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osilodrostat

Phase 3

Cushing's Disease | Small molecule | Endocrine |Novartis AG|Last Updated: Nov 1, 2021

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_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment73
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02697734Efficacy and Safety Evaluation of Osilodrostat in Cushing's DiseasePHASE3 COMPLETED 73Oct 3, 2016Dec 31, 2020Nov 1, 202136 United States, Belgium +12
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Study Endpoints
Primary Endpoints
Percentage of Randomized Participants With a Complete Response
at Week 12

A complete responder at week 12 is defined as a participant who had a mean urine free cortisol ≤ upper limit of normal (mUFC ≤ ULN) at Week 12. Participants who had a missing mUFC assessment at Week 12 were counted as non-responders for the primary endpoint.

Secondary Endpoints
Percentage of Participants With mUFC ≤ ULN at Week 36
At Week 36
Change From Baseline in mUFC
Baseline, weeks 2,5,8,12,14,17,20,23,26,29,32,36,40,48,60,72,84,96
Time-to-first Control of mUFC - Number (%) of Participants With mUFC <=ULN
up to 12 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
osilodrostat GroupEXPERIMENTALParticipants in this arm were randomized to receive the study drug, osilodrostat followed after Week 12 by open-label osilodrostat at the starting dose (with a second dose titration)
osilodrostat Placebo GroupPLACEBO_COMPARATORParticipants in this arm were randomized to receive osilodrostat placebo followed after Week 12 by open-label osilodrostat at the starting dose (with a dose titration)
Interventions
NameTypeDescription
osilodrostatDRUGIn the form of filmcoated tablets for oral administration, in the following dose strengths: 1 mg, 5 mg, 10 mg, and 20 mg.
osilodrostat PlaceboDRUGMatching Placebo in the form of filmcoated tablets for oral administration
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites36

Key inclusion criteria: * Confirmed Cushing's Disease (CD) that is persistent or recurrent as evidenced by all of the following criteria being met (i.e., a, b and c): 1. mUFC \> 1.3 x ULN (Mean of three 24-hour urine samples collected preferably on 3 consecutive days, during screening after wash...

Countries:United StatesBelgiumBrazilCanadaChinaCosta RicaGreecePolandPortugalRussiaSpainSwitzerlandThailandTurkey (Türkiye)
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