One hundred patients with clinically diagnosed Huntington's disease (H
D) were randomized to either idebenone, an antioxidant and enhancer of
oxidative metabolism, or placebo, in a 1-year, double-blind, parallel
-group study aimed at slowing the rate of progression of the disease,
Ninety-one patients completed the study. There were no significant dif
ferences between groups on the primary outcome measures of the Hunting
ton's Disease Activities of Daily Living Scale (ADL-an index of functi
onal status) and the Quantified Neurologic Examination (QNE), Sample s
ize calculations based on progression of the ADL and QNE in this study
group revealed that a larger study group is necessary to detect any d
ifferences less than an almost complete halting of the disease. This a
rgues for multicenter efforts for future therapeutic trials in HD.