A Trial of Lu AG13909 in Adult Participants With Cushing's Disease

NCT ID: NCT06471829

Last Updated: 2026-01-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-19

Study Completion Date

2027-11-30

Brief Summary

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This trial will evaluate the effects of Lu AG13909 in adult participants with Cushing's disease (CD). CD is a rare and serious disorder where the body makes too much of a hormone called cortisol. The main goals of this trial are to learn about

1. the effect of Lu AG13909 on cortisol levels.
2. the safety and tolerability of Lu AG13909.
3. the pharmacokinetic parameters of Lu AG13909 (how the drug is absorbed, distributed, and processed by the body).

Detailed Description

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This trial is divided into 3 parts:

* Part A, consisting of 3 periods: an intravenous (IV) Titration Period, a subcutaneous (SC) Period, and a Safety Follow up Period
* Part B, consisting of 3 periods: a SC Titration Period, a Maintenance Period, and a Safety Follow-up Period
* Extension Period, consisting of a Long-Term Efficacy/Safety Period after Part B and a Safety Follow-up Period

Conditions

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Cushing's Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Lu AG13909

Participants will first receive Lu AG13909 IV per predefined dosing schedule. Participants will then receive Lu AG13909 SC per predefined dosing schedule.

Group Type EXPERIMENTAL

Lu AG13909

Intervention Type DRUG

Solution for injection/infusion

Interventions

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Lu AG13909

Solution for injection/infusion

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* The participant is a man or woman with a confirmed diagnosis of adrenocorticotropic hormone (ACTH) driven CD of pituitary source as per current guidelines
* Morning plasma ACTH levels \> lower limit of normal (LLN) and
* Evidence of a pituitary origin of the excess ACTH:

i. Either MRI confirmation of pituitary adenoma \>6 millimeters (mm), or ii. inferior petrosal sinus gradient \>2, or iii. histopathology confirmation of ACTH-secreting tumour
* The participant has a 24-hour UFC \>1.5 × ULN (the mean of ≥3 days of 24-hour urine collection).
* Apart from CD and associated well-controlled comorbidities (for example, diabetes mellitus and hypertension), the participant is generally healthy in the opinion of the investigator and based on medical history, physical examination, vital signs, electrocardiogram (ECG), and the results of the safety laboratory tests.
* For participants on medical treatment for hypercortisolism due to CD, pre-defined washout periods must be completed prior to the Baseline efficacy assessments.

Exclusion Criteria

* The participant is pregnant, breastfeeding, intends to become pregnant, or is of child-bearing potential and not willing to use adequate contraceptive methods.
* The participant has a clinically significant abnormal laboratory value, ECG parameter, vital signs value, or other safety findings at the Screening Visit that indicate a potential risk to the participant's safety if enrolled, in the opinion of the investigator.
* The participant has a history of known hypersensitivity or intolerance to Lu AG13909 or its excipients.
* The participant has immediate need for pituitary surgery within 6 months from screening in the opinion of the investigator.
* The participant has severe CD per investigator judgement; among others, this could be participants with:

i. poorly controlled hypertension ii. poorly controlled diabetes mellitus iii. severe psychiatric illness iv. compression of the optic chiasm causing any visual field defect or risk thereof v. very high risk of thromboembolic events
* The participant had pituitary surgery \<3 month prior to screening.
* The participant had pituitary radiotherapy within the last 10 years.

Other protocol-defined criteria apply.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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H. Lundbeck A/S

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Email contact via H. Lundbeck A/S

Role: STUDY_DIRECTOR

[email protected]

Locations

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Centre Hospitalier Universitaire d'Angers

Angers, Cedex 09, France

Site Status RECRUITING

Assistance Publique Hopitaux de Marseille (AP-HM) - Hopital La Conception

Marseille, Europe, France

Site Status RECRUITING

Hopital Louis Pradel

Bron, , France

Site Status RECRUITING

APHP - Hôpital Bicêtre

Le Kremlin-Bicêtre, , France

Site Status RECRUITING

Centre Hospitalier Universitaire De Lille

Lille, , France

Site Status RECRUITING

Hopital Haut-Leveque

Pessac, , France

Site Status RECRUITING

Ltd Tbilisi Central Hospital

Tbilisi, Europe, Georgia

Site Status RECRUITING

National Institute of Endocrinology

Tbilisi, Europe, Georgia

Site Status RECRUITING

Ltd 'Multiprofile Clinic Consilium Medulla'

Tbilisi, Europe, Georgia

Site Status RECRUITING

Ltd Aversi Clinic

Tbilisi, , Georgia

Site Status RECRUITING

Semmelweis Egyetem, Belgyogyaszati es Onkologiai Klinika

Budapest, , Hungary

Site Status RECRUITING

Debreceni Egyetem Klinikai Kozpont

Debrecen, , Hungary

Site Status RECRUITING

University Hospital of Pecs

Pécs, , Hungary

Site Status RECRUITING

Azienda Ospedale Università di Padova

Padua, Europe, Italy

Site Status RECRUITING

Azienda Ospedaliero-Universitaria Pisana

Pisa, Europe, Italy

Site Status RECRUITING

Azienda Ospedaliera Universitaria Sant'Andrea

Rome, , Italy

Site Status RECRUITING

AOU Citta della Salute e della Scienza di Torino

Torino, , Italy

Site Status RECRUITING

Institutul National de Endocrinologie "C.I. Parhon"

Bucharest, , Romania

Site Status RECRUITING

Spitalul Clinic Judetean de Urgenta Cluj-Napoca

Clju-Napoca, , Romania

Site Status RECRUITING

Spitalul Clinic Judetean Mures

Mures, , Romania

Site Status RECRUITING

Hospital de la Santa Creu i de Sant Pau

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario Ramon y Cajal

Madrid, , Spain

Site Status RECRUITING

University of Birmingham Institute of Metabolism and Systems Research

Birmingham, , United Kingdom

Site Status RECRUITING

Countries

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France Georgia Hungary Italy Romania Spain United Kingdom

Central Contacts

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Email contact via H. Lundbeck A/S

Role: CONTACT

+45 36301311

Other Identifiers

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2023-504733-53-00

Identifier Type: OTHER

Identifier Source: secondary_id

20433A

Identifier Type: -

Identifier Source: org_study_id

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