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PRidopidine's Outcome On Function in Huntington Disease, PROOF- HD

A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel Arm, Multicenter Study Evaluating the Efficacy and Safety of Pridopidine in Patients With Early Stage of Huntington Disease

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04556656
Enrollment
499
Registered
2020-09-21
Start date
2020-10-16
Completion date
2024-03-21
Last updated
2025-03-12

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

Conditions

Huntington Disease

Keywords

Huntington Disease

Brief summary

This study will evaluate the efficacy and safety of pridopidine 45mg twice daily (BID) in patients with early stage manifest Huntington Disease (HD).

Detailed description

This is a phase 3, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of pridopidine 45 mg BID in patients with early stage HD.

Interventions

Pridopidine hard gelatin capsule

DRUGPlacebo

Pridopidine-matching placebo hard gelatin capsule

Sponsors

Prilenia
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

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

Inclusion criteria

MAIN STUDY 1. Diagnosis of HD based on clinical features and the presence of ≥36 CAG repeats in the huntingtin gene 2. Diagnostic confidence level (DCL) of 4 3. Adult-onset HD with onset of signs and symptoms ≥18 years of age 4. Stage 1 or Stage 2 HD, defined as a UHDRS-TFC score of ≥7, at screening

Exclusion criteria

1. Use of pridopidine within 12 months before the baseline visit. 2. Gene therapy at any time 3. Any serious medical condition or clinically significant laboratory, or vital sign abnormality that precludes the patient's safe participation in and completion of the study e.g. significant heart disease within 12 weeks before baseline or history of certain cardiac arrhythmias 4. History of epilepsy or seizures within the last 5 years 5. Pregnant or breastfeeding, or intention to become pregnant during the study

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in the Unified Huntington Disease Rating Scale-Total Functional Capacity (UHDRS-TFC) Score (mITT)From baseline to Week 65The primary efficacy endpoint for this study was the change from baseline to Week 65 in the TFC (defined as the sum of all TFC 5-items ratings \[domestic chores, activities of daily living, finances, care level, and occupation\]). The TFC is the standard and well-accepted clinical scale for staging and tracking the progression of HD using functional capacity. Scores range from 0 to 13, with 13 as the least affected and 0 as complete incapacity.
Change From Baseline to Week 65 in the UHDRS TFC Score (ITT)From baseline to Week 65.The primary efficacy endpoint for this study was the change from baseline to Week 65 in the TFC (defined as the sum of all TFC 5-items ratings \[domestic chores, activities of daily living, finances, care level, and occupation\]). The TFC is the standard and well-accepted clinical scale for staging and tracking the progression of HD using functional capacity. Scores range from 0 to 13, with 13 as the least affected and 0 as complete incapacity.

Secondary

MeasureTime frameDescription
Change From Baseline to Week 65 in Composite UHDRS (cUHDRS) Total Score (mITT)From baseline to Week 65The composite Unified Huntington Disease Rating Scale (cUHDRS) uses 4 components: Total Motor Score (TMS) assesses motor features (oculomotor, dysarthria, chorea, dystonia, gait, postural stability). Higher score = worse outcome. Best score=0. Worst score= 124. Stroop Word Reading (SWR) measures attention and mental flexibility. Pat. reads names of colors printed in black ink. Scores reflect correct responses in 45 sec. Higher score = better outcome. Best score=100. Worst score=0. Symbol Digit Modalities Test (SDMT) tests psychomotor speed and working memory. Participant has 90 sec to match numbers with symbols. Scores = correct answers in 90 sec. Higher score = better outcome. Best score=120. Worst score=0. Total Functional Capacity (TFC) tests the capacity to maintain daily living, finances, care level, occupation. Higher score = better outcome. Best score=13. Worst score=0. Total integrated cUHDRS scale range: -7.6 to 24.8. The higher, the better.

