Huntingtons DiseasePhase 3NCT03761849
A Study to Evaluate the Efficacy and Safety of Intrathecally Administered RO7234292 (RG6042) in Participants With Manifest Huntington's Disease
A Phase 3 study testing RO7234292 in people with Huntingtons Disease, run by Hoffmann-La Roche at 96 sites in 18 countries.
Trial summary
This study will evaluate the efficacy, safety, and biomarker effects of RO7234292 (RG6042) compared with placebo in participants with manifest Huntington's disease (HD) Read more about this study
- Who is it for?
- Ages 25 to 65 years
- Conditions the study is for
- Huntingtons Disease
- What is being tested?
- RO7234292
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 899 participants
- Where
- 96 sitesin 18 countries
- Study dates
- 23 Jan 2019to 24 Mar 2022
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 25 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Manifest HD diagnosis, defined as a DCL score of 4
- Independence Scale (IS) score >= 70
- Genetically confirmed disease by direct DNA testing with a CAP score >400
- Clinical assessment to ensure individual has intact functional independence at baseline to maintain self-care and core activities of daily living (ADLs).
Who cannot join
- Any serious medical condition or clinically significant laboratory, or vital sign abnormality or claustrophobia at screening that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study
- Pregnant or breastfeeding, or intending to become pregnant during the study or within 5 months after the final dose of study drug
Trial locations and contacts
96 sites in 18 countries.
96 sites in 18 countries
United States20 sites
Dent Neurological Institute
Amherst, New York, 14226
John Hopkins University School of Medicine
Baltimore, Maryland, 21287
Uab Medicine
Birmingham, Alabama, 35294
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Northwestern University
Chicago, Illinois, 60611
CenExel Rocky Mountain Clinical Research, LLC
Englewood, Colorado, 80113
The University of Texas Health Science Center at Houston; McGovern Medical School
Houston, Texas, 77030
Evergreen Health Care Center
Kirkland, Washington, 98034
University of California San Diego
La Jolla, California, 92037-1337
Vanderbilt University Medical Center
Nashville, Tennessee, 37212
Columbia University
New York, New York, 10032-3725
Stanford Univ Medical Center
Palo Alto, California, 94304
SC3 Research Group, Inc
Pasadena, California, 91105
Barrow Neurological Institute
Phoenix, Arizona, 85013
University of Pittsburgh
Pittsburgh, Pennsylvania, 15213
University of California Davis Medical System
Sacramento, California, 95817
University of Utah Clinical Neurosciences Center
Salt Lake City, Utah, 84132
Washington University School of Medicine
St Louis, Missouri, 63110
University of South Florida
Tampa, Florida, 33613
Georgetown University; Research Division, Psychiatry
Washington D.C., District of Columbia, 20007
United Kingdom11 sites
Aberdeen Royal Infirmary; Medical Genectics
Aberdeen, AB25 2ZD
Queen Elizabeth Hospital
Birmingham, B15 2TH
Cambridge Centre for Brain Repair; Department of Clinical Nuerosciences, Addenbrookes Hospital
Cambridge, CB2 0SP
University Hospital of Wales; Division of Psychological Medicine and Clinical Neurosciences
Cardiff, CF14 4XW
Queen Elizabeth University Hospital Glasgow
Glasgow, G51 4TF
