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helpfortoday - Huntington's Disease Society of America

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HELPFOR TODAY. HOPE FOR TOMORROW.<br />

h d s a . o r g<br />

HDSA National Convention<br />

Draws over 700 to Pittsburgh<br />

By Barbara T. Boyle, National Executive Director/CEO<br />

I’m pleased to report that from the moment the<br />

University <strong>of</strong> Pittsburgh Marching Band Trumpet<br />

Section paraded into the Grand Ballroom to kick<br />

<strong>of</strong>f the festivities, until the long good-byes at the<br />

conclusion <strong>of</strong> the Sunday morning roundtable<br />

discussions, the 23rd Annual National Convention<br />

surpassed all expectations—from the number <strong>of</strong><br />

participants (over 700)—to the reaction to the<br />

forums, workshops and other programs—and every<br />

other aspect <strong>of</strong> the annual gathering.<br />

The three-day event drew HD family members<br />

from all parts <strong>of</strong> the United States. Attendees<br />

were able to participate in the two large forums,<br />

J U L Y 2 0 0 8<br />

Family Care on Friday, and Research on Saturday,<br />

and a host <strong>of</strong> workshops ranging from potential<br />

new therapies, to caregiver training, to discussions<br />

<strong>of</strong> Juvenile HD and many other topics, organized<br />

into five “tracks” geared to the various stages <strong>of</strong><br />

HD, and other major themes. The jam-packed exhibition<br />

center featured products and services <strong>of</strong> interest<br />

to our families, and <strong>of</strong> course, the renewal <strong>of</strong><br />

old friendships and networking that is a major part<br />

<strong>of</strong> the Convention, took place throughout the Omni<br />

Penn Plaza Hotel, despite the 90+ degree temperatures<br />

throughout the weekend.<br />

(continued on page 3)<br />

The The Traditional Candle<strong>of</strong> <strong>of</strong> Hope Ceremony completes an<br />

evening<strong>of</strong><strong>of</strong> recognition and remembrance at the Convention Gala.<br />

The Answers<br />

Are Within Reach<br />

(see page 5) 5)


HELPFOR TODAY. HOPE FOR TOMORROW.<br />

H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

Marcy MacDonald<br />

Three New Members Elected to<br />

National Board <strong>of</strong> Trustees<br />

The HDSA National Board <strong>of</strong> Trustees met twice<br />

during the recent National Convention. The first<br />

meeting was an open forum on Friday afternoon, an<br />

opportunity for convention attendees to meet the<br />

Trustees, and ask them questions. The meeting began<br />

with introductions <strong>of</strong> each Board member, and how<br />

they had become affiliated with HDSA. A spirited<br />

round <strong>of</strong> questioning followed. The event was so<br />

well-received that it is already on the agenda for next<br />

year’s convention.<br />

During the Saturday afternoon formal meeting<br />

<strong>of</strong> the Board <strong>of</strong> Trustees, three new members were<br />

elected: Steve Ireland, Marcy McDonald, Ph.D., and<br />

Steve Seekins, MPA.<br />

Steve Ireland is a Senior Systems Engineer,<br />

with more than 30 years <strong>of</strong> experience in the technology<br />

industry. He is well-known to many members <strong>of</strong><br />

the HD community through<br />

his stewardship <strong>of</strong> two excellent<br />

HD websites,<br />

www.hdac.org and<br />

www.hdlighthouse.org.<br />

Steve Seekins is also<br />

known to many members <strong>of</strong><br />

the HD community through<br />

his work with the Southern<br />

California Chapter. He is consultant<br />

and former<br />

Executive VP and CEO <strong>of</strong><br />

the <strong>Society</strong> <strong>of</strong> Critical Care<br />

Medicine.<br />

Marcy MacDonald,<br />

PhD, will serve as the<br />

Chairperson <strong>of</strong> the HDSA<br />

Medical/Scientific Advisory<br />

Committee (MSAC), and is a<br />

founding member <strong>of</strong> the<br />

HDSA Coalition for the<br />

Steve Ireland<br />

Cure. She is currently a Pr<strong>of</strong>essor <strong>of</strong> Neurology at<br />

