HDClarity: a Multi-site Cerebrospinal Fluid Collection Initiative to Facilitate Therapeutic Development for Huntington's Disease

NCT ID: NCT02855476

Last Updated: 2025-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

2500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-01-01

Brief Summary

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HDClarity will seek at least 2500 research participants at different stages of Huntington's disease (HD). The primary objective is to collect a high quality CSF sample for evaluation of biomarkers and pathways that will enable the development of novel treatments for HD. The secondary objective is to generate a high quality plasma sample collection matching the CSF collections, which will also be used to evaluate biomarkers and pathways of relevance to HD research and development.

Detailed Description

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This is a longitudinal open-ended observational study. Participants will attend two annual study visits, an Annual Screening Visit followed by an Annual Sampling Visit, and may also attend an optional visit during the first year of enrollment, an Optional Repeat Sampling Visit.

During the Annual Screening Visit, medical history, and clinical and phenotypic data will be obtained. Participants who meet the eligibility requirements of the study and are willing to continue in the study, will return for an Annual Sampling Visit. During that visit, biosamples will be collected following a fast of at least 6 hours, or overnight: blood will be obtained via venipuncture and CSF will be obtained via lumbar puncture. Some participants may be invited to return for an Optional Repeat Sampling Visit approximately 4-8 weeks after the Annual Sampling Visit during their first year of enrolment.

The annual visits are at regular intervals after the first Annual Screening Visit (i.e. at 1, 2, 3 years and so on) ± 2 months. Participants will be encouraged to complete all annual visits; however, they are under no obligation to take part and will be able to skip annual visit without being discontinued from the study. Participants who do not come for an Annual Sampling Visit for three consecutive years will be discontinued from the study, but they may enrol again at a later date, if they so consent. Participants who have already completed HDClarity Sampling Visits under earlier versions of this protocol may also participate in the longitudinal study if they meet the eligibility criteria.

Conditions

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Huntington's Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Early Pre-manifest HD

Participants eligible are persons who meet the following criteria:

1. Are 18-75 years of age, inclusive, at the time of consent; and
2. Do not have clinical diagnostic motor features of HD, defined as Unified Huntington's Disease Rating Scale (UHDRS) Diagnostic Confidence Score \< 4; and
3. Have CAG expansion ≥ 40; and
4. Have burden of pathology score, computed as (CAG - 35.5) × age, \< 250

No interventions assigned to this group

Late Pre-manifest HD

Participants eligible are persons who meet the following criteria:

1. Are 18-75 years of age, inclusive, at the time of consent; and
2. Do not have clinical diagnostic motor features of HD, defined as Unified Huntington's Disease Rating Scale (UHDRS) Diagnostic Confidence Score \< 4; and
3. Have CAG expansion ≥ 40; and
4. Have burden of pathology score, computed as (CAG - 35.5) x age, ≥ 250

No interventions assigned to this group

Early Manifest HD

Participants eligible are persons who meet the following criteria:

1. Are 21-75 years of age, inclusive, at the time of consent; and
2. Have clinical diagnostic motor features of HD, defined as UHDRS Diagnostic Confidence Score = 4; and
3. Have CAG expansion ≥ 40; and
4. Have Stage I or Stage II HD, defined as UHDRS Total Functional Capacity (TFC) scores between 7 and 13 inclusive

No interventions assigned to this group

Moderate Manifest HD

Participants eligible are persons who meet the following criteria:

1. Are 21-75 years of age, inclusive, at the time of consent; and
2. Have clinical diagnostic motor features of HD, defined as UHDRS Diagnostic Confidence Score = 4; and
3. Have CAG expansion ≥ 40; and
4. Have Stage III HD, defined as UHDRS TFC scores between 3 and 6, inclusive

No interventions assigned to this group

Advanced Manifest HD

Participants eligible are persons who meet the following criteria:

1. Are 21-75 years of age, inclusive, at the time of consent; and
2. Have clinical diagnostic motor features of HD, defined as UHDRS Diagnostic Confidence Score = 4; and
3. Have CAG expansion ≥ 40; and
4. Have Stage IV HD, defined as UHDRS TFC scores between 0 and 2, inclusive

