Trial Outcomes & Findings for Pilot Study to Characterize and Examine the Pharmacokinetics and Efficacy of Chronocort® in Adults With CAH (NCT NCT01735617)

NCT ID: NCT01735617

Last Updated: 2017-05-17

Results Overview

The maximum plasma concentration (Cmax) of chronocort

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

16 participants

Primary outcome timeframe

24 hours

Results posted on

2017-05-17

Participant Flow

Participant milestones

Participant milestones
Measure
Hydrocortisone Modified Release Capsules
Chronocort Modified Release Capsules, 5mg, 10mg and 20mg Dosing frequency twice-daily (mane and nocte) Dose setting by titration to achieve optimal biochemical and therapeutic response Hydrocortisone Modified Release Capsules: Patients with congenital adrenal hyperplasia standardised on conventional therapy is enrolled onto the study and treatment is switched to Chronocort, initially for pharmacokinetic assessment followed by longer-term biochemical and efficacy assessment
Overall Study
STARTED
16
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pilot Study to Characterize and Examine the Pharmacokinetics and Efficacy of Chronocort® in Adults With CAH

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hydrocortisone Modified Release Capsules
n=16 Participants
Chronocort Modified Release Capsules, 5mg, 10mg and 20mg Dosing frequency twice-daily (mane and nocte) Dose setting by titration to achieve optimal biochemical and therapeutic response Hydrocortisone Modified Release Capsules: Patients with congenital adrenal hyperplasia standardised on conventional therapy is enrolled onto the study and treatment is switched to Chronocort, initially for pharmacokinetic assessment followed by longer-term biochemical and efficacy assessment
Age, Continuous
28.7 years
STANDARD_DEVIATION 12.97 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
16 participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 hours

Population: All treated subjects

The maximum plasma concentration (Cmax) of chronocort

Outcome measures

Outcome measures
Measure
Chronocort
n=16 Participants
Chronocort Modified Release Capsules 10 mg twice-daily.
Pharmacokinetic Profile (Cmax) Following Short-term Treatment With Chronocort® in Adult Patients With Congenital Adrenal Hyperplasia
601.213 nmol/L
Standard Deviation 114.5987

PRIMARY outcome

Timeframe: 24 hours (at 2300, 0100, 0300, 0500, 0600, 0700, 0800, 0900, 1000, 1100, 1200, 1300, 1400, 1500, 1600, 1700, 1900, 2100, 2300hrs)

Population: All treated subjects

Area under the curve (AUC) from 0 to 24 hours (sampling occurs at the following timepoints: 2300, 0100, 0300, 0500, 0600, 0700, 0800, 0900, 1000, 1100, 1200, 1300, 1400, 1500, 1600, 1700, 1900, 2100, 2300hrs)

Outcome measures

Outcome measures
Measure
Chronocort
n=16 Participants
Chronocort Modified Release Capsules 10 mg twice-daily.
Pharmacokinetic Profile (AUC0-24) Following Short-term Treatment With Chronocort® in Adult Patients With Congenital Adrenal Hyperplasia
5027.641 h*nmol/L
Standard Deviation 1247.8425

PRIMARY outcome

Timeframe: 24 hours

Population: All treated subjects

Time to maximum plasma concentration (tmax)

Outcome measures

Outcome measures
Measure
Chronocort
n=16 Participants
Chronocort Modified Release Capsules 10 mg twice-daily.
Pharmacokinetic Profile (Tmax) Following Short-term Treatment With Chronocort® in Adult Patients With Congenital Adrenal Hyperplasia
7.9 Hours
Standard Deviation 2.9

SECONDARY outcome

Timeframe: Specific time point (0700hrs)

Proposed optimal ranges of 17-OHP: 300-1200ng/dl Proposed optimal ranges of androstenedione: 40-150ng.dl for males and 30-200ng/dl for females

Outcome measures

Outcome measures
Measure
Chronocort
n=16 Participants
Chronocort Modified Release Capsules 10 mg twice-daily.
The Percentage of Patients With 17-OHP and Androstenedione Levels at 0700h Within Proposed Optimal Ranges Whilst on Chronocort and Whilst on Standard Therapy (at Baseline)
17-OHP (baseline)
0 percentage of participants
The Percentage of Patients With 17-OHP and Androstenedione Levels at 0700h Within Proposed Optimal Ranges Whilst on Chronocort and Whilst on Standard Therapy (at Baseline)
17-OHP (final visit)
12.5 percentage of participants
The Percentage of Patients With 17-OHP and Androstenedione Levels at 0700h Within Proposed Optimal Ranges Whilst on Chronocort and Whilst on Standard Therapy (at Baseline)
Androstenedione (baseline)
56.3 percentage of participants
The Percentage of Patients With 17-OHP and Androstenedione Levels at 0700h Within Proposed Optimal Ranges Whilst on Chronocort and Whilst on Standard Therapy (at Baseline)
Androstenedione (final visit)
81.3 percentage of participants

