A Phase 1/2 interventional study of WVE-120101 and Placebo in Huntington's Disease, sponsored by Wave Life Sciences USA, Inc.. Terminated at 21 sites in 7 countries. Open to participants aged 25 Years to 65 Years. Per ClinicalTrials.gov, last updated 2022-02-10.
Sponsored by Wave Life Sciences USA, Inc. · Phase 1/2, Interventional, and Treatment
PRECISION-HD1 is a Phase 1b/2a multicenter, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of single and multiple doses of WVE-120101 in adult patients with early manifest Huntington's disease (HD) who carry a targeted single nucleotide polymorphism (SNP) rs362307 (SNP1).
290 studies on the registry are indexed under Huntington Disease; 49 are open to participants now.
This study's enrollment of 61 is above the median of 40 across 206 interventional studies indexed under Huntington Disease.
Browse Huntington Disease studies →Wave Life Sciences USA, Inc. is the lead sponsor of 9 studies on the registry; 3 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Key Inclusion Criteria:
Key Exclusion Criteria:
Drug: WVE-120101 · Drug: Placebo
Drug: WVE-120101 · Drug: Placebo
Drug: WVE-120101 · Drug: Placebo
Drug: WVE-120101 · Drug: Placebo
Drug: WVE-120101 · Drug: Placebo
WVE-120101 is a stereopure antisense oligonucleotide (ASO)
0.9% Sodium Chloride
Safety: Number of Patients With Treatment-emergent Adverse Events (TEAEs)
All TEAEs reported or observed during the study, including TEAEs resulting from concurrent illnesses, reactions to concurrent medications, or progression of disease states
Time frame: Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])
Safety: Severity of Adverse Events
Number of patients who experienced a severe treatment-emergent adverse event. Severity was evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0
Time frame: Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])
Safety: Number of Patients With Serious TEAEs
A serious TEAE is defined as any event that results in death, is immediately life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or is a congenital anomaly/birth defect not present at Prescreening.
Time frame: Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])
Safety and Tolerability: Number of Patients Who Withdraw Due to TEAEs
Time frame: Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])
Pharmacokinetics (PK): Maximum Observed Concentration (Cmax)
Cmax of WVE-120101 in plasma
Time frame: Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.
PK: Time of Occurrence of Cmax (Tmax)
tmax of WVE-120101 in plasma
Time frame: Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.
PK: Area Under the Plasma Concentration-time Curve (AUClast)
AUClast from time 0 to the last quantifiable concentration of WVE-120101 in plasma
Time frame: Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.
PK: Terminal Elimination Half Life
Terminal elimination half life of WVE-120101 in plasma (t1/2)
Time frame: Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.
Pharmacodynamics
Percentage change from baseline in concentration of mutant huntingtin (mHTT) protein in CSF
Time frame: Day 1 to last observation - up to Day 140 (32 mg cohort) or Day 196 (all other cohorts)
Clinical Effects: Total Functional Capacity (TFC)
Percentage change from baseline to the last measured time point in the Total Functional Capacity score, administered as part of the Unified Huntington's Disease Rating Scale (UHDRS). Total Functional Capacity is scored 13 (normal) to 0 (severe disability).
Time frame: Day 1 to last observation - up to Day 140 (32 mg cohort) or Day 196 (all other cohorts)
| Milestone | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|---|
| Started | 16 | 9 | 9 | 9 | 8 | 10 |
| Single dose period only | 1 | 1 | 2 | 0 | 0 | 4 |
| Multiple dose period only | 0 | 0 | 0 | 0 | 0 | 1 |
| Single dose and multiple dose periods | 15 | 8 | 7 | 9 | 8 | 5 |
| Completed | 11 | 8 | 7 | 9 | 7 | 0 |
| Not completed | 5 | 1 | 2 | 0 | 1 | 10 |
| Withdrew: Adverse event | 0 | 1 | 2 | 0 | 0 | 2 |
| Withdrew: Withdrawal by subject | 1 | 0 | 0 | 0 | 1 | 0 |
| Withdrew: Termination of study by sponsor | 4 | 0 | 0 | 0 | 0 | 7 |
| Withdrew: Sponsor decision | 0 | 0 | 0 | 0 | 0 | 1 |
All TEAEs reported or observed during the study, including TEAEs resulting from concurrent illnesses, reactions to concurrent medications, or progression of disease states
| Participants | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|---|
| Safety: Number of Patients With Treatment-emergent Adverse Events (TEAEs) | 12 | 8 | 8 | 9 | 7 | 9 |
Number of patients who experienced a severe treatment-emergent adverse event. Severity was evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0
| Participants | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|---|
| Safety: Severity of Adverse Events | 1 | 2 | 1 | 1 | 0 | 5 |
A serious TEAE is defined as any event that results in death, is immediately life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or is a congenital anomaly/birth defect not present at Prescreening.
