't join.

Inclusion Criteria

I have Huntington's disease with a CAG repeat length of 40 or more.
Signed informed consents must be obtained prior to participation in the study
Meets all of the following criteria: UHDRS IS score ≥90, UHDRS TFC score = 13, UHDRS TMS score = 7-25, inclusive, CAP100 ≥ 70 Calculation: CAP = Age at study entry × (CAG length - 30) / 6.49
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Exclusion Criteria

Women of childbearing potential are excluded unless they are using highly effective methods of contraception while taking study treatment and for 8 months after stopping study treatment, Pregnant or nursing (breastfeeding) women
I have a history of serious heart rhythm problems or inherited heart conditions.
I have had gene therapy, cell transplant, or experimental brain surgery for Huntington's disease.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

6 weeks
1 visit (in-person)

Double-blind Treatment

Participants receive either Votoplam or placebo in a blinded manner, with treatment duration up to 36 months

Variable, up to 36 months

Safety Follow-up

A safety follow-up visit or phone call is conducted 30 days after the end of study for participants not continuing in the open-label extension

1 day
1 visit (in-person or phone call)

Open-label Extension (optional)

Participants may opt into continuation of treatment long-term in an open-label extension study

What Are the Treatments Tested in This Trial?

Interventions

  • Votoplam

Trial Overview

The study compares a new drug called Votoplam to a placebo in people with early Huntington's disease. Participants are randomly assigned to receive either the drug or placebo without knowing which one they get (blinded). The goal is to see if Votoplam is safe and slows down disease progression.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Placebo Group

Group I: VotoplamExperimental Treatment1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Novartis Pharmaceuticals

Lead Sponsor

Trials
2,963
Recruited
4,275,000+
Founded
1996
Headquarters
Basel, Switzerland
Known For
Precision medicine
Top Products
Gleevec, Cosentyx, Entresto, Kisqali
Dr. Vas Narasimhan profile image

Dr. Vas Narasimhan

Novartis Pharmaceuticals

Chief Executive Officer since 2018

MD from Harvard Medical School

Dr. Shreeram Aradhye profile image

Dr. Shreeram Aradhye

Novartis Pharmaceuticals

Chief Medical Officer since 2021

MD

Citations

Release Details

The study met the primary endpoint of blood Huntingtin (HTT) protein lowering at 12 weeks, with persistent dose-dependent lowering at Month 12.

New Long-Term Extension Data from PIVOT-HD for Votoplam

⏱️10 min read | PTC Therapeutics shared 2-year data for votoplam, a daily HTT-lowering pill. Stage 2 participants showed up to 52% slowing of ...

NCT07326709 | A Study to Investigate the Efficacy, Safety ...

The purpose is to assess safety and tolerability of votoplam and to determine whether votoplam slows disease progression in patients with early symptomatic ...

A Study to Investigate the Efficacy, Safety and Tolerability ...

The purpose is to assess safety and tolerability of votoplam and to determine whether votoplam slows disease progression in patients with early symptomatic ...

Votoplam Shows Dose-Dependent Slowing of Disease ...

Dose-response was observed on cUHDRS over 24 months in stage 2 Huntington disease, with 10 mg outperforming 5 mg versus an external propensity- ...

NCT06254482 | An Extension Study to Evaluate the Long- ...

The primary goal of this study is to evaluate the long-term safety and pharmacodynamic effects of votoplam in participants with HD. Detailed Description.