Other

MeasureTime frameDescription
Change in Q-Motor Pronation/Supination Inter-Onset-Interval (IOI) Mean - Patients Off ADMs (mITT)Time course from baseline to Week 26, Week 52, Week 65, and Week 78.Quantitative (Q)-motor is a clinical assessment of fine motor skills that are crucial for daily activities. It is based on the application of pre-calibrated and temperature-controlled force transducers and 3-dimensional position sensors. Pronation/Supination assess the regularity of hand taps. The force and duration of the hand taps were recorded similarly to the speeded tapping task. One pronation/supination hand tapping measure is IOI (the faster, the better). In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.
Change From Baseline in the UHDRS TFC Score - Patients Off ADMs (mITT)Time course from baseline to Week 26, Week 39, Week 52, Week 65, and Week 78Total Functional Capacity (TFC) tests the capacity to maintain domestic chores, activities of daily living, finances, care level, and occupation. Scores from 0 - 13. Higher score = better outcome. In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.
Change From Baseline in cUHDRS Total Score - Patients Off ADMs (mITT)Time course from baseline to Week 26, Week 39, Week 52, Week 65, and Week 78The composite Unified Huntington Disease Rating Scale (cUHDRS) assesses 4 components (see secondary outcome for details): Total Motor Score (TMS) for motor features. Higher score = worse outcome. Worst = 124. Stroop Word Reading (SWR) measures attention and mental flexibility. Higher score = better outcome. Symbol Digit Modalities Test (SDMT) tests psychomotor speed and working memory. Higher score = better outcome. Total Functional Capacity (TFC) tests the capacity to maintain daily living, finances, care level, occupation. The higher, the better. Total cUHDRS scale range: -7.6 to 24.8 (assuming 150 as the max score of SWR). The higher, the better. This sensitivity analysis was performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.
Change From Baseline in Symbol Digit Modalities Test (SDMT) - Patients Off ADMs (mITT)Time course from baseline to Week 26, Week 39, Week 52, Week 65, and Week 78.Symbol Digit Modalities Test (SDMT) tests psychomotor speed and working memory. Participant has 90 sec to write match numbers with symbols. Scoring sums correct substitutions in 90 second interval (max = 110). Higher score = better outcome. In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.
Change From Baseline in Total Motor Score (TMS) - Patients Off ADMs (mITT)Time course from baseline to Week 26, Week 39, Week 52, Week 65, and Week 78.Total Motor Score (TMS) assesses motor features (oculomotor, dysarthria, chorea, dystonia, gait, postural stability). Each rated 0 (normal) - 4 (abnormal). Higher score = worse outcome. Worst = 124. In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.
Change From Baseline in Stroop Word Reading (SWR) - Patients Off ADMs (mITT)Time course from baseline to Week 26, Week 39, Week 52, Week 65, and Week 78Stroop Word Reading (SWR) measures attention and mental flexibility. Pat. reads names of colors printed in black ink. Scores reflect correct responses in 45 sec. Higher score = better outcome. In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.
Change From Baseline in Q-Motor Finger Tapping Inter-Onset Interval (IOI) Mean - Patients Off ADMs (mITT)Time course from baseline to Week 26, Week 52, Week 65, and Week 78.Quantitative (Q)-motor is a clinical assessment of fine motor skills. It is based on the application of pre-calibrated and temperature-controlled force transducers and 3-dimensional position sensors. The index finger is positioned above a force transducer and is to tap as fast as possible. The start was defined as a rise of the force by 0.05 Newton above maximal baseline level. The tap ended when it dropped to 0.05 N before the maximal baseline level was reached again. The IOI refers to the time between the onset of consecutive taps (the faster, the better). In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.
Change From Baseline in Q-Motor Pronation/Supination Inter-Tap-Interval (ITI) Mean - Patients Off ADMs (mITT)Time course from baseline to Week 26, Week 52, Week 65, and Week 78.Quantitative (Q)-motor is a clinical assessment of fine motor skills that are crucial for daily activities. It is based on the application of pre-calibrated and temperature-controlled force transducers and 3-dimensional position sensors. Pronation/Supination assesses the regularity of hand taps. The force and duration of the hand taps were recorded similarly to the speeded tapping task. One pronation/supination hand tapping measure is ITI (the faster, the better). In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.

Countries

Austria, Canada, Czechia, France, Germany, Italy, Netherlands, Poland, Spain, United Kingdom, United States

Participant flow

Participants by arm

ArmCount
Pridopidine
45 mg pridopidine twice daily (BID) Pridopidine: Pridopidine hard gelatin capsule
250
Placebo
Matching placebo Placebo: Pridopidine-matching placebo hard gelatin capsule
249
Total499

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event47
Overall StudyDeath40
Overall StudyLost to Follow-up32
Overall StudyNot further specified21
Overall StudyPhysician Decision10
Overall StudyWithdrawal by Subject1412

Baseline characteristics

CharacteristicTotalPridopidinePlacebo
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
79 Participants43 Participants36 Participants
Age, Categorical
Between 18 and 65 years
420 Participants207 Participants213 Participants
Age, Continuous52.5 years
STANDARD_DEVIATION 11.66
52.2 years
STANDARD_DEVIATION 11.93
52.7 years
STANDARD_DEVIATION 11.39
HD stage at randomization
HD1
205 Participants102 Participants103 Participants
HD stage at randomization
HD2
294 Participants148 Participants146 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants2 Participants0 Participants
Race (NIH/OMB)
Black or African American
2 Participants0 Participants2 Participants
Race (NIH/OMB)
More than one race
3 Participants1 Participants2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants0 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
14 Participants5 Participants9 Participants
Race (NIH/OMB)
White
477 Participants242 Participants235 Participants
Region of Enrollment
Austria
11 participants5 participants6 participants
Region of Enrollment
Canada
26 participants9 participants17 participants
Region of Enrollment
Czechia
14 participants6 participants8 participants
Region of Enrollment
France
11 participants4 participants7 participants
Region of Enrollment
Germany
78 participants37 participants41 participants
Region of Enrollment
Italy
58 participants28 participants30 participants
Region of Enrollment
Netherlands
22 participants14 participants8 participants
Region of Enrollment
Poland
31 participants16 participants15 participants
Region of Enrollment
Spain
29 participants18 participants11 participants
Region of Enrollment
United Kingdom
18 participants5 participants13 participants
Region of Enrollment
United States
201 participants108 participants93 participants
Sex: Female, Male
Female
259 Participants132 Participants127 Participants
Sex: Female, Male
Male
240 Participants118 Participants122 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
4 / 2501 / 249
other
Total, other adverse events
204 / 250212 / 249
serious
Total, serious adverse events
34 / 25021 / 249

Outcome results

Primary

Change From Baseline in the Unified Huntington Disease Rating Scale-Total Functional Capacity (UHDRS-TFC) Score (mITT)

The primary efficacy endpoint for this study was the change from baseline to Week 65 in the TFC (defined as the sum of all TFC 5-items ratings \[domestic chores, activities of daily living, finances, care level, and occupation\]). The TFC is the standard and well-accepted clinical scale for staging and tracking the progression of HD using functional capacity. Scores range from 0 to 13, with 13 as the least affected and 0 as complete incapacity.