Leeds General Infirmary
Leeds, LS1 3EX
National Hospital For Neurology and Neurosurgery
London, WC1N 3BG
Central Manchester University Hospitals NHS Foundation Trust; Manchester Centre for Genomic Medicine
Manchester, M13 9WL
John Radcliffe Hospital
Oxford, OX3 9DU
Royal Hallamshire Hospital
Sheffield, S10 2JF
University Hospital Southampton NHS Foundation Trust
Southhampton, SO16 6YD
Spain9 sites
Hospital Universitario de Badajoz; Servicio de Neurología
Badajoz, 06080
Hospital de Cruces; Servicio de Neurologia
Barakaldo, Vizcaya, 48903
Hospital Clinic Servicio de Neurologia
Barcelona, 08036
Hospital de la Santa Creu i Sant Pau; Servicio de Neurologia
Barcelona, 08041
Hospital Universitario de Burgos. Servicio de Neurología
Burgos, 09006
Hospital Ramon y Cajal; Servicio de Neurologia
Madrid, 28034
Fundacion Jimenez Diaz; Servicio de Neurología
Madrid, 28040
Hospital Universitario Virgen Macarena; Servicio de Neurologia
Seville, 41009
Hospital Universitario la Fe; Servicio de Neurologia
Valencia, 46026
Germany8 sites
Uniklinik RWTH Aachen; Klinik für Neurologie
Aachen, 52074
Charité - Universitätsmed. Berlin, Klinik für Psychiatrie und Psychotherapie; Abt. Neuropsychiatrie
Berlin, 10117
St. Josef-Hospital, Neurologische Klinik der Ruhr-Uni; Huntington-Center NRW, Abt. Neurodegeneration
Bochum, 44791
German Center for Neurodegenerative Diseases (DZNE)
Bonn, 53127
Universitätsklinikum Erlangen, Abteilung Molekulare Neurologie
Erlangen, 91054
Universitätsklinikum Schleswig-Holstein / Campus Lübeck; Zentrum für Seltene Erkrankungen
Lübeck, 23538
George-Huntington- Institut GmbH; Technologiepark Münster
Münster, 48149
Universitätsklinikum Ulm; Klinik für Neurologie
Ulm, 89081
France7 sites
CHU Angers, Batiement Larrey 2, Neurologie
Angers, 49933
Hopital Henri Mondor; Service de Neurologie
Créteil, 94010
Hopital Roger Salengro Service de Neurologie
Lille
CHU de la Timone - Hopital d Adultes; Service de Neurologie
Marseille, 13005
Hopital Gui de Chauliac; Neurologie
Montpellier, 34295
Hôpital Pitié Salpêtrère; Département de Génétique et Cytogénétique
Paris, 75651
CHU toulouse - Hôpital Purpan; Departement de Neurologie
Toulouse, 31059
Canada6 sites
University of Alberta Hospital
Edmonton, Alberta, T6G 1Z1
True North Clinical Research-Halifax
Halifax, Nova Scotia, B3S 1N2
Centre Hospitalier de l?Université de Montréal (CHUM)
Montreal, Quebec, H2X 0C2
Centre for Movement Disorders
North YORK, Ontario, M3B 2S7
Ottawa Hospital Research Institute
Ottawa, Ontario, K1Y 4E9
University of British Columbia Hospital; Division of Neurology
Vancouver, British Columbia, V6T 2B5
Italy6 sites
IRCCS Istituto delle Scienze Neurologiche; UOC Clinica Neurologica
Bologna, Emilia-Romagna, 40139
A.O.U. Careggi; Diaprtimento Scienze Neurologiche e Psichiatriche
Florence, Tuscany
Irccs A.O.U.San Martino Ist; Dinogmi
Genoa, Liguria, 16132
Fondazione IRCCS Istituto Neurologico Carlo Besta; U.O.C. Genetica Medica-Neurogenetica
Milan, Lombardy, 20133
Azienda Ospedaliera Sant'Andrea; UOC Neurologia
Rome, Lazio, 00189
IRCCS Casa Sollievo Della Sofferenza; Unità Ricerca e Cura Huntington e Malattie Rare
San Giovanni Rotondo, Apulia, 71013
Japan5 sites
Kuwana City Medical Center
Mie, 511-0061
National Hospital Organization Niigata National Hospital
Niigata, 945-8585
Okayama University Graduate School of Medicine, Densitry and Pharmaceutical Sciences.
