Good news on gene therapy for Huntington’s

uniQure N.V. (NASDAQ: QURE), a leading gene therapy company advancing transformative therapies for patients with severe medical needs, today announced positive topline data from the pivotal Phase I/II study of AMT-130 for the treatment of Huntington’s disease. The study met its prespecified primary endpoint, with high-dose AMT-130 demonstrating a statistically significant slowing of disease progression as measured by the composite Unified Huntington’s Disease Rating Scale (cUHDRS) at 36 months compared to a propensity score-matched external control. The study also met a key secondary endpoint by achieving statistically significant slowing of disease progression as measured by Total Functional Capacity (TFC) at 36 months compared to a propensity score-matched external control.



Although this is not for SCA6, successful one-time administration of gene therapy (adeno-associated virus vector delivery of miRNA administered as a one time dose directly into the brain to decrease production of the toxic huntingtin protein)  for Huntington disease IS a proof of concept breakthrough of what may be also possible some day for SCA6. This is a Phase I/II trial with small numbers and it will require later stage trials to prove efficacy, but this is genuine medical progress and provides hope that the strategies Dr. Gomez has been describing to us of gene therapy to inhibit alpha1-ACT (that helped prevent ataxia progression in is SCA6 mouse model) may some day also go to trial. As you can see from the announcement, the accurate measurement of disease progression was critical to the ability to know whether the trial therapy worked. This illustrates how Dr. Gomez's work to more accurately measure disease progression in SCA6 is also critical to attract pharmaceutical companies to invest in trial therapy for SCA6.

I can't give you timelines for anything. This Huntington disease trial took 5 years after launched to get to the announcements of success this month. This certainly does provide more hope though for a future one-time dose of gene therapy to at least slow progression. Maybe the miRNA approach works better than antisense oligonucleotides. Anyway, we can ask Dr. Gomez about this at our next meeting with him.

Best wishes,
Terry

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