Skyhawk Therapeutics has dosed the first subject in the randomised Phase II/III FALCON-HD trial of the oral small-molecule RNA splicing modulator, SKY-0515, for Huntington’s disease (HD) treatment.

The placebo-controlled, double-blind trial plans to enrol 120 individuals across New Zealand and Australia across 10 sites, with the first dosing occurring at Flinders Medical Centre in Adelaide.

It aims to assess the safety, efficacy, and pharmacodynamics of the therapy in those with Stage 2 and early Stage 3 HD.

Also, it will evaluate changes in huntingtin (HTT) protein levels, the effects on HD-related brain atrophy and clinical features, and the long-term safety of the therapy.

The FALCON-HD study comprises three periods: a screening period of up to four weeks for eligibility evaluations, a 12-month double-blind treatment duration where subjects will take the therapy or a placebo daily, and a four-week follow-up period post-treatment completion.

Regular clinic visits will help monitor efficacy and safety via blood tests, magnetic resonance imaging (MRI), and clinical evaluations using the Unified Huntington’s Disease Rating Scale (UHDRS).

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The trial will be overseen by an independent Data Safety Monitoring Board (DSMB) to ensure the safety of the subjects.

Developed through the company’s platform, SKY-0515 is designed to minimise the production of HTT and PMS1 homolog 1 (PMS1) proteins, which are significant contributors to HD pathology.

In a previous Phase I trial involving healthy volunteers, the therapy showed a dose-dependent decrease in HTT mRNA, achieving an average lowering of 72% at the highest dose evaluated.

The therapy was found to be generally well tolerated across every dose. Commenced in January 2025, the company’s Phase I trial in HD patients concluded enrolment ahead of schedule in March.

Skyhawk Therapeutics CEO and founder Bill Haney said: “Dosing the first patient in our FALCON-HD trial marks a significant milestone in our mission to develop a disease-modifying therapy for Huntington’s patients.

“Building on our compelling Phase I data, we are eager to assess SKY-0515’s potential to make a meaningful difference in the lives of patients affected by this devastating condition.”

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