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PTC518

Phase 2

Huntington Disease | Small molecule | Neurology |PTC Therapeutics, Inc.|Trials Updated: Jun 16, 2026

PTC518 development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since May 2022

PTC518 target and mechanism

Molecular targetHTT
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment159

FDA Designations

FAST_TRACK

PTC518 clinical trials

PTC518 · 1 trial · 1 indication

Phase 2 1
NCT05358717A Study to Evaluate the Safety and Efficacy of PTC518 in Participants With Huntington's Disease (HD)Huntington Disease
COMPLETED159 Analytics
PHASE2COMPLETED
A Study to Evaluate the Safety and Efficacy of PTC518 in Participants With Huntington's Disease (HD)
Huntington DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Baseline up to Month 18

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A TEAE was defined as an AE that had an onset date or date of worsening on or after the first dose of study drug. A summary of other non-serious AEs and all serious adverse events (SAEs), regardless of causality is located in the 'Reported AE section'.

Percent Change From Baseline in Geometric Mean Blood tHTT Protein at Month 3
Baseline, Month 3

Least square (LS) mean and 95% confidence interval (CI) were calculated using mixed-model repeated measures (MMRM). The blood tHTT protein value was log-transformed before fitting the MMRM model. The LS means from MMRM model were back-transformed to present geometric mean percent changes.

Secondary Endpoints

Percent Change From Baseline in Caudate Volume as Assessed Via Volumetric Magnetic Resonance Imaging (vMRI) at Month 12
Baseline, Month 12
Change From Baseline in Composite Unified Huntington's Disease Rating Scale (cUHDRS) Scores at Month 12
Baseline, Month 12
Percent Change From Baseline in Geometric Mean Blood tHTT Protein at Month 12
Baseline, Month 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PTC518 5 mgEXPERIMENTALParticipants will receive PTC518 5 milligrams (mg) tablets once daily orally for 12 months.
PTC518 10 mgEXPERIMENTALParticipants will receive PTC518 10 mg tablets once daily orally for 12 months.
PTC518 20 mgEXPERIMENTALParticipants will receive PTC518 20 mg tablets once daily orally for 12 months.
PlaceboPLACEBO_COMPARATORParticipants will receive placebo matching to PTC518 tablets once daily orally for 12 months.

Interventions

NameTypeDescription
PTC518DRUGPTC518 will be administered per dose and schedule specified in the arm.
PlaceboDRUGPlacebo matching to PTC518 will be administered per schedule specified in the arm.
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Eligibility Criteria

Age Range25 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites28

Key Inclusion Criteria: * Genetically confirmed HD diagnosis with a cytosine-adenine-guanine (CAG) repeat length from 40 to 50, inclusive Eligibility for HD-ISS Stage 2 Group (Parts A, B, and C): * A Unified Huntington's Disease Rating Scale (UHDRS)-Independence Scale (IS) score of 100 * A UHDRS ...

Countries:United StatesAustraliaAustriaCanadaFranceGermanyItalyNetherlandsNew ZealandSpainUnited Kingdom
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Competitive Landscape -Huntington's Disease 15 trials (matched to "Huntington Disease")

Frequently asked questions about PTC518

What is PTC518 used for?

PTC518 is an investigational oral small molecule being developed for the treatment of Huntington disease, a progressive inherited neurological disorder. It is designed to reduce production of the mutant huntingtin protein that causes the disease. PTC518 has completed a Phase 2 clinical trial in adults with Huntington disease and is not approved for any indication.

What does PTC518 target?

PTC518 targets huntingtin, or HTT, the protein encoded by the gene mutated in Huntington disease. By acting on HTT, the small molecule is intended to lower levels of the disease-causing protein. HTT is a protein target, and PTC518 is an orally administered small molecule developed by PTC Therapeutics.

Who makes PTC518?

PTC518 is being developed by PTC Therapeutics, Inc., a biopharmaceutical company that trades on the Nasdaq under the ticker symbol PTCT. PTC Therapeutics is the sponsor of the clinical program evaluating PTC518 in Huntington disease.

What phase is PTC518 in?

PTC518 is in Phase 2 development for Huntington disease. A Phase 2 trial has been completed, and the program has received Fast Track designation from the U.S. Food and Drug Administration. PTC518 is investigational and has not been approved by the FDA for any indication.

What clinical trials is PTC518 in?

PTC518 has been studied in one Phase 2 clinical trial, NCT05358717, titled A Study to Evaluate the Safety and Efficacy of PTC518 in Participants With Huntington's Disease. The trial was randomized, double-blind, placebo-controlled, and enrolled 159 participants across the United States, Australia, Austria, Canada, France, Germany, Italy, Netherlands, New Zealand, Spain, and the United Kingdom. It is completed.