Harvard Medical School and Director, Molecular<br />

Analysis Module, <strong>of</strong> the Massachusetts General<br />

Hospital Genomics Core Facility.<br />

These new members are replacements for<br />

Board Members whose terms have expired. We are all<br />

grateful to James Gusella, PhD,<br />

Charles Dimmler, III and<br />

Brendan Condon for their years<br />

<strong>of</strong> service and dedication to<br />

HDSA.<br />

In addition to the three<br />

new members, new NYA<br />

President, Cathy Harrell was<br />

invited to join the Board as the<br />

NYA Representative.<br />

Steve Seekins<br />

C. Walt Johnston -- Chair<br />

Ridgefield, CT<br />

Cheryl Kendrick - Vice-Chair<br />

San Diego, CA<br />

Jamie Greene, Esq. -- Secretary<br />

Atlanta, GA<br />

Roger Vaughan - Treasurer<br />

Columbus, OH<br />

Jang-Ho Cha, MD PhD - Chair <strong>of</strong><br />

CPEAC<br />

Charlestown, MA<br />

Marcy MacDonald, Ph.D. - Chair <strong>of</strong><br />

MSAC<br />

Lexington, MA<br />

HDSA National Board <strong>of</strong> Trustees<br />

Leon D. Tibben -- Chair<br />

NFC<br />

Andover, MN<br />

Donald L. Barr<br />

Chesterland, OH<br />

Diane Carlson<br />

Summit, NJ<br />

Gerald A. Francese, Esq.<br />

New York, NY<br />

Susan S. Huang<br />

Greenwich, CT<br />

Steve Ireland<br />

Georgetown, TX<br />

Barry Kahn<br />

Lake Zurich, IL<br />

Michael Roth<br />

New York, NY<br />

Steven Seekins<br />

Burbank, CA<br />

Kimberly Silva<br />

Lincoln, RI<br />

Daniel S. Vandivort<br />

Riverside, CT


H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

Pittsburgh Convention a Great Success<br />

The University <strong>of</strong> Pittsburgh Marching Band Trumpet Section<br />

Heralded the Opening <strong>of</strong> the 23rd Annual Convention.<br />

(continued from page 1)<br />

Even before the opening<br />

ceremonies on Friday morning, we<br />

had already completed two days<br />

<strong>of</strong> extensive workshops: On<br />

Wednesday, the entire HDSA Field<br />

Staff met for training sessions and<br />

workshops; and on Thursday, our<br />

annual Leadership/Pr<strong>of</strong>essional<br />

Training day, attended by Chapter<br />

Leaders and all HDSA Social<br />

Workers, was augmented by<br />

the first annual National Youth<br />

Alliance (NYA) Training day, in<br />

which our future leaders met<br />

to take part in workshops and<br />

discussions on topics ranging<br />

from HD Research and Genetic<br />

Testing, to fundraising and<br />

organizing skills. Our thanks<br />

to Don Barr, and to Jean<br />

Miller and Susie and Dave<br />

Hodgson for their leadership<br />

in making this event a reality.<br />

I’m very pleased to announce<br />

that thanks to the the leadership<br />

<strong>of</strong> Don Barr, and the generosity<br />

<strong>of</strong> several HDSA chapters,<br />

we were able to award 27<br />

scholarships to NYA members,<br />

making it possible for them to<br />

attend this special event. I hope<br />

that more chapters will consider<br />

adding NYA scholarship donations<br />

to their budgets next year, as the<br />

future <strong>of</strong> HDSA rests with this talented<br />

and motivated group.<br />

The NYA broke new<br />

The Exhibit Hall was a<br />

busy place during<br />

breaks between<br />

workshops.<br />

ground during the convention<br />

as well, voting to become a<br />

virtual chapter <strong>of</strong> HDSA, and<br />

selecting its leadership. The<br />

new NYA president, Cathy<br />

Harrell, will sit on the<br />

National Board <strong>of</strong> Trustees.<br />

After the opening ceremonies,<br />

an outstanding Focus<br />

on the Family Forum took<br />

place, moderated by Elizabeth<br />

Gettig, PhD, CGC, <strong>of</strong> the<br />

University <strong>of</strong> Pittsburgh. On<br />

the panel with Dr. Gettig,<br />

were Wanda Wilson (caregiver),<br />

Alex Andres (at risk), Bill<br />

Drum (Person with HD) and<br />

Peggy Polito (social worker),<br />

who discussed a wide-ranging<br />

set <strong>of</strong> topics <strong>of</strong> relevance to all<br />

families confronting HD. We are<br />

grateful to these panel members,<br />

as well as to all convention participants,<br />

for taking the time to<br />

speak so forthrightly about their<br />

experiences.<br />

The afternoon workshops<br />

(continued on page 4)<br />

HELPFOR TODAY. HOPE FOR TOMORROW.


