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Huntington DiseasePhase 2NCT05686551

GENERATION HD2. A Study to Evaluate the Safety, Biomarkers, and Efficacy of Tominersen Compared With Placebo in Participants With Prodromal and Early Manifest Huntington's Disease

A Phase 2 study testing Tominersen in people with Huntington Disease, run by Hoffmann-La Roche at 70 sites in 15 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This study will evaluate the safety, biomarkers, and efficacy of tominersen compared with placebo in participants with prodromal and early manifest Huntington's Disease (HD). Read more about this study

Who is it for?
Ages 25 to 50 years
Conditions the study is for
Huntington Disease
What is being tested?
Tominersen
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
301 participants
Where
70 sitesin 15 countries
Study dates
3 Feb 2023to 31 Oct 2026
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • DB Period:
  • HD gene expansion mutation carrier status with a cytosine-adenine-guanine-age product (CAP) score of 400-500 inclusive
  • Either:
  • Prodromal HD (defined as Diagnostic Confidence Level (DCL) 2 to 3, Independence Scale (IS) ≥70, and TFC ≥8); Or
  • Early manifest HD (defined as DCL 4, IS ≥70, and TFC ≥8)
  • Total body weight > 40 kilograms (kg) and a body mass index (BMI) within the range of 18-32 kilograms per meter square (kg/m^2)
Show all 10Show fewer
  • Study companion
  • OLE Period:
  • Participants must have completed the DB treatment period
  • Participants must remain in the DB Safety follow-up period until OLE period starts

Who cannot join

  • DB Period:
  • Current or previous use of an antisense oligonucleotide (ASO) (including small interfering ribonucleic acid [RNA]) or any HTT lowering therapy (including tominersen)
  • Anti-platelet or anticoagulant therapy within 14 days prior to screening or anticipated use during the study, including, but not limited to, aspirin (unless ≤ 81 milligrams per day [mg/day]), clopidogrel, dipyridamole, warfarin, dabigatran, rivaroxaban, apixaban, and heparin
  • History of gene therapy, cell transplantation, or brain surgery
  • Hydrocephalus
  • Pregnancy or breastfeeding, or intention of becoming pregnant during the study or within 5 months after the final dose of study drug
Show all 14Show fewer
  • History of attempted suicide or suicidal ideation with plan (i.e., active suicidal ideation) that required hospital visit and/or change in level of care within 12 months prior to screening
  • OLE Period:
  • Early discontinuation from the DB treatment and the safety follow-up (SFU) periods
  • Pregnant or breastfeeding, or with the intention of becoming pregnant during the study or within the timeframe in which contraception is required
  • Current or previous use of an ASO other than tominersen (including small interfering RNA) or any other HTT-lowering therapy
  • Hydrocephalus
  • Received any active investigational treatment other than tominersen during or since completion of the DB treatment period
  • Key inclusions/exclusion criteria are listed here. Other protocol-defined I/E criteria may apply.

Trial locations and contacts

70 sites in 15 countries.

70 sites in 15 countries

United States18 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

  • Henry Ford Hospital

    Detroit, Michigan, 48202

  • CenExel Rocky Mountain Clinical Research, LLC

    Englewood, Colorado, 80113

  • University of Florida

    Gainesville, Florida, 32608

  • The University of Texas Health Science Center at Houston

    Houston, Texas, 77030

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • EvergreenHealth Investigational Drug Services

