New drug aims to sharpen thinking in Huntington's patients
NCT ID NCT05358821
First seen Jun 24, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This study tested whether SAGE-718, an experimental oral drug, can improve cognitive function in people with early Huntington's disease. 69 participants took either the drug or a placebo for 28 days. The main goal was to measure changes in thinking skills using a battery of cognitive tests.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- SAGE-718 (oral capsules)
- What this could lead to
- If successful, this could point toward a treatment to improve thinking and daily functioning in people with early Huntington's disease.
- What could go wrong
- This is a small, early-phase trial (Phase 2) with only 69 participants. The drug may not show meaningful benefits over placebo, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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69 people
The number who actually took part.
- Started
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May 2022
- Finished
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Apr 2024
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
25 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: For all 1. Agree to refrain from drugs of abuse for the duration of the study and from alcohol during the 48 hours preceding each study visit. Additional criteria for participants with HD only: 2. Be ambulatory, able to travel to the study center, and, judged by the investigator, is likely to be able to continue to travel to the study center to complete study visits for the duration of the study. 3. Have: 1. Genetically confirmed disease with cytosine, adenine, and guanine (CAG) expansion ≥36. 2. At screening, Unified Huntington's Disease Rating Scale (UHDRS) Total Functional Capacity (TFC) \>6 and \<13, suggesting no more than a moderate level of functional impairment. 3. No features of juvenile HD. 4. CAG-Age-Product (CAP) score \>70, as calculated using the CAP formula: Age × (CAG - 30) / 6.49. 5. Score of 15 to 25 (inclusive) on the Montreal Cognitive Assessment (MoCA) at screening, indicating the presence of cognitive impairment. Additional criteria for HP only: 1. Score ≥26 on the MoCA at screening. 2. Have no known family history of HD; or, have known family history of HD but have genetic test results available that show a normal CAG repeat length for both Huntingtin (HTT) alleles (\<36). Exclusion Criteria: For All 1. Receive any prohibited medications within 30 days of Screening and during participation in the study 2. Have participated in a previous clinical study of SAGE-718, have previous exposure to gene therapy; or have participated in any HD investigational drug, biologic, or device trial within 180 days, or a non-HD drug, biologic, or device trial within 30 days or 5 half-lives (whichever is longer). (Note: participants with confirmation of enrolment in the placebo arm of these trials would not be excluded.) 3. Is known to be allergic to any of SAGE-718 excipients, including soy lecithin. Additional criteria for participants with HD only: 1. Had gastric bypass surgery, has a gastric sleeve or lap band, or has had any related procedures that interfere with gastrointestinal transit. 2. Receive any prohibited medications within 30 days of Screening and during participation in the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Sage Investigational Site
Birmingham, Alabama, 35233, United States
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Sage Investigational Site
Los Alamitos, California, 90720, United States
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Sage Investigational Site
Englewood, Colorado, 80113, United States
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Sage Investigational Site
Washington D.C., District of Columbia, 20057, United States
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Sage Investigational Site
Boca Raton, Florida, 33431, United States
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Sage Investigational Site
Tampa, Florida, 33602, United States
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Sage Investigational Site
Chicago, Illinois, 60612, United States
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Sage Investigational Site
Baltimore, Maryland, 21218, United States
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Sage Investigational Site
New York, New York, 10027, United States
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Sage Investigational Site
Chapel Hill, North Carolina, 27599, United States
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Sage Investigational Site
Cincinnati, Ohio, 45221, United States
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Sage Investigational Site
Philadelphia, Pennsylvania, 19104, United States
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Sage Investigational Site
Houston, Texas, 77030, United States
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Sage Investigational Site
Montreal, H2X 3E4, Canada
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