ClinicalTrials.gg
RecruitingNCT06585449Updated Oct 15, 2026

A Study to Evaluate ALN-HTT02 in Adult Patients With Huntington's Disease

A Phase 1 interventional study of ALN-HTT02 and Placebo in Huntington's Disease, sponsored by Alnylam Pharmaceuticals. Recruiting at 19 sites in 3 countries. Open to participants aged 25 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-10-15.

Sponsored by Alnylam Pharmaceuticals · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years later.
Phase
Phase 1
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
25 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety, tolerability, pharmacodynamics (PD) and pharmacokinetics (PK) of single or repeat doses of ALN-HTT02.

02

Conditions studied

  • Huntington's Disease

Keywords

  • siRNA
  • ALN-HTT02
  • Intrathecal
  • HD-ISS Stage 2
  • HD-ISS early Stage 3
  • Neurodegenerative disorder
03

In context

Huntington Disease

293 studies on the registry are indexed under Huntington Disease; 54 are open to participants now.

This study's planned enrollment of 66 is above the median of 40 across 207 interventional studies indexed under Huntington Disease.

Browse Huntington Disease studies →

Lead sponsor

Alnylam Pharmaceuticals is the lead sponsor of 84 studies on the registry; 19 are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 15 (83%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
25 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Has stage 2 or early Stage 3 Huntington's disease (HD), per the Huntington's Disease Integrated Staging System (HD-ISS)

Exclusion criteria

Exclusion Criteria

  • Has significant structural or degenerative neurologic disease other than Huntington's Disease (HD) at screening
  • Has primary or secondary immune compromise at screening due to infections, medical conditions, or chronic therapies
  • Has or aspartate aminotransferase >2× (ULN)
  • Has an estimated (eGFR) of \<60 mL/min/1.73m\^2 at screening
  • Has received an agent within the last 1 year or 5 half-lives (if known)

Note: other protocol defined inclusion / exclusion criteria apply

Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
66 participants (estimated)

Study arms

  • Experimental
    ALN-HTT02

    Participants will be administered a single dose of ALN-HTT02 during the Double-blind Part of the study. Participants who received ALN-HTT02 in the Double-blind part of the study will not receive an additional dose during the Open-label Part of the study. Participants have the option to receive repeat doses of ALN-HTT02 in the Open-label Extension (OLE) Part of the study.

    Drug: ALN-HTT02

  • Placebo comparator
    Placebo + ALN-HTT02

    Participants will be administered a single dose of placebo during the Double-blind Part of the study. Participants will have the option to receive a single dose of ALN-HTT02 during the Open-label Part of the study. Participants have the option to receive repeat doses of ALN-HTT02 in the OLE Part of the study.

    Drug: ALN-HTT02 · Drug: Placebo

Interventions

  • DrugALN-HTT02

    ALN-HTT02 will be administered intrathecally

  • DrugPlacebo

    Placebo will be administered intrathecally

06

What researchers measure

Primary outcomes

  1. Frequency of Adverse Events (AEs) in the Double-blind Part of the Study

    Time frame: Up to 12 months

  2. Frequency of AEs in the Open-label Part of the Study

    Time frame: Up to 12 months

  3. Frequency of AEs in the OLE Part of the Study

    Time frame: Up to 36 months

Secondary outcomes

  1. Change from Baseline in Levels of Mutant Huntingtin (mHTT) in Cerebrospinal Fluid (CSF)

    Time frame: Baseline up to Month 12 in the Double-blind Part of the study; Baseline up to Month 12 in the Open-label Part of the study ; Baseline up to Month 36 in the OLE Part of the study

  2. Concentrations of ALN-HTT02 in Plasma

    Area Under the Plasma Concentration-time Curve (AUC) Maximum Observed Plasma Concentration (Cmax) Time to Maximum Plasma Concentration (Tmax)

    Time frame: Up to Month 12 in the Double-blind Part of the study; Up to Month 12 in the Open-label Part of the study; Up to Month 36 in the OLE Part of the study

  3. Concentrations of ALN-HTT02 in Cerebrospinal Fluid (CSF)

    Time frame: Up to Month 12 in the Double-blind Part of the study; Up to Month 12 in the Open-label Part of the study ; Up to Month 36 in the OLE Part of the study

  4. Concentrations of ALN-HTT02 in Urine

    Fractional Excretion of ALN-HTT02

    Time frame: Up to Month 12 in the Double-blind Part of the study; Up to Month 12 in the Open-label Part of the study; Up to Month 36 in the OLE Part of the study

07

Study locations

19 of 19 sites recruiting
  • Clinical Trial Site
    Edmonton, T6G 2B7, Canada
    Recruiting
  • Clinical Trial Site
    Montreal, H2W 1T8, Canada
    Recruiting
  • Clinical Trial Site
    Ottawa, K1Y4E9, Canada
    Recruiting
  • Clinical Trial Site
    Vancouver, V6T 2B5, Canada
    Recruiting
  • Clinical Trial Site
    Berlin, 10117, Germany
    Recruiting
  • Clinical Trial Site
    Bochum, 44791, Germany
    Recruiting
  • Clinical Trial Site
    Bonn, 53127, Germany
    Recruiting
  • Clinical Trial Site
    Dresden, 01307, Germany
    Recruiting
  • Clinical Trial Site
    Münster, 48149, Germany
    Recruiting
  • Clinical Trial Site
    Taufkirchen, 84416, Germany
    Recruiting
  • Clinical Trial Site
    Ulm, 89081, Germany
    Recruiting
  • Clinical Trial Site
    Birmingham, B15 2TT, United Kingdom
    Recruiting
  • Clinical Trial Site
    Cambridge, CB2 0PY, United Kingdom
    Recruiting
  • Clinical Trial Site
    Cardiff, CF103AX, United Kingdom
    Recruiting
  • Clinical Trial Site
    Glasgow, G51 4TF, United Kingdom
    Recruiting
  • Clinical Trial Site
    Greater Manchester, M13 9WL, United Kingdom
    Recruiting
  • Clinical Trial Site
    London, WC1N 3BG, United Kingdom
    Recruiting
  • Clinical Trial Site
    Oxford, OX3 9DU, United Kingdom
    Recruiting
  • Clinical Trial Site
    Plymouth, PL6 8DH, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Oct 15, 2026
Show all 1 update
  1. Oct 15, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06585449
Responsible party
Sponsor
First posted
Sep 5, 2024
Start date
Oct 14, 2024
Primary completion
Jul 5, 2028 (estimated)
Completion
Jul 5, 2028 (estimated)
Last update
Oct 15, 2026

Study contacts

Alnylam Clinical Trial Information Line
Contact
clinicaltrials@alnylam.com
1-877-ALNYLAM
Alnylam Clinical Trial Information Line
Contact
clinicaltrials@alnylam.com
1-877-256-9526
Medical Director
study director · Alnylam Pharmaceuticals

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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