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CORT125134

Phase 1

Healthy | Small molecule | Other |Corcept Therapeutics Incorporated|Last Updated: Oct 23, 2023

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 Trials4
Total Enrollment179
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06094790A Study to Evaluate the Pharmacokinetics of the Current Capsule Formulation of CORT125134 in Healthy SubjectsPHASE1 COMPLETED 32May 18, 2017Nov 15, 2017Oct 23, 20231 United States
NCT03067376A Study Designed to See How [14C]-CORT125134 is Taken up, Broken Down and Removed From the BodyPHASE1 COMPLETED 9Aug 1, 2016Sep 1, 2016Aug 9, 20191 United Kingdom
NCT06094712A Study to Evaluate the Pharmacokinetics of the CORT125134 Phase 2 Formulation in Healthy Male SubjectsPHASE1 COMPLETED 8Apr 7, 2016Apr 27, 2016Oct 23, 20231 United States
NCT03508635CORT125134 Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD)PHASE1 COMPLETED 130Sep 1, 2014Dec 1, 2015Aug 9, 20191 United Kingdom
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Study Endpoints
Primary Endpoints
Area under the concentration-time curve over a dose-interval of plasma CORT125134 (AUCtau)
Predose and at serial timepoints over a dose-interval following dosing on Days 1, 7, and 14
Maximum concentration of plasma CORT125134 (Cmax)
Predose and at serial timepoints up to 24 hours following Day 1 and Day 7 dosing, and at serial timepoints up to 120 hours following Day 14 dosing
AUC from the time of dosing until 24 hours later of plasma CORT125134 (AUC0-24h)
Predose and at serial timepoints up to 24 hours following dosing on Days 1, 7, and 14.

Statistical analysis of these data will be used to estimate the highest oral dose of CORT125134 current capsule formulation steady state AUC0-24h of plasma CORT125134.

