Enroll-HD
Welcome
Welcome, and thank you for your interest in Enroll-HD! The success of the study depends on volunteers like you around the world who become a part of HD research.
Enroll-HD is actively recruiting participants in Europe, North America, Latin America, and Australasia. Visit the study sites page to find a clinic near you.
Current Participants
Visits Conducted
Data Points Collected
Enroll-HD
Taking part in Enroll-HD
If you decide that you want to join Enroll-HD, you’ll make an appointment to visit your local study site. Your Enroll-HD study visits will be a little bit like a regular visit to an HD clinic, but different in some important ways. The main difference is that instead of being a patient you’re now a study participant, which means that you are providing information rather than getting counseled about your health.
The time your visits take will differ slightly depending on your local site. Your first visit may take between 1½ and 2½ hours, and follow-up visits may be less than an hour or up to two hours. At some larger sites that also provide regular medical care for HD, it may be possible to schedule your regular clinic visit and your Enroll-HD visit for the same day.
At each study visit, you’ll meet with a neurologist or other healthcare professional to answer questions and complete a series of evaluations. The types of information collected are described below.
While completing these evaluations you’re officially a research participant rather than a patient. The people working with you are now in the role of researcher, even if they are normally one of your healthcare providers. That means that during this visit they won’t tell you how well you do on the evaluations, or give you advice regarding your health.
Informed consent
Before you can get started in the study, you will need to read and sign an informed consent form- you can learn more about informed consent here. At your first site visit, you will talk over the informed consent form with the site coordinator or study nurse, who can answer all your questions.
Privacy
While protecting the privacy of study participants is paramount, Enroll-HD clinical data collected from participants is made available to verified researchers and scientists all over the world so we can understand more about how HD happens in people and investigate new ideas for effective treatments. You can read more about how your privacy is protected here.
Enroll-HD
What happens at each visit?
At each study visit, you’ll meet with a doctor or a trained site staff member to answer questions and complete a series of evaluations. The types of information collected are described below. Some components are optional and will only be completed if you decide to do so (e.g., describing your family history with HD).
General
Sociodemographic information (such as age, education) will be collected, your height and weight will be measured, and you’ll be asked questions about your lifestyle (such as alcohol and caffeine consumption).
Medical History
You’ll be asked questions about your medical history – whether you have symptoms of HD, and if so what they are and when you were first affected - as well as questions about other medical conditions you have experienced.
Current medicines and therapies
Any medicines or nutritional supplements you are taking or have taken in the past will be noted, and you’ll also be asked about other therapies you may have used, like physical therapy or counseling.
Motor
You’ll complete motor assessments to evaluate your movement, which involve tasks such as finger tapping and walking under observation. Other physiotherapy assessments may also be performed, such as the timed “up and go” test.
Function
You’ll be asked a series of questions to assess your level of independence and functional capacity, including questions about your occupation, managing your finances, looking after yourself at home, and driving.
Behavior
You’ll be asked about your mood, whether you’ve been depressed or are having other psychological or emotional difficulties.
Cognition (thinking and decision-making)
You’ll take some tests to measure thinking and focus, which are like brainteasers or puzzles that you do with paper and pencil, like matching symbols to digits.
Genotyping
At your first visit, a blood sample will be taken to check the number of CAG repeats in your huntingtin gene. This happens for every participant, even those who do not know their gene status. The results of this test are used for research purposes only, and will not be reported back to you, your doctor, or anyone else at the site, nor will they be included in your medical records.
Quality of life
You and your caregiver will be asked questions about your quality of life.
Health economics
You’ll be asked questions related to health economics, such as how HD has affected your ability to work, and your financial costs associated with HD treatment and care.
Family history (optional)
If you so decide, you’ll be asked to describe your family history of HD.
Biosample donation (optional)
If you agreed to do so when completing your informed consent form, you’ll be asked to provide additional blood samples at each study visit for research biobanking. Note that these blood samples are collected in addition to the mandatory blood sample collected at your first visit that is used for CAG genotyping.
General
Sociodemographic information (such as age, education) will be collected, your height and weight will be measured, and you’ll be asked questions about your lifestyle (such as alcohol and caffeine consumption).
Medical History
You’ll be asked questions about your medical history – whether you have symptoms of HD, and if so what they are and when you were first affected - as well as questions about other medical conditions you have experienced.
Current medicines and therapies
Any medicines or nutritional supplements you are taking or have taken in the past will be noted, and you’ll also be asked about other therapies you may have used, like physical therapy or counseling.
Motor
You’ll complete motor assessments to evaluate your movement, which involve tasks such as finger tapping and walking under observation. Other physiotherapy assessments may also be performed, such as the timed “up and go” test.
Function
You’ll be asked a series of questions to assess your level of independence and functional capacity, including questions about your occupation, managing your finances, looking after yourself at home, and driving.
