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Infacort

Phase 3

Adrenal Insufficiency | Small molecule | Endocrine |Neurocrine Biosciences, Inc.|Last Updated: May 4, 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
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment112
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02733367Extension Study for Patients Entered Into Study Infacort 003PHASE3 COMPLETED 18Mar 4, 2016Aug 10, 2018Nov 5, 20191 Germany
NCT02720952Treatment of Adrenal Insufficiency in ChildrenPHASE3 COMPLETED 24Mar 1, 2015Jul 1, 2016May 4, 20221 Germany
NCT03311932A Study of Infacort® Versus Cortef® in Healthy Adult Male and Female SubjectsPHASE1 COMPLETED 51Apr 16, 2018Jul 13, 2018Oct 29, 20191 United Kingdom
NCT03178214Bioavailability of Infacort When Administered Onto Food Compared to Direct Oral AdministrationPHASE1 COMPLETED 19May 22, 2017Jul 26, 2017Nov 9, 20171 United Kingdom
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Study Endpoints
Primary Endpoints
Incidence of Serious Adverse Events (SAEs) and Adverse Events (AEs)
29 months

The primary endpoint was the nature and occurrence of serious adverse events (SAEs) and adverse events (AEs) observed throughout the study. AEs were recorded from the time of the first intake of Infacort until the final visit.

Serum Cortisol Concentration up to 240 Minutes
240 minutes

The primary endpoint will be the maximum levels of serum cortisol concentration up to 240 minutes after intake of study drug as determined by the central laboratory.

Pharmacokinetic parameters for serum cortisol - Maximum serum concentration (Cmax)
Blood samples taken at 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10 and 12 hours; in both periods

Comparing the maximum serum cortisol concentration (Cmax) of Infacort® compared to Cortef® immediate release hydrocortisone tablets.This PK endpoint will be derived from baseline adjusted and unadjusted serum cortisol concentration-time data following administration of each IMP.

Pharmacokinetic parameters for serum cortisol - Area under the serum cortisol concentration-time curve (AUC0-t)
Blood samples taken at 0, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 2.5, 3, 4, 5 , 6, 8, 10 and 12 hours; in both periods

Comparing the total drug exposure over time for Infacort® compared to Cortef®. This PK endpoint will be derived from baseline adjusted and unadjusted serum cortisol concentration-time data following administration of each IMP.

Pharmacokinetic parameters for serum cortisol - Area under the curve extrapolated to infinity (AUC0-inf)
Blood samples taken at 0, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 2.5, 3, 4, 5 , 6, 8, 10 and 12 hours; in both periods

Comparing the total drug exposure over time for Infacort® compared to Cortef® extrapolated to infinity from dosing time, based on the last observed concentration. This This PK endpoint will be derived from baseline adjusted and unadjusted serum cortisol concentration-time data following administration of each IMP.

Area under the curve (AUC) (0-t) of Infacort administered with yoghurt and soft food compared to dry granules administered to the back of the tongue
12 hours post-IMP administration

The pharmacokinetic parameter AUC0-inf of Infacort® administered as sprinkles with yoghurt and soft food compared to Infacort® administered as dry granules to the back of the tongue.

Area under the curve (AUC) (0-infinity) of Infacort administered with yoghurt and soft food compared to dry granules administered to the back of the tongue
12 hours post-IMP administration

The pharmacokinetic parameter AUC0-inf of Infacort® administered as sprinkles with yoghurt and soft food compared to Infacort® administered as dry granules to the back of the tongue.

Cmax of Infacort administered with yoghurt and soft food compared to dry granules administered to the back of the tongue.
Up to 12 hours post-IMP adminstration

The pharmacokinetic parameter Cmax of Infacort® administered as sprinkles with yoghurt and soft food compared to Infacort® administered as dry granules to the back of the tongue.

Secondary Endpoints
Growth Velocity
29 months
Cortisol Levels
29 months
Number of Participants Exhibiting a Change in Tanner Development Stage
29 months
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
InfacortEXPERIMENTALInfacort® granules
Cortef® Tablets - fastedACTIVE_COMPARATORSingle dose of 20mg Cortef® Tablets - fasted arm
Infacort® - fastedEXPERIMENTALSingle dose of 20mg Infacort® - fasted arm
Cortef® Tablets - fedACTIVE_COMPARATORSingle dose of 20mg Cortef® Tablets - fed arm
Infacort® - fedEXPERIMENTALSingle dose of 20mg Infacort® - fed arm
Infacort - YoghurtEXPERIMENTALOne single 5mg dose of Infacort will be sprinkled onto 5mL of yoghurt and swallowed within three minutes. This will be taken with 240mL of water.
Infacort - Soft FoodEXPERIMENTALOne single 5mg dose of Infacort will be sprinkled onto 5mL of soft food (such as applesauce) and swallowed within three minutes. This will be taken with 240mL of water.
Infacort - Dry GranulesACTIVE_COMPARATOROne single 5mg dose of Infacort will be administered as dry granules to the back of the tongue and swallowed. This will be taken with 240mL of water.
Interventions
NameTypeDescription
Infacort®DRUGInfacort® is a dry granule formulation of hydrocortisone stored in capsules available in different strengths (0.5, 1.0, 2.0 and 5.0 mg).
Cortef®DRUGImmediate release hydrocortisone tablets
InfacortDRUGImmediate-release multiparticulate formulation of hydrocortisone.
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Eligibility Criteria
Age Range1 Month — 6 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: Subjects successfully completing study Infacort 003, whose inclusion criteria were: 1. Male and female children less than 6 years of age. 2. A diagnosis of adrenal insufficiency (AI) as confirmed by an inappropriately low cortisol usually with other supporting tests. 3. Receivi...

Countries:GermanyUnited Kingdom
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