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
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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RECRUITING
2500 participants
OBSERVATIONAL
2017-01-01
Brief Summary
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Detailed Description
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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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Study Design
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COHORT
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
* 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
* 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
11 Years
75 Years
ALL
Yes
Sponsors
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CHDI Foundation, Inc.
OTHER
University College, London
OTHER
Responsible Party
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Edward Wild
Dr
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
Georgetown University
Washington D.C., District of Columbia, United States
John Hopkins University
Baltimore, Maryland, United States
Wake Forest University
Winston-Salem, North Carolina, United States
Vanderbilt University Medical Center
Nashville, Tennessee, United States
University of Texas Health Science Center
Houston, Texas, United States
University of British Columbia, The Centre for Huntingtons Disease
Vancouver, British Columbia, Canada
The Ottawa Hospital
Ottawa, Ontario, Canada
North York General Hospital
Toronto, Ontario, Canada
Centre for Movement Disorders
Toronto, Ontario, Canada
Centre Hospitalier Universitaire d'Angers
Angers, , France
Le Centre Hospitalier Universitaire de Bordeaux
Bordeaux, , France
University Hospital Ulm
Ulm, Baden-Wurttemberg, Germany
Dresden University
Dresden, Saxony, Germany
St Josef And Elisabeth Hospital
Bochum, , Germany
University Hospital of Erlangen
Erlangen, , Germany
George Huntington Institute
Münster, , Germany
Kbo-Isar-Amper-Klinikum Taufkirchen (Vils)
Taufkirchen, , Germany
Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta
Milan, , Italy
Lega Italiana Ricera Huntington
Rome, , Italy
The University of Auckland
Grafton, Auckland, New Zealand
NZ Brain Research Institute
Christchurch, Canterbury, New Zealand
Institute of Psychiatry and Neurology
Warsaw, , Poland
Cruces University Hospital
Bilbao, Biscay, Spain
Hospital de Sant Pau
Barcelona, , Spain
Ramón y Cajal Universitary Hospital
Madrid, , Spain
Royal Devon & Exeter NHS Foundation Trust
Exeter, Devon, United Kingdom
Glasgow Clinical Research Facility
Glasgow, Scotland, United Kingdom
Birmingham Huntingtons Disease Clinic
Birmingham, West Midlands, United Kingdom
North Bristol NHS Trust
Bristol, , United Kingdom
Cambridge University Hospitals NHS Foundation Trust
Cambridge, , United Kingdom
Cardiff University
Cardiff, , United Kingdom
Fife Health Board - Whyteman's Brae Hospital
Kirkcaldy, , United Kingdom
Leeds Teaching Hospital Trust
Leeds, , United Kingdom
The Walton Centre NHS Foundation Trust
Liverpool, , United Kingdom
University College London Hospitals NHS Foundation Trust
London, , United Kingdom
St George's University Of London
London, , United Kingdom
Oxford University Hospitals NHS Foundation Trust
Oxford, , United Kingdom
University Hospitals Plymouth NHS Trust
Plymouth, , United Kingdom
Countries
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Central Contacts
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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
Study Documents
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Document Type: Study Protocol
View DocumentDocument Type: Informed Consent Form
View DocumentRelated Links
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Study website
Other Identifiers
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15/0519
Identifier Type: -
Identifier Source: org_study_id