Okayama, 700-8558
Osaka General Medical Center
Osaka, 558-8558
National Center of Neurology and Psychiatry
Tokyo, 187-8551
Argentina3 sites
Hospital Ramos Mejía
CABA, C1221ADC
INEBA
Capital Federal, C1192AAX
Hospital Britanico de Buenos Aires
Ciudad Autonoma Buenos Aires, C1284AEB
Australia3 sites
Monash Medical Centre
Clayton, Victoria, 3168
Royal Melbourne Hospital; Department of Neurology
Parkville, Victoria, 3050
WESTMEAD HOSPITAL; Deparment of Neurology
Westmead, New South Wales, 2145
New Zealand3 sites
Auckland DHB - Neurlogy Department; Neurology Department
Auckland
New Zealand Brain Research Institute
Christchurch, 8011
Wellington Hospital; Department of Neurology
Wellington, 6021
Poland3 sites
Szpital Sw. Wojciecha; Oddzial Neurologiczny
Gdansk, 80-462
Krakowska Akademia Neurologii Sp z o.o. Centrum Neurologii K
Krakow, 31-505
Instytut Psychiatrii i Neurologii
Warsaw, 02-957
Russia3 sites
?linical hospital at Kazan station, Republican Center for Movement Disorders and Botulinum Therapy
Kazan', Tatarstan Republic, 420061
FSBHI Siberian Clinical Center of the Federal Medical and Biological Agency
Krasnoyarsk, Krasnoyarsk Krai, 660037
Research Center of Neurology; Neurology Department #5
Moskva, Moscow Oblast, 125367
Austria2 sites
Uniklinik fuer Neurologie, Medizinische Universitaet Innsbruck; Department fuer Neurologie
Innsbruck, 6020
Christian-Doppler-Klinik - Universitätsklinikum; Universitätskliniik für Neurologie
Salzburg, 5020
Denmark2 sites
Aarhus Universitetshospital; Neurologisk Afdeling F, Neurogenetisk Afsnit
Aarhus N, 8200
Rigshospitalet, Hukommelsesklinikken
København Ø, 2100
Netherlands2 sites
Universitair Medisch Centrum Groningen
Groningen, 9713 GZ
LUMC
Leiden, 2333 ZA
Switzerland2 sites
Universitätsspital Basel; Neurologie
Basel, 4031
Neurozentrum Siloah
Gümligen, 3073
Chile1 site
Centro de Trastornos del Movimiento (CETRAM); CETRAM
Santiago, 9120000
About this study
Official title: A Randomized, Multicenter, Double-Blind, Placebo-Controlled, Phase III Clinical Study to Evaluate the Efficacy and Safety of Intrathecally Administered RO7234292 (RG6042) in Patients With Manifest Huntington's Disease
This study will evaluate the efficacy, safety, and biomarker effects of RO7234292 (RG6042) compared with placebo in participants with manifest Huntington's disease (HD)
- Conditions
- Huntingtons Disease
- Being tested
- RO7234292, Placebo
- Keywords
- HD, RG6042, intrathecal, ASO, antisense oligonucleotide
- Medical subject headings
- Chorea
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RO7234292Drug
Also called Tominersen
Intrathecal injection
PlaceboDrug
Intrathecal injection
| Study group | Role | What they receive |
|---|---|---|
| RO7234292 Q8W | Experimental | RO4234292 is administered intrathecally every 8 weeks. Receives: Drug: RO7234292 |
| RO7234292 Q16W | Experimental | RO7234292 is administered intrathecally every 16 weeks. Participants in this arm will also receive placebo at alternate weeks to keep the blind. Receives: Drug: RO7234292; Drug: Placebo |
| Placebo | Placebo comparator | Placebo will be administered every 8 weeks by IT injection. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in the Composite Unified Huntington's Disease Rating Scale (cUHDRS) Score-Z Score
cUHDRS includes the Total Functional Capacity (range, 0-13; higher score means better functioning), Total Motor Score (range, 0-124; higher score means worse motor severity), Symbol Digit Modality Test (range, 0-110, correctly paired numbers-symbols in 90 seconds; higher score means better cognitive performance), and Stroop Word Reading (range, 0-no max value, correctly read colour words in 45 seconds; higher score means better cognitive performance) scores. A z-score for each test is calculated, which alone can be used to describe relationship between an individual's test score and the mean score of a target population. A z-score of 0 is the mean, and ±1 is 1 standard deviation from the mean. For cUHDRS, z-scores of each test are summed, whereby a higher cUHDRS score is better (score of -3.06-no max value) and a change of ≥1.2 is a meaningful worsening, shown to track functional decline.