SECONDARY outcome

Timeframe: Specified time points (0700h, 1700h and 2300h)

17-OHP levels at 0700h, 1700h and 2300h

Outcome measures

Outcome measures
Measure
Chronocort
n=16 Participants
Chronocort Modified Release Capsules 10 mg twice-daily.
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part A, Days 1-2 (0700h)
76.97 nmol/L
Standard Deviation 91.986
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part A, Days 1-2 (1700h)
70.99 nmol/L
Standard Deviation 104.106
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part A, Days 1-2 (2300h)
55.35 nmol/L
Standard Deviation 93.632
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part A, Days 4-5 (0700h)
7.72 nmol/L
Standard Deviation 8.231
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part A, Days 4-5 (1700h)
23.55 nmol/L
Standard Deviation 66.046
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part A, Days 4-5 (2300h)
27.27 nmol/L
Standard Deviation 55.140
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part B, Visit 2 (0700h)
24.86 nmol/L
Standard Deviation 54.086
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part B, Visit 2 (1700h)
15.17 nmol/L
Standard Deviation 20.400
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part B, Visit 2 (2300h)
26.65 nmol/L
Standard Deviation 51.185
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part B, Visit 3 (0700h)
34.87 nmol/L
Standard Deviation 49.072
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part B, Visit 3 (1700h)
13.81 nmol/L
Standard Deviation 20.700
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part B, Visit 3 (2300h)
18.95 nmol/L
Standard Deviation 28.276
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part B, Visit 4 (0700h)
13.67 nmol/L
Standard Deviation 19.091
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part B, Visit 4 (1700h)
34.70 nmol/L
Standard Deviation 69.876
17-OHP Levels at 0700h, 1700h and 2300h
17-OHP: Part B, Visit 4 (2300h)
22.19 nmol/L
Standard Deviation 46.826

SECONDARY outcome

Timeframe: Specified time points (0700h, 1700h and 2300h)

Androstenedione levels at 0700h, 1700h and 2300h

Outcome measures

Outcome measures
Measure
Chronocort
n=16 Participants
Chronocort Modified Release Capsules 10 mg twice-daily.
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part A, Days 1-2 (0700h)
7.92 nmol/L
Standard Deviation 8.474
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part A, Days 1-2 (1700h)
7.54 nmol/L
Standard Deviation 7.966
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part A, Days 1-2 (2300h)
7.43 nmol/L
Standard Deviation 9.388
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part A, Days 4-5 (0700h)
3.11 nmol/L
Standard Deviation 2.178
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part A, Days 4-5 (1700h)
4.62 nmol/L
Standard Deviation 8.005
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part A, Days 4-5 (2300h)
5.37 nmol/L
Standard Deviation 8.340
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part B, Visit 2 (0700h)
4.96 nmol/L
Standard Deviation 6.731
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part B, Visit 2 (1700h)
3.47 nmol/L
Standard Deviation 3.094
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part B, Visit 2 (2300h)
3.79 nmol/L
Standard Deviation 3.748
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part B, Visit 3 (0700h)
4.57 nmol/L
Standard Deviation 3.561
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part B, Visit 3 (1700h)
3.61 nmol/L
Standard Deviation 2.713
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part B, Visit 3 (2300h)
3.91 nmol/L
Standard Deviation 3.103
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part B, Visit 4 (0700h)
3.40 nmol/L
Standard Deviation 1.973
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part B, Visit 4 (1700h)
4.19 nmol/L
Standard Deviation 4.602
Androstenedione Levels at 0700h, 1700h and 2300h
Androstenedione: Part B, Visit 4 (2300h)
3.37 nmol/L
Standard Deviation 2.655

SECONDARY outcome

Timeframe: Specified time points (0700h, 1700h and 2300h)

