Huntington's edition · Most recent Huntington's conclusions
Last updated Monday, November 2, 2026 6:43 AM ET
Today's headline uniQure's gene therapy still slows Huntington's at four years, but the benefit (44%) is smaller than a year ago (Sept 29). The FDA is reviewing its application, filed Sept 2.

Huntington's has no cure yet. For the first time, a treatment that may slow it down is up for approval.

Cure Checker's conclusion · Oct 2026

Most recent cure information

There is no cure for Huntington's disease, and every approved drug treats symptoms only. But Huntington's is caused by one known gene, which makes it one of the most targetable brain diseases. Our view: the cure will come from lowering the toxic huntingtin protein early, before symptoms, with a one-time gene therapy or a daily pill.

  1. One-time gene therapy: filed for approval.uniQure's AMT-130 slowed decline by 75% over three years at the high dose, compared with matched patients from outside the trial. It was filed with the FDA and the UK in September 2026.
  2. Pills that lower huntingtin: catching up.Votoplam (Novartis/PTC) has entered a roughly 770-person Phase 3, and Skyhawk's SKY-0515 showed a benefit at 15 months. A pill would be far easier to reach than brain surgery.
  3. Not every approach works: a 2026 reality check.Roche ended its tominersen program in July 2026 after it lowered huntingtin but didn't improve symptoms. Timing and dose seem to matter as much as the target.
  4. Starting before symptoms: the long-term goal.A genetic test can identify people who will develop Huntington's decades ahead of time. Prevention trials in gene carriers could one day stop the disease before it starts.

This is Cure Checker's editorial assessment of published evidence, not medical advice. Treatment and genetic-testing decisions belong with a neurologist and a genetic counselor, ideally at an HDSA Center of Excellence.

Latest studies & what they concluded

Newest first. Updated each morning as results, trial launches and papers are published.

Lowering MSH3 to slow CAG-repeat growth: monkey and mouse data plus modeling (Nature Communications)

Researchers delivered a small RNA that lowers MSH3, a gene that helps the Huntington's CAG repeat grow, using a virus aimed at the brain cells most affected. It cut MSH3 messenger RNA by 48 to 94% in monkey brain cells and reduced repeat growth by up to 46% in Huntington's mice. A computer model built on patient data predicted slower progression, but that is a prediction, not a result in people. Early preclinical work.

Science

Repeat growth drives similar damage in brain-cortex and striatum neurons (Cell)

In human Huntington's brain tissue, nerve cells in the cortex showed the same sequence of changes as striatal cells, with toxicity starting at about 150 CAG repeats, and the extent of repeat growth varied up to 20-fold between cell types. It supports repeat growth as a target for future drugs. Lab study of donated tissue, not a treatment test.

Science

Brezosiran (Alnylam) lowers mutant huntingtin in an early study

Presented at the European Huntington's Disease Network congress and reported by STAT. At the highest dose, mutant huntingtin in spinal fluid fell by about 60 to 64% on average, depending on the test. The company calls safety encouraging, but full safety data and lower-dose results were not given. Lowering the protein is not proof the drug slows the disease; Alnylam plans a placebo-controlled study next year. Company data, not peer-reviewed.

Early

Dopamine-blocking medicines and faster decline in Huntington's (Neurology, PROOF-HD placebo group)

In 247 people on placebo in the PROOF-HD trial, those taking dopamine-blocking medicines (antipsychotics or VMAT2 inhibitors) declined faster on function and thinking scores than those who were not (at week 52, 0.85 points on the function scale, p < 0.0001). This was an after-the-fact analysis, and sicker people may be more likely to take these drugs. Some authors work for Prilenia, which makes pridopidine. It does not mean people should stop medicines on their own.

Science

Gene editing shortened the Huntington's repeat in mice (Science Translational Medicine)

A CRISPR tool that nicks DNA shortened the CAG repeat in patient-derived brain cells and, after injection into the brain of a Huntington's mouse model, in more than half of striatal neurons. The mice had fewer protein clumps and moved better. Early lab and mouse work, not tested in people.

Science

SOM3355 for chorea (Phase 2b, SOMCT03)

The main goal was not met: in 139 people, the drop in chorea (involuntary movements) on 600 mg/day was not statistically significant versus placebo (p = 0.096). A planned analysis of people not taking antipsychotics did reach significance. Generally well tolerated; the most common side effect was slow heartbeat. The drug maker funded it and says a Phase 3 is planned.

Missed goal

AMT-130 four-year data (high dose)

Slowed progression by 44% compared with matched outside controls, a difference that was not statistically significant. The benefit is smaller than in the analysis a year earlier, which raises questions about how long it lasts. The FDA is now reviewing the application.