Behavior
You’ll be asked about your mood, whether you’ve been depressed or are having other psychological or emotional difficulties.
Cognition (thinking and decision-making)
You’ll take some tests to measure thinking and focus, which are like brainteasers or puzzles that you do with paper and pencil, like matching symbols to digits.
Genotyping
At your first visit, a blood sample will be taken to check the number of CAG repeats in your huntingtin gene. This happens for every participant, even those who do not know their gene status. The results of this test are used for research purposes only, and will not be reported back to you, your doctor, or anyone else at the site, nor will they be included in your medical records.
Quality of Life
You and your caregiver will be asked questions about your quality of life.
Health economics
You’ll be asked questions related to health economics, such as how HD has affected your ability to work, and your financial costs associated with HD treatment and care.
Family history (optional)
If you so decide, you’ll be asked to describe your family history of HD.
Biosample donation (optional)
If you agreed to do so when completing your informed consent form, you’ll be asked to provide additional blood samples at each study visit for research biobanking. Note that these blood samples are collected in addition to the mandatory blood sample collected at your first visit that is used for CAG genotyping.
Taking part: FAQs
Frequently asked questions and answers relating to taking part in Enroll-HD.
Any adult member of a family affected by HD can take part, including:
- People who know they have the HD gene expansion, regardless of whether they have signs/symptoms or have been diagnosed with HD
- People who know they are ‘at risk’ but haven not taken the genetic test to establish whether or not they carry the expanded HD gene
- People with a family history of HD but know they do not carry the expanded gene
- Spouses/partners (not blood relatives) of people with HD
Children under the age of 18 with a diagnosis of juvenile HD can participate in Enroll-HD with the consent of a parent or legal guardian.
Now that Enroll-HD has been running for many years we will increasingly seek to recruit individuals who can help support the future evaluation of new drugs in clinical trial; this includes people who are in the early stages of their disease, people that have the expanded gene but do not yet have signs/symptoms, and at-risk people who do not know their gene status.
The first visit is the longest one, lasting between 1½ to 2½ hours. Each visit after that will usually be 45 minutes to 1 hour, but some sites may add components that can make visits last up to 2 hours - you can ask the study nurse or site coordinator for more details.
Enroll-HD doesn’t have an end date. You’ll be asked to come back to the clinic for a return visit once a year. You can leave the study at any time, but the longer you participate the more valuable your data are to researchers.
No. If you’re from an HD family and at risk but you haven’t been tested, you can volunteer for Enroll-HD without knowing your genetic status. At your first visit, a blood sample will be taken to check the number of CAG repeats in your huntingtin gene. This happens for every Enroll-HD participant, whether they know their gene status or not. The result of this test is used for research purposes only, and will not be reported back to you, your doctor, or anyone else at the site, nor will it be included in your medical records.
If you later decide that you do want to know your genetic status you can discuss predictive or diagnostic testing with your study site staff.
Yes. At your first visit, a blood sample will be taken to check the number of CAG repeats in your huntingtin gene. This happens for every participant, whether they know their gene status or not. The result of this test is used for research purposes only, and will not be reported back to you, your doctor, or anyone else at the site, nor will it be included in your medical records.
This next part is optional. If you agreed to do so when completing your informed consent form, you will be asked to provide additional blood samples at each study visit for research biobanking. Note that these blood samples are collected in addition to the mandatory blood sample that is collected at your first visit and used for CAG genotyping. Biological samples are an essential tool to answer crucial questions about HD. For example, genetic information beyond just the HD gene might explain why the disease is so different in different people.
Enroll-HD is referred to as a clinical research platform, meaning that it is designed to make all other HD research faster, smarter and more efficient. It does that by:
- Collecting standardized data over a long period of time, in the same way and using the same methods, from tens of thousands of people all around the world.
- Making data available to any verified scientist who wants to better understand HD in their research project. We want as many scientists as possible all around the world working on HD.
- Developing a comprehensive database of people who may be interested in volunteering for future studies, including drug trials, with all the necessary information about them already in place.
Enroll-HD is also a way of getting pharmaceutical and biotech companies interested in HD. When they see that lots of research is going on at an accelerated pace and HD families are eager to get involved in research, they will be more likely to view HD as a disease that gives them a good chance of developing new effective treatments. Enroll-HD aims to get as many researchers as possible all around the world working on HD, whether they are in universities or companies.
The Enroll! newsletter comes out digitally at least once a year. It includes the latest news on the study, as well as updates, profiles, and interviews with the people behind the scenes who make Enroll-HD possible.
Enroll-HD is funded by CHDI Foundation, a nonprofit biomedical research organization exclusively dedicated to rapidly and collaboratively developing therapeutics that will substantially improve the lives of individuals affected by Huntington’s disease. You can find out more here.
For more general information on taking part in CHDI-sponsored platform studies, please visit the FAQ page.