No interventions assigned to this group

Incomplete Penetrance HD

Participants eligible are persons who meet the following criteria:

1. Are 18-75 years of age, inclusive, at the time of consent; and
2. Have CAG expansion of 36-39

No interventions assigned to this group

Juvenile Manifest HD

Participants eligible are persons who meet the following criteria:

1. Are ≥11 years of age at the time of consent; and
2. Have clinical diagnostic features of juvenile HD, defined as UHDRS Diagnostic Confidence Score = 4 aged ≤20 years; and
3. Have CAG expansion ≥ 40

No interventions assigned to this group

Healthy Control

Participants eligible are persons who meet the following criteria:

1. Are 18-75 years of age, inclusive, at the time of consent; and
2. Have no known family history of HD; or
3. Have known family history of HD but have been tested for the huntingtin gene CAG expansion and are not at genetic risk for HD (CAG \< 36).

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Age (18-75 years controls, early/late premanifest HD and incomplete penetrance HD, 21-75 years early/moderate/advanced manifest HD, ≥11 years juvenile HD)
* Enroll HD participant
* Capable of consenting or have a legal representative (parent/guardian for juveniles)
* Capable of complying with study procedures
* All participants other than family and community controls must have had a genetic test for HD

Exclusion Criteria

* Drug trial within 30 days of any sampling visit
* Changes in medication (antidepressant, psychoactive, psychotropic or other medications or nutraceuticals used to treat HD within 30 days)
* Antiplatelet or anticoagulant therapy within 14 days
* Significant comorbidity
* Needle phobia, headache, spinal surgery / deformity
* Clotting or bruising disorder
* Screening blood test abnormalities \>10% outside normal range
* Drug / alcohol abuse
* Positive urine pregnancy test at any screening or sampling visit for females of childbearing potential
* Predictable non compliance or unwillingness
* Serious adverse event related to HDClarity study procedures or any lumbar puncture procedure performed for any reason in the previous 30 days
Minimum Eligible Age

11 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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CHDI Foundation, Inc.

OTHER

Sponsor Role collaborator

University College, London

OTHER

Sponsor Role lead

Responsible Party

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Edward Wild

Dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Edward J Wild, MA, MB BChir, MRCP, PhD

Role: PRINCIPAL_INVESTIGATOR

University College, London

Locations

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Cenexel

Englewood, Colorado, United States

Site Status RECRUITING

Georgetown University

Washington D.C., District of Columbia, United States

Site Status RECRUITING

John Hopkins University

Baltimore, Maryland, United States

Site Status RECRUITING

Wake Forest University

Winston-Salem, North Carolina, United States

Site Status COMPLETED

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status RECRUITING

University of Texas Health Science Center

Houston, Texas, United States

Site Status RECRUITING

University of British Columbia, The Centre for Huntingtons Disease

Vancouver, British Columbia, Canada

Site Status ACTIVE_NOT_RECRUITING

The Ottawa Hospital

Ottawa, Ontario, Canada

Site Status RECRUITING

North York General Hospital

Toronto, Ontario, Canada

Site Status RECRUITING

Centre for Movement Disorders

Toronto, Ontario, Canada

Site Status COMPLETED

Centre Hospitalier Universitaire d'Angers

Angers, , France

Site Status RECRUITING

Le Centre Hospitalier Universitaire de Bordeaux

Bordeaux, , France

Site Status RECRUITING

University Hospital Ulm

Ulm, Baden-Wurttemberg, Germany

Site Status RECRUITING

Dresden University

Dresden, Saxony, Germany

Site Status RECRUITING

St Josef And Elisabeth Hospital

Bochum, , Germany

Site Status RECRUITING

University Hospital of Erlangen

Erlangen, , Germany

Site Status RECRUITING

George Huntington Institute

Münster, , Germany

Site Status RECRUITING

Kbo-Isar-Amper-Klinikum Taufkirchen (Vils)

