Huntington's disease is a fatal inherited brain disorder caused by a single gene mutation. It affects about 1 in 10,000 people in the U.S., causing progressive movement problems, thinking difficulties, and psychiatric symptoms. No treatment yet slows the disease, so current care focuses on managing symptoms as they appear.
What's actually going on in research
Trials are testing drugs that lower huntingtin protein levels in the brain, including antisense oligonucleotides and gene therapies. Researchers are also studying drugs that might protect brain cells from damage, treatments for chorea and other movement symptoms, and ways to delay symptom onset in people who carry the gene but haven't yet developed symptoms.
Huntingtin-lowering therapies
Several approaches aim to reduce the toxic huntingtin protein, including injections into the spinal fluid and gene therapy delivered directly to the brain. Early trials showed these drugs can lower huntingtin levels, and larger studies are testing whether this slows the disease.
Presymptomatic treatment
Studies are testing whether starting treatment before symptoms appear can delay or prevent disease onset in people who carry the gene. This requires careful monitoring with brain imaging and cognitive tests.
What to know before you search
Eligibility typically depends on genetic test confirmation, disease stage (early, middle, late, or presymptomatic), and functional abilities measured by standard Huntington's rating scales.
What types of trials are currently open
- Huntingtin-lowering trials — Testing drugs given by spinal injection or brain infusion to reduce levels of the harmful huntingtin protein. These may require regular dosing over many months.
- Neuroprotection trials — Testing drugs that might protect brain cells from damage without directly targeting huntingtin. These are often pills taken daily.
- Symptom management trials — Testing treatments for chorea, psychiatric symptoms, thinking problems, and other disease manifestations.
- Presymptomatic trials — Studies in people who carry the gene but have no symptoms yet, testing whether early intervention can delay disease onset.
- Observational studies — Following people with Huntington's over time to understand how the disease progresses and what predicts faster or slower decline.
Recently added Huntington's Disease trials
A First-in-human Study of the Effects of SRP-1005 in Participants With Huntington's Disease
This is a first-in-human, multi-center trial studying the effects of SRP-1005 in participants with Huntington's disease (HD).
Receive ultrasound treatment to improve movement symptoms in Huntington's disease
The purpose of this research study is to determine the optimal pulse repetition frequency of low-intensity focused ultrasound that is safe and effective in improving motor symptoms in patients with Huntington's disease.
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