A Study to Evaluate Atumelnant in Adults With Congenital Adrenal Hyperplasia

NCT ID: NCT07144163

Last Updated: 2025-12-17

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

PHASE3

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-11

Study Completion Date

2027-05-31

Brief Summary

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The purpose of this study is to evaluate the efficacy, safety, PK, and PD of atumelnant in adults with classic CAH due to 21-OHD.

Detailed Description

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This is a Phase 3, global, multicenter, randomized, double-blind, placebo-controlled study in adult participants (male or female age ≥18 to \<75 years) with classic CAH due to 21-OHD who have been on a stable regimen of GCs for at least 2 months to evaluate efficacy, safety, PK, and PD of atumelnant administered once per day. Following a 3- to 6-week Screening Period, eligible participants will enter the Treatment Period where they will be randomly assigned in a 2:1 ratio to receive either atumelnant 80 mg once daily (with an option for dose escalation to 120 mg once daily at Week 20) or placebo.

A total of approximately 150 participants may be enrolled in the study.

Conditions

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Congenital Adrenal Hyperplasia Classic Congenital Adrenal Hyperplasia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Treatment

Atumelnant tablet, administered orally, once daily for 32 weeks.

Group Type EXPERIMENTAL

Atumelnant

Intervention Type DRUG

Atumelnant, tablets, once daily by mouth

Placebo

Matching placebo, administered orally, once daily for 32 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo, tablets, once daily by mouth

Interventions

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Atumelnant

Atumelnant, tablets, once daily by mouth

Intervention Type DRUG

Placebo

Placebo, tablets, once daily by mouth

Intervention Type DRUG

Other Intervention Names

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CRN04894

Eligibility Criteria

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Inclusion Criteria

1. Male or female, between ≥18 to \<75 years of age at the time of signing the ICF.
2. Willing and able to understand and adhere to the study procedures as specified in the protocol and comply with the study treatment.
3. Have classic CAH due to 21-OHD confirmed by the Investigator and approved by the Medical Monitor.
4. Participants with levels of morning serum A4 as follows:

* A4 \>ULN and treated with \<11 mg/m2/day (physiologic) GC doses
* OR normal A4 (above mid-range to ≤ULN) and treated with ≥15 mg/m2/day GC doses
* OR A4 \>ULN and treated with ≥11 mg/m2/day GC doses.
5. On a stable (defined as no dose change of \>5 mg/day hydrocortisone equivalent within 2 months prior to Screening) regimen of GC replacement (e.g., hydrocortisone, prednisolone, prednisone, methylprednisolone, meprednisone, dexamethasone, cortisone acetate) at the time of informed consent.
6. If treated with mineralocorticoids (fludrocortisone), the dose should be stable for at least 2 months prior to Screening without orthostatic hypotension, and with serum sodium and potassium in the normal range.
7. If on estrogen therapy (any route), the dose must be stable for at least 3 months prior to Screening.

Exclusion Criteria

1. Diagnosis of any form of CAH other than classic 21-OHD.
2. History of bilateral adrenalectomy, hypopituitarism, or other condition requiring chronic GC therapy.
3. Clinically significant medical condition or abnormal laboratory tests, as judged by the Investigator, other than CAH.
4. Concomitant mental condition rendering him/her unable to understand the nature, scope, and possible consequences of the study, and/or evidence of poor compliance with medical instructions.
5. History of cancer excluding cured/treated dermal squamous or basal cell carcinoma or cervical carcinoma in situ.
6. Women who are pregnant or lactating or, if of childbearing potential, who are unwilling to use highly effective contraception as described in this study. Male participants who are unwilling to use highly effective contraception as described in this study.
7. Known history of, or concern for, risk of hypersensitivity reaction to atumelnant or any of its excipients.
8. Participants with an increased risk of developing adrenal insufficiency as judged by the Investigator.
9. Severe erythrocytosis as judged by the Investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

74 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Crinetics Pharmaceuticals Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Crinetics Study Site

Herston, Queensland, Australia

Site Status RECRUITING

Crinetics Study Site

Woolloongabba, Queensland, Australia

Site Status NOT_YET_RECRUITING

Crinetics Study Site

Adelaide, South Australia, Australia

Site Status NOT_YET_RECRUITING

Crinetics Study Site

Parkville, Victoria, Australia

Site Status RECRUITING

Crinetics Study Site

Nedlands, Western Australia, Australia

Site Status RECRUITING

Countries

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Australia

Central Contacts

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Crinetics Clinical Trials

Role: CONTACT

833-827-9741

Other Identifiers

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2024-519579-24-00

Identifier Type: CTIS

Identifier Source: secondary_id

CRN04894-12

Identifier Type: -

Identifier Source: org_study_id