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A grouping for Huntington disease and similar diseases.
No HPO annotations are available for this condition.
Huntington disease (HD) is a progressive disorder with motor, cognitive, and psychiatric manifestations. The stages of HD can be categorized into premanifest (presymptomatic, prodromal) and manifest (early, moderate, advanced) . The Unified Huntington Disease Rating Scale (UHDRS) is used to assess clinical features in individuals with HD and at risk for HD . The UHDRS is composed of six sections (motor, cognitive, behavioral, functional assessment, independence scale, and total functional capacity [TFC]). The cUHDRS, a composite measure of TFC, cognitive assessment (Stroop Color and Word Test [SCWT], Symbol Digit Modalities Test [SDMT]), and motor function (based on UHDRS total motor score) is the most sensitive measure of progression in HD .
HD should be suspected in individuals with any of the following clinical and imaging findings and family history.
Clinical findings
Progressive motor disability featuring chorea. Voluntary movement may also be affected.
Mental disturbances including cognitive decline
No approved treatments are currently available for Huntington disease and related disorders. The disease remains an area of unmet medical need.
Clinical management guidelines for Huntington disease (HD) have been published . Evaluations Following Initial Diagnosis To establish the extent of disease and needs in an individual diagnosed with HD, the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended. Table 5. Huntington Disease: Recommended Evaluations Following Initial Diagnosis
To monitor existing manifestations, the individual's response to supportive care, and the emergence of new manifestations, the evaluations summarized in are recommended .
Table 7.
Huntington Disease: Recommended Surveillance
System/Concern | Evaluation | Frequency
| UHDRS motor assessment1,2 total motor score (TMS) to assess severity of chorea, rigidity, gait abnormalities | At each visit or as indicated
No clinical trials have been registered for Huntington disease and related disorders.
237 publications have been identified in PubMed for Huntington disease and related disorders. Research spans Review / Meta-Analysis (52%), Basic Science / Preclinical (24%), and Epidemiology / Natural History (7%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 124 | 52% |
Data assembled from 3 of 12 sources · Last updated Sep 20, 2026, 5:39 PM UTC
Common questions about Huntington disease and related disorders
Source: GeneReviews — "Huntington Disease"
Neuroimaging findings
Progressive striatal atrophy of the caudate and putamen
Enlargement of the lateral ventricles
Progressive gray and white matter atrophy
Family history is consistent with autosomal dominant inheritance (e.g., affected males and females in multiple generations). Absence of a known family history does not preclude the diagnosis.
The diagnosis of HD is established in a proband with and a heterozygous C...
Source: GeneReviews — "Huntington Disease"
Huntington disease (HD) falls into the differential diagnosis of chorea, dementia, and psychiatric disturbances . Individuals with these features and a family history suggestive of autosomal dominant inheritance who do not have an abnormal CAG repeat expansion in HTT are described as having an HD phenocopy. Genetic disorders characterized by phenotypes overlapping that of HD are summarized in and reviewed elsewhere (see and ). Juvenile HD. The diagnosis of HD in children is apparent in a family with a history of HD in which the father is the transmitting parent. In an affected individual with no known family history of HD and no abnormal CAG repeat length in HTT, ataxia-telangiectasia , pantothenate kinase-associated neurodegeneration, Lesch-Nyhan disease , Wilson disease , progressive myoclonic epilepsy , and other metabolic diseases must be excluded. Table 4. Huntington Disease: Differential Diagnosis
Gene(s) | Disorder | MOI | Features of Disorder |
|---|---|---|---|
ADCY5 | ADCY5-related movement disorder1 | ADAR2 | Dystonia; Chorea |
ATN1 | DRPLA (dentatorubral-pallidoluysian atrophy) | AD | Dystonia; Chorea; Cognitive impairment; Psychiatric manifestations |
ATXN3 | Spinocerebellar ataxia type 1 (SCA1), SCA2, SCA3 | AD | Gait disturbances; Progressive motor decline; Cognitive impairment; Psychiatric manifestations |
Tremor ATXN8OS/ATXN8 | Spinocerebellar ataxia type 83 | AD | Dystonia; Cognitive impairment; Chorea; Oculomotor disturbances |
C9orf72 | C9orf72 frontotemporal dementia /or amyotrophic lateral sclerosis4 | AD | Dementia; Psychiatric manifestations; Dystonia |
FTL | Neuroferritinopathy (NBIA3) | AD | Chorea; Dystonia |
FXN | Late-onset Friedreich ataxia | AR | Dysarthria; Gait disturbances |
Primary familial brain calcification | ADAR | Chorea; Gait dysfunction; Dystonia; Speech disturbance; Neurobehavioral manifestations | Choreoathetosis; Tremor JPH3 |
Huntington disease-like 2 | AD | Clinically indistinguishable from HD | Described exclusively in persons w/confirmed or likely African ancestry MAPT |
MAPT-related frontotemporal dementia | AD | Late onset (mean age of onset is 49.5 yrs); Progressive changes in motor function memory; Behavioral psychiatric manifestations | — |
Not assoc w/chorea NKX2-1(TITF1) | Benign hereditary chorea (See NKX2-1-Related Disorders.) | AD | Chorea |
Source: GeneReviews — "Huntington Disease"
Biomarker and diagnostic research for Huntington disease and related disorders has been reported in the published literature.
