Anti-depressants for depression in Huntington's disease
| ISRCTN | ISRCTN87426672 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN87426672 |
| IRAS number | 1010717 |
| Secondary identifying numbers | 02-TC-24-024 |
- Submission date
- 22/09/2025
- Registration date
- 02/10/2025
- Last edited
- 25/09/2025
- Recruitment status
- Not yet recruiting
- Overall study status
- Ongoing
- Condition category
- Mental and Behavioural Disorders
Plain English summary of protocol
Background and study aims
Huntington’s Disease (HD) is a condition that causes problems with movement and thinking, which get worse over time. Many people with HD also experience depression, which affects their quality of life and ability to do everyday activities. Treating depression well could help people with HD and their families feel better and may reduce the need for expensive healthcare. However, depression in HD may be different from depression in people without HD, so it is not clear how well antidepressants work for people with HD. This study aims to find out if a larger trial of antidepressants for depression in HD is possible and what is the best way to measure depression in people with HD.
Who can participate?
Adults who have Huntington’s Disease and report mild or moderate symptoms of depression to their doctor may be able to take part.
What does the study involve?
Participants are randomly assigned to receive either a common antidepressant (Sertraline) or a dummy pill (placebo) for 6 months. They have assessments of depression and other HD symptoms at the start of the study and again after 6 months. The study also collects blood and a small sample of the fluid around the brain (using a lumbar puncture) to see if antidepressant treatment changes certain substances linked to inflammation. The study also looks at how many people are willing to join and stay in the study, and which depression measures work best.
What are the possible benefits and risks of participating?
Taking part may help researchers learn more about how to treat depression in HD, which could benefit participants and others in the future. Participants may or may not notice an improvement in their own symptoms. Risks include possible side effects from the medication, and discomfort or risks from blood tests and lumbar puncture. All procedures are explained and carried out by experienced staff.
Where is the study run from?
Cardiff University (UK)
When is the study starting and how long is it expected to run for?
The study is expected to start soon and runs for about 6 months for each participant.
Who is funding the study?
Health and Care Research Wales (UK)
Who is the main contact?
Duncan.Mclauchlan@wales.nhs.uk
DEVISEHD@cardiff.ac.uk
Contact information
Scientific, Principal Investigator
University Hospital of Wales (UHW)
Heath Park
Cardiff
CF14 4XW
United Kingdom
 ORCID ID |
0000-0002-5356-5019 |
|---|---|
| Phone | +44 7791461685 |
| Duncan.Mclauchlan@wales.nhs.uk |
Public
Centre for Trials Research
School of Medicine
College of Biomedical & Life Sciences
Cardiff University
Cardiff
CF14 4YS
United Kingdom
| ORCID ID |
0000-0001-9511-696X |
|---|---|
| Phone | +44 29 206 87522 |
| DEVISEHD@cardiff.ac.uk |
Study information
| Study design | Double-blind randomized controlled feasibility trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Treatment, Efficacy |
| Participant information sheet | Not available in web format, please use contact details to request a participant information sheet. |
| Scientific title | Developing EVIdence for AntidepreSsant ChoicE to Treat Depression in Huntington’s Disease |
| Study acronym | DEVISE-HD |
| Study objectives | The primary objective is to determine the feasibility of a blinded, placebo-controlled trial of antidepressants in people with HD This feasibility trial has three five secondary objectives: 1. Determine the minimal clinically important difference (MCID), ceiling and floor effects for established measures of depression in HD, to inform outcome selection for a future efficacy trial 2. Determine potential effect sizes in outcome of interest to inform power calculations for a future efficacy trial 3. Determine if there are differences on clinical and fluid biomarkers of disease progression with antidepressant treatment 4. Determine the percentage of participants who are registered in ENROLL 5. Determine the percentage of participants who are registered in HDClarity |
| Ethics approval(s) |
Not yet submitted, Ethics committee name not provided (Address not provided, City not provided, Zip/postal code not provided; Telephone number not provided; Email not provided), ref: Reference number not provided |
| Health condition(s) or problem(s) studied | Antidepressant treatment for depression in individuals with a confirmed genetic diagnosis of Huntington's Disease. |
