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CORT118335

Phase 1

Healthy | Small molecule | Other |Corcept Therapeutics Incorporated|Last Updated: Jun 11, 2019

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-BlindCONTROLLEDBiomarker
Total Trials2
Total Enrollment155
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03878264Absolute Bioavailability and Metabolism Study of CORT118335 in Healthy Male ParticipantsPHASE1 COMPLETED 12Aug 6, 2018Mar 24, 2019Jun 11, 20191 United Kingdom
NCT03315338First-in-human Study in Healthy SubjectsPHASE1 COMPLETED 143Sep 15, 2017Feb 22, 2019May 24, 20191 United Kingdom
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Study Endpoints
Primary Endpoints
Absolute Oral Bioavailability (F) of CORT118335
Predose and at pre-specified time points up to Day 12
Mass Balance Recovery in Excreta After a Single Oral Dose of 14C-CORT118335
Until the mass balance criteria have been met by all participants (estimated Day 17)
Mass Balance Recovery in Urine After a Single Oral Dose of 14C-CORT118335
Until the mass balance criteria have been met by all participants (estimated Day 17)
Mass Balance Recovery in Feces After a Single Oral Dose of 14C-CORT118335
Until the mass balance criteria have been met by all participants (estimated Day 17)
Adverse Events (AEs)
SAD Cohorts: Day -28 to Day 7; Part 2A Cohorts: Day -28 to Day 14; Part 2B Cohorts: Day -28 to Day 21; MAD Cohorts: Day -28 to Day 21
Secondary Endpoints
Pharmacokinetics (PK) of Total Radioactivity after Oral Dosing: Peak Plasma Concentration (Cmax)
Pre-dose and at pre-specified time points up to Day 15 after dosing
PK of Total Radioactivity in Plasma after Oral Dosing: Time from Dosing to Cmax (tmax)
Pre-dose and at pre-specified time points up to Day 15 after dosing
PK of Total Radioactivity after Oral Dosing: Area Under the Plasma Concentration-time Curve from Zero Time to Time of the Last Measurable Concentration (AUC0-last)
Pre-dose and at pre-specified time points up to Day 15 after dosing
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeBASIC_SCIENCE
Treatment Arms
ArmTypeDescription
Part 1EXPERIMENTALOn Day 1, participants will receive a single oral dose of CORT118335 900 mg (Treatment A) after an overnight fast, and a 15-minute intravenous infusion of a microdose of 14C-CORT118335 (Treatment B) beginning 2 hours 45 minutes after the oral dose is administered.
Part 2EXPERIMENTALOn Day 1, participants will receive a single oral dose of 14C-CORT118335 150 mg (Treatment C) after an overnight fast.
SAD Part 1 Active Cohort AEXPERIMENTALCORT118335, 25 mg
SAD Part 1 Placebo oral capsule Cohort APLACEBO_COMPARATOR -
SAD Part 1 Active Cohort BEXPERIMENTALCORT118335, 75mg
SAD Part 1 Placebo Cohort BPLACEBO_COMPARATOR -
SAD Part 1 Active Cohort CEXPERIMENTALCORT118335, 225mg
SAD Part 1 Placebo Cohort CPLACEBO_COMPARATOR -
SAD Part 1 Active Cohort DEXPERIMENTALCORT118335, 675mg
SAD Part 1 Placebo Cohort DPLACEBO_COMPARATOR -
SAD Part 2 Active Cohort A, FastingEXPERIMENTALCORT118335, 600mg, is supplied as capsules for oral dosing given after an overnight fast
SAD Part 2 Active Cohort A, FedEXPERIMENTALCORT118335, 600mg, is supplied as capsules for oral dosing given after a high-fat breakfast
SAD Part 2 Placebo PD Effect Cohort BPLACEBO_COMPARATOR -
SAD Part 2 Active PD Effect Cohort B: 630mg of CORT118335EXPERIMENTAL -
SAD Part 2 Active PD Effect Cohort B: 675mg of CORT118335EXPERIMENTAL -
MAD Part 3 Active Cohort AEXPERIMENTALCORT118335, 375mg qd for 14 days