| Participants | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|---|
| Safety: Number of Patients With Serious TEAEs | 0 | 2 | 1 | 0 | 0 | 4 |
| Participants | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|---|
| Safety and Tolerability: Number of Patients Who Withdraw Due to TEAEs | 0 | 1 | 2 | 0 | 0 | 2 |
Cmax of WVE-120101 in plasma
| ng/mL | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|
| Day 1 | 7.70 ± 7.901 | 23.54 ± 18.139 | 32.82 ± 22.964 | 184.48 ± 209.470 | 229.01 ± 168.330 |
| Day 112 | 13.296 ± 6.057 | 14.27 ± 12.574 | — | — | — |
tmax of WVE-120101 in plasma
| hours | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|
| Day 1 | 1.34 ± 1.103 | 1.58 ± 1.081 | 2.66 ± 1.391 | 2.71 ± 3.068 | 4.61 ± 7.054 |
| Day 112 | 1.99 ± 0.934 | 2.23 ± 1.175 | — | — | — |
AUClast from time 0 to the last quantifiable concentration of WVE-120101 in plasma
| hr*ng/mL | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|
| Day 1 | 35.20 ± 16.037 | 90.77 ± 50.672 | 255.14 ± 98.342 | 1133.74 ± 551.997 | 1968.31 ± 1188.173 |
| Day 112 | 36.19 ± 20.135 | 49.54 ± 34.735 | — | — | — |
Terminal elimination half life of WVE-120101 in plasma (t1/2)
| hours | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|
| PK: Terminal Elimination Half Life | — | — | 8.12 (7.1 to 40.0) | 12.30 (6.9 to 25.5) | 14.38 (5.5 to 46.9) |
Percentage change from baseline in concentration of mutant huntingtin (mHTT) protein in CSF
| Percent change from baseline | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|---|
| Pharmacodynamics | -6.62 (-16.76 to 7.73) | -5.20 (-10.94 to 0.15) | -12.33 (-19.81 to 9.63) | -8.58 (-11.92 to -1.79) | -11.73 (-20.44 to 3.37) | -9.13 (-37.51 to 15.29) |
Percentage change from baseline to the last measured time point in the Total Functional Capacity score, administered as part of the Unified Huntington's Disease Rating Scale (UHDRS). Total Functional Capacity is scored 13 (normal) to 0 (severe disability).
| % Change from Baseline | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|---|
| Clinical Effects: Total Functional Capacity (TFC) | 0.00 (-9.09 to 0.00) | 0.00 (-4.17 to 9.09) | 0.00 (-7.69 to 11.11) | 0.00 (-20.00 to 0.00) | 4.17 (-3.85 to 10.42) | 0.00 (0.00 to 0.00) |
Collected over Day 1 to end of study (Day 196 [32 mg cohort] or Day 210 [all other cohorts]). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Pooled Placebo | 0/16 (0%) | 0/16 (0%) | 12/16 (75%) |
| WVE-120101 (2 mg) | 0/9 (0%) | 2/9 (22.2%) | 8/9 (88.9%) |
| WVE-120101 (4 mg) | 0/9 (0%) | 1/9 (11.1%) | 8/9 (88.9%) |
| WVE-120101 (8 mg) | 0/9 (0%) | 0/9 (0%) | 9/9 (100%) |
| WVE-120101 (16 mg) | 0/8 (0%) | 0/8 (0%) | 7/8 (87.5%) |
| WVE-120101 (32 mg) | 0/10 (0%) | 4/10 (40%) | 9/10 (90%) |
| Event | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|---|
| Skull FractureInjury, poisoning and procedural complications | 0/16 | 0/9 | 1/9 | 0/9 | 0/8 | 0/10 |
| Subdural haematomaInjury, poisoning and procedural complications | 0/16 | 0/9 | 1/9 | 0/9 | 0/8 | 0/10 |
| Adenocarcinoma of colonNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/16 | 1/9 | 0/9 | 0/9 | 0/8 | 0/10 |
| AggressionPsychiatric disorders | 0/16 | 1/9 | 0/9 | 0/9 | 0/8 | 0/10 |
| Gait disturbanceGeneral disorders | 0/16 | 0/9 | 0/9 | 0/9 | 0/8 | 1/10 |
| FallInjury, poisoning and procedural complications | 0/16 | 0/9 | 0/9 | 0/9 | 0/8 | 1/10 |
| Muscular weaknessMusculoskeletal and connective tissue disorders | 0/16 | 0/9 | 0/9 | 0/9 | 0/8 | 1/10 |
| AtaxiaNervous system disorders | 0/16 | 0/9 | 0/9 | 0/9 | 0/8 | 1/10 |