Measured: Weeks 21 for ODC and 69 for NDC
Change From Baseline in the Total Functional Capacity (TFC) Score
Total Functional Capacity (TFC) Scores are reported at Weeks 21 and 69. Total Functional Capacity Score ranges from 0 to 13, with a higher score representing better functioning.
Measured: Weeks 21 for ODC and 69 for NDC
Secondary outcomes (17)
Change From Baseline in Total Motor Score (TMS)
The TMS score is the sum of the individual motor ratings obtained from administration of the 31-item motor assessment. The score ranges from 0 to 124, with a higher score representing more severe impairment.
Measured: Weeks 21 for ODC and 69 for NDC
Change From Baseline in Symbol Digit Modalities Test (SDMT) Scores' Least Squares Mean Values
Symbol Digit Modality Test -SDMT test measures the number of items correctly paired maximum of 110 correct pairs in 90 seconds, more correctly paired items representing less impairment.
The differences in LS mean ( +/-SE) change from baseline SDMT score between the active groups compared with the placebo group at Weeks 21 and 69 were reported. A negative change from baseline in the SDMT indicates disease progression.
The Least Square Mean values of Symbol Digit Modality Test Scores are reported below.
The minimum range for the SDMT scale is 0, indicating highest severity. A max number is not possible as it is a time based task, based on the number of correct answers within a set time frame. There are no validated SDMT score thresholds to indicate the level of HD symptom severity.
Measured: Weeks 21 for ODC and 69 NDC
Change From Baseline in Stroop Word Reading (SWR) Test Scores' Least Squares Mean Values
Stroop Word Reading-SWR number of words and colors read correctly is counted, with a higher score indicating better cognitive performance scores. There is no upper limit for SWR as it is a time based task. The lower limit (worst possible) however is 0; higher score is better meaning less severity.
The differences in LS mean ( +/-SE) change from baseline SWR score between the active groups compared with the placebo group at Weeks 21 and 69 were reported. A negative change from baseline in the SWR indicates disease progression.
The Least Square Mean values of Stroop Word Reading (SWR) Test Scores are reported below.
Measured: Weeks 21 for ODC and 69 for NDC
Change From Baseline in the Clinical Global Impression, Severity Scale (CGI-S) Scores' Least Squares Mean Values
The CGI-S is a single-item measure of current global severity and is completed by the clinician at specified clinic visits. The CGI-S is assessed using an 11-point numeric rating scale (NRS), where higher scores indicate greater severity. Only NDC participants data were reported, all other data were not available.
CGI-S) Scores range from 0 (not at all severe) to 10 (Extremely severe); lower score is better meaning less severity.
Measured: Week 69 for NDC Only
Percentage of Patients With a Decrease From Baseline of >=1 Point on the Total Functional Capacity (TFC) Score
Only NDC participant data are available and reported. Total Functional Capacity-TFC score ranges from 0 to 13, with a higher score representing better functioning.
In this outcome measure, participants with 1 or higher point score decrease from the Baseline TFC Total Score was considered. The Percentage of these participants with such a change was calculated.
Measured: Week 69 for NDC only
Percentage of Patients With a Decline From Baseline of >=1.2 Points on the Composite Unified Huntington's Disease Rating Scale-cUHDRS Score
Only NDC participant data are available and reported. The cUHDRS is comprised of the sum scores of the subscales, score ranges and severities mentioned in the Outcome Measure Description 1 (please see above).
In this outcome measure, participants with 1.2 or higher point score decrease from the Baseline Composite Unified Huntington's Disease Rating Scale- cUHDRS Total Score was considered. The Percentage of these participants with such a change was calculated.
cUHDRS lowest (worst) score possible value is -3.06 but no upper limit as it involves SWR; higher score is better meaning less severity.
