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Experimental Gene Therapy Slows Huntington’s Progression by About 75% in Small Trial

The early Phase I/II data from a small neurosurgical gene-therapy trial now set up uniQure to seek accelerated FDA review in early 2026.

Overview

  • Topline results report that 12 high-dose recipients showed roughly 75% slower clinical decline over 36 months versus matched external controls in a 29-patient study.
  • The company also cited a 60% slowing on a functional scale focused on independence for the high-dose group, with other movement and cognitive measures trending in favor of treatment.
  • Cerebrospinal fluid levels of neurofilament light, a marker of neuronal injury, were lower than baseline or rose less than expected, supporting a biological treatment effect.
  • AMT-130 is delivered once via an MRI-guided infusion into the caudate and putamen during a complex 12–20 hour surgery that uses an adeno-associated viral vector to silence mutant HTT.
  • Investigators describe the safety profile as generally acceptable, yet the evidence remains preliminary, unreviewed, and based on external comparators, prompting calls for larger controlled trials.