Mixed

SKY-0515 (Phase 1/2, final 15-month results)

A 1.59-point cUHDRS benefit compared with an external natural-history control, up to 62% lower mutant huntingtin in blood, and good tolerability.

Promising

uniQure files AMT-130 with FDA and UK MHRA

First approval application for a Huntington's gene therapy, seeking U.S. accelerated approval on three-year Phase 1/2 data.

Policy

Roche ends tominersen (GENERATION HD2)

Met safety and biomarker goals but showed no meaningful clinical benefit over placebo. The POINT-HD program also stopped.

Discontinued

Pridopidine PRECISE-HD (Phase 3) starts

A 400-person placebo-controlled confirmatory trial of the daily pill in early to mid-stage Huntington's. Recruitment began in the U.S., with EU, UK and Canada sites to follow later in 2026. The drug is not approved in the EU.

Underway

FDA agrees on accelerated-approval path for AMT-130

After a Type B meeting, the FDA said three-year data could be the main basis of the application, reversing its earlier request for another study.

Policy

Votoplam (PIVOT-HD, 24-month interim)

Dose-dependent slowing on cUHDRS (52% at 10 mg, 28% at 5 mg) compared with a natural-history cohort. Novartis launched the INVEST-HD Phase 3.

Promising

Votoplam INVEST-HD (Phase 3)

Global placebo-controlled trial of the daily pill in early symptomatic Huntington's.

Underway

Pridopidine EU application withdrawn

Withdrawn during re-examination after the EMA committee's negative opinion in July 2025.

Withdrawn

Treatments that are working

Today's approved drugs only calm movements and mood. The new wave aims at the gene itself. Some are showing the first signs of actually slowing the disease, though these are early, small results.

AMT-130 (ifezuntirgene inilparvovec)

Filed for approval
uniQure · one-time gene therapy · BLA & UK MAA Sept 2026

Injected once into the brain to permanently lower huntingtin. At three years, the high dose showed 75% slower decline than matched outside patients, plus lower NfL. The trials were small (dozens of patients). The FDA agreed in June 2026 that these data could support accelerated approval.

Votoplam

Promising · Phase 3
PTC / Novartis · daily pill · Apr 2026

At 24 months, decline slowed by 52% (10 mg) and 28% (5 mg) compared with a natural-history group. Novartis started the INVEST-HD Phase 3, aiming for about 770 people.

SKY-0515

Promising · Phase 1/2
Skyhawk · daily pill · Sept 15, 2026

Lowered mutant huntingtin in blood by up to 62% and showed a 1.59-point benefit on the main Huntington's rating scale at 15 months, compared with an outside control group.

Valbenazine (Ingrezza)

FDA approved
Neurocrine · chorea · Aug 2023

The newest of three VMAT2 drugs that calm involuntary movements. It treats a symptom and doesn't slow the disease.

Tominersen

Discontinued
Roche · antisense drug · July 9, 2026

The GENERATION HD2 trial met its safety and biomarker goals but didn't show meaningful benefit over placebo, so Roche ended the program.

Pridopidine

Not approved in EU
Prilenia / Ferrer · Europe 2025

Europe's medicines committee advised against approval in July 2025, and the company withdrew its application in November 2025 to collect more data.

Standard treatment today
TreatmentForWhat it does
Tetrabenazine (U.S. 2008), deutetrabenazine (2017), valbenazine (2023)ChoreaVMAT2 inhibitors that reduce involuntary movements. They can worsen depression, so mood needs watching.
Antidepressants, antipsychoticsMood, irritability, psychosisTreat the psychiatric symptoms that often affect families most.
Physical, speech & occupational therapyEveryoneKeep walking, swallowing and daily life safer for longer.
Genetic counseling & testingAt-risk family membersTesting is a personal choice and should always come with counseling.

Natural remedies & supplements

No supplement prevents or slows Huntington's. Several were tested in large trials and failed. Nutrition and exercise still matter for quality of life. We rate each by the strength of human evidence.

Good human evidence Observational / mixed Tested, did not work

For daily life

Exercise & physical therapy

Small trials suggest better balance, fitness and mood. It's safe and widely recommended. Work with a therapist who knows Huntington's.

High-calorie nutrition

Many people with Huntington's lose weight despite eating well, and weight loss tracks with faster decline. A dietitian can help with calories and safe swallowing.

Mediterranean-style diet

Linked to later symptom onset in observational studies. It isn't proof, but it's a healthy choice anyway.

Tested and failed

Creatine (high dose)

A large trial in early Huntington's was stopped for futility.