ACTH levels at 0700h, 1700h and 2300h

Outcome measures

Outcome measures
Measure
Chronocort
n=16 Participants
Chronocort Modified Release Capsules 10 mg twice-daily.
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part A, Days 1-2 (0700h)
21.06 pmol/L
Standard Deviation 29.767
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part A, Days 1-2 (1700h)
20.93 pmol/L
Standard Deviation 30.121
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part A, Days 1-2 (2300h)
7.75 pmol/L
Standard Deviation 9.873
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part A, Days 4-5 (0700h)
4.16 pmol/L
Standard Deviation 9.190
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part A, Days 4-5 (1700h)
4.71 pmol/L
Standard Deviation 7.382
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part A, Days 4-5 (2300h)
7.37 pmol/L
Standard Deviation 7.990
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part B, Visit 2 (0700h)
7.02 pmol/L
Standard Deviation 12.159
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part B, Visit 2 (1700h)
5.57 pmol/L
Standard Deviation 6.769
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part B, Visit 2 (2300h)
8.66 pmol/L
Standard Deviation 14.637
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part B, Visit 3 (0700h)
9.66 pmol/L
Standard Deviation 12.418
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part B, Visit 3 (1700h)
4.71 pmol/L
Standard Deviation 6.331
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part B, Visit 3 (2300h)
6.04 pmol/L
Standard Deviation 7.997
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part B, Visit 4 (0700h)
12.18 pmol/L
Standard Deviation 29.911
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part B, Visit 4 (1700h)
13.66 pmol/L
Standard Deviation 22.851
ACTH Levels at 0700h, 1700h and 2300h
ACTH: Part B, Visit 4 (2300h)
9.44 pmol/L
Standard Deviation 17.474

SECONDARY outcome

Timeframe: Specific time points (2300-2300h, 2300-0700h, 0700-1500h and 1500-2300h)

AUC values (nmol\*h/L) for Androstenedione for the following reporting periods: 24 hours (2300-2300h), 2300-0700h, 0700-1500h and 1500-2300h

Outcome measures

Outcome measures
Measure
Chronocort
n=16 Participants
Chronocort Modified Release Capsules 10 mg twice-daily.
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part A, Days 1-2 AUC (2300-2300h)
166.19 nmol*h/L
Standard Deviation 171.969
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part A, Days 1-2 AUC (2300-0700h)
41.42 nmol*h/L
Standard Deviation 34.133
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part A, Days 1-2 AUC (0700-1500h)
65.33 nmol*h/L
Standard Deviation 76.337
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part A, Days 1-2 AUC (1500-2300h)
59.44 nmol*h/L
Standard Deviation 65.995
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part A, Days 4-5 AUC (2300-2300h)
104.37 nmol*h/L
Standard Deviation 128.725
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part A, Days 4-5 AUC (2300-0700h)
36.02 nmol*h/L
Standard Deviation 40.225
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part A, Days 4-5 AUC (0700-1500h)
32.01 nmol*h/L
Standard Deviation 31.503
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part A, Days 4-5 AUC (1500-2300h)
37.91 nmol*h/L
Standard Deviation 58.394
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part B, Visit 2 AUC (2300-2300h)
88.58 nmol*h/L
Standard Deviation 86.364
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part B, Visit 2 AUC (2300-0700h)
35.12 nmol*h/L
Standard Deviation 43.580
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part B, Visit 2 AUC (0700-1500h)
26.07 nmol*h/L
Standard Deviation 22.298
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part B, Visit 2 AUC (1500-2300h)
27.39 nmol*h/L
Standard Deviation 23.989
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part B, Visit 3 AUC (2300-2300h)
91.46 nmol*h/L
Standard Deviation 65.295
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part B, Visit 3 AUC (2300-0700h)
33.25 nmol*h/L
Standard Deviation 26.255
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part B, Visit 3 AUC (0700-1500h)
27.92 nmol*h/L
Standard Deviation 16.297
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part B, Visit 3 AUC (1500-2300h)
30.30 nmol*h/L
Standard Deviation 26.188
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part B, Visit 4 AUC (2300-2300h)
86.27 nmol*h/L
Standard Deviation 70.892
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part B, Visit 4 AUC (2300-0700h)
29.09 nmol*h/L
Standard Deviation 23.314
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part B, Visit 4 AUC (0700-1500h)
27.03 nmol*h/L
Standard Deviation 20.009
AUC Values (Nmol*h/L) for Androstenedione
Androstenedione: Part B, Visit 4 AUC (1500-2300h)
30.13 nmol*h/L
Standard Deviation 28.797