    Kirkland, Washington, 98034

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37212

  • Barrow Neurological Institute

    Phoenix, Arizona, 85013

  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15213

  • University of California Davis Medical System

    Sacramento, California, 95817

  • Inland Northwest Research

    Spokane, Washington, 99202

  • University of South Florida

    Tampa, Florida, 33612

  • Georgetown University

    Washington D.C., District of Columbia, 20007

Other trials in United States

France8 sites
  • CHU Angers, Batiement Larrey 2, Neurologie

    Angers, 49933

  • Groupe Hospitalier Pellegrin

    Bordeaux, 33076

  • Hopital Henri Mondor

    Créteil, 94010

  • Hopital Roger Salengro Service de Neurologie

    Lille, DUMMY_VALUE

  • CHU de la Timone - Hopital d Adultes

    Marseille, 13005

  • Hopital Gui de Chauliac

    Montpellier, 34295

  • CHU Strasbourg Hpital Hautepierre

    Strasbourg, 67098

  • CHU toulouse - Hôpital Purpan

    Toulouse, 31059

Other trials in France

Germany8 sites
  • Uniklinik RWTH Aachen

    Aachen, 52074

  • Charité - Universitätsmed. Berlin, Klinik für Psychiatrie und Psychotherapie

    Berlin, 10117

  • St. Josef-Hospital, Neurologische Klinik der Ruhr-Uni

    Bochum, 44791

  • German Center for Neurodegenerative Diseases (DZNE)

