RecruitingNCT06448546

Gut Microbiomes in HD

Investigating the Role of the Gut Microbiome in Huntington's Disease


Sponsor

University of Central Florida

Enrollment

36 participants

Start Date

Jun 1, 2025

Study Type

OBSERVATIONAL

Conditions

Summary

The purpose of this study is to find out if there is a connection between the naturally occurring bacteria in our bodies and the progression of Huntington disease. The investigators are trying to determine if patients who are diagnosed with adult-onset HD and who exhibit a rapid rate of disease progression have unique populations of bacteria in their gut as compared to patients with slower progression.


Eligibility

Min Age: 18 Years

Inclusion Criteria14

  • years or older
  • Provide informed consent
  • Able to read and speak English
  • Agree to comply with study procedures
  • CAG repeat length ≤ 26.
  • BMI 18.5-24.9
  • BMI < 18.5 (underweight) or significant, involuntary weight loss within the past 12 months.
  • CAG repeat length 40 - 59.
  • Documentation of the Clinical Diagnosis of HD with a high level of certainty (>99% confidence) using the validated Unified Huntington's Disease Rating Scale (UHDRS).
  • Stage I-III on the Functional Assessment component of the UHDRS
  • BMI > 25.0 (overweight - obesity) or BMI ≤ 25.0 with significant, unexplained weight gain within the past 12 months
  • CAG repeat length 40 - 59.
  • Documentation of the Clinical Diagnosis of HD with a high level of certainty (>99% confidence) using the validated UHDRS.
  • Stage I-III on the Functional Assessment component of the UHDRS

Exclusion Criteria25

  • CAG repeat length ≥ 60 to exclude participants with juvenile onset HD.
  • CAG repeat length 36 - 39 to exclude participants with reduced penetrance. As this is a pilot study, we are primarily interested in participants with typical HD characteristics.
  • UHDRS Functional Capacity stage ≥ 4 to exclude late-stage HD patients who may be institutionalized and receive nutrition through a feeding tube.
  • Use of any of the following drugs within the last 6 months:
  • System antibiotics, antifungals, antivirals, or anti-parasitics (intravenous, intramuscular, or oral)
  • Corticosteroids (intravenous, intramuscular, oral, nasal, or inhaled)
  • Cytokines
  • Methotrexate, immunosuppressive cytotoxic agents, or chemotherapy
  • Commercial probiotics ≥ 100 million CFU (fermented foods, yogurts, and other homeopathic probiotics and prebiotics do not apply)
  • Use of topical antibiotics or topical steroids within the last 7 days
  • History of active, uncontrolled gastrointestinal disorders or diseases, including:
  • Inflammatory bowel disease
  • Ulcerative colitis
  • Crohn's disease
  • Irritable bowel syndrome
  • Infectious gastroenteritis, colitis, or gastritis
  • Clostridium difficile or Helicobacter pylori infection
  • Persistent or chronic constipation or diarrhea
  • Acute illness with or without fever at time of sample collection
  • Positive for HIV, hepatitis B, or hepatitis C
  • Confirmed or suspected immunodeficient condition/state
  • Major surgery of the GI tract, excluding cholecystectomy and appendectomy
  • Unstable dietary history within the past month, such as elimination or significant increase of a major food group in the diet
  • Recent history of chronic, excessive alcohol consumption
  • Travel outside of the United States within the last 3 months

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Locations(1)

University of Central Florida

Orlando, Florida, United States

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NCT06448546


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