Coenzyme Q10

A large Phase 3 trial (2CARE) found no slowing of decline.

Ethyl-EPA (omega-3)

Controlled trials didn't show a benefit on Huntington's symptoms.

Be careful: chorea drugs (VMAT2 inhibitors) can worsen depression and interact with other medicines. Some supplements claim to "lower huntingtin" with no evidence at all. Tell your care team about everything you take.

Where to get care and support

Centers recognized for expertise in this condition, and communities of people living with it.

Where people find expert care

These are centers recognized for expertise in this condition, not a ranking, and Cure Checker does not endorse or rate any facility. Outcomes depend on the individual. Ask your doctor which center fits your situation.

Support groups & communities

You don't have to face Huntington's alone. These groups connect patients, at-risk family members and caregivers with people who understand. Most are free.

HDSA support groups

Support groups
People with HD · at-risk · families · U.S.

The Huntington's Disease Society of America runs more than 200 free support groups, plus Centers of Excellence and social workers.

Find support ↗

HDYO

Young people
Children, teens & young adults up to 35

The Huntington's Disease Youth Organization supports young people growing up with Huntington's in the family, worldwide and in many languages.

Get support ↗

Huntington's Disease Association (UK)

Support
Families · UK

Specialist advisers, local branches and support groups across England and Wales.

Get support ↗

Huntington Society of Canada

Support
Families · Canada

Family services, resource centers and support groups across Canada.

Get support ↗

International Huntington Association

Worldwide
Families in any country

A global network of national Huntington's associations. Use it to find the group in your country.

Find your country ↗

Huntington's groups on Facebook

Facebook
Search results

Many family, caregiver and at-risk groups. This link searches Facebook (a login is required).

Search Facebook ↗

For research news written for families in plain language, see HDBuzz. Deciding whether to take the genetic test is a big step, and HDSA and HDYO can connect you with genetic counseling first.

Before you join: support groups share experiences, not medical advice. Check anything about treatment with your doctor. Think about your privacy, especially about genetic status, because many forums are public. Never share passwords or financial details. Cure Checker isn't affiliated with these groups.

How other countries treat Huntington's

Symptom drugs vary from country to country. The U.S. has approved three chorea drugs, while Europe mainly uses one. The first disease-slowing treatments are being filed in the U.S. and UK first.

Who has approved what
TreatmentU.S.EUUKCanadaJapanS. KoreaChinaAustraliaSwitz.
TetrabenazineChorea2008YesYesYes—————
DeutetrabenazineChorea2017————————
ValbenazineChorea2023————————
PridopidineFunction—Withdrawn 2025———————
AMT-130Gene therapyFiled 2026—Filed 2026——————
2008 approved (year) Filed under review, or in trials Withdrawn refused or withdrawn — not approved, or no approval on record
How access differs abroad

United States

Most options
Three VMAT2 drugs · AMT-130 filed

The only country with three approved chorea drugs, and the first to receive an application for a Huntington's gene therapy.

Europe

Fewer options
Tetrabenazine · pridopidine withdrawn

Europe relies mainly on tetrabenazine for chorea. Its regulator turned down pridopidine in 2025, and the company has withdrawn its application while it collects more data.

United Kingdom

Gene therapy filed
MHRA application · Sept 2026

uniQure filed AMT-130 in the UK alongside the U.S., so the UK could be among the first countries to decide on a disease-slowing Huntington's treatment.

How it changed over time
  1. An international research team finds the HTT gene and its CAG repeat.
  2. U.S. approves tetrabenazine, the first Huntington's drug, for chorea.
  3. U.S. approves deutetrabenazine.
  4. U.S. approves valbenazine for Huntington's chorea.
  5. Europe: the EMA committee advises against pridopidine, and the application is withdrawn.
  6. Votoplam enters Phase 3. Roche ends tominersen. AMT-130 is filed in the U.S. and UK, the first gene therapy application for Huntington's.

What causes Huntington's

Huntington's is caused by a single faulty gene, HTT. A stretch of its DNA, the three letters "CAG," repeats too many times. The result is a toxic form of the huntingtin protein that slowly damages brain cells, starting in a region that controls movement and mood.

Huntingtin lowering works on biomarkers: several 2026 drugs cut huntingtin and the nerve-damage marker NfL. The open question is how much lowering, and how early, actually changes the course of the disease.
Somatic expansion: growth of the CAG repeat inside brain cells is now a leading drug target. Slowing it could delay symptoms for decades.
Early-onset (juvenile) Huntington's: about 5–10% of cases begin before age 20, usually inherited from the father. Stiffness and seizures are more common than chorea.