    Bonn, 53127

  • Universitätsklinikum Erlangen, Abteilung Molekulare Neurologie

    Erlangen, 91054

  • Universitätsklinikum Schleswig-Holstein / Campus Lübeck

    Lübeck, 23538

  • kbo - Isar-Amper-Klinikum Taufkirchen

    Taufkirchen, 84416

  • Universitätsklinikum Ulm

    Ulm, 89081

Other trials in Germany

Spain7 sites
  • Hospital Universitario de Badajoz

    Badajoz, 06080

  • Hospital de Cruces

    Barakaldo, Vizcaya, 48903

  • Hospital de la Santa Creu i Sant Pau

    Barcelona, 08041

  • Hospital Universitario de Burgos. Servicio de Neurología

    Burgos, 09006

  • Hospital Ramon y Cajal

    Madrid, 28034

  • Hospital Universitario Virgen Macarena

    Seville, 41009

  • Hospital Universitario la Fe

    Valencia, 46026

Other trials in Spain

United Kingdom6 sites
  • University Hospitals Birmingham NHS Foundation Trust

    Birmingham, B15 2TH

  • Addenbrookes Hospital

    Cambridge, CB2 0QQ

  • Chapel Allerton Hospital

    Leeds, LS7 4SA

  • UCL Hospital NHS Trust

    London, NW1 2PG

  • John Radcliffe Hospital

    Oxford, OX3 9DU

  • Southampton University Hospitals NHS Trust

    Southampton, SO16 6YD

Other trials in United Kingdom

Argentina4 sites
  • CINME

    Buenos Aires, C1056ABI

  • Hospital Ramos Mejía

    CABA, C1221ADC

  • INEBA

    Capital Federal, C1192AAX

  • Hospital Britanico de Buenos Aires

    Ciudad Autonoma Buenos Aires, C1284AEB

Other trials in Argentina

Australia3 sites
  • Monash Medical Centre

    Clayton, Victoria, 3168

  • Perron Institute for Neurological and Translational Science

    Nedlands, Western Australia, 6009

  • Royal Melbourne Hospital

    Parkville, Victoria, 3050

Other trials in Australia

Italy3 sites
  • Ospedale Bellaria

    Bologna, Emilia-Romagna, 40139

  • Fondazione IRCCS Istituto Neurologico Carlo Besta

    Milan, Lombardy, 20133

  • Azienda Ospedaliera Sant'Andrea

    Rome, Lazio, 00189

Other trials in Italy

Poland3 sites
  • Szpital Sw. Wojciecha

    Gdansk, 80-462

  • Krakowska Akademia Neurologii Sp z o.o. Centrum Neurologii K

    Krakow, 31-505

  • Wojskowy Instytut Medycyny Lotniczej

    Warsaw, 01-755

Other trials in Poland

Canada2 sites
  • University of Alberta Hospital

    Edmonton, Alberta, T6G 2G3

  • Montreal Neurological Inst

    Montreal, Quebec, H3A 2B4

Other trials in Canada

New Zealand2 sites
  • New Zealand Brain Research Institute

    Christchurch, 8011

  • Waikato Hospital

    Hamilton, 3240

Other trials in New Zealand

Portugal2 sites
  • Hospital de Santa Maria

    Lisbon, 1649-035

  • CNS - Campus Neurológico

    Torres Vedras, 2560-280

Other trials in Portugal

Switzerland2 sites
  • Universitätsspital Basel

    Basel, 4031

  • Neurozentrum Siloah

    Gümligen, 3073

Other trials in Switzerland

Austria1 site
  • Uniklinik fuer Neurologie, Medizinische Universitaet Innsbruck

    Innsbruck, 6020

Other trials in Austria

Denmark1 site
  • Rigshospitalet, Hukommelsesklinikken

    København Ø, 2100

Other trials in Denmark

About this study

Official title: A Phase II, Randomized, Double-blind, Placebo-controlled, Dose-finding Study to Evaluate the Safety, Biomarkers, and Efficacy of Tominersen in Individuals With Prodromal and Early Manifest Huntington's Disease

This study will evaluate the safety, biomarkers, and efficacy of tominersen compared with placebo in participants with prodromal and early manifest Huntington's Disease (HD).

Being tested
Tominersen, Placebo
Keywords
Prodromal and Early Manifest Huntington's Disease
Medical subject headings
Huntington Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TominersenDrug

    Also called RO7234292;, RG6042

    Tominersen will be administered at the dose and schedule specified in the protocol.

  • PlaceboDrug

    Matching placebo administered IT, Q16W during the DB period.

Study groups in NCT05686551
Study groupRoleWhat they receive
Tominersen 60 milligrams (mg)Experimental60 mg tominersen administered intrathecally (IT) every 16 weeks (Q16W). Tominersen will be administered in the DB period and the OLE period.
Receives: Drug: Tominersen
PlaceboPlacebo comparatorPlacebo will be administered IT, Q16W in the DB period.
Receives: Drug: Placebo
Tominersen 100 mgExperimental100 mg tominersen administered IT, Q16W. Tominersen will be administered in the DB period and the OLE period.
Receives: Drug: Tominersen

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. DB Period: Incidence and Severity of Adverse Events (AEs), With Severity Determined According to the AE Severity Grading Scale

    Measured: Up to approximately 36 months

  2. DB Period: Change From Baseline in Clinical Laboratory Results - Cerebrospinal Fluid (CSF) White Blood Cell (WBC)

    Measured: Baseline visit (Day 1), and Months 4, 8, 9, 12, 16

  3. DB Period: Change From Baseline in Clinical Laboratory Results - CSF Protein

    Measured: Baseline visit (Day 1), and Months 4, 8, 9, 12, 16

  4. DB Period: Change From Baseline in Structural Magnetic Resonance Imaging (MRI) Assessing Any New Abnormalities Including Radiographic Features Consistent With Hydrocephalus and Other Relevant MRI Safety Findings

    Measured: Baseline, Months 4, 8, 12, 16 and up to approximately 36 months

  5. DB Period: Percentage Change From Baseline in Geometric Means of CSF Mutant Huntingtin (mHTT) Protein Levels at Month 9

    Measured: Baseline, Month 9

  6. DB Period: Change From Baseline in Composite Unified Huntington's Disease Rating Scale (cUHDRS) Scores (non-U.S. Sites) at 16 Months

    Change in scores on the scale.

    Measured: Baseline to 16 months

  7. DB Period: Change From Baseline in Total Functional Capacity (TFC) Scores (U.S. Sites) at 16 Months

    Change in scores on the scale.

    Measured: Baseline to 16 months

  8. OLE Period: Incidence and Severity of AEs, With Severity Determined According to the AE Severity Grading Scale

    Measured: Up to approximately 29 months

  9. OLE Period: Change Over Time in Clinical Laboratory Results - CSF WBC

    Measured: Up to approximately 24 months

  10. OLE Period: Change Over Time in Clinical Laboratory Results - CSF Protein

    Measured: Up to approximately 24 months

  11. OLE Period: Change From Baseline in Structural MRI Assessing Any New Abnormalities, Including Radiographic Features Consistent With Hydrocephalus and Other Relevant MRI Safety Findings

    Measured: Up to approximately 29 months

Secondary outcomes (18)
  1. DB Period: Change From Baseline in Montreal Cognitive Assessment (MoCA) Scores

