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Safety and Tolerability of WVE-120101 in Patients With Huntington's Disease

A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase 1b/2a Study of WVE-120101 Administered Intrathecally in Patients With Huntington's Disease

Status
Terminated
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03225833
Acronym
PRECISION-HD1
Enrollment
61
Registered
2017-07-21
Start date
2017-07-17
Completion date
2021-05-11
Last updated
2022-02-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Huntington's Disease

Brief summary

PRECISION-HD1 is a Phase 1b/2a multicenter, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of single and multiple doses of WVE-120101 in adult patients with early manifest Huntington's disease (HD) who carry a targeted single nucleotide polymorphism (SNP) rs362307 (SNP1).

Interventions

WVE-120101 is a stereopure antisense oligonucleotide (ASO)

DRUGPlacebo

0.9% Sodium Chloride

Sponsors

Wave Life Sciences Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
25 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Prescreened with targeted SNP on the same allele as the pathogenic CAG expansion * Ambulatory, male or female patients aged ≥25 - ≤65 years * Clinical diagnostic motor features of HD, defined as Unified Huntington's Disease Rating Scale (UHDRS) Diagnostic Confidence Score = 4 * Early manifest HD, Stage I or Stage II based on UHDRS Total Functional Capacity Scores ≥7 and ≤13 Key

Exclusion criteria

* Malignancy or received treatment for malignancy, other than treated basal cell or squamous cell carcinoma of the skin, within the previous 5 years. * Received investigational drug or implantable device in prior 3 months or investigational oligonucleotide in prior 6 months or 5 half-lives of the oligonucleotide, whichever is longer * Clinically significant medical condition, unstable psychiatric symptoms, substance abuse, or pregnancy * Inability to undergo brain MRI * Bone, spine, bleeding, or other disorder that exposes the patient to risk of injury or unsuccessful lumbar puncture

Design outcomes

Primary

MeasureTime frameDescription
Safety: Number of Patients With Treatment-emergent Adverse Events (TEAEs)Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])All TEAEs reported or observed during the study, including TEAEs resulting from concurrent illnesses, reactions to concurrent medications, or progression of disease states
Safety: Severity of Adverse EventsDay 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])Number of patients who experienced a severe treatment-emergent adverse event. Severity was evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0
Safety: Number of Patients With Serious TEAEsDay 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])A serious TEAE is defined as any event that results in death, is immediately life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or is a congenital anomaly/birth defect not present at Prescreening.
Safety and Tolerability: Number of Patients Who Withdraw Due to TEAEsDay 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])

Secondary

MeasureTime frameDescription
PharmacodynamicsDay 1 to last observation - up to Day 140 (32 mg cohort) or Day 196 (all other cohorts)Percentage change from baseline in concentration of mutant huntingtin (mHTT) protein in CSF
Pharmacokinetics (PK): Maximum Observed Concentration (Cmax)Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.Cmax of WVE-120101 in plasma
Clinical Effects: Total Functional Capacity (TFC)Day 1 to last observation - up to Day 140 (32 mg cohort) or Day 196 (all other cohorts)Percentage change from baseline to the last measured time point in the Total Functional Capacity score, administered as part of the Unified Huntington's Disease Rating Scale (UHDRS). Total Functional Capacity is scored 13 (normal) to 0 (severe disability).
PK: Time of Occurrence of Cmax (Tmax)Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.tmax of WVE-120101 in plasma
PK: Area Under the Plasma Concentration-time Curve (AUClast)Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.AUClast from time 0 to the last quantifiable concentration of WVE-120101 in plasma
PK: Terminal Elimination Half LifePatients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.Terminal elimination half life of WVE-120101 in plasma (t1/2)

Countries

Australia, Canada, Denmark, France, Germany, Poland, United Kingdom

Participant flow

Participants by arm

ArmCount
Pooled Placebo
Placebo: 0.9% Sodium Chloride
16
WVE-120101 (2 mg)
WVE-120101: WVE-120101 is a stereopure antisense oligonucleotide (ASO)
9
WVE-120101 (4 mg)
WVE-120101: WVE-120101 is a stereopure antisense oligonucleotide (ASO)
9
WVE-120101 (8 mg)
WVE-120101: WVE-120101 is a stereopure antisense oligonucleotide (ASO)
9
WVE-120101 (16 mg)
WVE-120101: WVE-120101 is a stereopure antisense oligonucleotide (ASO)
8
WVE-120101 (32 mg)
WVE-120101: WVE-120101 is a stereopure antisense oligonucleotide (ASO)
10
Total61

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Overall StudyAdverse Event012002
Overall StudySponsor Decision000001
Overall StudyTermination of Study by Sponsor400007
Overall StudyWithdrawal by Subject100010

