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| ID | Type | Description | Link |
|---|---|---|---|
| 2020-001741-38 | EudraCT Number |
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The purpose of this study is to evaluate the dose-related safety, tolerability, pharmacokinetics (PK) and pharmacological effects (PD) of CORT125329 after single and multiple ascending oral doses of CORT125329 lipid capsule formulations in healthy participants.
This is a 3-part, single-center study of single and multiple ascending doses of CORT125329 in healthy participants.
Part 1 will be a double-blind, randomized, placebo-controlled assessment of single ascending doses (SAD) of CORT125329 lipid capsule formulations. Participants will be enrolled sequentially into 1 of up to 8 cohorts, each containing 8 participants.
Part 2 will be double-blind, randomized, placebo-controlled assessments of multiple oral ascending doses (MAD) of CORT125329 lipid capsule formulations. Participants will be enrolled sequentially into 1 of up to 4 cohorts, each containing 8 participants.
Optional Part 3 will be an open-label, 2-way fixed sequence cross-over study and will serve as proof of PD (glucocorticoid receptor modulation) for CORT125329 lipid capsule formulations. Participants will be enrolled in a single cohort of 10 participants.
Throughout the study, routine safety tests will be performed. In selected parts of the study, assessments of PK (CORT125329), changes in serum cortisol and plasma adrenocorticotrophic hormone (ACTH), and changes in hematological and bone biomarkers will be measured.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SAD Cohort A CORT125329 | Experimental | Participants will receive a single dose of CORT125329 30 mg lipid capsule formulation 1 in the fasted state on Day 1 |
|
| SAD Cohort B CORT125329 | Experimental | Participants will receive a single dose of CORT125329 lipid capsule formulation 1 in the fasted state on Day 1. The dose will be determined after review of safety, tolerability, and PK data from SAD Cohort A. |
|
| SAD Cohorts C through H CORT125329 | Experimental | Participants will receive a single dose of CORT125329 lipid capsule formulation 1 or 2 in the fasted or fed state on Day 1 in a dose escalation format. The dose, formulation, and prandial state for each cohort will be determined after review of safety, tolerability, and PK data from previous cohorts. |
|
| SAD Cohorts A through H Placebo | Placebo Comparator | Participants will receive a single dose of placebo matching CORT125329 lipid capsule formulation 1 or 2 in the fasted or fed state on Day 1 in a dose escalation format. The dose, formulation, and prandial state for each placebo cohort will match that used in the corresponding CORT125329 cohort. |
|
| MAD Cohorts A through D CORT125329 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CORT125329 lipid capsule formulation | Drug | CORT125329 lipid capsule formulation 1 or 2 for oral administration |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants with One or More Adverse Events | SAD Cohorts: up to Day 11; MAD Cohorts: up to Day 23; PD Effect Cohort: up to Day 2 in Period 1 and up to Day 11 in Period 2 | |
| Percentage of Participants with One or More Serious Adverse Events | SAD Cohorts: up to Day 11; MAD Cohorts: up to Day 23; PD Effect Cohort: up to Day 2 in Period 1 and up to Day 11 in Period 2 | |
| Percentage of Participants Discontinued from the Study Due to an Adverse Event | SAD Cohorts: up to Day 11; MAD Cohorts: up to Day 23; PD Effect Cohort: up to Day 2 in Period 1 and up to Day 11 in Period 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma Pharmacokinetics (PK) of CORT125329: Maximum Observed Concentration (Cmax) | SAD Cohorts: before dosing and at prespecified time points up to Day 11; MAD Cohorts: before dosing and at prespecified time points up to Day 23; PD Effect Cohort: before dosing and at prespecified time points up to Day 11 in Period 2 | |
| Plasma PK of CORT125329: Elapsed Time from Dosing at which the Analyte was First Quantifiable in a Concentration vs Time Profile (tlag) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sharan Sidhu, MBChB, BAO, MRCS, MFPM | Quotient Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Quotient Sciences | Ruddington | Nottingham | NG11 6JS | United Kingdom |
