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Global Safety and Efficacy Registration Study of Crinecerfont in Pediatric Patients With Classic Congenital Adrenal Hyperplasia (CAHtalyst Pediatric Study)

Primary Purpose

Congenital Adrenal Hyperplasia

Status
Active
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Crinecerfont
Placebo
Sponsored by
Neurocrine Biosciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Congenital Adrenal Hyperplasia focused on measuring classic congenital adrenal hyperplasia (CAH), 21-hydroxylase deficiency

Eligibility Criteria

2 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Be willing and able to adhere to the study procedures, including all requirements at the study center, and return for the follow-up visit.
  • Have a medically confirmed diagnosis of 21-hydroxylase deficiency CAH.
  • Be on a stable regimen of steroidal treatment for CAH.
  • Have elevated androgen levels.
  • Patients of childbearing potential must be abstinent or agree to use appropriate birth control during the study.

Exclusion Criteria:

  • Have a diagnosis of any of the other forms of classic CAH.
  • Have a history of bilateral adrenalectomy, hypopituitarism, or other condition requiring chronic glucocorticoid therapy.
  • Have a clinically significant unstable medical condition or chronic disease other than CAH.
  • Have a history of cancer unless considered to be cured.
  • Have a known history of clinically significant arrhythmia or abnormalities on ECG.
  • Have a known hypersensitivity to any corticotropin-releasing hormone antagonist.
  • Have received an investigational drug within 30 days before initial screening or plan to use an investigational drug (other than the study drug) during the study.
  • Have current substance dependence or substance (drug) or alcohol abuse.
  • Have had a significant blood loss or donated blood or blood products within 8 weeks prior to the study.

Sites / Locations

  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site
  • Neurocrine Clinical Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Crinecerfont

Placebo

Arm Description

Crinecerfont solution or capsule, administered orally, twice daily for 28 weeks during the placebo-controlled treatment period, followed by active treatment with crinecerfont for at least 24 weeks.

Placebo solution or capsule, administered orally, twice daily for 28 weeks, followed by active treatment with crinecerfont for at least 24 weeks.

Outcomes

Primary Outcome Measures

Change from Baseline in Serum Androstenedione (A4) at Week 4

Secondary Outcome Measures

Change from Baseline in Serum 17-hydroxyprogesterone (17-OHP) at Week 4
Percent Change from Baseline in Glucocorticoid Daily Dose at Week 28
Achievement of a reduction in glucocorticoid daily dose to physiologic levels at Week 28
Change from baseline in body mass index at Week 28
Change from baseline in salivary 17-OHP at Week 28
Change in bone age advancement at Week 28
Change from baseline in predicted adult height at Week 52

Full Information

First Posted
March 16, 2021
Last Updated
April 11, 2023
Sponsor
Neurocrine Biosciences
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1. Study Identification

Unique Protocol Identification Number
NCT04806451
Brief Title
Global Safety and Efficacy Registration Study of Crinecerfont in Pediatric Patients With Classic Congenital Adrenal Hyperplasia (CAHtalyst Pediatric Study)
Official Title
A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Crinecerfont (NBI-74788) in Pediatric Subjects With Classic Congenital Adrenal Hyperplasia, Followed by Open-Label Treatment
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
June 24, 2021 (Actual)
Primary Completion Date
March 10, 2023 (Actual)
Study Completion Date
August 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Neurocrine Biosciences

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase 3 study to evaluate the efficacy, safety, and tolerability of crinecerfont versus placebo administered for 28 weeks in approximately 81 pediatric participants with classic congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. The study consists of a 28-week double blind, placebo-controlled period, followed by 24 weeks of open-label treatment with crinecerfont. Subsequently, participants may elect to participate in the open-label extension (OLE) period. The duration of participation in the study is approximately 14 months for the core study and will be a variable amount of time per participant for the OLE (estimated to be approximately 3 years).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Congenital Adrenal Hyperplasia
Keywords
classic congenital adrenal hyperplasia (CAH), 21-hydroxylase deficiency

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
103 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Crinecerfont
Arm Type
Experimental
Arm Description
Crinecerfont solution or capsule, administered orally, twice daily for 28 weeks during the placebo-controlled treatment period, followed by active treatment with crinecerfont for at least 24 weeks.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo solution or capsule, administered orally, twice daily for 28 weeks, followed by active treatment with crinecerfont for at least 24 weeks.
Intervention Type
Drug
Intervention Name(s)
Crinecerfont
Other Intervention Name(s)
NBI-74788
Intervention Description
CRF1-receptor antagonist
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Non-active dosage form
Primary Outcome Measure Information:
Title
Change from Baseline in Serum Androstenedione (A4) at Week 4
Time Frame
Baseline to Week 4
Secondary Outcome Measure Information:
Title
Change from Baseline in Serum 17-hydroxyprogesterone (17-OHP) at Week 4
Time Frame
Baseline to Week 4
Title
Percent Change from Baseline in Glucocorticoid Daily Dose at Week 28
Time Frame
Baseline to Week 28
Title
Achievement of a reduction in glucocorticoid daily dose to physiologic levels at Week 28
Time Frame
Baseline to Week 28
Title
Change from baseline in body mass index at Week 28
Time Frame
Baseline to Week 28
Title
Change from baseline in salivary 17-OHP at Week 28
Time Frame
Baseline to Week 28
Title
Change in bone age advancement at Week 28
Time Frame
Baseline to Week 28
Title
Change from baseline in predicted adult height at Week 52
Time Frame
Baseline to Week 52

