AzTrials
AzTrials

Huntington DiseasePhase 3PRECISE-HDNCT07609108

Pridopidine Phase 3 Study in Huntington's Disease

A Phase 3 study testing Pridopidine in people with Huntington Disease, run by Prilenia at 66 sites in 12 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this clinical trial is to learn if pridopidine can slow the clinical decline of Huntington's Disease (HD) in adult participants. It will also inform about the safety of pridopidine. Read more about this study

Who is it for?
Ages 23 to 65 years
Conditions the study is for
Huntington Disease
What is being tested?
Pridopidine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
400 participants
Where
66 sitesin 12 countries
Study dates
1 Jul 2026to Jun 2030
Phase
Phase 3
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 23 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult-onset HD (onset of signs and symptoms and a clinical diagnosis at ≥21 years of age).
  • A diagnosis based on clinical features and the presence of ≥40 CAG repeats in the huntingtin (HTT) gene confirmed by historical laboratory quanitified results or by a diagnostic test at Screening.
  • Diagnostic confidence level (DCL) of 4 (DCL=4 unequivocal motor signs, ≥99% confidence) on the standardized motor exam Total Motor Score (TMS).
  • Total Functional Capacity (TFC) score of ≥7 at Screening and Baseline.
  • Cytosine-Adenine-Guanine (CAG)-Age Product (CAP)100 score ≥95 at Screening.
  • Independence Scale (IS) score ≤90% at Screening.
  • Total Motor Score (TMS) of ≥20 at Screening and Baseline.
  • Not using ADMs (VMAT2i and neuroleptics/antipsychotics) for at least 6 months prior to Screening visit. Importantly, it is not encouraged to discontinue the participants' ADM treatment solely for enrollment in the current trial.

Who cannot join

  • Clinically significant cardiovascular disease (e.g. QTcF >450 msec [males] or >470 msec [females], arrhythmias, uncontrolled atrial fibrillation, or congenital long QT syndrome), seizure history ≤5 years, significant neurological disorders (e.g. intracranial pathology or cerebrovascular events), active/recent malignancy (unless localized and resolved), or any serious or uncontrolled systemic disease (e.g. hepatic, renal, respiratory, endocrine, infectious [HBV, HCV, HIV], or psychiatric) that may pose safety risk or interfere with participation.
  • Severe hepatic or renal impairment.
  • Any mutant huntingtin (mHTT) lowering therapy in the past year.
  • Medications that prolong QT interval, taken within 4 weeks of the baseline visit.
  • Use of pridopidine within 6 weeks or 5 half-lives before the screening visit.
  • Previous participation in intracranial gene therapy study.
  • Laboratory values that fall outside of the central laboratory's reference range at Screening and are considered clinically significantly abnormal by the Investigator and affect the participant's suitability to participate in the study or put the participant at risk if he/she enters the study in the Investigator's opinion.
  • Female participants who are pregnant, planning to become pregnant or breastfeeding.

Trial locations and contacts

66 sites in 12 countries. Contact the study team or a site near you to ask about taking part.

Prilenia Medical Information contact

018575745755

MedInfo@prilenia.com

66 sites in 12 countries

United States25 sites, 25 recruiting
  • Johns Hopkins University

    Baltimore, Maryland, 60612

    Not yet recruiting
  • The University of Alabama at Birmingham

    Birmingham, Alabama, 35294

    Recruiting
  • University of Miami-U Health Boca Raton

    Boca Raton, Florida, 33486

    Not yet recruiting
  • University of Vermont Medical Center

    Burlington, Vermont, 05401

    Not yet recruiting
  • Massachusetts General Hospital

    Charlestown, Massachusetts, 02129

    Not yet recruiting
  • Northwestern University

    Chicago, Illinois, 60611

    Not yet recruiting
  • Rush University Medical Center

    Chicago, Illinois, 60612

    Not yet recruiting
  • University of Cincinnati

    Cincinnati, Ohio, 45219

    Not yet recruiting
  • Cleveland Clinic

    Cleveland, Ohio, 44195

    Recruiting
  • The Ohio State University

    Columbus, Ohio, 43221

    Recruiting
  • Duke University

    Durham, North Carolina, 27705

    Recruiting
  • University of Florida (Norman Fixel Institute for Neurological Diseases)