Find a clinical trial

Live numbers and the newest entries from the world's main trial registries and medical databases. Most of this loads fresh each time you open the page.

Where Huntington's trials are recruiting right now

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Drug trials with no U.S. site

Newest published clinical trials

PubMed · U.S. National Library of Medicine

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Newest Cochrane systematic reviews

Cochrane Database of Systematic Reviews, via PubMed

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Newest trials in the EU registry

EU Clinical Trials Information System

Newest UK & international registrations

ISRCTN registry

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FDA records for the medicines in this report
MedicineBrandFDA applicationOriginal approval

From Drugs@FDA via FDA's openFDA service. Some older brands are missing from FDA's open data, and newly approved drugs can take a few weeks to appear. An approval may be for a different disease than this one.

Search every registry yourself

The WHO's ICTRP gathers trials from registries worldwide, including China, Japan, India, Iran, Australia and Brazil. Cochrane CENTRAL and OpenMD don't allow automated access, so they're linked here for you to search directly.

Financial help for families living with Huntington's

These organizations exist to help families affected by Huntington's disease pay for care and costs. Few such programs exist and some were closed when checked. Funds are limited and rules vary, so contact each one directly.

Huntington's organizations

Champions for HD

Grants
People with HD or juvenile HD in financial hardship · U.S.

Grants toward medical bills and prescriptions, travel to appointments, groceries and gas, legal fees, counseling and IVF. Family or friends can nominate someone. Not every request can be funded.

See the program ↗

Help 4 HD International

Emergency fund
People in the HD and juvenile HD community in urgent need

The Help 4 HD Relief Fund gives emergency help with medicine, food, clothing and other necessities, only while money is in the fund. There is no application form; contact the charity.

See the program ↗

HelpCureHD

IVF grants
Couples where one partner has or is at risk for HD

Grants cover one round of IVF with embryo genetic testing once stimulation begins, so families can have children without the HD gene. Grants are awarded in yearly cycles; the 2026 cycle is closed.

See the grant ↗

Huntington's Disease Association

Welfare grants
People affected by HD · England and Wales

Small donor-funded welfare grants for home adjustments, equipment or replacing broken appliances, with set criteria. Ask the charity or your Specialist Adviser how to apply.

Read about welfare grants ↗

Scottish Huntington's Association

Grants
People with HD, carers and young people in HD families · Scotland

Welfare grants for equipment or financial hardship for households with savings under £8,000, and a Short Breaks Fund toward respite breaks. Funds are limited, and the Short Breaks Fund was not taking applications when checked.

See the grants ↗
Medical-cost assistance charities

HealthWell Foundation Huntington's Fund

Copay help
Medicare patients with HD · U.S. · income limits apply

Helps pay prescription copays for Huntington's medicines, or Medicare Part B premiums. The fund was listed as closed to new patients for lack of funding on October 6, 2026.

Check fund status ↗

Before you apply: Cure Checker does not run, verify or endorse these organizations, and being listed is not a promise of help. Funds are limited and rules change, so confirm eligibility and details with each organization. Be careful of anyone who asks for payment up front or for your bank login to 'release' a grant.

Sources

Everything this report is based on, grouped by section. Checked October 2, 2026.