Measured: Week 69 for NDC Only
Percentage of Patients With an Unchanged or Improved Score on the Clinical Global Impression, Change Scale Score
The Clinical Global Impression, Change - CGI-C Scale is a single-item measure of change in global status scale and total scores are summed and reported. The CGI-C has 7 response options: "very much worse," "much worse," "minimally worse," "no change," "minimally improved," "much improved," and "very much improved." "Yes", "No" responses collected and total scores are summed and reported below. Percentage of participants who have unchanged or improved scores from the Baseline CGI-C Scores are calculated and reported here.
Total CGI-C scores range from 1 (Very much improved) to 7 (Very much worse); lower score is better meaning less severity. Only NDC Arms data were available. Minimum and maximum values are 1 and 7 respectively.
Measured: Weeks 53 and 69 NDC only
Percentage of Participants With Adverse Events
Measured: Up to 117 Weeks (29 months)
Change From Baseline in Montreal Cognitive Assessment (MoCA)
ODC Week 21 and NDC Week 69 data were reportable. Total MOCA scores are reported. The MoCA is a patient-completed assessment used to detect cognitive impairment. It contains a series of basic assessments, including attention and visuospatial tasks. The total score ranges from 0-30, where lower scores indicate greater impairment.
Measured: Up to Week 21 for ODC, Up to Week 69 for NDC
Percentage of Participants With Suicidal Ideation or Behavior, as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS) Score
SI-Suicidal Idealation. For ODC, only Treatment Emergent Suicide-Related Events Based on the Columbia-Suicide Severity Rating Scale (CSSRS) are reported. Four constructs are measured: severity of ideation, intensity of ideation, behavior, and lethality of actual suicide attempts. Binary (yes/no) data are collected for 10 categories, and composite endpoints based on the categories are followed over time to monitor patient safety (Posner et al. 2011). It maps to the Columbia-Classification Algorithm for Suicide Assessment and meets the criteria listed in the U.S. FDA draft guidance for assessment of suicidality in clinical trials (FDA 2012). The higher scores indicate higher severity
Measured: For ODC at 13th Month, for NDC at Week 101
Concentration of RO7234292 in Plasma
Concentration of tominersen in plasma reported
Measured: Week 21 for ODC and Week 69 for NDC
Trough Concentration of RO7234292 in Cerebrospinal Fluid (CSF)
Tominersen concentrations in cerebrospinal fluid
Measured: Week 21 for ODC and Week 69 for NDC
Incidence of Anti-Drug Antibodies (ADAs).
Data at Weeks 21 and 69 for Old Design and New Design Cohorts are reported respectively. All other timepoints were not evaluable and not meaningful.
Measured: Week 21 for ODC and Week 69 for NDC
Titer and Antibody Subtype, Determined if ADAs Are Identified
Titer and Antibody Subtype was not analyzed and there is not data to report due to participants' discontinuation
Measured: Week 21 for ODC and Week 69 for NDC
Change From Baseline in CSF mHTT Protein Level
Data to be reported within 12 months after the primary completion.
Measured: Baseline, Week 101
Change From Baseline in Whole and Regional Brain Volumes, as Detrmined by Structural Magnetic Resonance Imaging (MRI)
Data reported only for ODC Arms. Analysis of Percent Change from Baseline in Volumetric MRI / BSI at 3 Months reported. Analysis performed using analysis of covariance with covariates of CAP, CAG, Age at Baseline and treatment included.
Analysis of Change from Baseline in: Caudate Volume (mL)
Measured: Week 13 for ODC
Change From Baseline in CSF Neurofilament Light Chain (NfL) Proteint Level
Measured: Week 21 for ODC, Weeks 21 and 69 for NDC
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Dec 2018
- Study start23 Jan 2019
- Primary completion24 Mar 2022
- Study completion24 Mar 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Huntingtons DiseaseStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 899 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03761849
- Sponsor's protocol ID
- BN40423
- Other IDs
- GENERATION HD1
- Status last verified
- Feb 2024
- First submitted
- 30 Nov 2018
- Last updated
- 1 Mar 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Lugrin C, Alecci L, Simillion C, Volkova-Volkmar E, Giboin LS, Kinsella FC, McColgan P, Wild EJ, Dorn J. Longitudinal assessment of chorea in Huntington's disease using digital passive monitoring. NPJ Digit Med. 2026 Apr 25;9(1):495. doi: 10.1038/s41746-026-02661-y.