SECONDARY outcome

Timeframe: Specific time points (2300-2300h, 2300-0700h, 0700-1500h and 1500-2300h)

AUC values (nmol\*h/L) for 17-OHP for the following reporting periods: 24 hours (2300-2300h), 2300-0700h, 0700-1500h and 1500-2300h

Outcome measures

Outcome measures
Measure
Chronocort
n=16 Participants
Chronocort Modified Release Capsules 10 mg twice-daily.
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part A, Days 1-2 AUC 2300-2300h
1407.83 nmol*h/L
Standard Deviation 1829.291
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part A, Days 1-2 AUC 2300-0700h
243.99 nmol*h/L
Standard Deviation 339.580
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part A, Days 1-2 AUC 0700-1500h
607.74 nmol*h/L
Standard Deviation 805.822
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part A, Days 1-2 AUC 1500-2300h
556.11 nmol*h/L
Standard Deviation 769.492
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part A, Days 4-5 AUC 2300-2300h
446.90 nmol*h/L
Standard Deviation 817.074
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part A, Days 4-5 AUC 2300-0700h
169.83 nmol*h/L
Standard Deviation 268.178
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part A, Days 4-5 AUC 0700-1500h
91.53 nmol*h/L
Standard Deviation 147.801
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part A, Days 4-5 AUC 1500-2300h
190.73 nmol*h/L
Standard Deviation 425.505
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part B, Visit 2 AUC 2300-2300h
395.65 nmol*h/L
Standard Deviation 587.533
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part B, Visit 2 AUC 2300-0700h
168.01 nmol*h/L
Standard Deviation 337.666
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part B, Visit 2 AUC 0700-1500h
82.41 nmol*h/L
Standard Deviation 91.708
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part B, Visit 2 AUC 1500-2300h
145.24 nmol*h/L
Standard Deviation 215.115
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part B, Visit 3 AUC 2300-2300h
432.02 nmol*h/L
Standard Deviation 393.897
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part B, Visit 3 AUC 2300-0700h
152.63 nmol*h/L
Standard Deviation 144.576
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part B, Visit 3 AUC 0700-1500h
139.21 nmol*h/L
Standard Deviation 147.353
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part B, Visit 3 AUC 1500-2300h
140.18 nmol*h/L
Standard Deviation 182.786
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part B, Visit 4 AUC 2300-2300h
436.54 nmol*h/L
Standard Deviation 678.052
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part B, Visit 4 AUC 2300-0700h
101.33 nmol*h/L
Standard Deviation 148.003
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part B, Visit 4 AUC 0700-1500h
120.32 nmol*h/L
Standard Deviation 172.134
AUC Values (Nmol*h/L) for 17-OHP
17-OHP: Part B, Visit 4 AUC 1500-2300h
214.89 nmol*h/L
Standard Deviation 364.641

SECONDARY outcome

Timeframe: Specific time points (2300-2300h, 2300-0700h, 0700-1500h and 1500-2300h)

AUC values (pmol\*h/L) for ACTH for the following reporting periods: 24 hours (2300-2300h), 2300-0700h, 0700-1500h and 1500-2300h

