Clinical trial Recruiting at 5 sites Phase 1 Interventional Ages 21 to 70

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.

More Huntington Disease trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages21 Years to 70 Years
SexAll
Enrollment32 (estimated)
SponsorSarepta Therapeutics, Inc.
Industry-sponsored
Locations5 sites (Westmead, New South Wales and 4 other locations)
StatusRecruiting
StartedMay 12, 2026
Main results expectedNovember 30, 2027
Study endsNovember 30, 2027
Registry record updatedOctober 19, 2026
Trial IDNCT07536061 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

  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.