First-in-human test of SRP-1005 in Huntington's disease
Official title: A Randomized, Double-Blind, Placebo-Controlled, Dose Escalation Study to Evaluate the Effect of SRP-1005 in Subjects With Huntington's Disease (INSIGHTT)
Run by Sarepta Therapeutics, Inc. · NCT07536061 · Data updated 2026-11-12
This first-in-human study tests SRP-1005 versus placebo in people with Huntington's disease to see if it is safe and tolerable.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 21 Years to 70 Years |
| Sex | All |
| Enrollment | 32 (estimated) |
| Sponsor | Sarepta Therapeutics, Inc. Industry-sponsored |
| Locations | 5 sites (Westmead, New South Wales and 4 other locations) |
| Status | Recruiting |
| Started | May 12, 2026 |
| Main results expected | November 30, 2027 |
| Study ends | November 30, 2027 |
| Registry record updated | October 19, 2026 |
| Trial ID | NCT07536061 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with genetically confirmed Huntington's disease (HTT repeat length ≥40) who are HD-ISS Stage 2 or Mild Stage 3 and meet reproductive safety criteria.
✕Probably not a fit
Participants with advanced disease outside the specified HD-ISS stages or with conditions that compromise study safety may not benefit from SRP-1005.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 1, multicenter, randomized trial testing escalating doses of SRP-1005 compared with placebo in individuals with Huntington's disease. Participants have a confirmed HTT gene expansion and are in HD-ISS Stage 2 or Mild Stage 3. The study includes lumbar puncture and MRI to monitor safety, with careful screening for prior therapies and infections. The trial aims to characterize safety, tolerability, and pharmacokinetics, providing initial signals on biological activity in HD.
Why it matters
Potential benefit: If successful, SRP-1005 could offer a new therapeutic option that may slow disease processes in Huntington's disease.
How similar studies have gone: Previous similar early-phase studies of targeted therapies in HD have shown safety signals and pharmacokinetic data, but this specific first-in-human SRP-1005 approach is novel for Huntington's disease.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Genetically confirmed diagnosis of huntingtin (HTT) cytosine-adenine-guanine repeat length ≥40. * Participant has HD Integrated Staging System (HD-ISS) Stage 2 or Mild Stage 3. At screening, the participant must be classified with the Enroll-HD HD-ISS Modified Calculator as either Stage 2 or Mild Stage 3. * Participants who are of childbearing potential, or with partners of childbearing potential, who are sexually active must agree to use a highly effective method of contraception throughout study participation, and for at least 90 days following the end of study. Key Exclusion Criteria: * Any condition that would compromise the safety or feasibility of lumbar puncture or magnetic resonance imaging (MRI). * Presence of other significant neurological or systemic illnesses. * Current, chronic or active human immunodeficiency virus, hepatitis B/C. * Recent use of investigational agents or HTT-lowering therapies. * Uncontrolled psychiatric illness or substance use disorders. * Pregnancy or lactation. Note: Other inclusion/exclusion criteria apply.
Where it's running
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Westmead Hospital
Westmead, New South Wales, Australia Recruiting -
Royal Melbourne Hospital
Parkville, Victoria, Australia Recruiting -
New Zealand Brain Research Institute
Christchurch, New Zealand Recruiting -
Siloah AG
Gümligen, Canton of Bern, Switzerland Recruiting -
University Hospital of Wales
Cardiff, United Kingdom Recruiting
Study contacts
- Study coordinator: Sarepta Therapeutics Inc., For Clinical Trial Information, Select Option 4
- Email: SareptAlly@sarepta.com
- Phone: 1-888-SAREPTA (1-888-727-3782)
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Global registry for Huntington's Disease
This study is gathering health information from people with Huntington's disease and their families to help researchers learn more about the disease and find better treatments.
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Pridopidine for Huntington's Disease: a 1-year, randomized, placebo-controlled study
This trial tests whether pridopidine can slow the progression of Huntington's disease in adults compared with placebo over one year.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.