PubMed 42032152Rodrigues FB, Ferreira JJ, Wild EJ. Huntington's Disease Clinical Trials Corner: June 2019. J Huntingtons Dis. 2019;8(3):363-371. doi: 10.3233/JHD-199003.
PubMed 31381524Rodrigues FB, Quinn L, Wild EJ. Huntington's Disease Clinical Trials Corner: January 2019. J Huntingtons Dis. 2019;8(1):115-125. doi: 10.3233/JHD-190001.
PubMed 30776019
Study at a glance
From the registry record, last updated by the sponsor on 1 Mar 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Multicenter, Double-Blind, Placebo-Controlled, Phase III Clinical Study to Evaluate the Efficacy and Safety of Intrathecally Administered RO7234292 (RG6042) in Patients With Manifest Huntington's Disease
- ClinicalTrials.gov ID
- NCT03761849
- Acronym / sponsor ID
- BN40423
- Conditions
- Huntingtons Disease
- Keywords
- HD, RG6042, intrathecal, ASO, antisense oligonucleotide
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 899 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 23 Jan 2019 (actual)
- Primary completion
- 24 Mar 2022 (actual)
- Study completion
- 24 Mar 2022 (actual)
- First posted
- 3 Dec 2018 (actual)
- Results
- Posted 7 Nov 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the efficacy, safety, and biomarker effects of RO7234292 (RG6042) compared with placebo in participants with manifest Huntington's disease (HD)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| RO7234292 Q8W | Experimental | Drug: RO7234292RO4234292 is administered intrathecally every 8 weeks. |
| RO7234292 Q16W | Experimental | Drug: RO7234292, Drug: PlaceboRO7234292 is administered intrathecally every 16 weeks. Participants in this arm will also receive placebo at alternate weeks to keep the blind. |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo will be administered every 8 weeks by IT injection. |
Who may qualify
- Ages
- 25 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Manifest HD diagnosis, defined as a DCL score of 4
- Independence Scale (IS) score >= 70
- Genetically confirmed disease by direct DNA testing with a CAP score >400
- Clinical assessment to ensure individual has intact functional independence at baseline to maintain self-care and core activities of daily living (ADLs).
Key exclusion criteria (2 listed)
- Any serious medical condition or clinically significant laboratory, or vital sign abnormality or claustrophobia at screening that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study
- Pregnant or breastfeeding, or intending to become pregnant during the study or within 5 months after the final dose of study drug
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RO7234292Also: TominersenIntrathecal injection | Drug | RO7234292 Q16W, RO7234292 Q8W |
| PlaceboIntrathecal injection | Drug | Placebo, RO7234292 Q16W |
Primary outcome
Change From Baseline in the Composite Unified Huntington's Disease Rating Scale (cUHDRS) Score-Z Score
Time frame: Weeks 21 for ODC and 69 for NDC
cUHDRS includes the Total Functional Capacity (range, 0-13; higher score means better functioning), Total Motor Score (range, 0-124; higher score means worse motor severity), Symbol Digit Modality Test (range, 0-110, correctly paired numbers-symbols in 90 seconds; higher score means better cognitive performance), and Stroop Word Reading (range, 0-no max value, correctly read colour words in 45 seconds; higher score means better cognitive performance) scores. A z-score for each test is calculated, which alone can be used to describe relationship between an individual's test score and the mean score of a target population. A z-score of 0 is the mean, and ±1 is 1 standard deviation from the mean. For cUHDRS, z-scores of each test are summed, whereby a higher cUHDRS score is better (score of -3.06-no max value) and a change of ≥1.2 is a meaningful worsening, shown to track functional decline.