Baseline characteristics

CharacteristicPooled PlaceboWVE-120101 (2 mg)WVE-120101 (4 mg)WVE-120101 (8 mg)WVE-120101 (16 mg)WVE-120101 (32 mg)Total
Age at Disease Onset40.75 Years
STANDARD_DEVIATION 11.079
37.33 Years
STANDARD_DEVIATION 7.826
42.89 Years
STANDARD_DEVIATION 9.28
46.11 Years
STANDARD_DEVIATION 6.254
44.88 Years
STANDARD_DEVIATION 12.495
44.60 Years
STANDARD_DEVIATION 10.865
43.16 Years
STANDARD_DEVIATION 9.625
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Age, Categorical
Between 18 and 65 years
15 Participants9 Participants9 Participants9 Participants8 Participants10 Participants60 Participants
Diagnosis Stage
Stage 1
9 Participants7 Participants3 Participants3 Participants4 Participants7 Participants33 Participants
Diagnosis Stage
Stage 2
7 Participants2 Participants6 Participants6 Participants4 Participants3 Participants28 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants9 Participants9 Participants9 Participants8 Participants10 Participants61 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
16 Participants9 Participants9 Participants9 Participants8 Participants10 Participants61 Participants
Region of Enrollment
Australia
4 participants0 participants0 participants6 participants3 participants4 participants17 participants
Region of Enrollment
Canada
4 participants2 participants2 participants1 participants0 participants3 participants12 participants
Region of Enrollment
Denmark
0 participants0 participants0 participants1 participants1 participants0 participants2 participants
Region of Enrollment
France
1 participants0 participants0 participants0 participants1 participants2 participants4 participants
Region of Enrollment
Germany
2 participants0 participants0 participants0 participants1 participants1 participants4 participants
Region of Enrollment
Poland
4 participants7 participants5 participants1 participants2 participants0 participants19 participants
Region of Enrollment
United Kingdom
1 participants0 participants2 participants0 participants0 participants0 participants3 participants
Sex: Female, Male
Female
7 Participants3 Participants5 Participants6 Participants1 Participants7 Participants29 Participants
Sex: Female, Male
Male
9 Participants6 Participants4 Participants3 Participants7 Participants3 Participants32 Participants
Time since initial diagnosis7 Years
STANDARD_DEVIATION 6.93
4.9 Years
STANDARD_DEVIATION 4.28
3.4 Years
STANDARD_DEVIATION 6.37
3.2 Years
STANDARD_DEVIATION 3.03
6.6 Years
STANDARD_DEVIATION 6.09
8.7 Years
STANDARD_DEVIATION 7.26
5.4 Years
STANDARD_DEVIATION 5.8

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 160 / 90 / 90 / 90 / 80 / 10
other
Total, other adverse events
12 / 168 / 98 / 99 / 97 / 89 / 10
serious
Total, serious adverse events
0 / 162 / 91 / 90 / 90 / 84 / 10

Outcome results

Primary

Safety and Tolerability: Number of Patients Who Withdraw Due to TEAEs

Time frame: Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Pooled PlaceboSafety and Tolerability: Number of Patients Who Withdraw Due to TEAEs0 Participants
WVE-120101 (2 mg)Safety and Tolerability: Number of Patients Who Withdraw Due to TEAEs1 Participants
WVE-120101 (4 mg)Safety and Tolerability: Number of Patients Who Withdraw Due to TEAEs2 Participants
WVE-120101 (8 mg)Safety and Tolerability: Number of Patients Who Withdraw Due to TEAEs0 Participants
WVE-120101 (16 mg)Safety and Tolerability: Number of Patients Who Withdraw Due to TEAEs0 Participants
WVE-120101 (32 mg)Safety and Tolerability: Number of Patients Who Withdraw Due to TEAEs2 Participants
Primary

Safety: Number of Patients With Serious TEAEs

A serious TEAE is defined as any event that results in death, is immediately life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or is a congenital anomaly/birth defect not present at Prescreening.

Time frame: Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Pooled PlaceboSafety: Number of Patients With Serious TEAEs0 Participants
WVE-120101 (2 mg)Safety: Number of Patients With Serious TEAEs2 Participants
WVE-120101 (4 mg)Safety: Number of Patients With Serious TEAEs1 Participants
WVE-120101 (8 mg)Safety: Number of Patients With Serious TEAEs0 Participants
WVE-120101 (16 mg)Safety: Number of Patients With Serious TEAEs0 Participants
WVE-120101 (32 mg)Safety: Number of Patients With Serious TEAEs4 Participants
Primary

Safety: Number of Patients With Treatment-emergent Adverse Events (TEAEs)

All TEAEs reported or observed during the study, including TEAEs resulting from concurrent illnesses, reactions to concurrent medications, or progression of disease states