Amount of radioactivity eliminated in urine
Day 1 pre-dose to Day 8 post-dose
Amount of radioactivity eliminated in feces
Day 1 pre-dose to Day 8 post-dose
Amount of radioactivity eliminated in urine and feces
Day 1 pre-dose to Day 8 post-dose
Cumulative amount of radioactivity eliminated in urine
Day 1 pre-dose to Day 8 post-dose
Cumulative amount of radioactivity eliminated in feces
Day 1 pre-dose to Day 8 post-dose
Cumulative amount of radioactivity eliminated in urine and feces
Day 1 pre-dose to Day 8 post-dose
Pharmacokinetics (PK) of total radioactivity: lag time (tlag)
Day 1 pre-dose to Day 8 post-dose
PK of total radioactivity: peak plasma concentration (Cmax)
Day 1 pre-dose to Day 8 post-dose
PK of total radioactivity: time to reach maximum observed concentration (tmax)
Day 1 pre-dose to Day 8 post-dose
PK of total radioactivity: area under the plasma concentration-time curve from time zero to time of last measurable concentration (AUClast)
Day 1 pre-dose to Day 8 post-dose
PK of total radioactivity: area under the plasma concentration-time curve from time zero to infinity (AUCinf)
Day 1 pre-dose to Day 8 post-dose
PK of total radioactivity: area under the plasma concentration-time curve extrapolated from time t to infinity as a percentage of total AUC (%AUCextrap)
Day 1 pre-dose to Day 8 post-dose
PK of total radioactivity: first-order elimination rate constant associated with the terminal portion of the curve, determined as the negative slope of the terminal log-linear phase of the drug concentration-time curve (lambda-z)
Day 1 pre-dose to Day 8 post-dose
PK of total radioactivity: elimination half-life (t1/2)
Day 1 pre-dose to Day 8 post-dose
Metabolic profiling and structural identification in plasma, urine and feces
Day 1 pre-dose to Day 8 post-dose
Time of maximum concentration of plasma CORT125134 (Tmax)
Predose and at serial time points up to 120 hours after dosing
Area under the concentration-time curve from time zero to the time of last measurable concentration of plasma CORT125134 (AUC0-last)
Predose and at serial time points up to 120 hours after dosing
Area under the concentration-time curve from time zero extrapolated to infinity of plasma CORT125134 (AUC0-inf)
Predose and at serial time points up to 120 hours after dosing
Apparent terminal half-life of plasma CORT125134 (T1/2)
Predose and at serial time points up to 120 hours after dosing
Incidence of Treatment-Emergent Adverse Events (AEs) (Safety and Tolerability) of CORT125134
Single dose Cohorts 1-9 Day 1 to Day 15; MAD Cohorts 10-13 Day 1 to Day 28/Day 24 (Cohort 13)
Secondary Endpoints
Hematology
Screening, Day 1 pre-dose, Day 8
Clinical chemistry
Screening, Day 1 pre-dose, Day 8
Urinalysis
Screening, Day 1 pre-dose, Day 8
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeOTHER
Treatment Arms
ArmTypeDescription
Cohort 1EXPERIMENTALSubjects will receive CORT125134 150 mg once daily for 14 days
Cohort 2EXPERIMENTALSubjects will receive CORT125134 250 mg once daily for 14 days
Cohort 3EXPERIMENTALSubjects will receive CORT125134 once daily for 14 days at a dose level decided based on evaluation of steady state exposure from Cohorts 1 and 2
Cohort 4 (optional)EXPERIMENTALSubjects will receive CORT125134 once daily for 14 days at a dose level decided based on evaluation of steady state exposure from Cohorts 1, 2, and 3, if it is considered that this cohort would aid achievement of the study objectives
[14C]-CORT125134EXPERIMENTALTwo capsules each containing 125 milligrams (mg) \[14C\]-CORT125134 administered to each participant on 1 occasion
CORT125134EXPERIMENTALAfter an overnight fast, subjects will receive a single CORT125134 150-mg oral dose of the Phase 2 capsule formulation on Day 1.
SAD Cohorts 1 through 6EXPERIMENTALParticipants will receive single doses of 5 mg up to 400 mg of CORT125134 (capsule) in a dose escalation format. The doses selected will be subject to amendment based on emerging data.
SAD Cohorts 1 through 6 PlaceboPLACEBO_COMPARATORParticipants will receive single doses of Matching Placebo of CORT125134 (capsule).
Food Effect Cohort 7EXPERIMENTALParticipants will receive a single dose of CORT125134 (capsule) with a standard high fat breakfast. The dose will be chosen such that it has been previously administered in a prior SAD cohort.
Pharmacological Effect Cohort 8EXPERIMENTALParticipants will receive a single dose of 25 mg of prednisone on Day -19; a single dose of 25 mg prednisone and 600 mg of mifepristone on Day -12; and a single dose of 25 mg prednisone and a single dose of CORT125134 on Day 1. The dose of CORT125134 will be chosen such that it has been previously administered in a prior SAD cohort.
Proof of Concept (POC) Cohort 9EXPERIMENTALParticipants will receive a single dose of 25 mg of prednisone on Day -19; a single dose of 25 mg of prednisone and 600 mg of mifepristone on Day -12; and a single dose of 25 mg prednisone and a single dose of CORT125134 on Day 1. An oral glucose tolerance test will be administered on each study day. The dose of CORT125134 will be chosen such that it has been previously administered in a prior SAD cohort.
MAD Cohorts 10 and 11EXPERIMENTALParticipants will receive the selected dose of CORT125134 (capsule) following receipt of data from Cohorts 1-9 up to a maximum frequency of twice a day for a total of 14 days.
MAD Cohorts 10 and 11 PlaceboPLACEBO_COMPARATORParticipants will receive Matching Placebo of CORT125134 (capsule) up to a maximum frequency of twice a day for a total of 14 days.
MAD of PoPE Cohorts 12 and 13EXPERIMENTALProof of Pharmacological Effect (PoPE+POC). Participants will receive 25 mg of prednisone (both cohorts) and an oral glucose tolerance test (Cohort 13 only) on Day -5. Participants will then receive the selected dose of CORT125134 (capsule) for a total of 13 days. Participants may either receive a higher dose level than previously administered or a repeat of a dose level given in 1 of the previous 2 MAD Cohorts. Participants will then receive 25 mg of prednisone (both cohorts) and an oral glucose tolerance test (Cohort 13 only) on Day 14.
MAD of PoPE Cohort 12 and 13 PlaceboPLACEBO_COMPARATORParticipants will receive 25 mg of prednisone (both cohorts) and an oral glucose tolerance test (Cohort 13 only) on Day -5. Participants will then receive the Matching Placebo of CORT125134 (capsule) for a total of 13 days. Participants will then receive 25 mg of prednisone (both cohorts) and an oral glucose tolerance test (Cohort 13 only) on Day 14.
Interventions
NameTypeDescription
CORT125134 150 mgDRUGCORT125134 150 mg (3 X 50 mg current capsule formulation)
CORT125134 250 mgDRUGCORT125134 250 mg (5 X 50 mg current capsule formulation)
CORT125134 dose to be determinedDRUGCORT125134 current capsule formulation, dose to be determined
[14C]-CORT125134DRUG -
CORT125134DRUGCORT125134 150-mg capsule
Matching Placebo of CORT125134DRUGPlacebo
MifepristoneDRUGActive comparator
PrednisoneDRUGChallenge agent
GlucoseDRUG -
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Give written informed consent * Be healthy males or non-pregnant, non-lactating healthy females * Must agree to use an adequate method of contraception as described in the study protocol * Have a body mass index (BMI) of 18 to 32 kg/m\^2, inclusive and body weight more than 50...

Countries:United StatesUnited Kingdom
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