Huntington’s Pipeline

Huntington's pipeline

Track Huntington's programs across gene therapy, antisense, allele-selective, and small-molecule huntingtin-lowering approaches.

6 tracked 3 active 1 recruiting 1 late-stage / approved
Filter the main pipeline Shows the real mix of modalities still defining the HD field.

Top programs in this hub

Starts with the highest-priority programs in the current dataset, then widens into the full bench below.

Priority 1
Early / Mid-stage active active, not recruiting

One of the most strategically important Huntington's programs because it represents a direct gene-therapy path rather than a small-molecule or ASO variant.

Mechanism
HTT-lowering gene therapy
Modality
AAV gene therapy
Next catalyst
Longer-run safety and functional read-throughs from treated cohorts.
Last verified
20 Apr 2026

Tominersen

Roche / Ionis · Huntington's disease
Priority 2
Mid-stage active active, not recruiting

Huntingtin-lowering antisense program with unusually high field significance.

Mechanism
huntingtin-lowering antisense
Modality
ASO
Next catalyst
Updated data from the redesigned development path.
Last verified
20 Apr 2026

VO659

Vico Therapeutics · Huntington's disease
Priority 2
Early / Mid-stage active recruiting

A repeat-targeting oligonucleotide program that broadens the Huntington's pipeline beyond the biggest legacy names.

Mechanism
RNA modulation of expanded repeats
Modality
antisense oligonucleotide
Next catalyst
Safety, pharmacokinetic, and early pharmacodynamic read-throughs.
Last verified
20 Apr 2026

What defines this bench

Quick pattern read on the mechanisms and modalities currently showing up most often.

Mechanisms Leading mechanism clusters
HTT-lowering gene therapy · 1 huntingtin-lowering antisense · 1 RNA modulation of expanded repeats · 1 sigma-1 receptor agonism · 1
Modalities Most common program types
small molecule · 2 AAV gene therapy · 1 ASO · 1 antisense oligonucleotide · 1
Hub view Programs, mechanisms, and context

A disease-specific view of the main programs, the common mechanisms, and the related program pages.

All tracked Huntington's disease programs

Every program in the current watchlist for this disease, in priority order.

Priority 1
Early / Mid-stage active active, not recruiting

One of the most strategically important Huntington's programs because it represents a direct gene-therapy path rather than a small-molecule or ASO variant.

Mechanism
HTT-lowering gene therapy
Modality
AAV gene therapy
Next catalyst
Longer-run safety and functional read-throughs from treated cohorts.
Last verified
20 Apr 2026

Tominersen

Roche / Ionis · Huntington's disease
Priority 2
Mid-stage active active, not recruiting

Huntingtin-lowering antisense program with unusually high field significance.

Mechanism
huntingtin-lowering antisense
Modality
ASO
Next catalyst
Updated data from the redesigned development path.
Last verified
20 Apr 2026

VO659

Vico Therapeutics · Huntington's disease
Priority 2
Early / Mid-stage active recruiting

A repeat-targeting oligonucleotide program that broadens the Huntington's pipeline beyond the biggest legacy names.

Mechanism
RNA modulation of expanded repeats
Modality
antisense oligonucleotide
Next catalyst
Safety, pharmacokinetic, and early pharmacodynamic read-throughs.
Last verified
20 Apr 2026
Priority 3
Late-stage completed completed

A major Huntington's program that deserves inclusion as part of the real clinical history of the field, not just the surviving winners.

Mechanism
sigma-1 receptor agonism
Modality
small molecule
Next catalyst
Mainly interpretation and strategic follow-through rather than a clean new expansion path.
Last verified
20 Apr 2026

PTC518

PTC Therapeutics · Huntington's disease
Priority 3
Early / Mid-stage completed completed

Small-molecule Huntington's program with mechanism-level significance if it continues to progress.

Mechanism
huntingtin mRNA splicing modulation
Modality
small molecule
Next catalyst
Further safety and target-engagement updates.
Last verified
20 Apr 2026

WVE-003

Wave Life Sciences · Huntington's disease
Priority 3
Early / Mid-stage completed completed

An allele-selective Huntington's program that matters for the field's longer-run precision ambitions.

Mechanism
allele-selective HTT silencing
Modality
oligonucleotide
Next catalyst
How much of the allele-selective approach survives into future development strategy.
Last verified
20 Apr 2026

Related pages

Research, key targets, Discover, and ways to contribute.

Research Research agenda Research notes and background around Huntington's disease.
Key Targets Key targets The mechanisms and intervention levers behind these programs.
Discover Discover Explainers and visual introductions to the science behind neurodegeneration.
Join Get involved Contribute research, writing, design, engineering, or review.
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