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This is a Phase 2 multicenter, single-blind, multiple dose study to evaluate the safety and efficacy of orally administered ATR-101 in subjects with classic congenital adrenal hyperplasia (CAH). Treatment duration will range from a minimum of approximately 2 months to 6 months per subject. A subject may receive a minimum of one dose level or up to a maximum of 5 dose levels, in sequentially increasing dose strengths. Each dose level will last 28 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ATR-101 | Experimental | Ascending dose levels of ATR-101 beginning with 125 mg by mouth twice per day up to 1000 mg twice per day. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ATR-101 | Drug | 125-1000 mg twice per week |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Reduction of 17-hydroxyprogesterone to </= 2 Times the Upper Limit of Normal at Any Time Following 2 Weeks of Dosing With ATR-101 | 17-hydroxyprogesterone was measured predose in the morning at the beginning and end of each dose level. | Evaluated at baseline and day 15 of each dose level. Each subject will have up to 5 dose levels. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johns Hopkins University | Baltimore | Maryland | 21287 | United States | ||
| National Institutes of Health Clinical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32589738 | Derived | El-Maouche D, Merke DP, Vogiatzi MG, Chang AY, Turcu AF, Joyal EG, Lin VH, Weintraub L, Plaunt MR, Mohideen P, Auchus RJ. A Phase 2, Multicenter Study of Nevanimibe for the Treatment of Congenital Adrenal Hyperplasia. J Clin Endocrinol Metab. 2020 Aug 1;105(8):2771-8. doi: 10.1210/clinem/dgaa381. |
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| ID | Title | Description |
|---|---|---|
| FG000 | ATR-101 | Ascending dose levels of ATR-101 beginning with 125 mg by mouth twice per day up to 1000 mg twice per day. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | ATR-101 | Ascending dose levels of ATR-101 beginning with 125 mg by mouth twice per day up to 1000 mg twice per day. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Reduction of 17-hydroxyprogesterone to </= 2 Times the Upper Limit of Normal at Any Time Following 2 Weeks of Dosing With ATR-101 | 17-hydroxyprogesterone was measured predose in the morning at the beginning and end of each dose level. | Posted | Count of Participants | Participants | Evaluated at baseline and day 15 of each dose level. Each subject will have up to 5 dose levels. |
|
|
Adverse events were collected from the time the patient signed informed consent until 4 weeks after the last dose of active drug.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | ATR-101 | Ascending dose levels of ATR-101 beginning with 125 mg by mouth twice per day up to 1000 mg twice per day. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Enteritis | Gastrointestinal disorders | MedDRA (18.0) | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrioventricular block first degree | Cardiac disorders | MedDRA (18.0) | Non-systematic Assessment |
The small number of subjects analyzed as a result of the rarity of the disease (congenital adrenal hyperplasia).and the stage of the study (phase 2a)
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trial Information | Millendo Therapeutics | +1 734-845-9000 | millendo@millendo.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jan 14, 2016 | Jan 26, 2021 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Sep 6, 2017 | Jan 26, 2021 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D000312 | Adrenal Hyperplasia, Congenital |
| C535979 | Congenital adrenal hyperplasia due to 21 hydroxylase deficiency |
| ID | Term |
|---|---|
| D047808 | Adrenogenital Syndrome |
| D012734 | Disorders of Sex Development |
| D014564 | Urogenital Abnormalities |
| D052776 | Female Urogenital Diseases |
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| ID | Term |
|---|---|
| C079534 | N-(2,6-bis(1-methylethyl)phenyl)-N'-((1-(4-(dimethylamino)phenyl)cyclopentyl)methyl)urea hydrochloride |
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Single treatment arm with up to 5 planned dosing periods with escalating doses. Subjects were dosed with each dose level for 2 weeks, followed by 2 weeks of matching placebo (subjects blinded).
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| Bethesda |
| Maryland |
| 20892 |
| United States |
| University of Michigan | Ann Arbor | Michigan | 48109 | United States |
| Mayo Clinic - Rochester | Rochester | Minnesota | 55905 | United States |
| The University of Oklahoma - Tulsa Schusterman Center | Tulsa | Oklahoma | 74135 | United States |
| The Children's Hospital of Philadelphia | Philadelphia | Pennsylvania | 10021 | United States |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| 17-hydroxyprogesterone | Mean | Standard Deviation | ng/dL |
|
|
|
| 0 |
| 10 |
| 1 |
| 10 |
| 9 |
| 10 |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Dyspepsia | Gastrointestinal disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Gingival recession | Gastrointestinal disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Fatigue | General disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
|
| Gastroenteritis viral | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
|
| Tooth infection | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
|
| Viral infection | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
|
| Muscle strain | Injury, poisoning and procedural complications | MedDRA (18.0) | Non-systematic Assessment |
|
| Weight decreased | Investigations | MedDRA (18.0) | Non-systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Hypokalemia | Metabolism and nutrition disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Hyponatremia | Metabolism and nutrition disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Migraine | Nervous system disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Insomnia | Psychiatric disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Acne | Skin and subcutaneous tissue disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Pruritis generalised | Skin and subcutaneous tissue disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA (18.0) | Non-systematic Assessment |
|
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| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D030342 | Genetic Diseases, Inborn |
| D043202 | Steroid Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D000307 | Adrenal Gland Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |