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Innovative Imaging and Cognitive BIOmarkers to Predict Huntington's Disease Progression (I2BIO-HD)

Primary Purpose

Huntington Disease

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
radiotracer injection
Sponsored by
Assistance Publique - Hôpitaux de Paris
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Huntington Disease focused on measuring Huntington's disease, Biomarkers, Cognition, Disease progression, Imaging

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: For all participants: Age ≥18 years and ≤65 years Information and collection of written consent Affiliation with a social security plan, beneficiary or beneficiary's right Healthy controls UHDRS functional score TFC = 13 Motor UHDRS score TMS < 6 With no known genetic disease and no direct relationship to an HD patient or family ancestors carrying the HD mutation (or knowing their genetic status with CAG < 36). Manifest carriers Number of GACs ≥ 40 CAP score ≥ 250 10 ≤ TFC ≤ 13 TMS >5 if TFC=13 Diagnostic confidence level =4 Age of onset of disease > 20 years Patients physically able to sign consent Premanifest carriers Number of GACs ≥ 40 CAP score ≥250 CFT = 13 TMS < 6 Patients physically able to sign consent Exclusion Criteria: Participant under guardianship or curatorship Neurological or psychiatric disorder unrelated to HD Intercurrent illness that may impact participant's performance Chronic progressive neurological disease Claustrophobia Brain injury unrelated to HD Pacemaker, intracorporeal metal, intracerebral clip, any metallic foreign body: implantable cardiac electronic device such as pacemakers, implantable cardioverter defibrillators etc., metallic intraocular foreign bodies, implantable neurostimulation systems, cochlear implants/ear implants, drug infusion pumps (insulin administration, analgesic drugs), or chemotherapy pumps): if possible, the patient should remove the device. Catheters with metal components (Swan-Ganz catheter), metal fragments such as bullets, shotgun pellets and metal shrapnel, cerebral artery aneurysm clips, magnetic dental implants, tissue expander, artificial limb, hearing aid, piercing such as pacemaker, Known hypersensitivity to the radiopharmaceutical preparation (excipients in the radiopharmaceutical preparation) Pregnant or breastfeeding woman Person under state medical aid Person deprived of liberty Person participating or having participated in an interventional study for less than 3 months or without time limit in a trial of neural transplants or gene therapy. Person participating or having participated in a research protocol with a radiopharmaceutical injection for less than 12 months. Neurological or psychiatric disorder unrelated to HD Intercurrent disease that may impact participant's performance Chronic progressive neurological disease Claustrophobia Brain injury unrelated to HD Pacemaker, intracorporeal metal, intracerebral clip Pregnant, breastfeeding or wanting to procreate during participation in the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Symptomatic (MH) and pre-symptomatic (preMH) patients

    Age-matched controls (healthy volunteers)

    Arm Description

    Number of GAC ≥ 40 GAP score ≥ 250 10 ≤ TFC ≤ 13 TMS >5 if TFC=13 Diagnostic confidence level =4 Age onset of the disease > 20 years Patients in physical capacity to sign the consent

    TFC functional UHDRS score = 13 TMS engine UHDRS rating < 6

    Outcomes

    Primary Outcome Measures

    Genetic markers

    Secondary Outcome Measures

    cognitive tests
    Cognitive scores - Neurological scores- Psychiatric scores
    biological markers
    Neuroinflammation markers in blood - Neurodegeneration markers in blood
    multimodal imaging techniques
    MRI
    multimodal imaging techniques
    PET/MRI

    Full Information

    First Posted
    December 15, 2022
    Last Updated
    July 24, 2023
    Sponsor
    Assistance Publique - Hôpitaux de Paris
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05808153
    Brief Title
    Innovative Imaging and Cognitive BIOmarkers to Predict Huntington's Disease Progression
    Acronym
    I2BIO-HD
    Official Title
    Innovative Imaging and Cognitive BIOmarkers to Predict Huntington's Disease Progression
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 2, 2023 (Anticipated)
    Primary Completion Date
    April 2, 2025 (Anticipated)
    Study Completion Date
    February 2, 2027 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Assistance Publique - Hôpitaux de Paris

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Intro Huntington's disease (HD) patients suffer from motor, cognitive and behavioral impairments, with heterogeneous phenotypes and variable time course. This leads to a high variance of HD markers, none of which is currently sensitive enough to 1) measure disease progression from small cohort data, 2) predict disease entry in carriers of the HD mutation (during the prodromal phase or in patients considered asymptomatic: pre-HD patients), and 3) measure a significant evolution of the state of pre-HD patients over a time window compatible with the realization of clinical trials (about 2/3 years). Moreover, the markers of HD do not allow a fine stratification of the patients. Hypothesis/Objective Our objectives are 1) to evaluate the sensitivity of new markers and assessment tools for symptomatic (HD) and presymptomatic (pre-HD) patients, 2) to define a model of disease progression, and 3) to establish an enrichment strategy to improve patient selection for future therapeutic trials. Method We will evaluate newly developed cognitive tests, multimodal imaging techniques, biological markers and use innovative statistical approaches. We will follow 60 patients with the mutation responsible for MH (40 presymptomatic pre-MH patients, 20 symptomatic MH patients) and 20 healthy volunteers (controls) over a 24-month period.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Huntington Disease
    Keywords
    Huntington's disease, Biomarkers, Cognition, Disease progression, Imaging

