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CORT113176 Lipid Formulation

Phase 1

Healthy Adults | Small molecule | Other |Corcept Therapeutics Incorporated|Last Updated: Feb 1, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment110
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04249323Single and Multiple Ascending Dose Study of CORT113176 in Healthy ParticipantsPHASE1 COMPLETED 110Jan 27, 2020Oct 15, 2020Feb 1, 20221 United Kingdom
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Study Endpoints
Primary Endpoints
Number of Participants with One or More Adverse Events
Part 1 SAD Cohorts: up to Day 9; Part 2 MAD Cohorts: up to Day 23; Part 3 Cohort: up to Day 19
Secondary Endpoints
Maximum Plasma Concentration (Cmax) of CORT113176
Before dosing and at pre-specified time points up to Day 9 (Part 1 SAD Cohorts), up to Day 23 (Part 2 MAD Cohorts), or Days 10-19 (Part 3 Cohort)
Time of Cmax (Tmax) of CORT113176
Before dosing and at pre-specified time points up to Day 9 (Part 1 SAD Cohorts), up to Day 23 (Part 2 MAD Cohorts), or Days 10-19 (Part 3 Cohort)
Apparent Elimination Half-life (t1/2) of Plasma CORT113176
Before dosing and at pre-specified time points up to Day 9 (Part 1 SAD Cohorts), up to Day 23 (Part 2 MAD Cohorts), or Days 10-19 (Part 3 Cohort)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeBASIC_SCIENCE
Treatment Arms
ArmTypeDescription
Part 1: SAD Cohorts A through H CORT113176EXPERIMENTALCohorts will receive a single dose of CORT113176 lipid capsule formulation by mouth on Day 1 in a fasted or fed state. Cohort A will receive a 50-mg dose in a fasted state. Cohort B will receive a ≤3-fold increase in dose from Cohort A in a fasted state; the dose will be determined after evaluation of safety and PK data for Cohort A. Subsequent cohorts will receive a ≤3-fold increase in CORT113176 dose from the previous cohort in a fasted or fed state; the dose and prandial state will be determined after evaluation of safety and PK data from previous cohorts. Following interim review of PK data, an alternative lipidic formulation may be administered beginning with Cohort B.
Part 1: SAD Cohorts A through H PlaceboPLACEBO_COMPARATORCohorts will receive a single dose of placebo matching CORT113176 lipid capsule formulation by mouth on Day 1. The dose of placebo, prandial state, and choice of formulation will match that used for the corresponding SAD cohorts receiving CORT113176.
Part 2: MAD Cohorts A through D CORT113176EXPERIMENTALCohorts will receive once- or twice-daily doses of CORT113176 lipid capsule formulation by mouth for 14 days. The anticipated exposure will not exceed the highest exposure considered safe and well-tolerated during Part 1. The dose schedule and prandial state will be determined after evaluation of safety and PK data from Part 1. The choice of formulation of CORT113176 to be used in Part 2 will depend on data review for Part 1.
Part 2: MAD Cohorts A through D PlaceboPLACEBO_COMPARATORCohorts will receive once- or twice-daily doses of placebo matching CORT113176 lipid capsule formulation by mouth for 14 days. The dose of placebo, prandial state, and choice of formulation will match that used for the corresponding MAD cohorts receiving CORT113176.
Part 3: Single Dose Pharmacodynamic EffectEXPERIMENTALIn Period 1, participants will receive a single dose of prednisone 25 mg tablet by mouth on Day 1 in a fasted or fed state. After a 7-day washout, in Period 2, participants will receive a single dose of prednisone as in Period 1 plus a single dose of CORT113176 lipid capsule formulation by mouth on Day 1 in a fasted or fed state. The dose of CORT113176 and the prandial state will be determined after evaluation of safety and PK data from Part 1. The choice of formulation of CORT113176 to be used in Part 3 will depend on data review for Part 1. Part 3 will proceed only if sufficiently high plasma CORT113176 exposure is achieved in Part 1.
Interventions
NameTypeDescription
CORT113176 Lipid Capsule FormulationDRUGCORT113176 Lipid Capsule Formulation 10-200 mg for oral administration
Placebo matching CORT113176 Lipid Capsule FormulationDRUGPlacebo matching CORT113176 Lipid Capsule Formulation 10-200 mg for oral administration
PrednisoneDRUGPrednisone standard release tablets 1 x 20 mg plus 1 x 5 mg for oral administration
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Eligibility Criteria
Age Range18 Years — 60 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Body mass index (BMI) 18.0 to 30.0 kg/m\^2, inclusive * Body weight ≤102 kg * Willing to consume a high-fat breakfast, including pork * Agrees to adhere to the contraception requirements of the protocol * Additional criteria apply. Exclusion Criteria: * Received any investig...

Countries:United Kingdom
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