A Study to Evaluate the Safety and Tolerability of SAGE-718 in Participants With Huntington's Disease

NCT ID: NCT05655520

Last Updated: 2025-12-17

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

153 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-14

Study Completion Date

2025-01-20

Brief Summary

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The primary purpose of the study is to evaluate the safety and tolerability of SAGE-718 softgel lipid capsule in participants with Huntington's Disease (HD)

Detailed Description

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Conditions

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Huntington's Disease

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1 (Direct Rollover)

Participants from the studies 718-CIH-201 (NCT05107128) and 718-CIH-202 (NCT05358821) who will sign the informed consent for study 718-CIH-301 ≤7 days after the last day of the corresponding parent study will be enrolled in this cohort. Participants will receive Sage-718, 0.9 milligrams (mg), orally once daily from Day 1 onwards.

Group Type EXPERIMENTAL

SAGE-718

Intervention Type DRUG

Oral softgel lipid capsules

Cohort 2 (Gap Rollover)

Participants from the studies 718-CIH-201 (NCT05107128) and 718-CIH-202 (NCT05358821) who will sign the informed consent for study 718-CIH-301 after a gap of \>7 days after the last day of the corresponding parent study will be enrolled in this cohort. Participants will receive Sage-718 0.9 mg, orally once daily from Day 1 onwards.

Group Type EXPERIMENTAL

SAGE-718

Intervention Type DRUG

Oral softgel lipid capsules

Cohort 3 (De Novo)

Participants who were not previously included in any SAGE-718 clinical study. Participants will receive Sage-718 from Day 1 onwards.

Group Type EXPERIMENTAL

SAGE-718

Intervention Type DRUG

Oral softgel lipid capsules

Interventions

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SAGE-718

Oral softgel lipid capsules

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

For all participants:

* Completed 718-CIH-201 (NCT05107128) or 718-CIH-202 (NCT05358821) studies or meet eligibility criteria for the de novo cohort.
* Agree to refrain from drugs of abuse for the duration of the study and from alcohol during the 48 hours preceding each study visit.
* Be willing to invite a study partner, if available, who is reliable, competent, and at least 18 years of age to participate in the study.
* Be able to travel to the study center, and, judged by the investigator, is likely to be able to continue to travel to the study center to complete study visits for the duration of the study.


* Be at least 25 years old, but not older than 65 years of age at Screening.

* Genetically confirmed disease with cytosine-adenine-guanine (CAG) expansion ≥40
* No features of juvenile HD
* CAG-Age-Product (CAP) score ≥90, as calculated using the CAP formula: AGE × (CAG - 30) / 6.49.
* At screening, scores of either: a) Unified Huntington's Disease Rating Scale (UHDRS) -Total Functional Capacity (TFC)=13 and Montreal Cognitive Assessment (MoCA) ≤25 score, or b) UHDRS-TFC ≤12 and MoCA \>25

Exclusion Criteria

For all participants

* Have a diagnosis of an ongoing neurodegenerative condition other than HD, including but not limited to, Alzheimer's Disease, vascular dementia, dementia with Lewy bodies, or Parkinson's Disease.
* Had gastric bypass surgery, has a gastric sleeve or lap band, or has had any related procedures that interfere with gastrointestinal transit.
* Is known to be allergic to any of SAGE-718 excipients, including soy lecithin.
* Receive any prohibited medications within 30 days of screening and during participation in the study.


* Have previous exposure to gene therapy, or have participated in any other HD investigational drug, biologic, or device trial within 180 days or a non-HD drug, biologic or device trial within 30 days or 5 half-lives (whichever is longer). Additionally, participants who have received treatment with antisense oligonucleotides or a messenger ribonucleic acid (mRNA) splicing modifier will be excluded.

Note: Participants with confirmation of enrolment in the placebo arm of these investigational trials would not be excluded.


* Have one or more ongoing serious adverse events (SAEs) from the parent study.
* Have ongoing, unresolved AE(s), which in the opinion of the investigator or sponsor, is likely to interfere with study conduct or compliance.
Minimum Eligible Age

25 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Supernus Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sage Investigational Site

Birmingham, Alabama, United States

Site Status

Sage Investigational Site

Little Rock, Arkansas, United States

Site Status

Sage Investigational Site

La Jolla, California, United States

Site Status

Sage Investigational Site

Los Alamitos, California, United States

Site Status

Sage Investigational Site

Los Angeles, California, United States

Site Status

Sage Investigational Site

Sacramento, California, United States

Site Status

Sage Investigational Site

Englewood, Colorado, United States

Site Status

Sage Investigational Site

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

Site Status

Sage Investigational Site

Boca Raton, Florida, United States

Site Status

Sage Investigational Site

Tampa, Florida, United States

Site Status

Sage Investigational Site

Chicago, Illinois, United States

Site Status

Sage Investigational Site

Chicago, Illinois, United States

Site Status

Sage Investigational Site

Indianapolis, Indiana, United States

Site Status

Sage Investigational Site

Iowa City, Iowa, United States

Site Status

Sage Investigational Site

Kansas City, Kansas, United States

Site Status

Sage Investigational Site

Baltimore, Maryland, United States

Site Status

Sage Investigational Site

Boston, Massachusetts, United States

Site Status

Sage Investigational Site

New York, New York, United States

Site Status

Sage Investigational Site

Williamsville, New York, United States

Site Status

Sage Investigational Site

Chapel Hill, North Carolina, United States

Site Status

Sage Investigational Site

Durham, North Carolina, United States

Site Status

Sage Investigational Site

Cincinnati, Ohio, United States

Site Status

Sage Investigational Site

Toledo, Ohio, United States

Site Status

Sage Investigational Site

Philadelphia, Pennsylvania, United States

Site Status

Sage Investigational Site

Charleston, South Carolina, United States

Site Status

Sage Investigational Site

Memphis, Tennessee, United States

Site Status

Sage Investigational Site

Houston, Texas, United States

Site Status

Sage Investigational Site

Richmond, Virginia, United States

Site Status

Sage Investigational Site

Spokane, Washington, United States

Site Status

Sage Investigational Site

Westmead, New South Wales, Australia

Site Status

Sage Investigational Site

Caulfield South, Victoria, Australia

Site Status

Sage Investigational Site

Nedlands, Western Australia, Australia

Site Status

Sage Investigational Site

Halifax, Nova Scotia, Canada

Site Status

Sage Investigational Site

Toronto, Ontario, Canada

Site Status

Sage Investigational Site

Montreal, Quebec, Canada

Site Status

Sage Investigational Site

Plymouth, Derriford, United Kingdom

Site Status

Sage Investigational Site

Southampton, England, United Kingdom

Site Status

Sage Investigational Site

Tooting, London, United Kingdom

Site Status

Sage Investigational Site

Aberdeen, Scotland, United Kingdom

Site Status

Sage Investigational Site

Newcastle, Upon Tyne, United Kingdom

Site Status

Sage Investigational Site

Cardiff, Wales, United Kingdom

Site Status

Sage Investigational Site

Birmingham, West Midlands, United Kingdom

Site Status

Sage Investigational Site

Leeds, West Yorkshire, United Kingdom

Site Status

Countries

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United States Australia Canada United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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718-CIH-301

Identifier Type: -

Identifier Source: org_study_id