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Model Description
    Model description: Identification, evaluation and validation of new clinical, biological and imaging biomarkers (MRI without contrast product and PET with intravenous administration of a radiotracer) on a prospective cohort of carriers of the mutation responsible for Huntington's disease and healthy volunteers.
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    80 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Symptomatic (MH) and pre-symptomatic (preMH) patients
    Arm Type
    Experimental
    Arm Description
    Number of GAC ≥ 40 GAP score ≥ 250 10 ≤ TFC ≤ 13 TMS >5 if TFC=13 Diagnostic confidence level =4 Age onset of the disease > 20 years Patients in physical capacity to sign the consent
    Arm Title
    Age-matched controls (healthy volunteers)
    Arm Type
    Active Comparator
    Arm Description
    TFC functional UHDRS score = 13 TMS engine UHDRS rating < 6
    Intervention Type
    Radiation
    Intervention Name(s)
    radiotracer injection
    Intervention Description
    MRI with radiotracer injection
    Primary Outcome Measure Information:
    Title
    Genetic markers
    Time Frame
    Visit Month 0
    Secondary Outcome Measure Information:
    Title
    cognitive tests
    Description
    Cognitive scores - Neurological scores- Psychiatric scores
    Time Frame
    Visits Month 0, Month 1, Month 12, Month 24
    Title
    biological markers
    Description
    Neuroinflammation markers in blood - Neurodegeneration markers in blood
    Time Frame
    Visits Month 0, Month 1, Month 12, Month 24
    Title
    multimodal imaging techniques
    Description
    MRI
    Time Frame
    Visits Month 0, Month 12, Month 24
    Title
    multimodal imaging techniques
    Description
    PET/MRI
    Time Frame
    Visits Month 0, Month 24

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: For all participants: Age ≥18 years and ≤65 years Information and collection of written consent Affiliation with a social security plan, beneficiary or beneficiary's right Healthy controls UHDRS functional score TFC = 13 Motor UHDRS score TMS < 6 With no known genetic disease and no direct relationship to an HD patient or family ancestors carrying the HD mutation (or knowing their genetic status with CAG < 36). Manifest carriers Number of GACs ≥ 40 CAP score ≥ 250 10 ≤ TFC ≤ 13 TMS >5 if TFC=13 Diagnostic confidence level =4 Age of onset of disease > 20 years Patients physically able to sign consent Premanifest carriers Number of GACs ≥ 40 CAP score ≥250 CFT = 13 TMS < 6 Patients physically able to sign consent Exclusion Criteria: Participant under guardianship or curatorship Neurological or psychiatric disorder unrelated to HD Intercurrent illness that may impact participant's performance Chronic progressive neurological disease Claustrophobia Brain injury unrelated to HD Pacemaker, intracorporeal metal, intracerebral clip, any metallic foreign body: implantable cardiac electronic device such as pacemakers, implantable cardioverter defibrillators etc., metallic intraocular foreign bodies, implantable neurostimulation systems, cochlear implants/ear implants, drug infusion pumps (insulin administration, analgesic drugs), or chemotherapy pumps): if possible, the patient should remove the device. Catheters with metal components (Swan-Ganz catheter), metal fragments such as bullets, shotgun pellets and metal shrapnel, cerebral artery aneurysm clips, magnetic dental implants, tissue expander, artificial limb, hearing aid, piercing such as pacemaker, Known hypersensitivity to the radiopharmaceutical preparation (excipients in the radiopharmaceutical preparation) Pregnant or breastfeeding woman Person under state medical aid Person deprived of liberty Person participating or having participated in an interventional study for less than 3 months or without time limit in a trial of neural transplants or gene therapy. Person participating or having participated in a research protocol with a radiopharmaceutical injection for less than 12 months. Neurological or psychiatric disorder unrelated to HD Intercurrent disease that may impact participant's performance Chronic progressive neurological disease Claustrophobia Brain injury unrelated to HD Pacemaker, intracorporeal metal, intracerebral clip Pregnant, breastfeeding or wanting to procreate during participation in the study.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Anne-Catherine BACHOUD-LEVI, PhD
    Phone
    (+33)1 49 81 23 10
    Email
    anne-catherine.bachoud-levi@aphp.fr

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided

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