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Votoplam

Phase 3

Huntington Disease | Small molecule | Rare Disease |Novartis AG|Last Updated: Jun 8, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment914
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07326709A Study to Investigate the Efficacy, Safety and Tolerability of Votoplam in Participants With Huntington's DiseasePHASE3 RECRUITING 770Mar 24, 2026Apr 30, 2030Jun 8, 202620 United States, Canada +4
NCT06254482An Extension Study to Evaluate the Long-Term Safety and Efficacy of Votoplam in Participants With Huntington's Disease (HD)PHASE2 ACTIVE NOT_RECRUITING 144Aug 25, 2023Jul 16, 2029Nov 21, 202524 Australia, Austria +8
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Study Endpoints
Primary Endpoints
Change from Baseline in cUHDRS score
Baseline, Month 36

The Composite Unified Huntingtons Disease Ratings Scale (cUHDRS) is an improved composite measure to assess multi-domain clinical progression in HD. The cUHDRS is a combined weighted score of measures of motor function (TMS), cognition (SDMT and SWRT) and overall functional capacity (TFC): cUHDRS = \[(TFC-10.4)/1.9 - (TMS-29.7)/14.9 + (SDMT-28.4)/11.3 + (SWRT - 66.1)/20.1\] + 10. In conjunction with one another, these measures provide a comprehensive, sensitive and specific tool for monitoring disease progression, with lower scores indicating more severe disease. cUHDRS score range from -8 to 25.

Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Baseline up to Month 54
Blood Total Huntingtin Protein (tHTT) Levels
Baseline up to Month 52
Secondary Endpoints
Change from Baseline in UHDRS-TFC
Baseline, Month 36
Change from Baseline in UHDRS-IS
Baseline, Month 36
The time to decline in TFC score by at least one or IS score by at least 10
Baseline to end of treatment up to 36 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
VotoplamEXPERIMENTALVotoplam (blinded) taken orally, randomized in a 3:2 ratio (Votoplam: Placebo)
PlaceboPLACEBO_COMPARATORPlacebo (blinded) taken orally, randomized in a 3:2 ratio (Votoplam: Placebo)
Votoplam 5 mgEXPERIMENTALParticipants will receive Votoplam 5 mg tablets once daily orally for 48 months.
Votoplam 10 mgEXPERIMENTALParticipants will receive votoplam 10 mg tablets once daily orally for 48 months.
Interventions
NameTypeDescription
Votoplam (blinded)DRUGVotoplam (blinded) active treatment
PlaceboDRUGPlacebo
VotoplamDRUGVotoplam will be administered per dose and schedule specified in the arm.
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Eligibility Criteria
Age Range21 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion Criteria: * Signed informed consents must be obtained prior to participation in the study * Ambulatory male or female participants between 21 to 70 years of age, inclusive, on the day of Informed Consent signature * Genetically confirmed HD diagnosis with a cytosine-adenine-guanine (CAG) ...

Countries:United StatesCanadaIsraelSouth KoreaTaiwanUnited KingdomAustraliaAustriaFranceGermanyItalyNetherlandsNew ZealandSpain
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Competitive Landscape -Huntington's Disease 9 trials
Recent Changes (Last 90 Days)
LOWJun 8, 2026NCT07326709lastUpdatePostDate: changed
LOWJun 8, 2026NCT07326709lastUpdatePostDate: changed
LOWJun 8, 2026NCT07326709lastUpdatePostDate: changed
LOWMay 28, 2026NCT07326709lastUpdatePostDate: changed
LOWMay 28, 2026NCT07326709lastUpdatePostDate: changed
LOWMay 26, 2026NCT07326709primaryCompletionDate: changed
LOWMay 26, 2026NCT06254482primaryCompletionDate: changed
LOWMay 24, 2026NCT07326709studyFirstPostDate: changed
LOWMay 24, 2026NCT06254482studyFirstPostDate: changed