    Gainesville, Florida, 32608

    Not yet recruiting
  • Struthers Parkinson's Center / Health Partners Institute

    Golden Valley, Minnesota, 55427

    Recruiting
  • UT Health, Houston, McGovern Medical School

    Houston, Texas, 77030

    Recruiting
  • University of Kansas Medical Center

    Kansas City, Kansas, 66103

    Not yet recruiting
  • EvergreenHealth Research Department

    Kirkland, Washington, 98034

    Not yet recruiting
  • University of California, San Diego

    La Jolla, California, 92037

    Alex Scott, 858-249-0569, als074@health.ucsd.edu

    Recruiting
  • UCLA Medical Center

    Los Angeles, California, 90095

    Not yet recruiting
  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37212

    Recruiting
  • Columbia University

    New York, New York, 10032

    Recruiting
  • Oregon Health and Science University (OHSU)

    Portland, Oregon, 97239

    Not yet recruiting
  • UC Davis Medical Center

    Sacramento, California, 95817

    Not yet recruiting
  • University of Washington

    Seattle, Washington, 98195

    Recruiting
  • Georgetown University

    Washington D.C., District of Columbia, 20007

    Not yet recruiting
  • Hereditary Neurological Disease Centre

    Wichita, Kansas, 67226

    Gregory Suter, 316-609-3020, gregory@hndcentre.com

    Recruiting

Other trials in United States

Germany6 sites, 6 recruiting
  • Universitaetsklinikum Aachen AöR

    Aachen

    Not yet recruiting
  • Katholisches Klinikum Bochum gGmbH

    Bochum

    Not yet recruiting
  • Universitätsklinikum Erlangen

    Erlangen

    Not yet recruiting
  • George-Huntington-Institut GmbH

    Münster

    Not yet recruiting
  • Isar Amper Klinikum

    Taufkirchen

    Not yet recruiting
  • Universitaetsklinikum Ulm AöR

    Ulm

    Not yet recruiting

Other trials in Germany

Italy6 sites, 6 recruiting
  • Azienda Unita Sanitaria Locale Di Bologna

    Bologna

    Not yet recruiting
  • IRCCS Istituto Auxologico Italiano

    Milan

    Not yet recruiting
  • Azienda Ospedaliera Universitaria Federico II Di Napoli

    Naples

    Not yet recruiting
  • Azienda Ospedale Università di Padova

    Padova

    Not yet recruiting
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS

    Roma

    Not yet recruiting
  • Casa Sollievo Della Sofferenza

    San Giovanni Rotondo

    Not yet recruiting

Other trials in Italy

Canada5 sites, 5 recruiting
  • University of Calgary

    Calgary, Alberta

    Not yet recruiting
  • University of Alberta

    Edmonton, Alberta

    Not yet recruiting
  • Centre Hospitalier de l'Universite de Montreal (CHUM)

    Montreal, Quebec

    Not yet recruiting
  • North York General Hospital

    Toronto, Ontario

    Not yet recruiting
  • University of British Columbia

    Vancouver, British Columbia

    Not yet recruiting

Other trials in Canada

Spain5 sites, 5 recruiting
  • Hospital Universitario De Cruces

    Barakaldo

    Not yet recruiting
  • Hospital De La Santa Creu I Sant Pau

    Barcelona

    Not yet recruiting
  • Hospital Universitario Ramon Y Cajal

    Madrid

    Not yet recruiting
  • Hospital Universitario Central De Asturias

    Oviedo

    Not yet recruiting
  • Hospital Universitario Virgen del Rocío

    Seville

    Not yet recruiting

Other trials in Spain

United Kingdom5 sites, 5 recruiting
  • NHS Grampian

    Aberdeen

    Recruiting
  • Birmingham and Solihull Mental Health Foundation NHS Trust

    Birmingham

    Recruiting
  • Cardiff University

    Cardiff

    Recruiting
  • The Walton Centre NHS Foundation Trust

    Liverpool

    Recruiting
  • CNTW NHS Foundation Trust

    Newcastle upon Tyne

    Recruiting

Other trials in United Kingdom

France4 sites, 4 recruiting
  • Centre Hospitalier Universitaire D'Angers

    Angers

    Not yet recruiting
  • CHU Henri Mondor (APHP)

    Créteil

    Not yet recruiting
  • Centre Hospitalier Universitaire Grenoble Alpes

    La Tronche

    Not yet recruiting
  • Centre Hospitalier Regional De Marseille

    Marseille

    Not yet recruiting

Other trials in France

Portugal4 sites, 4 recruiting
  • Unidade Local De Saude De Coimbra E.P.E

    Coimbra

    Not yet recruiting
  • Unidade Local De Saude De Santa Maria E.P.E.