System/Concern | Evaluation | Comment |
|---|---|---|
Genetic counseling | By genetics professionals1 | To obtain a pedigree inform affected persons their families re nature, MOI, implications of HD to facilitate medical personal decision making Psychosocial support resources; Note: Children adolescents living w/a parent w/HD, sometimes in very deprived conditions, can have special challenges. |
Huntington Disease: Treatment of Manifestations Manifestation/Concern | Treatment | Considerations/Other |
Chorea | Pharmacologic | Typical (sulpiride) atypical (olanzapine, risperidone, quetiapine, aripiprazole) neuroleptics may partially suppress chorea; Benzodiazepines |
Hypokinesia rigidity | Pharmacologic | Tizanidine, baclofen, botulinum toxin injections for muscle spasms; Anti-parkinsonian agents may be helpful (specifically in juvenile HD). |
Myoclonic hyperkinesia | Sodium valproate or levetiracetam | Useful for significant isolated myoclonus |
Psychiatric manifestations | Pharmacologic | SSRIs (e.g., paroxetine, fluoxetine, citalopram, sertraline) for depression anxiety; Other drugs w/serotonergic noradrenergic effects (e.g. |
Source: GeneReviews — "Huntington Disease"
Levodopa-containing compounds may increase chorea. Monoamine oxidase (MAO) inhibitors should be avoided (e.g., contraindication for tetrabenazine). Alcohol and smoking are discouraged.
Source: GeneReviews — "Huntington Disease"
A wide range of potential therapeutics are under investigation in human clinical trials (reviewed in , , , and ]). The Huntington's Disease Research Pipeline maintained by the Huntington's Disease Society of America provides a list of therapies in preclinical and clinical development. See also for proposed mechanisms of pharmacologic interventions.
Table 8.
Huntington Disease: Pharmacologic Interventions in Clinical Trials
Intervention | Mechanism of Action
AB-1001 (BV-101) | AAV encoding for CYP46A1, enzyme converting cholesterol to 24-OH-cholesterol
ALN-HTT02 | RNAi selectively targeting exon 1 HTT mRNA
AMT-130 | rAAV5-miHTT
ATL-101 | di-siRNA targeting HTT
ER2001 | siRNA targeting HTT
Felodipine | Calcium channel blocker
Fenofibrate | PPAR agonist
LPM3770164 | VMAT2 inhibitor
Source: GeneReviews — "Huntington Disease"
View trials for Huntington disease and related disorders
Behavior Observation Scale Huntington (BOSH) was developed for rapid longitudinal assessment of functional abilities in a nursing home environment.3
Digital tools such as quantitative-motor (Q-Motor) may be helpful to avoid rater site biases may be particularly useful in clinical trials.4
| Use when necessary to improve quality of care in clinical practice
| • UHDRS cognitive function,1,2 verbal fluency, Symbol Digit Modalities Test (SDMT), Stroop Color Word Test (SCWT)
UHDRS for advanced patients (FAP)1,5
| At each visit or as indicated
Montreal Cognitive Assessment (MoCA)6 to assess severity of cognitive decline; not used for screening for presence of cognitive impairment
Mini-Mental Status Exam (MMSE)7 to assess those w/moderate-to-severe HD
| Use when necessary to improve quality of care in clinical practice
| UHDRS - total functional capacity (TFC) score, independence scale, functional assessment scale1 to describe disease progression, level of functioning, requirements for additional caregiver aid | At each visit or as indicated
Source: GeneReviews — "Huntington Disease"
Laboratory research
57 |
24% |
Disease patterns and progression | 16 | 7% |
New treatment approaches | 14 | 6% |