Time frame: From baseline to Week 65

Population: The modified intent to treat (mITT) population included all participants in the ITT population who received at least one dose of study drug and had valid in clinic TFC scores both at baseline and at least one post-baseline timepoint. The mITT population was analyzed according to the treatment to which the participant was randomized.~The mITT population was the main analysis population for the primary endpoint in non-EMA regions. Note that the analysis was based on observed data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PridopidineChange From Baseline in the Unified Huntington Disease Rating Scale-Total Functional Capacity (UHDRS-TFC) Score (mITT)-1.18 score on a scaleStandard Error 0.119
PlaceboChange From Baseline in the Unified Huntington Disease Rating Scale-Total Functional Capacity (UHDRS-TFC) Score (mITT)-0.95 score on a scaleStandard Error 0.119
Comparison: In the mixed model for repeated measures (MMRM), change from baseline in TFC score was the dependent variable, and independent variables included treatment arm, baseline TFC, region, neuroleptic use or no use, baseline HD stage (HD1 and HD2), categorical week, and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. The unstructured covariance matrix was used for repeated measurements at patient level.p-value: 0.16795% CI: [-0.54, 0.09]Mixed Models Analysis
Primary

Change From Baseline to Week 65 in the UHDRS TFC Score (ITT)

The primary efficacy endpoint for this study was the change from baseline to Week 65 in the TFC (defined as the sum of all TFC 5-items ratings \[domestic chores, activities of daily living, finances, care level, and occupation\]). The TFC is the standard and well-accepted clinical scale for staging and tracking the progression of HD using functional capacity. Scores range from 0 to 13, with 13 as the least affected and 0 as complete incapacity.

Time frame: From baseline to Week 65.

Population: The intent to treat (ITT) population included all randomized participants. The ITT population was analyzed according to the treatment to which the participant was randomized.~The ITT population was the main analysis population for the primary endpoint in the EMA region.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PridopidineChange From Baseline to Week 65 in the UHDRS TFC Score (ITT)-1.17 score on a scaleStandard Error 0.12
PlaceboChange From Baseline to Week 65 in the UHDRS TFC Score (ITT)-0.94 score on a scaleStandard Error 0.12
Comparison: In the mixed model for repeated measures (MMRM), change from baseline in TFC score was the dependent variable, and independent variables included treatment arm, baseline TFC, region, neuroleptic use or no use, baseline HD stage (HD1 and HD2), categorical week, and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. The unstructured covariance matrix was used for repeated measurements at patient level.p-value: 0.159895% CI: [-0.55, 0.09]Mixed Models Analysis
Secondary

Change From Baseline to Week 65 in Composite UHDRS (cUHDRS) Total Score (mITT)

The composite Unified Huntington Disease Rating Scale (cUHDRS) uses 4 components: Total Motor Score (TMS) assesses motor features (oculomotor, dysarthria, chorea, dystonia, gait, postural stability). Higher score = worse outcome. Best score=0. Worst score= 124. Stroop Word Reading (SWR) measures attention and mental flexibility. Pat. reads names of colors printed in black ink. Scores reflect correct responses in 45 sec. Higher score = better outcome. Best score=100. Worst score=0. Symbol Digit Modalities Test (SDMT) tests psychomotor speed and working memory. Participant has 90 sec to match numbers with symbols. Scores = correct answers in 90 sec. Higher score = better outcome. Best score=120. Worst score=0. Total Functional Capacity (TFC) tests the capacity to maintain daily living, finances, care level, occupation. Higher score = better outcome. Best score=13. Worst score=0. Total integrated cUHDRS scale range: -7.6 to 24.8. The higher, the better.

Time frame: From baseline to Week 65

Population: The modified intent to treat (mITT) population included all participants in the ITT population who received at least one dose of study drug and had valid in-clinic TFC scores both at baseline and at least one post-baseline timepoint. The mITT population was analyzed according to the treatment to which the participant was randomized. Note that the analysis was based on as observed data only, patient numbers are therefore lower.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PridopidineChange From Baseline to Week 65 in Composite UHDRS (cUHDRS) Total Score (mITT)-0.99 score on a scaleStandard Error 0.109
PlaceboChange From Baseline to Week 65 in Composite UHDRS (cUHDRS) Total Score (mITT)-0.88 score on a scaleStandard Error 0.108
Comparison: In the MMRM, change in cUHDRS score from baseline was the dependent variable, while independent variables included treatment arm, baseline cUHDRS, region, neuroleptic use or no use, baseline HD stage (HD1 and HD2), categorical week, and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. The unstructured covariance matrix was used for repeated measurements at patient level. No imputation was performed on missing data.p-value: 0.454495% CI: [-0.4, 0.18]Mixed Models Analysis
Other Pre-specified

Change From Baseline in cUHDRS Total Score - Patients Off ADMs (mITT)

The composite Unified Huntington Disease Rating Scale (cUHDRS) assesses 4 components (see secondary outcome for details): Total Motor Score (TMS) for motor features. Higher score = worse outcome. Worst = 124. Stroop Word Reading (SWR) measures attention and mental flexibility. Higher score = better outcome. Symbol Digit Modalities Test (SDMT) tests psychomotor speed and working memory. Higher score = better outcome. Total Functional Capacity (TFC) tests the capacity to maintain daily living, finances, care level, occupation. The higher, the better. Total cUHDRS scale range: -7.6 to 24.8 (assuming 150 as the max score of SWR). The higher, the better. This sensitivity analysis was performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.