    Lisbon

    Not yet recruiting
  • Unidade Local De Saude De Santo Antonio E.P.E.

    Porto

    Not yet recruiting
  • CNS Saude Lda.

    Torres Vedras

    Not yet recruiting

Other trials in Portugal

Belgium2 sites, 2 recruiting
  • Hopital Erasme

    Anderlecht

    Not yet recruiting
  • Cliniques Universitaires Saint-Luc

    Woluwe-Saint-Lambert

    Not yet recruiting

Other trials in Belgium

Poland2 sites, 2 recruiting
  • Krakowska Akademia Neurologii Sp. z o.o.

    Krakow

    Recruiting
  • Wojskowy Instytut Medycyny Lotniczej

    Warsaw

    Not yet recruiting

Other trials in Poland

Czechia1 site, 1 recruiting
  • Vseobecna Fakultni Nemocnice V Praze

    Prague

    Not yet recruiting

Other trials in Czechia

Netherlands1 site, 1 recruiting
  • Leids Universitair Medisch Centrum (LUMC)

    Leiden

    Not yet recruiting

Other trials in Netherlands

About this study

Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Pridopidine in Participants With Huntington's Disease (HD)

The goal of this clinical trial is to learn if pridopidine can slow the clinical decline of Huntington's Disease (HD) in adult participants. It will also inform about the safety of pridopidine.

The main questions the study aims to answer are:

Read more

Does pridopidine slow the overall worsening of HD over 1 year? Does pridopidine slow the worsening of specific aspects of HD over 1 year, namely the clinical progression, the ability to perform daily life activities (functional capacity), the mind's ability to process information (cognition), working of the muscles (motor function), and quality of life?

Researchers will compare the drug pridopidine to a placebo (a look-alike substance that contains no drug) to see if pridopidine works better than placebo to treat HD. During the first year of the study, participants will have the same chance to receive either pridopidine or placebo.

Participants will:

Take 1 pridopidine or placebo capsule twice daily for 12 months. Visit the clinic 6 times within 1 year for checkups and tests.

All participants who complete this 1-year placebo-controlled study period will roll over into an additional 2-year study period during which all participants will receive pridopidine treatment, including participants who had received placebo during the first year. During this additional 2-year treatment period participants will visit the clinic a total of 6 times for checkups and tests.

Read the detailed description

This Phase 3 study consists of two study periods, a randomized, double-blind, placebo-controlled 1-year study period and a 2-year open-label extension (OLE) period. The study assesses the effect of pridopidine 45 mg twice daily on HD in participants who are not using antidopaminergic medications (ADMs) at study start. Main objectives of the study will be to assess the effect of pridopidine on clinical progression of HD within 1 year and to evaluate the effect of pridopidine on functional capacity, cognition, motor function, quality of life (QoL), and speech in participants with HD within 1 year.

The target population in this study are adult participants (age 23-65, inclusive) with adult-onset HD (onset of signs and symptoms and a diagnosis ≥21 years of age). Eligible participants have not been using ADMs for at least 6 months prior to the screening visit. In case ADM treatment is deemed necessary by the treating physician during the study, specific ADMs and doses may be initiated. Female participants who are pregnant, planning to become pregnant or breastfeeding are not allowed to enter the study.

The treatment period will start with a 2-week titration period of once-daily treatment (1 capsule of pridopidine or placebo taken orally in the morning). From Day 15 onwards, all participants will take the study drug twice daily: in the morning and in the afternoon. Treatment will continue for an additional 50 weeks.

The placebo-controlled study period includes 6 in-clinic visits and 5 telephone visits (safety calls) during the 1-year treatment period.

The placebo-controlled study period will be followed by a 2-year OLE period. During the OLE period, all eligible participants will receive pridopidine. The OLE will consist of a 2-year treatment period, including an initial 2-week (re)titration period for all participants at pridopidine once daily and a maintenance period of 102 weeks with pridopidine twice daily. The blinding of the original treatment assignment will be maintained for all participants and study personnel during the OLE period.