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Be willing and able to adhere to the study procedures, including all requirements at the study center, and return for the follow-up visit. Have a medically confirmed diagnosis of 21-hydroxylase deficiency CAH. Be on a stable regimen of steroidal treatment for CAH. Have elevated androgen levels. Participants of childbearing potential must be abstinent or agree to use appropriate birth control during the study. Exclusion Criteria: Have a diagnosis of any of the other forms of classic CAH. Have a history of bilateral adrenalectomy, hypopituitarism, or other condition requiring chronic glucocorticoid therapy. Have a clinically significant unstable medical condition or chronic disease other than CAH. Have a history of cancer unless considered to be cured. Have a known history of clinically significant arrhythmia or abnormalities on ECG. Have a known hypersensitivity to any corticotropin-releasing hormone antagonist. Have received an investigational drug within 30 days before initial screening or plan to use an investigational drug (other than the study drug) during the study. Have current substance dependence or substance (drug) or alcohol abuse. Have had a significant blood loss or donated blood or blood products within 8 weeks prior to the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Development Lead
Organizational Affiliation
Neurocrine Biosciences
Official's Role
Study Director
Facility Information:
Facility Name
Neurocrine Clinical Site
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35233
Country
United States
Facility Name
Neurocrine Clinical Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90027
Country
United States
Facility Name
Neurocrine Clinical Site
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Neurocrine Clinical Site
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Neurocrine Clinical Site
City
San Francisco
State/Province
California
ZIP/Postal Code
94158
Country
United States
Facility Name
Neurocrine Clinical Site
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Neurocrine Clinical Site
City
Hartford
State/Province
Connecticut
ZIP/Postal Code
06106
Country
United States
Facility Name
Neurocrine Clinical Site
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20010
Country
United States
Facility Name
Neurocrine Clinical Site
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30329
Country
United States
Facility Name
Neurocrine Clinical Site
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Neurocrine Clinical Site
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Neurocrine Clinical Site
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Neurocrine Clinical Site
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55454
Country
United States
Facility Name
Neurocrine Clinical site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63104
Country
United States
Facility Name
Neurocrine Clinical Site
City
New Hyde Park
State/Province
New York
ZIP/Postal Code
11040
Country
United States
Facility Name
Neurocrine Clinical Site
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
Neurocrine Clinical Site
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
Neurocrine Clinical Site
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74135
Country
United States
Facility Name
Neurocrine Clinical Site
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Neurocrine Clinical Site
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15224
Country
United States
Facility Name
Neurocrine Clinical Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75235
Country
United States
Facility Name
Neurocrine Clinical Site
City
Seattle
State/Province
Washington
ZIP/Postal Code
98105
Country
United States
Facility Name
Neurocrine Clinical Site
City
Brussels
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Neurocrine Clinical Site
City
Ghent
ZIP/Postal Code
9000
Country
Belgium
Facility Name
Neurocrine Clinical Site
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 1C9
Country
Canada
Facility Name
Neurocrine Clinical Site
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V6H 3V4
Country
Canada
Facility Name
Neurocrine Clinical Site
City
Montréal
State/Province
Quebec
ZIP/Postal Code
H3T 1C5
Country
Canada
Facility Name
Neurocrine Clinical Site
City
Angers
ZIP/Postal Code
49933
Country
France
Facility Name
Neurocrine Clinical Site
City
Bordeau
ZIP/Postal Code
33076
Country
France
Facility Name
Neurocrine Clinical Site
City
Le Kremlin-Bicêtre
ZIP/Postal Code
94270
Country
France
Facility Name
Neurocrine Clinical Site
City
Paris
ZIP/Postal Code
75015
Country
France
Facility Name
Neurocrine Clinical Site
City
Paris
ZIP/Postal Code
75019
Country
France
Facility Name
Neurocrine Clinical Site
City
Berlin
ZIP/Postal Code
13353
Country
Germany
Facility Name
Neurocrine Clinical Site
City
Heidelberg
ZIP/Postal Code
69120
Country
Germany
Facility Name
Neurocrine Clinical Site
City
Magdeburg
ZIP/Postal Code
39120
Country
Germany
Facility Name
Neurocrine Clinical Site
City
Athens
ZIP/Postal Code
115 27
Country
Greece
Facility Name
Neurocrine Clinical Site
City
Athens
ZIP/Postal Code
11527
Country
Greece
Facility Name
Neurocrine Clinical Site
City
Bologna
ZIP/Postal Code
40138
Country
Italy
Facility Name
Neurocrine Clinical Site
City
Milan
ZIP/Postal Code
20132
Country
Italy
Facility Name
Neurocrine Clinical Site
City
Napoli
ZIP/Postal Code
80131
Country
Italy
Facility Name
Neurocrine Clinical Site
City
Roma
ZIP/Postal Code
00165
Country
Italy
Facility Name
Neurocrine Clinical Site
City
Gdańsk
ZIP/Postal Code
80-214
Country
Poland
Facility Name
Neurocrine Clinical Site
City
Rzeszów
ZIP/Postal Code
35-301
Country
Poland
Facility Name
Neurocrine Clinical Site
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Neurocrine Clinical Site
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
Facility Name
Neurocrine Clinical Site
City
London
ZIP/Postal Code
WC1N 3JH
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Global Safety and Efficacy Registration Study of Crinecerfont in Pediatric Patients With Classic Congenital Adrenal Hyperplasia (CAHtalyst Pediatric Study)

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