Time frame: Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Pooled PlaceboSafety: Number of Patients With Treatment-emergent Adverse Events (TEAEs)12 Participants
WVE-120101 (2 mg)Safety: Number of Patients With Treatment-emergent Adverse Events (TEAEs)8 Participants
WVE-120101 (4 mg)Safety: Number of Patients With Treatment-emergent Adverse Events (TEAEs)8 Participants
WVE-120101 (8 mg)Safety: Number of Patients With Treatment-emergent Adverse Events (TEAEs)9 Participants
WVE-120101 (16 mg)Safety: Number of Patients With Treatment-emergent Adverse Events (TEAEs)7 Participants
WVE-120101 (32 mg)Safety: Number of Patients With Treatment-emergent Adverse Events (TEAEs)9 Participants
Primary

Safety: Severity of Adverse Events

Number of patients who experienced a severe treatment-emergent adverse event. Severity was evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0

Time frame: Day 1 to end of study (up to Day 182 [32 mg cohort]/ Day 210 [all other cohorts])

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Pooled PlaceboSafety: Severity of Adverse Events1 Participants
WVE-120101 (2 mg)Safety: Severity of Adverse Events2 Participants
WVE-120101 (4 mg)Safety: Severity of Adverse Events1 Participants
WVE-120101 (8 mg)Safety: Severity of Adverse Events1 Participants
WVE-120101 (16 mg)Safety: Severity of Adverse Events0 Participants
WVE-120101 (32 mg)Safety: Severity of Adverse Events5 Participants
Secondary

Clinical Effects: Total Functional Capacity (TFC)

Percentage change from baseline to the last measured time point in the Total Functional Capacity score, administered as part of the Unified Huntington's Disease Rating Scale (UHDRS). Total Functional Capacity is scored 13 (normal) to 0 (severe disability).

Time frame: Day 1 to last observation - up to Day 140 (32 mg cohort) or Day 196 (all other cohorts)

ArmMeasureValue (MEDIAN)
Pooled PlaceboClinical Effects: Total Functional Capacity (TFC)0.00 % Change from Baseline
WVE-120101 (2 mg)Clinical Effects: Total Functional Capacity (TFC)0.00 % Change from Baseline
WVE-120101 (4 mg)Clinical Effects: Total Functional Capacity (TFC)0.00 % Change from Baseline
WVE-120101 (8 mg)Clinical Effects: Total Functional Capacity (TFC)0.00 % Change from Baseline
WVE-120101 (16 mg)Clinical Effects: Total Functional Capacity (TFC)4.17 % Change from Baseline
WVE-120101 (32 mg)Clinical Effects: Total Functional Capacity (TFC)0.00 % Change from Baseline
Secondary

Pharmacodynamics

Percentage change from baseline in concentration of mutant huntingtin (mHTT) protein in CSF

Time frame: Day 1 to last observation - up to Day 140 (32 mg cohort) or Day 196 (all other cohorts)

ArmMeasureValue (MEDIAN)
Pooled PlaceboPharmacodynamics-6.62 Percent change from baseline
WVE-120101 (2 mg)Pharmacodynamics-5.20 Percent change from baseline
WVE-120101 (4 mg)Pharmacodynamics-12.33 Percent change from baseline
WVE-120101 (8 mg)Pharmacodynamics-8.58 Percent change from baseline
WVE-120101 (16 mg)Pharmacodynamics-11.73 Percent change from baseline
WVE-120101 (32 mg)Pharmacodynamics-9.13 Percent change from baseline
Secondary

Pharmacokinetics (PK): Maximum Observed Concentration (Cmax)

Cmax of WVE-120101 in plasma

Time frame: Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.

Population: The PK population consists of all treated patients in the safety population with at least 1 post-dose plasma or CSF WVE-120101 concentration measurement. The number of overall participants analyzed represents the number with at least 1 postdose plasma or CSF measurement at Day 1. The overall number of patients was different for Day 112, and represents patients with at least 1 postdose plasma or CSF measurement at Day 112.