Cure outlook & cause
  1. Huntington's disease clinical trials update, October 2025. PubMed Central
  2. Therapies in pipeline. Huntington's Disease Society of America
  3. Clinical trials in HD. Huntington's Disease Youth Organization
Treatments that are working
  1. uniQure's gene therapy continues to slow Huntington's progression after four years. STAT, Sept 29, 2026
  2. uniQure submits BLA for gene therapy in Huntington disease. NeurologyLive, Sept 2, 2026
  3. uniQure to seek AMT-130 approval as FDA agrees on path. Huntington's Disease News
  4. Positive topline results from Month 24 interim analysis of PIVOT-HD extension. PTC Therapeutics
  5. Final fifteen-month results from SKY-0515 Phase 1/2. Skyhawk Therapeutics
  6. FDA approves valbenazine for Huntington disease chorea. NeurologyLive
  7. Roche ends two Huntington's disease drug programmes. HDBuzz
  8. EMA turns down Nurzigma (pridopidine) for Huntington disease. Medscape
Latest studies
  1. Computational modeling and preclinical evaluation support targeting somatic instability for Huntington's disease treatment. Nature Communications, Oct 28, 2026 · PubMed
  2. Somatic DNA-repeat expansions initiate distinct yet analogous changes in Huntington's disease cortical and striatal neurons. Cell, Oct 28, 2026 · PubMed
  3. Alnylam says Huntington's drug shows promise in early study. STAT, Oct 23, 2026
  4. Antidopaminergic Medications and Clinical Outcomes in Huntington Disease: Evidence From the PROOF-HD Placebo-Controlled Trial. Neurology, online Oct 22, 2026
  5. Cas9 nickase-mediated contraction of CAG/CTG repeats is associated with phenotypic improvements in a Huntington's disease mouse model. Science Translational Medicine, Oct 21, 2026 · PubMed
  6. Safety and efficacy of SOM3355 in patients with Huntington's disease (SOMCT03): a phase 2b, randomised, placebo-controlled study. EClinicalMedicine, Oct 2026
  7. Votoplam Phase 3 study (NCT07326709). Novartis
  8. Votoplam enters Phase 3 trial for early symptomatic HD. Rare Disease Advisor
  9. Initiation of the confirmatory PRECISE-HD study of pridopidine. Prilenia / Ferrer via BioSpace, July 7, 2026
  10. Pridopidine does not meet marketing authorisation. Huntington's Disease Association
Missing-link hypothesis
  1. Long somatic DNA-repeat expansion drives neurodegeneration in Huntington's disease. Cell, Feb 6, 2025
  2. Somatic CAG repeat expansion in blood associates with biomarkers of neurodegeneration in Huntington's disease decades before clinical motor diagnosis. Nature Medicine, Mar 2025
  3. Antisense oligonucleotide-mediated MSH3 suppression reduces somatic CAG repeat expansion in Huntington's disease iPSC-derived striatal neurons. Science Translational Medicine, Feb 12, 2025
  4. Blocking somatic repeat expansion and lowering huntingtin by RNAi synergize to attenuate Huntington's disease pathogenesis in mice. Science Translational Medicine, Aug 12, 2026
  5. Huntington disease: somatic expansion, pathobiology and therapeutics. Nature Reviews Neurology, Jan 2026
  6. Targeting DNA mismatch repair in Huntington's disease. Trends in Neurosciences, Sep 2026
  7. HDSA 2026: Huntington's gene therapy may move to clinical trials. Huntington's Disease News, July 2, 2026
  8. Also cited in this block and listed above: STAT (AMT-130 four-year data), HDBuzz (Roche ends tominersen).
Expert care centers
  1. HDSA Center of Excellence at Massachusetts General Hospital. Huntington's Disease Society of America
  2. HDSA Center of Excellence at Duke University Medical Center. Huntington's Disease Society of America
  3. HDSA Center of Excellence for Huntington's Disease at Johns Hopkins. Huntington's Disease Society of America
  4. HDSA Center of Excellence at Beth Israel Deaconess Medical Center. Huntington's Disease Society of America
  5. Le centre de référence maladie rare Huntington. AP-HP
Around the world
  1. Antidopaminergic medications in Huntington's disease. Journal of Huntington's Disease, 2025
  2. Current and possible future therapeutic options for Huntington's disease. PubMed Central
  3. ClinicalTrials.gov API. Live recruiting-trial data, loaded each time this page opens
Registries & databases
  1. ClinicalTrials.gov. U.S. National Library of Medicine
  2. International Clinical Trials Registry Platform (ICTRP). World Health Organization
  3. Clinical Trials Information System (CTIS). European Medicines Agency. Daily snapshot
  4. ISRCTN registry. Live via the ISRCTN API
  5. Cochrane Central Register of Controlled Trials (CENTRAL). Cochrane Library
  6. PubMed. U.S. National Library of Medicine
  7. Europe PMC. Papers and preprints
  8. Drugs@FDA, live via openFDA
  9. Medicines database. European Medicines Agency
  10. OpenMD. Medical search engine
Financial help
  1. Financial Aid. Champions for HD
  2. Programs (Help 4 HD Relief Fund). Help 4 HD International
  3. PGT-IVF Grants. HelpCureHD
  4. The impact of a welfare grant: Fraser's story (June 30, 2025). Huntington's Disease Association
  5. Short Breaks Fund and Welfare Grants. Scottish Huntington's Association
  6. Huntington's Disease – Medicare Access Fund. HealthWell Foundation

The CAG-repeat thresholds, juvenile-onset figures, the 1993 gene discovery, and the creatine, CoQ10 (2CARE) and ethyl-EPA trial results reflect the established published record. They don't yet have individual citations here. Financial help: checked October 6, 2026. The Huntington's Disease Association has no dedicated grants page, so its card is based on a story page that describes the scheme. Help 4 HD and Champions for HD publish no award amounts or detailed eligibility rules. HelpCureHD's 2026 cycle, the Scottish Short Breaks Fund and the HealthWell fund were closed that day. HDSA's only cash help found was convention scholarships, so it is not listed.