Monday, December 11, 2017

New drug could offer first treatment for irreversible Huntington's disease

The unstoppable progression of the inherited disease Huntington’s could be slowed or even halted by an experimental new treatment which has proved “enormously successful” in early patient trials.

A trial led by researchers  has demonstrated for the first time that a treatment is capable of suppressing the genetic defect which causes toxic proteins to build up in the brain.

Huntington's sufferers currently face the deterioration of their motor skills, memory and eventually death.

Patients ultimately die from complications including pneumonia and heart failure.

Currently treatments only exist for the symptoms of Huntington’s, which usually begin to appear between the ages of 30 and 50, leading to their gradual decline over the next 10 to 25 years.

Huntington’s sufferers carry a mutation in the Huntington gene, which results in the production of a toxic form of the Huntington protein that attacks the neurons making up the brain and nervous system.

The trial, involving 46 patients with the disease, saw a new experimental drug injected into the spinal fluid to silence the defective section of the genetic code which produces this toxic protein.

Patients were from different countries and roughly a quarter were given a placebo treatment.
 
The participants in the trial saw a drop in the levels of Huntington in the nervous system and, crucially, the drug appeared to be safe without harmful side-effects for patients.

Roughly 10,000 people in the UK have Huntington's, and around 25,000 people have inherited a gene that means they are at risk of developing it later in life.

The trial’s lead investigators, a professor of clinical neurology said: "The results of this trial are of ground-breaking importance for Huntington's disease patients and families.

“For the first time, a drug has lowered the level of the toxic disease-causing protein in the nervous system, and the drug was safe and well tolerated.

“The key now is to move quickly to a larger trial to test whether the drug slows disease progression".
 
“We are encouraged by the performance of IONIS-HTTRx in the clinical study,” said a Dr.

He added that the treatment “substantially exceeded our expectations and we were equally encouraged by the safety profile of the drug".

A Dr.  said: “This is a potential game-changer, not only for Huntington's disease patients but also for genomic medicine in general.

"Though more work needs to be done, if gene silencing lives up to this promise we could be on the brink of some of the personalised treatments that patients with severe genetic diseases need so badly.
"But this will also raise further questions for society and for policy-makers about how best to use such a powerful technique.”


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