HELPFOR TODAY. HOPE FOR TOMORROW.<br />

H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

The NYA broke new<br />

ground, electing a slate<br />

<strong>of</strong> <strong>of</strong>ficers and becoming<br />

a virtual chapter..<br />

(continued from page 3)<br />

drew huge crowds, in some cases causing the staff to<br />

seek and find larger venues, to accommodate the<br />

overflow.<br />

After the workshop sessions on Friday, the<br />

National Board <strong>of</strong> Trustees held a question and<br />

answer session, which was open to all convention<br />

attendees.<br />

This was followed by the annual NYA talent<br />

show, during which the group raised over $14,000.<br />

Over 700 attendees filled the<br />

main floor and mezzanine <strong>of</strong><br />

the Grand Ballroom<br />

Saturday morning kicked <strong>of</strong>f with the HDSA<br />

Research Forum. A packed ballroom listened to Jim<br />

Gusella lead a discussion <strong>of</strong> the promising state <strong>of</strong> HD<br />

research. Dr. Gusella presented the HDSA Drug<br />

Research Pipeline, and the work <strong>of</strong> the HDSA<br />

Coalition for the Cure in the first phase <strong>of</strong> the<br />

pipeline, basic research. Dr. Celia Dominguez, Vice<br />

President <strong>of</strong> Chemistry, CHDI Inc. outlined the 40<br />

potential therapeutic approaches that are being followed<br />

in the translational phase <strong>of</strong> the Pipeline. Then<br />

Dr. Dan van Kammen, Chief Medical<br />

Officer <strong>of</strong> CHDI, Inc. described the<br />

process <strong>of</strong> bringing a potential therapy<br />

to a clinical trial, what the FDA<br />

is looking for and how the three<br />

phases <strong>of</strong> trials differ. The feeling in<br />

the room was one <strong>of</strong> optimism, as it<br />

was evident that there is progress<br />

being made, and there are several<br />

potential drug candidates that will<br />

are moving towards Phase III Clinical<br />

trials in the very near future.<br />

After another afternoon <strong>of</strong><br />

workshops and presentations, everyone<br />

gathered for the gala festivities,<br />

featuring awards to chapter individuals<br />

who have made outstanding<br />

contributions to the <strong>Society</strong> during<br />

(continued on page 7)


H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

With over 40 potential therapeutic approaches in<br />

the HDSA Drug Pipeline, 21 Centers <strong>of</strong><br />

Excellence providing medical psychiatric and social<br />

services, and over 200 support groups facilitated by<br />

the 38 HDSA Chapter and affiliates, there is reason<br />

to believe that the answers we are all working to find<br />

are truly within reach.<br />

To get those answers we need to maintain and<br />

expand our programs <strong>of</strong> research and care, so that our<br />

scientists and clinicians can complete their work.<br />

Therefore, at the 2008 National Convention,<br />

a new capacity campaign, The Answers Are Within<br />

Reach, was introduced.<br />

The objective <strong>of</strong> this campaign is to raise at<br />

least $3 million over the next 3 years to ensure these<br />

crucial programs continue towards their goals.<br />

Glenn Smith, president <strong>of</strong> the Los Angeles<br />

Chapter, made the kick-<strong>of</strong>f gift <strong>of</strong> $10,000 upon the<br />

announcement, and then donated an additional<br />

$5,000 challenge gift during the Saturday Evening<br />

Gala. Motivated by this act, Gala attendees donated<br />

over $5,000 at the dinner, to meet the requirements<br />

<strong>of</strong> Glen’s challenge gift, and then Cathy Brown<br />

donated an additional $10,000, and the Answers<br />

campaign was <strong>of</strong>ficially under way.<br />

Shortly after the Convention was over, Dorla<br />

Mayer made a lead gift <strong>of</strong> $100,000, so we have<br />

made an excellent start towards our campaign goal.<br />

The theme <strong>of</strong> the campaign makes it an<br />

excellent door-opener—a way to introduce<br />

Huntington’s <strong>Disease</strong> and HDSA to friends and<br />

colleagues: To showcase the work <strong>of</strong> the HDSA<br />

Coalition for the Cure, CHDI and our Clinic Trials<br />

partners; the breadth and depth <strong>of</strong> services <strong>of</strong> the 21<br />