Outcome measures

Outcome measures
Measure
Chronocort
n=16 Participants
Chronocort Modified Release Capsules 10 mg twice-daily.
AUC Values (Pmol*h/L) for ACTH
ACTH: Part A, Days 1-2 AUC (2300-2300h)
356.25 pmol*h/L
Standard Deviation 415.949
AUC Values (Pmol*h/L) for ACTH
ACTH: Part A, Days 1-2 AUC (2300-0700h)
54.72 pmol*h/L
Standard Deviation 70.267
AUC Values (Pmol*h/L) for ACTH
ACTH: Part A, Days 1-2 AUC (0700-1500h)
166.18 pmol*h/L
Standard Deviation 206.294
AUC Values (Pmol*h/L) for ACTH
ACTH: Part A, Days 1-2 AUC (1500-2300h)
135.35 pmol*h/L
Standard Deviation 169.002
AUC Values (Pmol*h/L) for ACTH
ACTH: Part A, Days 4-5 AUC (2300-2300h)
120.00 pmol*h/L
Standard Deviation 121.454
AUC Values (Pmol*h/L) for ACTH
ACTH: Part A, Days 4-5 AUC (2300-0700h)
52.22 pmol*h/L
Standard Deviation 62.067
AUC Values (Pmol*h/L) for ACTH
ACTH: Part A, Days 4-5 AUC (0700-1500h)
21.29 pmol*h/L
Standard Deviation 19.824
AUC Values (Pmol*h/L) for ACTH
ACTH: Part A, Days 4-5 AUC (1500-2300h)
47.13 pmol*h/L
Standard Deviation 57.145
AUC Values (Pmol*h/L) for ACTH
ACTH: Part B, Visit 2 AUC (2300-2300h)
125.45 pmol*h/L
Standard Deviation 118.081
AUC Values (Pmol*h/L) for ACTH
ACTH: Part B, Visit 2 AUC (2300-0700h)
43.09 pmol*h/L
Standard Deviation 46.711
AUC Values (Pmol*h/L) for ACTH
ACTH: Part B, Visit 2 AUC (0700-1500h)
34.14 pmol*h/L
Standard Deviation 48.423
AUC Values (Pmol*h/L) for ACTH
ACTH: Part B, Visit 2 AUC (1500-2300h)
48.22 pmol*h/L
Standard Deviation 49.078
AUC Values (Pmol*h/L) for ACTH
ACTH: Part B, Visit 3 AUC (2300-2300h)
154.10 pmol*h/L
Standard Deviation 172.474
AUC Values (Pmol*h/L) for ACTH
ACTH: Part B, Visit 3 AUC (2300-0700h)
50.02 pmol*h/L
Standard Deviation 57.268
AUC Values (Pmol*h/L) for ACTH
ACTH: Part B, Visit 3 AUC (0700-1500h)
52.46 pmol*h/L
Standard Deviation 64.571
AUC Values (Pmol*h/L) for ACTH
ACTH: Part B, Visit 3 AUC (1500-2300h)
51.63 pmol*h/L
Standard Deviation 70.735
AUC Values (Pmol*h/L) for ACTH
ACTH: Part B, Visit 4 AUC (2300-2300h)
252.30 pmol*h/L
Standard Deviation 420.220
AUC Values (Pmol*h/L) for ACTH
ACTH: Part B, Visit 4 AUC (2300-0700h)
58.80 pmol*h/L
Standard Deviation 107.955
AUC Values (Pmol*h/L) for ACTH
ACTH: Part B, Visit 4 AUC (0700-1500h)
110.58 pmol*h/L
Standard Deviation 329.386
AUC Values (Pmol*h/L) for ACTH
ACTH: Part B, Visit 4 AUC (1500-2300h)
82.92 pmol*h/L
Standard Deviation 120.287

Adverse Events

Hydrocortisone Modified Release Capsules

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Hydrocortisone Modified Release Capsules
n=16 participants at risk
Chronocort Modified Release Capsules, 5mg, 10mg and 20mg Dosing frequency twice-daily (mane and nocte) Dose setting by titration to achieve optimal biochemical and therapeutic response Hydrocortisone Modified Release Capsules: Patients with congenital adrenal hyperplasia standardised on conventional therapy is enrolled onto the study and treatment is switched to Chronocort, initially for pharmacokinetic assessment followed by longer-term biochemical and efficacy assessment
Nervous system disorders
Headache
81.2%
13/16 • Number of events 13 • Approximately 7 months
General disorders
Fatigue
81.2%
13/16 • Number of events 13 • Approximately 7 months
Blood and lymphatic system disorders
Anaemia
43.8%
7/16 • Number of events 9 • Approximately 7 months
Nervous system disorders
Dizziness
50.0%
8/16 • Number of events 8 • Approximately 7 months
Investigations
Weight increase
43.8%
7/16 • Number of events 7 • Approximately 7 months
Metabolism and nutrition disorders
Appetite decrease
43.8%
7/16 • Number of events 7 • Approximately 7 months
Metabolism and nutrition disorders
Appetite increase
37.5%
6/16 • Number of events 6 • Approximately 7 months
Musculoskeletal and connective tissue disorders
Arthralgia
31.2%
5/16 • Number of events 5 • Approximately 7 months
Psychiatric disorders
Insomnia
31.2%
5/16 • Number of events 5 • Approximately 7 months
Skin and subcutaneous tissue disorders
Acne
31.2%
5/16 • Number of events 5 • Approximately 7 months
General disorders
Asthenia
31.2%
5/16 • Number of events 5 • Approximately 7 months

Additional Information

CEO

Diurnal Ltd.

Phone: +44 (0) 871 716 8848

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place