| Intervention | Randomisation will take place online through a bespoke system built for the trial to maintain the blind. Participants will be randomised to receive either 50mg of sertraline or Placebo daily for 6 months. Participants will take the IMP orally. Total follow up duration is 6 months for both arms. |
| Intervention type | Drug |
| Pharmaceutical study type(s) | Dose response |
| Phase | Phase IV |
| Drug / device / biological / vaccine name(s) | Sertraline |
| Primary outcome measure | Feasibility outcomes measured at 6 months post recruitment: 1. Recruitment 2. Retention 3. Data completeness 4. Medication adherence |
| Secondary outcome measures | 1. Depression severity is measured using the Montgomery Asberg Depression Rating Scale (MADRS) at baseline, 8 weeks, and 6 months post randomisation 2. Depressive symptoms are measured using the Beck Depression Inventory-II (BDI-II) at baseline, 8 weeks, and 6 months post randomisation 3. Depressive symptoms are measured using the Patient Health Questionnaire-9 (PHQ-9) at baseline, 8 weeks, and 6 months post randomisation 4. Problem behaviours are measured using the Problem Behaviour Assessment at baseline, 8 weeks, and 6 months post randomisation 5. Suicidal ideation and behaviour are measured using the Columbia Suicide Severity Rating Scale (C-SSRS) at baseline, 8 weeks, and 6 months post randomisation 6. Disability is measured using the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) at baseline, 8 weeks, and 6 months post randomisation 7. Perceived social support is measured using the MOS Social Support Survey at baseline, 8 weeks, and 6 months post randomisation 8. Clinical progression of Huntington’s Disease is measured using the critical Unified Huntington’s Disease Rating Scale (cUHDRS) at baseline and 6 months 9. Motor function is measured using the motor assessment component of the cUHDRS at baseline and 6 months 10. Functional ability is measured using the functional assessment component of the cUHDRS at baseline and 6 months 11. Cognitive function, including association between visual association and memory/thought processing and cognitive inhibition, is measured using the cognitive assessment components of the cUHDRS at baseline and 6 months |
| Overall study start date | 01/07/2025 |
| Completion date | 31/05/2027 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Upper age limit | 100 Years |
| Sex | Both |
| Target number of participants | 40 |
| Key inclusion criteria | 1. Adult participants (age ≥ 18), with a confirmed positive genetic test of HD 2. Presenting with a new episode of depression, defined by patient report of low mood and PBAs depressed mood item (i.e. not experiencing depressive symptoms for at least 4 months before the new episode) 3. Presenting with depressive symptomatology defined by patient report of low mood and PBAs depressed mood item score >1 for both severity and frequency |
| Key exclusion criteria | 1. Currently taking an antidepressant medication or have taken antidepressants in the last six months (for any indication) 2. A previous reaction and/or contraindication to sertraline, and/or Sertraline found to be ineffective 3. Any brain illness/injury, other than HD that, or medication in the opinion of the principal investigator, is likely to contribute to depressive symptoms 4. Any participant with severe depression (PBAs severity >3) or suicidal ideation (due to higher risk of deterioration and suicide in this group). 5. Not able to give informed consent |
| Date of first enrolment | 01/02/2026 |
| Date of final enrolment | 31/10/2026 |
Locations
Countries of recruitment
- England
- United Kingdom
- Wales
Study participating centres
University Hospital of Wales
Heath Park
Cardiff
CF14 4XW
United Kingdom
52 Queensbridge Road
Moseley
Birmingham
B13 8QY
United Kingdom
Princes Drive
Colwyn Bay
LL29 8PL
United Kingdom
Sponsor information
University/education
Cardiff Joint Research Office, 2nd Floor Lakeside Building, University Hospital of Wales, Heath Park
Cardiff
CF14 4XW
Wales
United Kingdom
| resgov@cardiff.ac.uk | |
| Website | http://www.cardiff.ac.uk/ |
"ROR" |
https://ror.org/03kk7td41 |
Funders
Funder type
Government
Government organisation / Research institutes and centers
- Alternative name(s)
- Health & Care Research Wales, Health Care Research Wales, Ymchwil lechyd a Gofal Cymru, HCRW
- Location
- United Kingdom
Results and Publications
| Intention to publish date | 30/09/2027 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | Planned publication in a peer-review journal and dissemination of lay friendly version of the results |
| IPD sharing plan | The datasets generated and/or analysed during the current study will be available upon request from the trial manager by emailing DEVISEHD@cardiff.ac.uk |
Editorial Notes
22/09/2025: Trial's existence confirmed by Welsh Government
