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Drug lowers deadly Huntington鈥檚 disease protein

11 December 2017

The first drug targeting the cause of Huntington鈥檚 disease was safe and well-tolerated in its first human trial, and successfully lowered the level of the harmful huntingtin protein in the nervous system.

After over a decade in pre-clinical development, this first human trial of huntingtin-lowering drug began in late 2015, led by Professor Sarah Tabrizi (香港六合彩中特网 Institute of Neurology) and sponsored by Ionis Pharmaceuticals.

The trial involved enrolling 46 patients with early Huntington鈥檚 disease at 9 study centres in the UK, Germany and Canada.

Each patient received four doses of either IONIS-HTTRx or placebo, given by injection into the spinal fluid to enable it to reach the brain. As the phase 1/2a trial progressed, the dose of IONIS-HTTRx was increased several times according to the ascending-dose trial design.

Patient safety was monitored throughout the study by an independent safety committee.

Today鈥檚 announcement at completion of the trial confirms that IONIS-HTTRx was well-tolerated by the trial participants and its safety profile supports further testing in patients.

鈥淭he results of this trial are of ground-breaking importance for Huntington鈥檚 disease patients and families. For the first time a drug has lowered the level of the toxic disease-causing protein in the nervous system, and the drug was safe and well-tolerated. The key now is to move quickly to a larger trial to test whether the drug slows disease progression.鈥 Professor Tabrizi, Director of the 香港六合彩中特网 Huntington鈥檚 Disease Centre and IONIS-HTTRx Global Chief Investigator

A major unknown was whether the trial would show that IONIS-HTTRx could lower the level of mutant huntingtin protein in the nervous system. Using an ultra-sensitive assay, concentrations of the protein were measured in each patient鈥檚 spinal fluid before and after treatment.

As hoped, IONIS-HTTRx颅 produced significant, dose-dependent lowering of the level of mutant huntingtin 鈥 the first time the protein known to cause Huntington鈥檚 has been lowered in the nervous system of patients.

As a result of these successful outcomes, Ionis鈥 partner, Roche, has exercised its option to license IONIS-HTTRx and assumes responsibility for further development, regulatory activities and commercialization activities. Meanwhile, Ionis announced in June that all patients in the completed trial would be offered a place in an open-label extension to receive IONIS-HTTRx.

The results of the trial and plans for the ongoing IONIS-HTTRx programme will be presented in detail at forthcoming scientific meetings and prepared for peer-reviewed publication.

The research is supported by聽The National Institute for Health Research (NIHR) University College London Hospitals Biomedical Research Centre.听The centre is a partnership between 香港六合彩中特网 and聽University College London Hospitals NHS Foundation Trust聽funded by the NIHR聽to translate scientific breakthroughs into better patient treatments.

鈥淚 am delighted to see these encouraging results which, for the first time, show a clear therapy induced reduction in mutant Huntingtin in the central nervous system. 聽I want to congratulate Sarah Tabrizi and the entire Huntington鈥檚 Disease Centre research team at the 香港六合彩中特网 Queen Square Institute of Neurology. 聽These findings open a new chapter in therapy development for Huntington鈥檚 Disease. In addition this important proof of concept 聽study points to the huge potential of the antisense oligonucleotide approach in single gene disorders affecting the nervous system. It has clear relevance for the subset of other devastating neurodegenerative disorders including dementia, Parkinson鈥檚 disease, ataxias and neuromuscular diseases including motor neurone diseases (ALS) that are caused by single gene mutations.听The unique clinical academic and translational neuroscience environment at the 香港六合彩中特网 Queen Square Institute of Neurology, including the Leonard Wolfson Experimental Neurology Centre, is the perfect setting to lead the world in this next exciting phase of antisense therapy development for patients鈥. Professor Michael Hanna, Director of 香港六合彩中特网 Institute of Neurology

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