ArmMeasureGroupValue (MEAN)Dispersion
Pooled PlaceboPharmacokinetics (PK): Maximum Observed Concentration (Cmax)Day 11213.296 ng/mLStandard Deviation 6.057
Pooled PlaceboPharmacokinetics (PK): Maximum Observed Concentration (Cmax)Day 17.70 ng/mLStandard Deviation 7.901
WVE-120101 (2 mg)Pharmacokinetics (PK): Maximum Observed Concentration (Cmax)Day 123.54 ng/mLStandard Deviation 18.139
WVE-120101 (2 mg)Pharmacokinetics (PK): Maximum Observed Concentration (Cmax)Day 11214.27 ng/mLStandard Deviation 12.574
WVE-120101 (4 mg)Pharmacokinetics (PK): Maximum Observed Concentration (Cmax)Day 132.82 ng/mLStandard Deviation 22.964
WVE-120101 (8 mg)Pharmacokinetics (PK): Maximum Observed Concentration (Cmax)Day 1184.48 ng/mLStandard Deviation 209.47
WVE-120101 (16 mg)Pharmacokinetics (PK): Maximum Observed Concentration (Cmax)Day 1229.01 ng/mLStandard Deviation 168.33
Secondary

PK: Area Under the Plasma Concentration-time Curve (AUClast)

AUClast from time 0 to the last quantifiable concentration of WVE-120101 in plasma

Time frame: Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.

Population: The PK population consists of all treated patients in the safety population with at least 1 post-dose plasma or CSF WVE-120101 concentration measurement. The number of overall participants analyzed represents the number with at least 1 postdose plasma or CSF measurement at Day 1. The overall number of patients was different for Day 112, and represents patients with at least 1 postdose plasma or CSF measurement at Day 112.

ArmMeasureGroupValue (MEAN)Dispersion
Pooled PlaceboPK: Area Under the Plasma Concentration-time Curve (AUClast)Day 11236.19 hr*ng/mLStandard Deviation 20.135
Pooled PlaceboPK: Area Under the Plasma Concentration-time Curve (AUClast)Day 135.20 hr*ng/mLStandard Deviation 16.037
WVE-120101 (2 mg)PK: Area Under the Plasma Concentration-time Curve (AUClast)Day 190.77 hr*ng/mLStandard Deviation 50.672
WVE-120101 (2 mg)PK: Area Under the Plasma Concentration-time Curve (AUClast)Day 11249.54 hr*ng/mLStandard Deviation 34.735
WVE-120101 (4 mg)PK: Area Under the Plasma Concentration-time Curve (AUClast)Day 1255.14 hr*ng/mLStandard Deviation 98.342
WVE-120101 (8 mg)PK: Area Under the Plasma Concentration-time Curve (AUClast)Day 11133.74 hr*ng/mLStandard Deviation 551.997
WVE-120101 (16 mg)PK: Area Under the Plasma Concentration-time Curve (AUClast)Day 11968.31 hr*ng/mLStandard Deviation 1188.173
Secondary

PK: Terminal Elimination Half Life

Terminal elimination half life of WVE-120101 in plasma (t1/2)

Time frame: Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.

Population: The t1/2 value was calculated using data from patients who had at least 3 postdose concentration values in the terminal phase. No patients had sufficient postdose samples at Day 112 to calculate t1/2 values.

ArmMeasureValue (MEDIAN)
WVE-120101 (4 mg)PK: Terminal Elimination Half Life8.12 hours
WVE-120101 (8 mg)PK: Terminal Elimination Half Life12.30 hours
WVE-120101 (16 mg)PK: Terminal Elimination Half Life14.38 hours
Secondary

PK: Time of Occurrence of Cmax (Tmax)

tmax of WVE-120101 in plasma

Time frame: Patients participating in Period 1 (SAD) had PK samples collected on Day 1 predose through 24-48 hours postdose. Patients participating in Period 2 (MAD) had PK samples collected predose on Day 112 and through 4 hours postdose.

Population: The PK population consists of all treated patients in the safety population with at least 1 post-dose plasma or CSF WVE-120101 concentration measurement. The number of overall participants analyzed represents the number with at least 1 postdose plasma or CSF measurement at Day 1. The overall number of patients was different for Day 112, and represents patients with at least 1 postdose plasma or CSF measurement at Day 112.

ArmMeasureGroupValue (MEAN)Dispersion
Pooled PlaceboPK: Time of Occurrence of Cmax (Tmax)Day 1121.99 hoursStandard Deviation 0.934
Pooled PlaceboPK: Time of Occurrence of Cmax (Tmax)Day 11.34 hoursStandard Deviation 1.103
WVE-120101 (2 mg)PK: Time of Occurrence of Cmax (Tmax)Day 11.58 hoursStandard Deviation 1.081
WVE-120101 (2 mg)PK: Time of Occurrence of Cmax (Tmax)Day 1122.23 hoursStandard Deviation 1.175
WVE-120101 (4 mg)PK: Time of Occurrence of Cmax (Tmax)Day 12.66 hoursStandard Deviation 1.391
WVE-120101 (8 mg)PK: Time of Occurrence of Cmax (Tmax)Day 12.71 hoursStandard Deviation 3.068
WVE-120101 (16 mg)PK: Time of Occurrence of Cmax (Tmax)Day 14.61 hoursStandard Deviation 7.054

Source: ClinicalTrials.gov · Data processed: Mar 8, 2026