Time frame: Time course from baseline to Week 26, Week 39, Week 52, Week 65, and Week 78

Population: The mITT population was used for subgroup analyses. Note: Analyses/p-values were generated on observed data. Patient numbers at individual weeks varied.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PridopidineChange From Baseline in cUHDRS Total Score - Patients Off ADMs (mITT)Week 390.10 score on a scaleStandard Error 0.13
PridopidineChange From Baseline in cUHDRS Total Score - Patients Off ADMs (mITT)Week 65-0.26 score on a scaleStandard Error 0.143
PridopidineChange From Baseline in cUHDRS Total Score - Patients Off ADMs (mITT)Week 52-0.07 score on a scaleStandard Error 0.14
PridopidineChange From Baseline in cUHDRS Total Score - Patients Off ADMs (mITT)Week 78-0.40 score on a scaleStandard Error 0.159
PridopidineChange From Baseline in cUHDRS Total Score - Patients Off ADMs (mITT)Week 260.15 score on a scaleStandard Error 0.114
PlaceboChange From Baseline in cUHDRS Total Score - Patients Off ADMs (mITT)Week 78-0.54 score on a scaleStandard Error 0.158
PlaceboChange From Baseline in cUHDRS Total Score - Patients Off ADMs (mITT)Week 26-0.31 score on a scaleStandard Error 0.108
PlaceboChange From Baseline in cUHDRS Total Score - Patients Off ADMs (mITT)Week 39-0.34 score on a scaleStandard Error 0.125
PlaceboChange From Baseline in cUHDRS Total Score - Patients Off ADMs (mITT)Week 52-0.48 score on a scaleStandard Error 0.135
PlaceboChange From Baseline in cUHDRS Total Score - Patients Off ADMs (mITT)Week 65-0.53 score on a scaleStandard Error 0.137
Comparison: From baseline to Week 26.~In the MMRM model, change in cUHDRS score from baseline was the dependent variable and independent variables included treatment group, baseline cUHDRS, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, concomitant use of select medications and Treatment x Concomitant use of select medications, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.003895% CI: [0.15, 0.76]Mixed Models Analysis
Comparison: From baseline to Week 39p-value: 0.013595% CI: [0.09, 0.8]Mixed Models Analysis
Comparison: From baseline to Week 52p-value: 0.035195% CI: [0.03, 0.79]Mixed Models Analysis
Comparison: From baseline to Week 65.p-value: 0.168395% CI: [-0.12, 0.66]Mixed Models Analysis
Comparison: From baseline to Week 78p-value: 0.531595% CI: [-0.3, 0.58]Mixed Models Analysis
Other Pre-specified

Change From Baseline in Q-Motor Finger Tapping Inter-Onset Interval (IOI) Mean - Patients Off ADMs (mITT)

Quantitative (Q)-motor is a clinical assessment of fine motor skills. It is based on the application of pre-calibrated and temperature-controlled force transducers and 3-dimensional position sensors. The index finger is positioned above a force transducer and is to tap as fast as possible. The start was defined as a rise of the force by 0.05 Newton above maximal baseline level. The tap ended when it dropped to 0.05 N before the maximal baseline level was reached again. The IOI refers to the time between the onset of consecutive taps (the faster, the better). In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.

Time frame: Time course from baseline to Week 26, Week 52, Week 65, and Week 78.