Testing and diagnosis research | 10 | 4% |
Clinical study results | 10 | 4% |
Other research | 4 | 2% |
Patient case studies | 2 | 1% |
Altun YM (2026). [PMID: 41505352](https://pubmed.ncbi.nlm.nih.gov/41505352/). *J Huntingtons Dis*. [Review / Meta-Analysis]
Sierra M (2026). [PMID: 41384922](https://pubmed.ncbi.nlm.nih.gov/41384922/). *J Huntingtons Dis*. [Review / Meta-Analysis]
Prakash S (2026). [PMID: 42152675](https://pubmed.ncbi.nlm.nih.gov/42152675/). *CNS Neurol Disord Drug Targets*. [Gene Therapy / Novel Therapeutics]
Puthiyattil N (2026). [PMID: 42140442](https://pubmed.ncbi.nlm.nih.gov/42140442/). *Ageing Res Rev*. [Review / Meta-Analysis]
Moysés-Oliveira M (2026). [PMID: 41722527](https://pubmed.ncbi.nlm.nih.gov/41722527/). *Sleep Med Rev*. [Other]
Abd-Eldayem AM (2026). [PMID: 42142504](https://pubmed.ncbi.nlm.nih.gov/42142504/). *Curr Opin Pharmacol*. [Review / Meta-Analysis]
Liu X (2026). [PMID: 42087592](https://pubmed.ncbi.nlm.nih.gov/42087592/). *Dev Neurobiol*. [Review / Meta-Analysis]
Tan K (2026). [PMID: 42035261](https://pubmed.ncbi.nlm.nih.gov/42035261/). *Mol Ther*. [Gene Therapy / Novel Therapeutics]
Cheng Y (2026). [PMID: 40808411](https://pubmed.ncbi.nlm.nih.gov/40808411/). *Neural Regen Res*. [Basic Science / Preclinical]
Perry CM (2026). [PMID: 41813136](https://pubmed.ncbi.nlm.nih.gov/41813136/). *J Neurosci*. [Review / Meta-Analysis]
AI-curated news mentioning Huntington disease and related disorders
Updated May 22, 2026
EU approval makes Joenja the first and only approved APDS treatment across the EU, Norway, Iceland and Liechtenstein, with Germany launch due in Q3 2026. Leniolisib is also being evaluated in two Phase II clinical trials in primary immunodeficiencies (PIDs) with immune dysregulation. The safety and efficacy of leniolisib has not been established for PIDs with immune dysregulation beyond APDS. About Pharming Group N.V. Pharming Group N.V. (EURONEXT Amsterdam: PHARM/Nasdaq: PHAR) is a global biopharmaceutical company dedicated to transforming the lives of patients with rare, debilitating, and life-threatening diseases. The EU approval advances Pharming’s global rare disease expansion strategy for Joenja. According to Pharming, Joenja already has approvals in the United States, United Kingdom, Japan, Australia and Israel, and the new European authorization further broadens its international treatment footprint for APDS. ... May 7, 2026 Pharming Group announces presentations at CIS 2026 Annual Meeting, including leniolisib pediatric data in APDS and clinical experience in CVID and related disorders Pharming (PHARM) received European Commission marketing authorization for Joenja (leniolisib), the first and only approved treatment in the EU for activated PI3K delta syndrome (APDS) in patients aged 12 and older. First EU launch is expected in Germany in Q3 2026, with further roll-out after national reimbursement decisions. The approval, based on a Phase II/III trial and long-term extension data, is valid in all 27 EU states plus Norway, Iceland and Liechtenstein, and supports Pharming’s rare disease expansion alongside existing approvals in the US, UK, Japan, Australia and Israel. Investors watch these conditions because they create steady, long‑term demand for diagnostics and specialized treatments (including replacement therapies and gene therapies); successful clinical trials or approvals can rapidly change a company’s revenue outlook and valuation, similar to discovering a cure for a chronic condition that many patients need.