Minocycline in Patients With Huntington's Disease
Minocycline Dosing and Safety in Huntington's Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Huntington's disease (HD) is a dominantly inherited disorder. It is uniformly progressive and there is no known effective treatment or cure. The pathogenesis is largely unknown; however, recent studies implicate caspase activation, glutamate excitotoxicity, and free radical toxicity as possible causes of HD. Pharmacological agents that block these pathways may be therapeutic in HD. Minocycline is an antibiotic that also inhibits caspase-1 and caspase-3 expression, and inducible nitric oxide synthetase activity, which are factors that may play an important role in the mechanisms of neuropathology in HD.
Two dosages of minocycline or placebo will be given to ambulatory patients with HD over an 8-week period and the tolerability will be compared. Additional measures of safety and the change in motor, behavior, cognitive, and function features will be examined.
Study Type
Study Type
Enrollment
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Clinical features of Huntington's disease (HD) and a confirmatory family history of HD and/or a CAG repeat expansion of at least 37
- Stage I, II, or III of illness (TFC greater than or equal to 5)
- Ambulatory and not requiring skilled nursing care
- Patients must use effective birth control
- Concurrent psychotropic medications must be at stable dose for at least 4 weeks prior to study
- WBC count at least 3,800/mm3
- Creatinine no greater than 2.0
- Alanine aminotransferase (ALT) no greater than 2 times upper limit of normal
Exclusion criteria:
- Prior minocycline use within 2 months of baseline visit
- History of known sensitivity or intolerability to minocycline or any other tetracycline
- History of vestibular disease
- Use of any investigational drug within 30 days of baseline visit
- Treatment with any drug that may cause lupus-like symptoms (e.g., procainamide or hydralazine) within 4 weeks of baseline visit
- Pregnant or nursing
- Underlying hematologic, hepatic, or renal disease
- Evidence of unstable medical illness
- Illness that requires use of coumadin
- Unstable psychiatric illness defined as psychosis (hallucinations or delusions), untreated major depression within 90 days of baseline visit, or suicidal ideation
- Substance (alcohol or drug) abuse within 1 year of baseline visit
- History of systemic lupus erythematosis (SLE) or a history of SLE in a first-degree relative
- Positive ANA screening (at or above 1:80)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Masking: Double
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Study Completion
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Mental Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Neurocognitive Disorders
- Genetic Diseases, Inborn
- Basal Ganglia Diseases
- Movement Disorders
- Neurodegenerative Diseases
- Dyskinesias
- Heredodegenerative Disorders, Nervous System
- Dementia
- Cognition Disorders
- Chorea
- Huntington Disease
- Anti-Infective Agents
- Anti-Bacterial Agents
- Minocycline
Other Study ID Numbers
Other Study ID Numbers
- FD-R-1968-01
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