Population: The mITT population was used for subgroup analyses. Note: Analyses/p-values were generated on observed data. Patient numbers at individual weeks varied.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PridopidineChange From Baseline in Q-Motor Finger Tapping Inter-Onset Interval (IOI) Mean - Patients Off ADMs (mITT)Week 26-14.85 milliseconds (decrease = improvement)Standard Error 6.846
PridopidineChange From Baseline in Q-Motor Finger Tapping Inter-Onset Interval (IOI) Mean - Patients Off ADMs (mITT)Week 52-2.37 milliseconds (decrease = improvement)Standard Error 7.135
PridopidineChange From Baseline in Q-Motor Finger Tapping Inter-Onset Interval (IOI) Mean - Patients Off ADMs (mITT)Week 65-0.79 milliseconds (decrease = improvement)Standard Error 7.365
PridopidineChange From Baseline in Q-Motor Finger Tapping Inter-Onset Interval (IOI) Mean - Patients Off ADMs (mITT)Week 781.46 milliseconds (decrease = improvement)Standard Error 7.444
PlaceboChange From Baseline in Q-Motor Finger Tapping Inter-Onset Interval (IOI) Mean - Patients Off ADMs (mITT)Week 7824.36 milliseconds (decrease = improvement)Standard Error 7.23
PlaceboChange From Baseline in Q-Motor Finger Tapping Inter-Onset Interval (IOI) Mean - Patients Off ADMs (mITT)Week 266.30 milliseconds (decrease = improvement)Standard Error 6.449
PlaceboChange From Baseline in Q-Motor Finger Tapping Inter-Onset Interval (IOI) Mean - Patients Off ADMs (mITT)Week 6523.93 milliseconds (decrease = improvement)Standard Error 7.028
PlaceboChange From Baseline in Q-Motor Finger Tapping Inter-Onset Interval (IOI) Mean - Patients Off ADMs (mITT)Week 5211.95 milliseconds (decrease = improvement)Standard Error 6.792
Comparison: From baseline to Week 26. In the MMRM model, change in Q-Motor Finger Tapping IOI Mean from baseline was the dependent variable and independent variables included treatment group, baseline Finger Tapping IOI Mean, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, concomitant use of select medications and Treatment x Concomitant use of select medications, with Kenward-Roger approximation for degrees of freedom. No imputation was performed.p-value: 0.025395% CI: [-39.66, -2.64]Mixed Models Analysis
Comparison: From baseline to Week 52.p-value: 0.147495% CI: [-33.71, 5.08]Mixed Models Analysis
Comparison: From baseline to Week 65.p-value: 0.015995% CI: [-44.76, -4.67]Mixed Models Analysis
Comparison: From baseline to Week 78.p-value: 0.028395% CI: [-43.34, -2.45]Mixed Models Analysis
Other Pre-specified

Change From Baseline in Q-Motor Pronation/Supination Inter-Tap-Interval (ITI) Mean - Patients Off ADMs (mITT)

Quantitative (Q)-motor is a clinical assessment of fine motor skills that are crucial for daily activities. It is based on the application of pre-calibrated and temperature-controlled force transducers and 3-dimensional position sensors. Pronation/Supination assesses the regularity of hand taps. The force and duration of the hand taps were recorded similarly to the speeded tapping task. One pronation/supination hand tapping measure is ITI (the faster, the better). In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.

Time frame: Time course from baseline to Week 26, Week 52, Week 65, and Week 78.

Population: The mITT population was used for subgroup analyses. Note: Analyses/p-values were generated on observed data. Patient numbers at individual weeks varied.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PridopidineChange From Baseline in Q-Motor Pronation/Supination Inter-Tap-Interval (ITI) Mean - Patients Off ADMs (mITT)Week 26-17.63 millisecondsStandard Error 8.029
PridopidineChange From Baseline in Q-Motor Pronation/Supination Inter-Tap-Interval (ITI) Mean - Patients Off ADMs (mITT)Week 52-0.15 millisecondsStandard Error 9.124
PridopidineChange From Baseline in Q-Motor Pronation/Supination Inter-Tap-Interval (ITI) Mean - Patients Off ADMs (mITT)Week 654.64 millisecondsStandard Error 8.38
PridopidineChange From Baseline in Q-Motor Pronation/Supination Inter-Tap-Interval (ITI) Mean - Patients Off ADMs (mITT)Week 7812.73 millisecondsStandard Error 9.74
PlaceboChange From Baseline in Q-Motor Pronation/Supination Inter-Tap-Interval (ITI) Mean - Patients Off ADMs (mITT)Week 7834.97 millisecondsStandard Error 9.412
PlaceboChange From Baseline in Q-Motor Pronation/Supination Inter-Tap-Interval (ITI) Mean - Patients Off ADMs (mITT)Week 2620.43 millisecondsStandard Error 7.448
PlaceboChange From Baseline in Q-Motor Pronation/Supination Inter-Tap-Interval (ITI) Mean - Patients Off ADMs (mITT)Week 6528.55 millisecondsStandard Error 7.867
PlaceboChange From Baseline in Q-Motor Pronation/Supination Inter-Tap-Interval (ITI) Mean - Patients Off ADMs (mITT)Week 5220.07 millisecondsStandard Error 8.555
Comparison: From baseline to Week 26. In MMRM model, change in Q-Motor Pronation/Supination ITI Mean from baseline was the dependent variable and independent variables included treatment group, baseline Q-Motor Pronation/Supination ITI Mean, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.000795% CI: [-59.74, -16.37]Mixed Models Analysis
Comparison: From baseline to Week 52.p-value: 0.108795% CI: [-44.95, 4.53]Mixed Models Analysis
Comparison: From baseline to Week 65.p-value: 0.039595% CI: [-46.68, -1.16]Mixed Models Analysis
Comparison: From baseline to Week 78.p-value: 0.103895% CI: [-49.08, 4.61]Mixed Models Analysis
Other Pre-specified

Change From Baseline in Stroop Word Reading (SWR) - Patients Off ADMs (mITT)

Stroop Word Reading (SWR) measures attention and mental flexibility. Pat. reads names of colors printed in black ink. Scores reflect correct responses in 45 sec. Higher score = better outcome. In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.