Centers <strong>of</strong> Excellence, now in their tenth year; and<br />

the support groups and other services provided by<br />

our Chapters and Affiliates. We have a strong story<br />

to tell, as HDSA research is at the forefront <strong>of</strong> the<br />

genetic/microcellular revolution, and the findings<br />

being made are <strong>of</strong> benefit to scientists studying other<br />

neurodegenerative diseases, including Parkinson’s,<br />

Alzheimer’s and others.<br />

So how can you help us reach those answers?<br />

You can:<br />

• Make a donation now!<br />

• Speak to your employer about a<br />

donation or a corporate matching<br />

program<br />

• Visit a local club (Rotary, Kiwanis, etc.)<br />

and ask them to donate to HDSA<br />

• Ask your local chapter how you can help<br />

with their campaign activities<br />

Details about the Answers Are Within Reach<br />

campaign are available on the HDSA website at<br />

www.hdsa.org/Answers. If you have any questions,<br />

please contact Barbara Boyle (ext 216) or Leah<br />

Donnelly (ext 218) at (212) 242-1968.<br />

Please fill out<br />

this form and<br />

mail it to:<br />

Answers<br />

HDSA<br />

505 Eighth Ave<br />

Suite 902<br />

New York, NY<br />

10018<br />

I am giving: $10,000 $5,000 $1,000 $500 $250 $100 $50 Other $<br />

I am enclosing a check payable to HDSA<br />

Please Charge this Amount to my: Amex Visa Mastercard Discover<br />

I am pledging: *$ every months for a total <strong>of</strong> $ beginning<br />

Please automatically deduct this amount from my :<br />

*(minimum $25 per month)<br />

Bank Account #<br />

EIN#:<br />

Credit Card Account<br />

Credit Card # cvv# Exp. Date<br />

Name on Card<br />

Signature<br />

Name:<br />

Address:<br />

City: State Zip<br />

Email: Phone ( )<br />

I am enclosing/processing my company’s Matching Gift Form (company name)


HELPFOR TODAY. HOPE FOR TOMORROW.<br />

H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

Outstanding Newsletter<br />

New England Region<br />

Outstanding Family Services/Education Program<br />

Kentucky Chapter<br />

Best New Fundraising Event<br />

St. Louis Chapter<br />

Outstanding Fund Raising Event<br />

Michigan Chapter<br />

Outstanding Board Development<br />

Delaware Chapter<br />

Affiliate <strong>of</strong> the Year<br />

Greater New York


HELPFOR TODAY. HOPE FOR TOMORROW.<br />

H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

Chapter <strong>of</strong> the Year<br />

San Diego Chapter<br />

Giving a Voice to HD<br />

Stanford HOPES Program<br />

(continued from page 4)<br />

the last year. A particularly emotional moment was the<br />

naming <strong>of</strong> Bob Leck as HDSA Person <strong>of</strong> the Year, a<br />