MAD Part 3 Placebo Cohort APLACEBO_COMPARATORPlacebo qd for 14 days
SAD Part 4 Active Cohort AEXPERIMENTALCORT118335, 100mg
SAD Part 4 Placebo Cohort APLACEBO_COMPARATOR -
SAD Part 4 Active Cohort BEXPERIMENTALCORT118335, 300mg
SAD Part 4 Placebo Cohort BPLACEBO_COMPARATOR -
SAD Part 4 Active Cohort C, FastingEXPERIMENTALCORT118335, 900mg is supplied as suspension for oral dosing given after an overnight fast
SAD Part 4 Active Cohort C, FedEXPERIMENTALCORT118335, 900mg is supplied as suspension for oral dosing given after a high-fat breakfast
SAD Part 4 Placebo Cohort C, FastingPLACEBO_COMPARATORSupplied as suspension for oral dosing given after an overnight fast
SAD Part 4 Placebo Cohort C, FedPLACEBO_COMPARATORSupplied as suspension for oral dosing given after a high-fat breakfast
SAD Part 4 Active Cohort Part DEXPERIMENTALCORT118335, 1500mg
SAD Part 4 Placebo Cohort DPLACEBO_COMPARATOR -
MAD Part 5 Active Cohort AEXPERIMENTALCORT118335, 150mg
MAD Part 5 Placebo Cohort APLACEBO_COMPARATOR -
MAD Part 5 Active Cohort BEXPERIMENTALCORT118335, dose to be determined
MAD Part 5 Placebo Cohort BPLACEBO_COMPARATOR -
MAD Part 5 Active Cohort CEXPERIMENTALCORT118335, dose to be determined
MAD Part 5 Placebo Cohort CPLACEBO_COMPARATOR -
Interventions
NameTypeDescription
CORT118335 OralDRUGCORT118335 900 mg spray-dried dispersion in bottle and vehicle for oral administration
14C-CORT118335 intravenousDRUG14C-CORT118335 solution for infusion 100 µg containing not more than 37 kiloBequerel (1 µCi) 14C
14C-CORT118335 oralDRUG14C-CORT118335 oral solution 150 mg containing not more than 3.3 megaBequerel (90 µCi) 14C
CORT118335, 25 mgDRUGCORT118335 is supplied as capsules for oral dosing
Prednisone Oral TabletDRUGChallenge Agent, Dose and Route of Administration: Standard release 1x20mg and 1x5mg (25mg total) dose, orally administered.
GlucoseDRUG75 g in 300 mL solution, orally administered
Placebo oral suspensionDRUGReference Therapy, Dose and Route of Administration: Placebo suspension, orally administered.
CORT118335, 75mgDRUGCORT118335 is supplied as capsules for oral dosing
CORT118335, 225mgDRUGCORT118335 is supplied as capsules for oral dosing
CORT118335, 675mgDRUGCORT118335 is supplied as capsules for oral dosing
CORT118335, 600mgDRUGCORT118335 is supplied as capsules for oral dosing
CORT118335, 630mgDRUGCORT118335 is supplied as capsules for oral dosing
CORT118335, 375mgDRUGCORT118335 is supplied as capsules for oral dosing
CORT118335, 100mgDRUGCORT118335 is supplied as a suspension for oral dosing
CORT118335, 300mgDRUGCORT118335 is supplied as a suspension for oral dosing
CORT118335, 900mgDRUGCORT118335 is supplied as a suspension for oral dosing
CORT118335, 150mgDRUGCORT118335 is supplied as a suspension for oral dosing
CORT118335, 1500mgDRUGCORT118335 is supplied as a suspension for oral dosing
Placebo oral capsuleDRUGPlacebo capsules, orally administered
CORT118335, dose to be determinedDRUGCORT118335 is supplied as suspension for oral dosing
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Eligibility Criteria
Age Range18 Years — 65 Years
SexMALE
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Age 18 to 65 years of age for Part 1 and 30 to 65 years of age for Part 2 * Body mass index of 18.0 to 30.0 kg/m\^2 * Provide written informed consent * Have regular bowel movements (i.e. average stool production of ≥1 and ≤3 stools per day) for Part 2 * Adhere to the contrace...

Countries:United Kingdom
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