Taufkirchen, , Germany

Site Status RECRUITING

Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta

Milan, , Italy

Site Status ACTIVE_NOT_RECRUITING

Lega Italiana Ricera Huntington

Rome, , Italy

Site Status RECRUITING

The University of Auckland

Grafton, Auckland, New Zealand

Site Status RECRUITING

NZ Brain Research Institute

Christchurch, Canterbury, New Zealand

Site Status RECRUITING

Institute of Psychiatry and Neurology

Warsaw, , Poland

Site Status ACTIVE_NOT_RECRUITING

Cruces University Hospital

Bilbao, Biscay, Spain

Site Status ACTIVE_NOT_RECRUITING

Hospital de Sant Pau

Barcelona, , Spain

Site Status RECRUITING

Ramón y Cajal Universitary Hospital

Madrid, , Spain

Site Status RECRUITING

Royal Devon & Exeter NHS Foundation Trust

Exeter, Devon, United Kingdom

Site Status RECRUITING

Glasgow Clinical Research Facility

Glasgow, Scotland, United Kingdom

Site Status RECRUITING

Birmingham Huntingtons Disease Clinic

Birmingham, West Midlands, United Kingdom

Site Status RECRUITING

North Bristol NHS Trust

Bristol, , United Kingdom

Site Status ACTIVE_NOT_RECRUITING

Cambridge University Hospitals NHS Foundation Trust

Cambridge, , United Kingdom

Site Status RECRUITING

Cardiff University

Cardiff, , United Kingdom

Site Status RECRUITING

Fife Health Board - Whyteman's Brae Hospital

Kirkcaldy, , United Kingdom

Site Status ACTIVE_NOT_RECRUITING

Leeds Teaching Hospital Trust

Leeds, , United Kingdom

Site Status RECRUITING

The Walton Centre NHS Foundation Trust

Liverpool, , United Kingdom

Site Status RECRUITING

University College London Hospitals NHS Foundation Trust

London, , United Kingdom

Site Status RECRUITING

St George's University Of London

London, , United Kingdom

Site Status RECRUITING

Oxford University Hospitals NHS Foundation Trust

Oxford, , United Kingdom

Site Status RECRUITING

University Hospitals Plymouth NHS Trust

Plymouth, , United Kingdom

Site Status RECRUITING

Countries

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United States Canada France Germany Italy New Zealand Poland Spain United Kingdom

Central Contacts

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Katarzyna Schubert, PhD

Role: CONTACT

Email: [email protected]

Gail Owen, PhD

Role: CONTACT

Phone: +44 1273 640 688

Email: [email protected]

Facility Contacts

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Jessica Crall

Role: primary

Melanie Patton

Role: backup

Erin Koppel

Role: primary

Susan Robinson

Role: primary

Carol Wallace, RN

Role: primary

Brittany Duncan

Role: primary

Jane Ding

Role: primary

Rebecca Searles

Role: primary

Audrey Olivier

Role: primary

Marie-Pierre Baudier

Role: primary

Olga Kuvarzina

Role: primary

Stefan Bräuer

Role: primary

Barbara Kaminski

Role: primary

Susanne Seifert

Role: primary

Svenja Aufenberg

Role: primary

Michael Bachmaier

Role: primary

Paola Mina

Role: primary

Christina Buchanan

Role: primary

Laura Paermentier

Role: primary

Maria Burgos Renedo

Role: primary

Rocio Lopez Perez

Role: primary

Julie Moss

Role: primary

Helen Bannister

Role: primary

Elsa Benn

Role: primary

Katie Andresen

Role: primary

Alison Johnson

Role: primary

Dominique Barker

Role: primary

Jenni Burns, BSc MSc

Role: primary

Opeyemi Kinyomi

Role: primary

Hae-Ree Seo

Role: primary

Zara Skitt

Role: primary

Elizabeth Cray

Role: primary

Provided Documents

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Document Type: Study Protocol

View Document

Study Documents

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Document Type: Study Protocol

View Document

Document Type: Informed Consent Form

View Document

Related Links

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Other Identifiers

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15/0519

Identifier Type: -

Identifier Source: org_study_id