well-deserved honor to a man who has reached out to<br />

support so many members <strong>of</strong> the HD community.<br />

While the post-dinner dancing went on well<br />

past midnight, many attendees gathered Sunday morning<br />

for roundtable discussions, organized by topic <strong>of</strong><br />

interest and geographical areas.<br />

I’m very pleased to report that the Convention<br />

program was widely praised, and reviews <strong>of</strong> the individual<br />

workshops have been very positive. I hope that<br />

those <strong>of</strong> you who did get to attend will join us again<br />

next June in Phoenix, and that those <strong>of</strong> you who did<br />

not attend, will take the opportunity to join your fellow<br />

HD community members at our 24th Annual<br />

National Convention.<br />

Powerpoint presentations from many <strong>of</strong> the<br />

workshops are now available on the HDSA national<br />

website. Videos <strong>of</strong> the Family Care Forum and the<br />

Research Forum will be available in the near future.<br />

I welcome any thoughts you may have on how<br />

we may improve the convention, and hope to see you<br />

in Phoenix next year.<br />

Warm Regards,<br />

Barbara Boyle<br />

National Executive Director/CEO<br />

HDSA Special Thanks (HDSA Documentary)<br />

Liz Weber<br />

HDSA Special Thanks (HDSA Documentary)<br />

Documentary Team


HELPFOR TODAY. HOPE FOR TOMORROW.<br />

H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

Juvenile HD Award<br />

Jacey Mukka<br />

HDSA Outstanding Fundraising Award<br />

Marie Nemec and Charlotte Reicks<br />

HDSA Research Award<br />

Jane Paulsen and PREDICT_HD Investigators<br />

HDSA Thanks for Convention Partnership<br />

Western Pennsylvania Chapter<br />

HDSA Patient & Family Services Award<br />

HDSA Center <strong>of</strong> Excellence at Emory University<br />

HDSA Board Leadership<br />

James F. Gusella, Ph.D


H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

Awards Bestowed at 23rd Annual HDSA National Convention<br />

June 7, 2008<br />

HDSA Marjorie Guthrie Award<br />

For Outstanding Service to the HD Community<br />

ELIZABETH GETTIG, MS, CGC<br />

HDSA Outstanding Fund Raising Award<br />

10th Anniversary Bike for a Cure<br />

MARIE NEMEC<br />

National Awards<br />

In Appreciation <strong>of</strong> Dedicated Board Leadership<br />

CHARLES DIMMLER III<br />

HDSA Thanks<br />

WESTERN PENNSYLVANIA CHAPTER<br />

For Your Partnership<br />

HDSA 23RD Annual Convention<br />

HDSA Person <strong>of</strong> the Year<br />

For His Example to Others<br />

Living with <strong>Huntington's</strong> <strong>Disease</strong><br />

ROBERT LECK<br />

HDSA Giving a Voice to HD<br />

STANFORD HOPES PROGRAM<br />

HDSA Patient & Family Service Award<br />

10th Anniversary Center <strong>of</strong> Excellence Program<br />

HDSA CENTER OF EXCELLENCE<br />

AT EMORY UNIVERSITY<br />

Juvenile HD Award Given in<br />

Honor <strong>of</strong> Kelly Miller<br />

JACEY MUKKA<br />

HDSA Research Award<br />

JANE PAULSEN and<br />

PREDICT-HD INVESTIGATORS<br />

In Appreciation <strong>of</strong> Dedicated Board Leadership<br />

JAMES F. GUSELLA, PH.D.<br />

HDSA Thanks<br />

University <strong>of</strong> Pittsburgh<br />

Marching Band<br />

HERALD TRUMPET SECTION<br />

Opening Ceremony<br />

HDSA Honors<br />

RON NEMEC<br />

10th Anniversary Bike for a Cure<br />

HDSA Honors<br />

CHARLOTTE REICKS<br />

10th Anniversary Bike for a Cure<br />

HDSA Thanks<br />

LIZ WEBER<br />

For Her HD Documentary<br />

HDSA Thanks<br />

HUNTINGTON’S DISEASE<br />

DOCUMENTARY TEAM<br />

In Appreciation <strong>of</strong> Dedicated Board Leadership<br />

BRENDAN CONDON<br />

Chapter <strong>of</strong> the Year<br />

SAN DIEGO CHAPTER<br />

Outstanding Family Services/Education Program<br />

KENTUCKY CHAPTER<br />

Outstanding Newsletter<br />

NEW ENGLAND NEWSLETTER<br />

Best New Fund Raising Event<br />

ST. LOUIS CHAPTER<br />

Chapter Awards<br />

Outstanding Fund Raising Event<br />

Lawn Mower Race<br />

MICHIGAN CHAPTER<br />

Outstanding Board Development<br />

DELAWARE CHAPTER<br />

Affiliate <strong>of</strong> the Year<br />

GREATER NEW YORK<br />

HELPFOR TODAY. HOPE FOR TOMORROW.


HELPFOR TODAY. HOPE FOR TOMORROW.<br />

H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

Robert Leck, HDSA Person <strong>of</strong> the Year flanked by<br />

his son Samuel and HDSA National Board Vice<br />

Chair Cheryl Kendrick.<br />

Host Billy Aaron<br />

Brown calls the<br />

winner <strong>of</strong> the BMW<br />

Sweepstakes.<br />

Elizabeth Gettig, MS,<br />

CGC hoists the HDSA<br />

Marjorie Guthrie<br />

Award received for her<br />

Outstanding Service to<br />

the HD Community


HDSA would like to thank the sponsors <strong>of</strong><br />

our 23rd Annual National Convention:


HELPFOR TODAY. HOPE FOR TOMORROW.<br />

H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

HDSA Walk-a-Thon Program Is Growing<br />

It’s fun, it’s an event everyone can participate in,<br />

it’s a great way to raise funds and a simple way to<br />

get your friends and colleagues involved with HDSA<br />

—HDSA Walk-a-thons.<br />

This year, HDSA is embarking on a 3-year<br />

drive to expand our walk-a-thon program that<br />

includes helping current walk-a-thons add more<br />

participants and raise more money per participant;<br />

and adding new walk-a-thons in areas where none<br />

have been scheduled previously.<br />

To lead this effort, HDSA has enlisted<br />

Anthony Buffone <strong>of</strong> the Vizion<br />

Group. Anthony was formerly<br />

head <strong>of</strong> the walk program for<br />

the Leukemia and Lymphoma<br />

<strong>Society</strong>, and has over 15 years<br />

<strong>of</strong> experience in<br />

building successful walk<br />

programs.<br />

Anthony has helped us<br />

focus on the creation <strong>of</strong> Walk<br />

Teams, through places <strong>of</strong><br />

employment, schools, affiliated<br />

organizations and family<br />

groups, as well as working to enlist more local<br />

sponsors, who will not only make donations, but<br />

help us gain greater awareness for the walks themselves<br />

and HDSA. Through the utilization <strong>of</strong> these<br />

strategies (and others) our current walk-a-thon revenues<br />

should increase significantly. As the program<br />

grows, Anthony will be working with HDSA to<br />

recruit potential national sponsors as well.<br />

Aiding Anthony and his staff will be Shana<br />

Martin, who has accepted the role <strong>of</strong> National Team<br />

Walk Captain. Shana will be the “face” <strong>of</strong> the HDSA<br />

walk-a-thon program, and will<br />

be working with Anthony to<br />

provide all walk-a-thon organizers<br />

with recommendations<br />

as to how they can create<br />

more successful events.<br />

For more information<br />

on the Team Hope Walking<br />

for HD program, please<br />

visit www.hdsa.org/walks<br />

or contact Mynelly Perez,<br />

(212) 242-1968 ext. 214, or<br />

mperez@hdsa.org.


H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

NeuroSearch announced on July 10, 2008 that the<br />

United States’ Food and Drug Administration<br />

(FDA) has approved the company’s Investigational<br />

New Drug (IND) application for ACR16, a dopaminergic<br />

stabilizer and a novel drug candidate for the treatment<br />

<strong>of</strong> Huntington’s disease (HD). The IND application<br />

approval allows NeuroSearch to initiate a planned<br />

US study, named HART (<strong>Huntington's</strong> disease ACR16<br />

Randomized Trial). NeuroSearch expects that the<br />

HART study will begin in the second half <strong>of</strong> 2008.<br />

ACR-16 is a small molecule belonging to a<br />

pharmacological class called dopamine stabilizers. It<br />

can enhance or inhibit activity depending on the initial<br />

level. In other words, if dopamine activity levels are<br />

too high, ACR-16 can decrease them, but if activity is<br />

too low, ACR-16 can increase it. This contrasts with<br />

neuroleptics where a reduction in activity <strong>of</strong> this neurotransmitter<br />

