Huntington’s disease (HD) is a rare, neurodegenerative disorder for which only symptomatic treatments are available. The PROOF-HD study was a randomized, double-blind, placebo-controlled phase 3 trial evaluating the efficacy and safety of pridopidine, a selective Sigma-1 receptor agonist, in HD. The primary and key secondary endpoints, change in total functional capacity (TFC) and composite Unified Huntington’s Disease Rating Scale (cUHDRS) score at week 65, were not met in the overall population. The TFC least-squares mean difference between pridopidine and placebo was −0.18 (95% confidence interval −0.49 to 0.14; P = 0.26). The cUHDRS least-squares mean difference between pridopidine and placebo was −0.11 (95% confidence interval −0.40 to 0.18; P = 0.45). Sensitivity analysis in a subgroup of participants not treated with antidopaminergic medications at any time demonstrated a consistent pattern favoring pridopidine across multiple measures, including TFC and cUHDRS. Notably, pridopidine 45 mg twice daily demonstrated a favorable safety and tolerability profile. Taken together, pridopidine has the potential to address a critical unmet need in HD. ClinicalTrials.gov identifier: NCT04556656. In a phase 3 trial for Huntington’s disease, pridopidine did not meet its primary endpoints but was safe and favored in some prespecified subgroup analyses.
Pridopidine in early-stage manifest Huntington’s disease: a phase 3 trial
Ralf Reilmann,Andrew Feigin,A. Rosser,S. Kostyk,C. Saft,Yael Cohen,Henk Schuring,Randal Hand,Andrew M. Tan,Kelly Chen,Wei Feng,Leehee Navon-Perry,Andrés Cruz-Herranz,Christine Syltevik,D. Boot,Ferdinando Squitieri,E. Kayson,Munish Mehra,Y. P. Goldberg,M. Geva,M. R. Hayden
Published 2025 in Nature Medicine
ABSTRACT
PUBLICATION RECORD
- Publication year
2025
- Venue
Nature Medicine
- Publication date
2025-09-05
- Fields of study
Medicine
- Identifiers
- External record
- Source metadata
Semantic Scholar, PubMed
CITATION MAP
EXTRACTION MAP
CLAIMS
- No claims are published for this paper.
CONCEPTS
- No concepts are published for this paper.
REFERENCES
Showing 1-67 of 67 references · Page 1 of 1
CITED BY
Showing 1-5 of 5 citing papers · Page 1 of 1