A total of 6 in-clinic visits and 6 telephone visits (safety calls) are planned during the 2-year OLE period.

Being tested
Pridopidine, Placebo
Medical subject headings
Huntington Disease

What participants receive

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

  • PridopidineDrug

    Pridopidine hard gelatin capsule

  • PlaceboDrug

    Matched placebo hard gelatin capsule

Study groups in NCT07609108
Study groupRoleWhat they receive
PridopidineExperimentalDuring the titration period (2 weeks), pridopidine 45 mg capsules will be taken orally once daily (in the morning) for 2 weeks. Afterwards, pridopidine 45 mg capsules will be taken orally twice daily (in the morning and in the afternoon; 7-10 hours apart) for 50 weeks.
Receives: Drug: Pridopidine
PlaceboPlacebo comparatorDuring the titration period (2 weeks), matched placebo hard gelatin capsules will be taken once daily (in the morning) for 2 weeks. Afterwards, placebo capsules will be taken twice daily (in the morning and in the afternoon; 7-10 hours apart) for 50 weeks.
Receives: Drug: Placebo

What is being measured

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

  1. Change in Composite Unified Huntington's Disease Rating Scale (cUHDRS)

    cUHDRS is a combined score to assess disease progression in HD. It includes TFC, TMS, SDMT, and SWR:

    Total Functional Capacity (TFC) tests the capacity to maintain daily living, finances, care level, occupation. Higher score = better outcome. Best score=13. Worst score=0.

    Total Motor Score (TMS) assesses motor features (oculomotor, dysarthria, chorea, dystonia, gait, postural stability). Higher score = worse outcome. Best score=0. Worst score= 124.

    Stroop Word Reading (SWR) measures attention and mental flexibility. Participant reads names of colors printed in black ink. Scores reflect correct responses in 45 sec. Higher score = better outcome. Best score=100. Worst score=0.

    Symbol Digit Modalities Test (SDMT) tests psychomotor speed and working memory. Participant has 90 sec to match numbers with symbols. Scores = correct answers in 90 sec. Higher score = better outcome. Best score=120. Worst score=0.

    Total integrated cUHDRS scale range: -7.6 to 24.8. The higher, the better.

    Measured: Change from Baseline to Week 52

Secondary outcomes (3)
  1. Change in Total Functional Capacity (TFC) score

    Total Functional Capacity (TFC) tests the capacity to maintain domestic chores, activities of daily living, finances, care level, and occupation. Scores from 0 - 13. Higher score = better outcome.

    Measured: Change from Baseline to Week 52

  2. Change in Quantitative Motor (Q-Motor) Finger Tapping Inter-Onset Interval (FT-IOI) mean

    Quantitative (Q)-motor is a clinical assessment of fine motor skills that are crucial for daily activities. It is based on the application of pre-calibrated and temperature-controlled force transducers and 3-dimensional position sensors. Higher score = worse outcome.

    Measured: Change from Baseline to Week 52

  3. Change in Stroop Word Reading (SWR) score

    Stroop Word Reading (SWR) measures attention and mental flexibility. Participant reads names of colors printed in black ink. Scores reflect correct responses in 45 sec. Higher score = better outcome.

    Measured: Change from Baseline to Week 52

Timeline

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

  1. First posted27 May 2026
  2. Study start1 Jul 2026
  3. Primary completionJun 2028 (estimated)
  4. Study completionJun 2030 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized (1:1), double-blind, placebo-controlled 1-year study period, followed by a 2-year open-label extension (OLE) period. During the OLE, all participants will receive pridopidine.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07609108
Sponsor's protocol ID
PL101-HD302/ FNP253-CT-2502
Other IDs
2026-526093-16-00
Acronym
PRECISE-HD
Status last verified
May 2026
First submitted
20 May 2026
Last updated
4 Nov 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pridopidine in people with Huntington Disease, run by Prilenia at 66 sites in 12 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 8 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 4 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 66 sites in United States, Germany, Italy, Canada, Spain and 7 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?

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?

Contact Prilenia Medical Information (018575745755, MedInfo@prilenia.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Composite Unified Huntington's Disease Rating Scale (cUHDRS) (time frame: Change from Baseline to Week 52). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 4 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in