occurs, regardless <strong>of</strong> initial level.<br />

Dopamine is an important neurotransmitter<br />

which plays a role in cognition, mood, attention,<br />

learning, motor activity, sleep, and behavior, so targeting<br />

it needs to be done carefully. Dopamine<br />

appears to play a role in Huntington’s <strong>Disease</strong>.<br />

Dopamine receptors are progressively reduced with<br />

the progression <strong>of</strong> the disease. In addition, there is<br />

some evidence that there is an abnormal sensitivity to<br />

dopamine in the medium spiny neurons affected in<br />

HD.<br />

ACR-16 appears to work by strengthening<br />

cortical control <strong>of</strong> the basal ganglia. The striatum,<br />

which is part <strong>of</strong> the basal ganglia, is the brain's<br />

autopilot. Once we have learned a behavior, we need<br />

not give it our full attention. The striatum will control<br />

the activity while our cortex is thinking about<br />

something else. Once the striatum begins degenerating<br />

in HD, the cerebral cortex loses control <strong>of</strong> the<br />

basal ganglia. This is why HD patients have trouble<br />

with multitasking.<br />

ACR16 was previously evaluated in four clinical<br />

Phase I/II studies with patients suffering from<br />

Huntington’s disease, Parkinson’s disease and psychoses,<br />

and demonstrated a good safety and tolerability<br />

pr<strong>of</strong>ile. In a Phase II study with ACR16 in<br />

R E S E A R C H<br />

FDA approves a Phase IIB clinical trial for ACR16 for HD Patients<br />

Huntington’s disease, the results showed that 28<br />

days’ treatment with ACR16 resulted in a statistically<br />

significant improvement in the patients’ voluntary<br />

movements including parkinsonism and gait function.<br />

The HART study is planned as a randomized,<br />

double-blinded and placebo controlled study expected<br />

to include 220 patients. In the study, patients will<br />

receive daily doses <strong>of</strong> either 22.5 mg (QD), 45 mg<br />

(QD) or 45 mg (BID) ACR16 or placebo to evaluate<br />

the efficacy and safety <strong>of</strong> ACR16 over three months’<br />

treatment. The primary efficacy endpoint <strong>of</strong> this study<br />

will be the effect <strong>of</strong> ACR16 on Huntington patients’<br />

voluntary motor function (parkinsonism, gait/balance,<br />

hand functionality, bradykinesia) measured by the<br />

modified Motor Score, mMS - a subscale <strong>of</strong> the<br />

Unified Huntington’s <strong>Disease</strong> Rating Scale (UHDRS).<br />

Secondary endpoints include the overall clinical<br />

impression <strong>of</strong> the patients, their cognitive function,<br />

neuropsychiatric symptoms such as depression and<br />

anxiety. The efficacy endpoints in the HART study are<br />

the same as in the ongoing European MermaiHD<br />

study.<br />

Both the EMEA (European Medicines Agency)<br />

and the FDA have granted ACR16 orphan drug status<br />

for the treatment <strong>of</strong> Huntington’s disease.<br />

ACR16 was discovered and is developed internally<br />

by NeuroSearch, which has the rights to develop<br />

and commercialise the compound for the treatment <strong>of</strong><br />

Huntington’s disease in the European Union, Norway,<br />

Switzerland and North <strong>America</strong>. All other rights to<br />

the compound have been outlicensed to Astellas<br />

Pharma Inc.<br />

Flemming Pedersen, CEO <strong>of</strong> NeuroSearch,<br />

commented, “The FDA acceptance <strong>of</strong> our IND application<br />

for ACR16 and <strong>of</strong> the protocol for the US HART<br />

study is an important milestone for NeuroSearch.<br />

With the European Phase III MermaiHD (Multinational<br />

European Multicentre ACR16 study in Huntington’s<br />

<strong>Disease</strong>) study ongoing, we now look forward to<br />

completing our international development program<br />

for ACR16 in the treatment <strong>of</strong> Huntington’s disease.<br />

Currently, patients suffering from Huntington’s dis-<br />

(continued on page 12)<br />

HELPFOR TODAY. HOPE FOR TOMORROW.


H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

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No purchase necessary. No portion <strong>of</strong> “Bonanza” donation is tax-deductible. No responsibility is assumed for lost, late or non-delivered mail. Winners will be<br />

selected in a random drawing on September 30, 2008. All prizes must be redeemed by December 31, 2008. You must ne 18 years or older and a resident<br />

<strong>of</strong> the United States (except Puerto Rico). Employees <strong>of</strong> the Huntington’s <strong>Disease</strong> <strong>Society</strong> <strong>of</strong> <strong>America</strong> are not eligible. Winners will be notified by phone and/or<br />

mail. Odds <strong>of</strong> winning are determined by the number <strong>of</strong> eligible entries received. Taxes are the sole responsibility <strong>of</strong> winners. Bonanza is subject to all federal,<br />

state and local laws and regulations and is void wherever prohibited by law. Entry and acceptance <strong>of</strong> prize <strong>of</strong>fered constitutes permission to use winner’s<br />

name, photograph or other likeness for the purpose <strong>of</strong> promotion on behalf <strong>of</strong> the Huntington’s <strong>Disease</strong> <strong>Society</strong> <strong>of</strong> <strong>America</strong>, Inc., unless prohibited by law.<br />

HELPFOR TODAY. HOPE FOR TOMORROW.