    Measured: Baseline, Months 4, 8, 12, 16 and up to approximately 36 months

  2. DB Period: Percentage of Participants With Suicidal Ideation or Behavior (I/B), as Assessed by C-SSRS Score at Each Visit, Including Detailed Focus on Any Individual Cases Identified as Having Severe I/B During the Study Conduct

    C-SSRS=Columbia-suicide Severity Rating Scale

    Measured: Up to approximately 36 months

  3. DB Period: Change From Baseline at 16 Months in TFC (non-U.S. Sites) Scores

    Measured: Baseline to 16 months

  4. DB Period: Change From Baseline at 16 Months in cUHDRS (U.S. Sites) Scores

    Measured: Baseline to 16 months

  5. DB Period: Change From Baseline at 16 Months in Symbol Digit Modalities Test (SDMT) Scores

    Measured: Baseline to 16 months

  6. DB Period: Change From Baseline at 16 Months in Stroop Word Reading (SWR) Score

    Measured: Baseline to 16 months

  7. DB Period: Change From Baseline at 16 Months in Total Motor Score (TMS)

    Measured: Baseline to 16 months

  8. DB Period: Change From Baseline in CSF Neurofilament Light Chain (NfL) Levels at 16 Months

    Measured: Baseline to 16 months

  9. DB Period: Incidence of Anti-drug Antibodies (ADAs) at Specified Timepoints Relative to the Prevalence of ADAs at Baseline

    Measured: Baseline up to approximately 36 months

  10. DB Period: Titers Determined if ADAs are Identified

    Measured: Baseline up to approximately 36 months

  11. OLE Period: Change Over Time in TFC Score

    Measured: Up to approximately 29 months

  12. OLE Period: Change Over Time in cUHDRS Score

    Measured: Up to approximately 29 months

  13. OLE Period: Change Over Time in SDMT Score

    Measured: Up to approximately 29 months

  14. OLE Period: Change Over Time in TMS

    Measured: Up to approximately 29 months

  15. OLE Period: Change Over Time in SWR Score

    Measured: Up to approximately 29 months

  16. OLE Period: Change Over Time in MoCA Score

    Measured: Up to approximately 29 months

  17. OLE Period: Percentage of Participants With Suicidal I/B, as Assessed by C-SSRS Score at Each Visit, Including Detailed Focus on Any Individual Cases Identified as Having Severe I/B During the Study Conduct

    Measured: Up to approximately 29 months

  18. OLE Period: Incidence of ADAs at Specified Timepoints

    Measured: Up to approximately 29 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Jan 2023
  2. Study start3 Feb 2023
  3. Primary completion14 May 2026
  4. Study completion31 Oct 2026 (estimated)

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
301 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05686551
Sponsor's protocol ID
BN42489
Other IDs
Other, 2022-001991-32, 2023-503928-10-00, 2023
Status last verified
Aug 2026
First submitted
16 Dec 2022
Last updated
10 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing

Publications

  • McColgan P, Thobhani A, Boak L, Schobel SA, Nicotra A, Palermo G, Trundell D, Zhou J, Schlegel V, Sanwald Ducray P, Hawellek DJ, Dorn J, Simillion C, Lindemann M, Wheelock V, Durr A, Anderson KE, Long JD, Wild EJ, Landwehrmeyer GB, Leavitt BR, Tabrizi SJ, Doody R; GENERATION HD1 Investigators. Tominersen in Adults with Manifest Huntington's Disease. N Engl J Med. 2023 Dec 7;389(23):2203-2205. doi: 10.1056/NEJMc2300400. No abstract available.

    PubMed 38055260

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Tominersen in people with Huntington Disease, run by Hoffmann-La Roche at 70 sites in 15 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 10 inclusion and 14 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: under way, not looking for participants, as of the sponsor's last update on 10 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 70 sites in United States, France, Germany, Spain, United Kingdom and 10 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

DB Period: Incidence and Severity of Adverse Events (AEs), With Severity Determined According to the AE Severity Grading Scale (time frame: Up to approximately 36 months). The study lists 11 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 NCT05686551, which also lists 1 linked publication.

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 10 Aug 2026.

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