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Help for Today, Hope for Tomorrow. Annual Report FY 07-08

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HDSA In Action<br />

Research<br />

This past year was an exciting period in the<br />

history of HD research, with many drugs,<br />

supplements, and genetic approaches moving<br />

through the drug discovery pipeline, bringing<br />

treatments closer to HD families. The progress<br />

we have seen, as well as the confidence drawn<br />

from the progress of the comprehensive strategic<br />

plan <strong>for</strong> research point to many potentially positive<br />

findings on the horizon.<br />

HDSA wants to ensure that our families<br />

always have access to the most current research<br />

news and developments. There<strong>for</strong>e, we have<br />

updated the national website,<br />

www. HDSA.org, with an extensive<br />

research section that presents and<br />

explains the latest findings from the<br />

HDSA Coalition <strong>for</strong> the Cure and other<br />

leading HD researchers. A research<br />

pipeline graph available on the site<br />

shows how far promising compounds<br />

and genetic approaches have advanced<br />

from preclinical work with animal models<br />

to clinical trials with HD patients.<br />

The chart is updated each time a<br />

potential new treatment is identified or<br />

developed and each time a new clinical<br />

trial begins.<br />

During this past year, the first<br />

drug to successfully emerge from the<br />

pipeline, Tetrabenazine, was finally approved <strong>for</strong><br />

the treatment of chorea. This is the first drug<br />

specifically approved <strong>for</strong> people with Huntington’s<br />

Disease by the FDA.<br />

As more potential therapies worked their<br />

way towards Clinical Trials, HDSA led a community<br />

wide initiative designed to increase awareness of<br />

the importance of clinical trials and to help recruit<br />

potential participants. HDTrials.org is a special<br />

website, where people can anonymously register to<br />

learn about clinical studies and trials that take<br />

place in their locale. When a new study or trial is<br />

announced, members of HDTrials.org will receive<br />

an email notification, describing the objective of<br />

the trial, the basic qualifications to participate and<br />

contact in<strong>for</strong>mation <strong>for</strong> those interested in learning<br />

more and volunteering to participate.<br />

Basic research conducted by HDSA<br />

Coalition <strong>for</strong> the Cure scientists continues to<br />

identify new targets <strong>for</strong> the development of<br />

treatments as well as biomarkers which can be<br />

used to more precisely measure disease onset and<br />

progression, thereby shortening clinical trials and<br />

providing guidance as to when treatments<br />

should be given to people with the mutated gene.<br />

In addition, as key questions are being<br />

answered about what goes wrong in Huntington’s<br />

Disease, we are seeing new interest from<br />

pharmaceutical companies in developing<br />

treatments. This has resulted in the development<br />

of high throughput assays to screen <strong>for</strong><br />

compounds that rescue the dysregulation of gene<br />

transcription and <strong>for</strong> compounds that enhance<br />

protein degradation and clearance.<br />

With several compounds now in final,<br />

Phase III trials, there is a strong possibility that<br />

Huntington’s Disease will have its first disease<br />

modifying treatment within the next few years. In<br />

addition, we expect new and more efficient drugs<br />

to be entering the research pipeline as a result of<br />

the identification of new targets based on critical<br />

basic research by HDSA Coalition <strong>for</strong> the Cure<br />

scientists and other leading researchers, and<br />

through our partnership with CHDI.<br />

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