Time frame: Time course from baseline to Week 26, Week 39, Week 52, Week 65, and Week 78

Population: The mITT population was used for subgroup analyses. Note: Analyses/p-values were generated on observed data. Patient numbers at individual weeks varied.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PridopidineChange From Baseline in Stroop Word Reading (SWR) - Patients Off ADMs (mITT)Week 392.85 score on a scaleStandard Error 1.1
PridopidineChange From Baseline in Stroop Word Reading (SWR) - Patients Off ADMs (mITT)Week 651.39 score on a scaleStandard Error 1.243
PridopidineChange From Baseline in Stroop Word Reading (SWR) - Patients Off ADMs (mITT)Week 522.73 score on a scaleStandard Error 1.078
PridopidineChange From Baseline in Stroop Word Reading (SWR) - Patients Off ADMs (mITT)Week 780.91 score on a scaleStandard Error 1.261
PridopidineChange From Baseline in Stroop Word Reading (SWR) - Patients Off ADMs (mITT)Week 262.34 score on a scaleStandard Error 0.964
PlaceboChange From Baseline in Stroop Word Reading (SWR) - Patients Off ADMs (mITT)Week 78-1.08 score on a scaleStandard Error 1.249
PlaceboChange From Baseline in Stroop Word Reading (SWR) - Patients Off ADMs (mITT)Week 26-0.82 score on a scaleStandard Error 0.916
PlaceboChange From Baseline in Stroop Word Reading (SWR) - Patients Off ADMs (mITT)Week 39-0.04 score on a scaleStandard Error 1.051
PlaceboChange From Baseline in Stroop Word Reading (SWR) - Patients Off ADMs (mITT)Week 52-0.32 score on a scaleStandard Error 1.039
PlaceboChange From Baseline in Stroop Word Reading (SWR) - Patients Off ADMs (mITT)Week 65-0.94 score on a scaleStandard Error 1.193
Comparison: From baseline to Week 26. In the MMRM model, change in SWR score from baseline was the dependent variable and independent variables included treatment group, baseline SWR, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, concomitant use of select medications and Treatment x Concomitant use of select medications, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.017895% CI: [0.55, 5.77]Mixed Models Analysis
Comparison: From baseline to Week 39.p-value: 0.057695% CI: [-0.09, 5.88]Mixed Models Analysis
Comparison: From baseline to Week 52.p-value: 0.041895% CI: [0.11, 5.99]Mixed Models Analysis
Comparison: From baseline to Week 65.p-value: 0.177595% CI: [-1.06, 5.71]Mixed Models Analysis
Comparison: From baseline to Week 78.p-value: 0.262795% CI: [-1.5, 5.48]Mixed Models Analysis
Other Pre-specified

Change From Baseline in Symbol Digit Modalities Test (SDMT) - Patients Off ADMs (mITT)

Symbol Digit Modalities Test (SDMT) tests psychomotor speed and working memory. Participant has 90 sec to write match numbers with symbols. Scoring sums correct substitutions in 90 second interval (max = 110). Higher score = better outcome. In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.

Time frame: Time course from baseline to Week 26, Week 39, Week 52, Week 65, and Week 78.

Population: Note: Analyses/p-values were generated on observed data. Patient numbers at individual weeks varied.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PridopidineChange From Baseline in Symbol Digit Modalities Test (SDMT) - Patients Off ADMs (mITT)Week 390.82 score on a scaleStandard Error 0.512
PridopidineChange From Baseline in Symbol Digit Modalities Test (SDMT) - Patients Off ADMs (mITT)Week 650.35 score on a scaleStandard Error 0.616
PridopidineChange From Baseline in Symbol Digit Modalities Test (SDMT) - Patients Off ADMs (mITT)Week 52-0.42 score on a scaleStandard Error 0.578
PridopidineChange From Baseline in Symbol Digit Modalities Test (SDMT) - Patients Off ADMs (mITT)Week 780.07 score on a scaleStandard Error 0.617
PridopidineChange From Baseline in Symbol Digit Modalities Test (SDMT) - Patients Off ADMs (mITT)Week 260.54 score on a scaleStandard Error 0.521
PlaceboChange From Baseline in Symbol Digit Modalities Test (SDMT) - Patients Off ADMs (mITT)Week 78-0.36 score on a scaleStandard Error 0.598
PlaceboChange From Baseline in Symbol Digit Modalities Test (SDMT) - Patients Off ADMs (mITT)Week 26-0.47 score on a scaleStandard Error 0.484
PlaceboChange From Baseline in Symbol Digit Modalities Test (SDMT) - Patients Off ADMs (mITT)Week 39-0.06 score on a scaleStandard Error 0.478
PlaceboChange From Baseline in Symbol Digit Modalities Test (SDMT) - Patients Off ADMs (mITT)Week 52-0.33 score on a scaleStandard Error 0.543
PlaceboChange From Baseline in Symbol Digit Modalities Test (SDMT) - Patients Off ADMs (mITT)Week 650.07 score on a scaleStandard Error 0.576
Comparison: From baseline to Week 26. In the MMRM model, change in SDMT score from baseline was the dependent variable and independent variables included treatment group, baseline SDMT, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.158695% CI: [-0.4, 2.41]Mixed Models Analysis
Comparison: From baseline to Week 39. In the MMRM model, change in SDMT score from baseline was the dependent variable and independent variables included treatment group, baseline SDMT, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.214495% CI: [-0.51, 2.25]Mixed Models Analysis
Comparison: From baseline to Week 52. In the MMRM model, change in SDMT score from baseline was the dependent variable and independent variables included treatment group, baseline SDMT, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.911995% CI: [-1.65, 1.48]Mixed Models Analysis
Comparison: From baseline to Week 65. In the MMRM model, change in SDMT score from baseline was the dependent variable and independent variables included treatment group, baseline SDMT, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.733995% CI: [-1.38, 1.95]Mixed Models Analysis
Comparison: From baseline to Week 78. In the MMRM model, change in SDMT score from baseline was the dependent variable and independent variables included treatment group, baseline SDMT, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.621395% CI: [-1.27, 2.12]Mixed Models Analysis
Other Pre-specified