H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

Bi<br />

FDA approves a Phase IIB clinical trial for ACR16 for HD Patients<br />

(continued from page 10)<br />

-ease have very limited treatment options. Bringing<br />

this promising novel treatment concept to the market<br />

to help alleviate the burden <strong>of</strong> a serious and very disabling<br />

disease would therefore be a highly valuable<br />

step forward for both patients and their relatives, as<br />

well as for NeuroSearch as a company.”<br />

References:<br />

NeuroSearch Press Release<br />

Dr. Joakim Tedr<strong>of</strong>f’s talk at the 2008 HDSA convention<br />

Wikipedia on dopamine<br />

Charvin, D. , Vanhoutte, P., Pages, C., Borelli, E.,<br />

Caboche, J. “Unraveling a role for dopamine in<br />

<strong>Huntington's</strong> disease: The dual role <strong>of</strong> reactive oxygen<br />

species and D2 receptor stimulation.” Proc Natl Acad<br />

Sci U S A. 2005 Aug 23;102(34):12218-23.<br />

Marsha L. Miller, Ph.D., July 10, 2008<br />

A bill (H.R. 6259) to increase access to Social Security Disability and Medicare<br />

benefits for people disabled by HD introduced in Congress<br />

If passed, this bill, introduced by Rep. Bob Filner<br />

from San Diego, CA, would require the Social<br />

Security Administration to update the outdated medical<br />

criteria in their disability listing for HD and obtain<br />

a waiver for the 2-year Medicare waiting period for<br />

people disabled by HD. Delays and unnecessary reapplications<br />

for Social Security Disability Insurance, as<br />

well as a gap in health coverage while awaiting<br />

Medicare eligibility, are all too common for people disabled<br />

by HD. This is an issue that affects everyone in<br />

our community and we have just come one step closer<br />

to bringing about much needed change!<br />

As you may be aware, our HDSA advocacy<br />

team has been working with advocates throughout<br />

the country in the past months in an attempt to gain<br />

a sponsor for this valuable piece <strong>of</strong> legislation, and<br />

our efforts have paid <strong>of</strong>f! HDSA would like to recognize<br />

all <strong>of</strong> our advocates who contacted their<br />

Representatives asking for support for this bill. We<br />

would like to especially recognize our HDSA San Diego<br />

Advocacy Team (among them Allan Rappoport, Misty<br />

Oto, James Saint Onge, Sharon Shafer, Nathan<br />

Wauthier, Luanne Bas, Jack Berkman and Bill<br />

Johnston) for their dedication and persistence.<br />

What can you do now? Ask your Representative<br />

to sign on as a co-sponsor! We need as much<br />

support as possible to see that this bill becomes law.<br />

For more information on how to do this, please visit<br />

the current initiatives link on the advocacy page <strong>of</strong> the<br />

national website at http://www.hdsa.org/living-withhuntingtons/advocacy/current-initiatives.html<br />

You can also visit:<br />

http://www.govtrack.us/congress/bill.xpd?bill=h110-<br />

6259 for more information on the bill.<br />

The<br />

Pacin’<br />

Parson<br />

Walks for<br />

HDSA<br />

HELPFOR TODAY. HOPE FOR TOMORROW.


HELPFOR TODAY. HOPE FOR TOMORROW.<br />

H U N T I N G T O N ’ S D I S E A S E S O C I E T Y O F A M E R I C A<br />

HDTrials.org is Launched<br />

Anonymous Clinical Trial Recruitment Website<br />

With the promise <strong>of</strong> new clinical trials on the horizon,<br />

there will be a greater need for participants than ever<br />

before. With this concern in mind, representatives <strong>of</strong><br />

several different HD organizations have come together<br />

to create an anonymous recruitment site, that will<br />

notify people from the HD community about clinical<br />

studies and clinical trials that will be taking place in<br />

their locale.<br />

HDTrials.org was designed to make registration<br />

as simple and as private as possible—the only<br />

information required is an email address and a zip<br />

code or postal code (in Canada).<br />

When investigators need volunteers for<br />

an approved clinical study or trial, HDTrials.org<br />

registrants (in that geographic area) receive an email<br />

with information on how to contact the investigator.<br />

If you have family members or friends who do<br />

not use email, you may register them (with their zip<br />

codes) through your own email address. Then you will<br />

be sent an email with notification <strong>of</strong> trials in their<br />

area as well, with the hope that you will pass on the<br />

information to them. HDSA staff members have<br />

worked with members <strong>of</strong> the Huntington <strong>Society</strong> <strong>of</strong><br />

Canada, HDLighthouse, HDAC, HDDrugworks, and<br />

clinical investogators to create this site. It is hosted<br />

separately from HDSA servers and databases to<br />

maintain the privacy <strong>of</strong> all who register. For more<br />

information on HDTrials.org, visit the website, or<br />

send an email to info@HDTrials.org

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