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Enroll-HD: An Integrated Clinical Research Platform and Worldwide Observational Study for Huntington's Disease
Swati Sathe1, Jen Ware1, Jamie Levey1
1CHDI Management/CHDI Foundation, Princeton, NJ, United States.
Insights
Enroll-HD is a global research platform and observational study for Huntington
Area of Science:
- Clinical research
- Neurodegenerative diseases
- Observational studies
Background:
- Huntington's disease (HD) requires robust clinical research infrastructure for therapeutic development.
- Existing research efforts needed a unified platform for data and sample collection.
Purpose of the Study:
- To establish an integrated global clinical research platform for Huntington's disease (HD).
- To facilitate the development of therapeutics for HD by creating a well-characterized research cohort.
Main Methods:
- Enroll-HD operates as a worldwide observational study, collecting clinical data and biosamples.
- Utilizes a flexible Electronic Data Capture (EDC) system and a comprehensive monitoring infrastructure.
- Employs standardized protocols, training, and documentation across 159 sites in 21 countries.
Main Results:
- Recruited nearly 25,000 participants across four continents.
- Generated a large, rich clinical database and associated biosamples.
- Facilitated access to clinical datasets and biosamples for verified researchers.
Conclusions:
- Enroll-HD provides a low-burden entry point for participants into HD research.
- The platform significantly expedites Huntington's disease research by providing accessible data and biosamples.
- Standardization and data quality are key operational features enabling global research collaboration.
Abstract:
Established in July 2012, Enroll-HD is both an integrated clinical research platform and a worldwide observational study designed to meet the clinical research requirements necessary to develop therapeutics for Huntington's disease (HD). The platform offers participants a low-burden entry into HD research, providing a large, well-characterized, research-engaged cohort with associated clinical data and biosamples that facilitates recruitment into interventional trials and other research studies. Additional studies that use Enroll-HD data and/or biosamples are built into the platform to further research on biomarkers and outcome measures. Enroll-HD is now operating worldwide in 21 countries at 159 clinical sites across four continents-Europe, North America, Latin America, and Australasia-and has recruited almost 25,000 participants, generating a large, rich clinical database with associated biosamples to expedite HD research; any researcher at a verifiable research organization can access the clinical datasets and biosamples from Enroll-HD and nested studies. Important operational features of Enroll-HD include a strong emphasis on standardization, data quality, and protecting participant identity, a single worldwide study protocol, a flexible EDC system capable of integrating multiple studies, a comprehensive monitoring infrastructure, an online portal to train and certify site personnel, and standardized study documents including informed consent forms and contractual agreements.
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