| DysarthriaNervous system disorders | 0/16 | 0/9 | 0/9 | 0/9 | 0/8 | 1/10 |
| AgitationPsychiatric disorders | 0/16 | 0/9 | 0/9 | 0/9 | 0/8 | 1/10 |
| Event | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) |
|---|---|---|---|---|---|---|
| HeadacheNervous system disorders | 5/16 | 0/9 | 1/9 | 2/9 | 2/8 | 4/10 |
| DizzinessNervous system disorders | 0/16 | 1/9 | 0/9 | 1/9 | 1/8 | 4/10 |
| Back painMusculoskeletal and connective tissue disorders | 3/16 | 3/9 | 1/9 | 2/9 | 3/8 | 0/10 |
| Procedural painInjury, poisoning and procedural complications | 3/16 | 0/9 | 2/9 | 3/9 | 1/8 | 2/10 |
| FallInjury, poisoning and procedural complications | 0/16 | 1/9 | 1/9 | 1/9 | 2/8 | 1/10 |
| Viral upper respiratory tract infectionInfections and infestations | 1/16 | 2/9 | 1/9 | 1/9 | 1/8 | 0/10 |
| Post lumbar puncture syndromeInjury, poisoning and procedural complications | 2/16 | 1/9 | 2/9 | 0/9 | 1/8 | 0/10 |
| ChoreaNervous system disorders | 1/16 | 0/9 | 0/9 | 2/9 | 0/8 | 0/10 |
| Gait disturbanceGeneral disorders | 0/16 | 0/9 | 0/9 | 0/9 | 0/8 | 2/10 |
| DysarthriaNervous system disorders | 0/16 | 0/9 | 0/9 | 0/9 | 0/8 | 2/10 |
| Age, Categorical(Participants) | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) | Total |
|---|---|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 15 | 9 | 9 | 9 | 8 | 10 | 60 |
| >=65 years | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| Sex: Female, Male(Participants) | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) | Total |
|---|---|---|---|---|---|---|---|
| Female | 7 | 3 | 5 | 6 | 1 | 7 | 29 |
| Male | 9 | 6 | 4 | 3 | 7 | 3 | 32 |
| Ethnicity (NIH/OMB)(Participants) | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) | Total |
|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Not Hispanic or Latino | 16 | 9 | 9 | 9 | 8 | 10 | 61 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) | Total |
|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| White | 16 | 9 | 9 | 9 | 8 | 10 | 61 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Region of Enrollment(participants) | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) | Total |
|---|---|---|---|---|---|---|---|
| Canada | 4 | 2 | 2 | 1 | 0 | 3 | 12 |
| Denmark | 0 | 0 | 0 | 1 | 1 | 0 | 2 |
| Poland | 4 | 7 | 5 | 1 | 2 | 0 | 19 |
| Australia | 4 | 0 | 0 | 6 | 3 | 4 | 17 |
| France | 1 | 0 | 0 | 0 | 1 | 2 | 4 |
| Germany | 2 | 0 | 0 | 0 | 1 | 1 | 4 |
| United Kingdom | 1 | 0 | 2 | 0 | 0 | 0 | 3 |
| Time since initial diagnosis(Years) | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) | Total |
|---|---|---|---|---|---|---|---|
| Mean | 7 ± 6.93 | 4.9 ± 4.28 | 3.4 ± 6.37 | 3.2 ± 3.03 | 6.6 ± 6.09 | 8.7 ± 7.26 | 5.4 ± 5.80 |
| Age at Disease Onset(Years) | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) | Total |
|---|---|---|---|---|---|---|---|
| Mean | 40.75 ± 11.079 | 37.33 ± 7.826 | 42.89 ± 9.280 | 46.11 ± 6.254 | 44.88 ± 12.495 | 44.60 ± 10.865 | 43.16 ± 9.625 |
| Diagnosis Stage(Participants) | Pooled Placebo | WVE-120101 (2 mg) | WVE-120101 (4 mg) | WVE-120101 (8 mg) | WVE-120101 (16 mg) | WVE-120101 (32 mg) | Total |
|---|---|---|---|---|---|---|---|
| Stage 1 | 9 | 7 | 3 | 3 | 4 | 7 | 33 |
| Stage 2 | 7 | 2 | 6 | 6 | 4 | 3 | 28 |
Documents are hosted by the registry — open the source record to download them.
Ran from Jul 2017 to primary completion in May 2021, 45 months.
Results were first posted in Feb 2022, 8 months after primary completion.
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Wave Life Sciences USA, Inc.