Change From Baseline in the UHDRS TFC Score - Patients Off ADMs (mITT)

Total Functional Capacity (TFC) tests the capacity to maintain domestic chores, activities of daily living, finances, care level, and occupation. Scores from 0 - 13. Higher score = better outcome. In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.

Time frame: Time course from baseline to Week 26, Week 39, Week 52, Week 65, and Week 78

Population: The mITT population was used for subgroup analyses. Note: Analyses/p-values were generated on observed data. Patient numbers at individual weeks varied.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PridopidineChange From Baseline in the UHDRS TFC Score - Patients Off ADMs (mITT)Week 39-0.11 score on a scaleStandard Error 0.137
PridopidineChange From Baseline in the UHDRS TFC Score - Patients Off ADMs (mITT)Week 65-0.49 score on a scaleStandard Error 0.156
PridopidineChange From Baseline in the UHDRS TFC Score - Patients Off ADMs (mITT)Week 52-0.19 score on a scaleStandard Error 0.149
PridopidineChange From Baseline in the UHDRS TFC Score - Patients Off ADMs (mITT)Week 78-0.42 score on a scaleStandard Error 0.166
PridopidineChange From Baseline in the UHDRS TFC Score - Patients Off ADMs (mITT)Week 26-0.01 score on a scaleStandard Error 0.131
PlaceboChange From Baseline in the UHDRS TFC Score - Patients Off ADMs (mITT)Week 78-0.54 score on a scaleStandard Error 0.163
PlaceboChange From Baseline in the UHDRS TFC Score - Patients Off ADMs (mITT)Week 26-0.23 score on a scaleStandard Error 0.124
PlaceboChange From Baseline in the UHDRS TFC Score - Patients Off ADMs (mITT)Week 39-0.31 score on a scaleStandard Error 0.131
PlaceboChange From Baseline in the UHDRS TFC Score - Patients Off ADMs (mITT)Week 52-0.45 score on a scaleStandard Error 0.143
PlaceboChange From Baseline in the UHDRS TFC Score - Patients Off ADMs (mITT)Week 65-0.54 score on a scaleStandard Error 0.15
Comparison: From baseline to Week 26.~In the MMRM model, change in UHDRS-TFC score from baseline was the dependent variable and independent variables included treatment group, Baseline UHDRS-TFC, region, categorical week, Baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, concomitant use of select medications and Treatment x Concomitant use of select medications, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.208895% CI: [-0.13, 0.58]Mixed Models Analysis
Comparison: From baseline to Week 39.p-value: 0.299195% CI: [-0.17, 0.57]Mixed Models Analysis
Comparison: From baseline to Week 52.p-value: 0.211695% CI: [-0.15, 0.66]Mixed Models Analysis
Comparison: From baseline to Week 65.p-value: 0.824295% CI: [-0.38, 0.47]Mixed Models Analysis
Comparison: From baseline to Week 78.p-value: 0.591895% CI: [-0.33, 0.58]Mixed Models Analysis
Other Pre-specified

Change From Baseline in Total Motor Score (TMS) - Patients Off ADMs (mITT)

Total Motor Score (TMS) assesses motor features (oculomotor, dysarthria, chorea, dystonia, gait, postural stability). Each rated 0 (normal) - 4 (abnormal). Higher score = worse outcome. Worst = 124. In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.

Time frame: Time course from baseline to Week 26, Week 39, Week 52, Week 65, and Week 78.

