Actively Recruiting

Phase 1
Phase 2
Age: 25Years - 60Years
All Genders
NCT05822908

A Safety and Pharmacokinetics Trial of VO659 in SCA1, SCA3 and HD

Led by Vico Therapeutics B. V. · Updated on 2025-08-28

68

Participants Needed

14

Research Sites

295 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal of this first-in-human clinical trial is to assess the safety and tolerability of four doses of a new study drug called VO659 in people with genetic disorders called spinocerebellar ataxia type 1, type 3 or Huntington's disease. Another aim is to determine the concentrations of the study drug in the cerebral spinal fluid and blood after single and multiple doses. Study drug will be administered by lumbar intrathecal bolus injections.

CONDITIONS

Official Title

A Safety and Pharmacokinetics Trial of VO659 in SCA1, SCA3 and HD

Who Can Participate

Age: 25Years - 60Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Provide written informed consent (signed and dated) and be able to give informed consent.
  • Be between 25 and 60 years old at the time of signing consent.
  • Have a diagnosis of SCA1, SCA3, or Huntington's disease meeting the following:
    1. For SCA1 and SCA3: mild to moderate disease with a Scale for Assessment and Rating of Ataxia (SARA) score between 3 and 18.
    2. For Huntington's disease: early manifest Stage I disease with a Total Functional Capacity (TFC) score between 11 and 13 and a Unified Huntington's Disease Rating Scale (UHDRS) Diagnostic Confidence Level of 4.
  • Have genetically confirmed disease with increased CAG repeats:
    1. SCA1: at least 41 repeats in the ATXN1 gene.
    2. SCA3: at least 61 repeats in the ATXN3 gene.
    3. Huntington's disease: at least 40 repeats in the HTT gene.
  • Additional inclusion criteria may apply.
Not Eligible

You will not qualify if you...

  • Any condition preventing participation in trial assessments.
  • Presence of pathogenic mutations in other polyQ disease genes in addition to the disease-causing mutation.
  • Clinical diagnosis of moderate or severe chronic migraines or history of severe post-lumbar-puncture headache requiring hospitalization or blood patch.
  • Brain, spinal, or systemic disorders interfering with lumbar puncture, cerebrospinal fluid circulation, or safety assessments.
  • History of bleeding disorders, low platelet count unless stable and deemed not clinically significant.
  • Uncompensated cardiovascular disorders, cardiac arrhythmias, QTcF >470 ms on ECG, family history of long QT syndrome or sudden death.
  • History of suicide attempts or severe suicidal ideation with hospitalization or care change within 12 months prior to screening.
  • Medical, psychiatric, or other conditions compromising ability to consent, comply, or complete the trial.
  • Prior treatment with antisense oligonucleotide therapies including siRNA.
  • Pregnancy, breastfeeding, or plans to become pregnant or breastfeed during the trial.
  • Unable to undergo or tolerate MRI scans.
  • Additional exclusion criteria may apply.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 14 locations

1

Rigshospitalet

Copenhagen, Denmark

Actively Recruiting

2

Centre Hospitalier Universitaire dÁngers

Angers, France

Actively Recruiting

3

CHU Gui de Chauliac Montpellier- Expert Center of Neurogenetic diseases, Department of Neurology

Montpellier, France

Actively Recruiting

4

Universtiry Hospitals Pitie Salpetriere - Charles foix - Paris

Paris, France

Actively Recruiting

5

Katholisches Klinikum Bochum

Bochum, Germany

Actively Recruiting

6

Deutsches Zentrum fur Neurodegenerative Erkrankungen (DZNE)

Bonn, Germany

Actively Recruiting

7

Universitatsklinikum Essen - Neurologie

Essen, Germany

Actively Recruiting

8

Universitatsklinikum Tübingen

Tübingen, Germany

Actively Recruiting

9

Meir Medical Center

Kfar Saba, Israel

Actively Recruiting

10

Sourmansky Medical Center

Tel Aviv, Israel

Actively Recruiting

11

Leiden University Medical Center LUMC

Leiden, Netherlands

Actively Recruiting

12

Radbout University Medical Centre

Nijmegen, Netherlands

Actively Recruiting

13

University College London Hospitals NHS Foundation

London, United Kingdom

Actively Recruiting

14

John Radcliffe Hospital

Oxford, United Kingdom

Actively Recruiting

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Research Team

C

Chief Medical Officer

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

5

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