Change From Baseline in the Total Functional Capacity (TFC) Score
Time frame: Weeks 21 for ODC and 69 for NDC
Total Functional Capacity (TFC) Scores are reported at Weeks 21 and 69. Total Functional Capacity Score ranges from 0 to 13, with a higher score representing better functioning.
17 secondary outcomes
Change From Baseline in Total Motor Score (TMS)
Time frame: Weeks 21 for ODC and 69 for NDC
Change From Baseline in Symbol Digit Modalities Test (SDMT) Scores' Least Squares Mean Values
Time frame: Weeks 21 for ODC and 69 NDC
Change From Baseline in Stroop Word Reading (SWR) Test Scores' Least Squares Mean Values
Time frame: Weeks 21 for ODC and 69 for NDC
Change From Baseline in the Clinical Global Impression, Severity Scale (CGI-S) Scores' Least Squares Mean Values
Time frame: Week 69 for NDC Only
Percentage of Patients With a Decrease From Baseline of >=1 Point on the Total Functional Capacity (TFC) Score
Time frame: Week 69 for NDC only
Percentage of Patients With a Decline From Baseline of >=1.2 Points on the Composite Unified Huntington's Disease Rating Scale-cUHDRS Score
Time frame: Week 69 for NDC Only
Percentage of Patients With an Unchanged or Improved Score on the Clinical Global Impression, Change Scale Score
Time frame: Weeks 53 and 69 NDC only
Percentage of Participants With Adverse Events
Time frame: Up to 117 Weeks (29 months)
Change From Baseline in Montreal Cognitive Assessment (MoCA)
Time frame: Up to Week 21 for ODC, Up to Week 69 for NDC
Percentage of Participants With Suicidal Ideation or Behavior, as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS) Score
Time frame: For ODC at 13th Month, for NDC at Week 101
Concentration of RO7234292 in Plasma
Time frame: Week 21 for ODC and Week 69 for NDC
Trough Concentration of RO7234292 in Cerebrospinal Fluid (CSF)
Time frame: Week 21 for ODC and Week 69 for NDC
Incidence of Anti-Drug Antibodies (ADAs).
Time frame: Week 21 for ODC and Week 69 for NDC
Titer and Antibody Subtype, Determined if ADAs Are Identified
Time frame: Week 21 for ODC and Week 69 for NDC
Change From Baseline in CSF mHTT Protein Level
Time frame: Baseline, Week 101
Change From Baseline in Whole and Regional Brain Volumes, as Detrmined by Structural Magnetic Resonance Imaging (MRI)
Time frame: Week 13 for ODC
Change From Baseline in CSF Neurofilament Light Chain (NfL) Proteint Level
Time frame: Week 21 for ODC, Weeks 21 and 69 for NDC
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Mar 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42032152Lugrin C, Alecci L, Simillion C, Volkova-Volkmar E, Giboin LS, Kinsella FC, McColgan P, Wild EJ, Dorn J. Longitudinal assessment of chorea in Huntington's disease using digital passive monitoring. NPJ Digit Med. 2026 Apr 25;9(1):495. doi: 10.1038/s41746-026-02661-y.
- Derived from this study: PubMed 31381524Rodrigues FB, Ferreira JJ, Wild EJ. Huntington's Disease Clinical Trials Corner: June 2019. J Huntingtons Dis. 2019;8(3):363-371. doi: 10.3233/JHD-199003.
- Derived from this study: PubMed 30776019Rodrigues FB, Quinn L, Wild EJ. Huntington's Disease Clinical Trials Corner: January 2019. J Huntingtons Dis. 2019;8(1):115-125. doi: 10.3233/JHD-190001.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
96 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing RO7234292 in people with Huntingtons Disease, run by Hoffmann-La Roche at 96 sites in 18 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 96 sites in United States, United Kingdom, Spain, Germany, France and 13 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 7 Nov 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in the Composite Unified Huntington's Disease Rating Scale (cUHDRS) Score-Z Score (time frame: Weeks 21 for ODC and 69 for NDC). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03761849, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Mar 2024.