legato-hd phase 2: a clinical trial update

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vs LAQUINIMOD A clinical trial update Phase 2 HUNTINGTONS

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Page 1: Legato-HD Phase 2: A Clinical Trial Update

vsLAQUINIMOD

A clinical trial update

Phase 2

HUNTINGTONS

Page 2: Legato-HD Phase 2: A Clinical Trial Update

In the red corner,the undefeatedHUNTINGTONS

Page 3: Legato-HD Phase 2: A Clinical Trial Update

In the blue corner,the new-hopeful

LAQUINIMOD

Page 4: Legato-HD Phase 2: A Clinical Trial Update

How will itfight HD?

Page 5: Legato-HD Phase 2: A Clinical Trial Update

Laquinomid canchange the activity of

our immune system.

Page 6: Legato-HD Phase 2: A Clinical Trial Update

Normally, this helps us fight diseases by

stimulating inflammation.

Page 7: Legato-HD Phase 2: A Clinical Trial Update

But, in neurodegenerative diseases too much inflammation might

be a problem...

Page 8: Legato-HD Phase 2: A Clinical Trial Update

By slowing down the immune system

laquinomid could slow the progress of Huntingtons.

Page 9: Legato-HD Phase 2: A Clinical Trial Update

How do we know this?

Page 10: Legato-HD Phase 2: A Clinical Trial Update

By studying another diseasecalled Relapse-Remitting

Multiple Sclerosis...

Page 11: Legato-HD Phase 2: A Clinical Trial Update

A disease which getsworse, then betterthen even worseas it advances.

Page 12: Legato-HD Phase 2: A Clinical Trial Update

When it gets worse: too much inflammation

is the problem.

Page 13: Legato-HD Phase 2: A Clinical Trial Update

Laquinimod is being tested against this disease in

another trial calledConcerto...

Page 14: Legato-HD Phase 2: A Clinical Trial Update

Which is already in stage 3.

Page 15: Legato-HD Phase 2: A Clinical Trial Update

This experience fighting MSis good preparation for

its fight against Huntingtons.

Page 16: Legato-HD Phase 2: A Clinical Trial Update

It gives us crucial information about how it will behave in the ring - our bodies!

Page 17: Legato-HD Phase 2: A Clinical Trial Update

(There’s no point supporting laquinimod if it’s going

to do us harm)

Page 18: Legato-HD Phase 2: A Clinical Trial Update

What information have we learned about

Laquinimod?

Page 19: Legato-HD Phase 2: A Clinical Trial Update

We have learned:How much our bodies

can handle - a safe dose.

Page 20: Legato-HD Phase 2: A Clinical Trial Update

Also:What problems our bodies

could have - the side-effects.

Page 21: Legato-HD Phase 2: A Clinical Trial Update

This information means the HD-trial has started

in a strong position.

Page 22: Legato-HD Phase 2: A Clinical Trial Update

Legato-HD is now on phase 2.

Page 23: Legato-HD Phase 2: A Clinical Trial Update

Whats the aim of Phase 2?

Page 24: Legato-HD Phase 2: A Clinical Trial Update

To continue checking safety- to see what can we

consume on a daily basis.

Page 25: Legato-HD Phase 2: A Clinical Trial Update

To start testing efficacy- to see if it has an

effect on Huntingtons.

Page 26: Legato-HD Phase 2: A Clinical Trial Update

How will we know if it has?

Page 27: Legato-HD Phase 2: A Clinical Trial Update

By measuring Motor-score: a sign of how well a patient can control their movement.

Page 28: Legato-HD Phase 2: A Clinical Trial Update

If this score declines less in patients taking the drug,

Laquinimod is helping!

Page 29: Legato-HD Phase 2: A Clinical Trial Update

This is the studies primary end-point:

the trial will only continue if this improves after 12 months.

Page 30: Legato-HD Phase 2: A Clinical Trial Update

So, whats the story so far?

Page 31: Legato-HD Phase 2: A Clinical Trial Update

By June 2016400 adults - with

and without HD - were meant to be recruited.

Page 32: Legato-HD Phase 2: A Clinical Trial Update

They were to receivea daily dose of either:

a placebo, 0.5 mg, 1.0 mg, 1.5 mg.

Page 33: Legato-HD Phase 2: A Clinical Trial Update

In Jan 2016,it was decided to stop the 1.5 mg daily dose.

Page 34: Legato-HD Phase 2: A Clinical Trial Update

This was because of a recomendation from the

MS study, Concerto...

Page 35: Legato-HD Phase 2: A Clinical Trial Update

Some of their patients ona similar 1.2mg dose had heart problems.

Page 36: Legato-HD Phase 2: A Clinical Trial Update

As a result, no one new is being recruited to

to take the highest dose.

Page 37: Legato-HD Phase 2: A Clinical Trial Update

But, the other 2 doses and placebo are

still running.

Page 38: Legato-HD Phase 2: A Clinical Trial Update

The bad news:The recruitment deadline has been pushed back

(delaying the study)

Page 39: Legato-HD Phase 2: A Clinical Trial Update

The good news:They will now only need to

recruit 300 patients (one dose is missing)

Page 40: Legato-HD Phase 2: A Clinical Trial Update

Conclusion?

Page 41: Legato-HD Phase 2: A Clinical Trial Update

In a heavy-weight fight,information like this is

exactly what we need if...

Page 42: Legato-HD Phase 2: A Clinical Trial Update

We want to improve the odds of a win for

Laquinimod!

Page 43: Legato-HD Phase 2: A Clinical Trial Update

A visualscience presentation made by @DeLaSouz

for HDYO