Population: Note: Analyses/p-values were generated on observed data. Patient numbers at individual weeks varied.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PridopidineChange From Baseline in Total Motor Score (TMS) - Patients Off ADMs (mITT)Week 390.06 score on a scaleStandard Error 0.78
PridopidineChange From Baseline in Total Motor Score (TMS) - Patients Off ADMs (mITT)Week 650.92 score on a scaleStandard Error 0.847
PridopidineChange From Baseline in Total Motor Score (TMS) - Patients Off ADMs (mITT)Week 520.47 score on a scaleStandard Error 0.766
PridopidineChange From Baseline in Total Motor Score (TMS) - Patients Off ADMs (mITT)Week 782.19 score on a scaleStandard Error 0.954
PridopidineChange From Baseline in Total Motor Score (TMS) - Patients Off ADMs (mITT)Week 26-0.21 score on a scaleStandard Error 0.568
PlaceboChange From Baseline in Total Motor Score (TMS) - Patients Off ADMs (mITT)Week 781.63 score on a scaleStandard Error 0.916
PlaceboChange From Baseline in Total Motor Score (TMS) - Patients Off ADMs (mITT)Week 26-0.03 score on a scaleStandard Error 0.53
PlaceboChange From Baseline in Total Motor Score (TMS) - Patients Off ADMs (mITT)Week 390.96 score on a scaleStandard Error 0.729
PlaceboChange From Baseline in Total Motor Score (TMS) - Patients Off ADMs (mITT)Week 520.80 score on a scaleStandard Error 0.72
PlaceboChange From Baseline in Total Motor Score (TMS) - Patients Off ADMs (mITT)Week 651.28 score on a scaleStandard Error 0.79
Comparison: From baseline to Week 78. In the MMRM model, change in TMS score from baseline was the dependent variable and independent variables included treatment group, baseline TMS, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.669495% CI: [-2.05, 3.18]Mixed Models Analysis
Comparison: From baseline to Week 26. In the MMRM model, change in TMS score from baseline was the dependent variable and independent variables included treatment group, baseline TMS, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.820595% CI: [-1.71, 1.36]Mixed Models Analysis
Comparison: From baseline to Week 39. In the MMRM model, change in TMS score from baseline was the dependent variable and independent variables included treatment group, baseline TMS, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.402895% CI: [-3, 1.21]Mixed Models Analysis
Comparison: From baseline to Week 52. In the MMRM model, change in TMS score from baseline was the dependent variable and independent variables included treatment group, baseline TMS, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.757795% CI: [-2.4, 1.75]Mixed Models Analysis
Comparison: From baseline to Week 65. In the MMRM model, change in TMS score from baseline was the dependent variable and independent variables included treatment group, baseline TMS, region, categorical week, baseline HD stage (HD1 and HD2), and treatment by categorical week interaction, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.760595% CI: [-2.64, 1.93]Mixed Models Analysis
Other Pre-specified

Change in Q-Motor Pronation/Supination Inter-Onset-Interval (IOI) Mean - Patients Off ADMs (mITT)

Quantitative (Q)-motor is a clinical assessment of fine motor skills that are crucial for daily activities. It is based on the application of pre-calibrated and temperature-controlled force transducers and 3-dimensional position sensors. Pronation/Supination assess the regularity of hand taps. The force and duration of the hand taps were recorded similarly to the speeded tapping task. One pronation/supination hand tapping measure is IOI (the faster, the better). In addition to the main efficacy analyses, sensitivity analyses were performed in a sub-group of patients who were off neuroleptics AND off vesicular monoamine transporter-2 (VMAT2) inhibitors (together called antidopaminergics, or ADMs) at any time during the study.

Time frame: Time course from baseline to Week 26, Week 52, Week 65, and Week 78.

Population: The mITT population was used for subgroup analyses. Note: Analyses/p-values were generated on observed data. Patient numbers at individual weeks varied.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PridopidineChange in Q-Motor Pronation/Supination Inter-Onset-Interval (IOI) Mean - Patients Off ADMs (mITT)Week 26-16.70 millisecondsStandard Error 9.399
PridopidineChange in Q-Motor Pronation/Supination Inter-Onset-Interval (IOI) Mean - Patients Off ADMs (mITT)Week 527.40 millisecondsStandard Error 10.978
PridopidineChange in Q-Motor Pronation/Supination Inter-Onset-Interval (IOI) Mean - Patients Off ADMs (mITT)Week 657.34 millisecondsStandard Error 10.73
PridopidineChange in Q-Motor Pronation/Supination Inter-Onset-Interval (IOI) Mean - Patients Off ADMs (mITT)Week 7819.21 millisecondsStandard Error 12.702
PlaceboChange in Q-Motor Pronation/Supination Inter-Onset-Interval (IOI) Mean - Patients Off ADMs (mITT)Week 7841.93 millisecondsStandard Error 12.435
PlaceboChange in Q-Motor Pronation/Supination Inter-Onset-Interval (IOI) Mean - Patients Off ADMs (mITT)Week 2613.68 millisecondsStandard Error 8.829
PlaceboChange in Q-Motor Pronation/Supination Inter-Onset-Interval (IOI) Mean - Patients Off ADMs (mITT)Week 6530.13 millisecondsStandard Error 10.232
PlaceboChange in Q-Motor Pronation/Supination Inter-Onset-Interval (IOI) Mean - Patients Off ADMs (mITT)Week 5224.23 millisecondsStandard Error 10.467
Comparison: From baseline to Week 26. In the MMRM model, change in Pronation/Supination IOI Mean from BL was the dependent variable and independent variables included treatment group, BL Pronation/Supination IOI Mean, region, categorical week, baseline HD stage (HD1 and HD2), treatment by categorical week interaction, conc. use of select medications and Treatment x Concomitant use of select medications, with Kenward-Roger approximation for degrees of freedom. No imputation was performed on missing data.p-value: 0.019395% CI: [-55.78, -4.98]Mixed Models Analysis
Comparison: From baseline to Week 52.p-value: 0.26895% CI: [-46.69, 13.02]Mixed Models Analysis
Comparison: From baseline to Week 65.p-value: 0.125595% CI: [-51.97, 6.4]Mixed Models Analysis
Comparison: From baseline to Week 78.p-value: 0.202495% CI: [-57.72, 12.28]Mixed Models Analysis

Source: ClinicalTrials.gov · Data processed: Feb 19, 2026