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| ID | Term |
|---|---|
| D004304 | Dosage Forms |
| D011241 | Prednisone |
| ID | Term |
|---|---|
| D004364 | Pharmaceutical Preparations |
| D013678 | Technology, Pharmaceutical |
| D008919 | Investigative Techniques |
| D011244 | Pregnadienediols |
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| Experimental |
Participants will receive CORT125329 lipid capsule formulation 1 or 2 in the fasted or fed state on Days 1 through 14 in a dose escalation format. The dose, dose frequency (once- or twice-daily), formulation, and prandial state for each cohort will be determined after review of safety, tolerability, and PK data from previous cohorts. |
|
| MAD Cohorts A through D Placebo | Placebo Comparator | Participants will receive placebo matching CORT125329 lipid capsule formulation 1 or 2 in the fasted or fed state on Days 1 through 14 in a dose escalation format. The dose, dose frequency, formulation, and prandial state for each cohort will match that used in the corresponding CORT125329 cohort. |
|
| Pharmacodynamic (PD) Effect Cohort | Experimental | Participants will receive a single dose of prednisone 25 mg in the fasted or fed state on Day 1 of Period 1. The prandial state for the Period 1 treatment will be determined after review of safety and tolerability data from the SAD Cohorts. After a 7-day washout period, participants will receive a single dose of prednisone 25 mg and a single dose of CORT125329 lipid capsule formulation 1 or 2 in the fasted or fed state on Day 1 of Period 2. The formulation and dose level of CORT125329 treatment in Period 2 will be determined after review of safety, tolerability, and PK data from the SAD cohorts. The prandial state for treatment in Period 2 will be the same used in Period 1. |
|
| Placebo | Drug | Placebo matching CORT125329 lipid capsule formulation 1 or 2 for oral administration |
|
| Prednisone | Drug | Prednisone tablet for oral administration |
|
| SAD Cohorts: before dosing and at prespecified time points up to Day 11; MAD Cohorts: before dosing and at prespecified time points up to Day 23; PD Effect Cohort: before dosing and at prespecified time points up to Day 11 in Period 2 |
| Plasma PK of CORT125329: Time from Dosing at which Cmax was Apparent (Tmax) | SAD Cohorts: before dosing and at prespecified time points up to Day 11; MAD Cohorts: before dosing and at prespecified time points up to Day 23; PD Effect Cohort: before dosing and at prespecified time points up to Day 11 in Period 2 |
| Plasma PK of CORT125329: Apparent Elimination Half-life (t1/2) | SAD Cohorts: before dosing and at prespecified time points up to Day 11; MAD Cohorts: before dosing and at prespecified time points up to Day 23; PD Effect Cohort: before dosing and at prespecified time points up to Day 11 in Period 2 |
| Plasma PK of CORT125329: Area Under the Curve from Zero Time to the Last Measurable Concentration (AUC0-last) | SAD Cohorts: before dosing and at prespecified time points up to Day 11; PD Effect Cohort: before dosing and at prespecified time points up to Day 11 in Period 2 |
| Plasma PK of CORT125329: Area Under the Curve During a Dosing Interval (AUC0-tau) | MAD Cohorts: before dosing and at prespecified time points up to Day 15 |
| Plasma PK of CORT125329: Area Under the Curve from Zero Time Extrapolated to Infinity (AUC0-inf) | SAD Cohorts: before dosing and at prespecified time points up to Day 11; PD Effect Cohort: before dosing and at prespecified time points up to Day 11 in Period 2 |
| Serum Cortisol | MAD Cohorts: before dosing in the morning of Days 1 and 14 and in the evening of Days -1 and 14 |
| Plasma Adrenocorticotrophic Hormone (ACTH) | MAD Cohorts: two samples taken before dosing in the morning of Days 1 and 14 and in the evening of Days -1 and 14 |
| Eosinophil Count | PD Effect Cohort: before dosing and at prespecified time points up to 24 hours after dosing in Period 1 and 2 |
| Lymphocyte Count | PD Effect Cohort: before dosing and at prespecified time points up to 24 hours after dosing in Period 1 and 2 |
| Neutrophil Count | PD Effect Cohort: before dosing and at prespecified time points up to 24 hours after dosing in Period 1 and 2 |
| Serum Osteocalcin | PD Effect Cohort: before dosing and at prespecified time points up to 24 hours after dosing in Period 1 and 2 |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |