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Corcept Initiates MONARCH – A Phase 2b Trial in Non-Alcoholic Steatohepatitis (NASH)

Key Takeaway: Corcept Therapeutics has initiated the MONARCH Phase 2b trial to evaluate miricorilant in adult patients with non-alcoholic steatohepatitis (NASH). This randomized, double-blind study will involve 150 patients over 48 weeks, testing the safety and efficacy of miricorilant compared to a placebo. The trial aims to achieve a reduction in liver fat, with additional goals of NASH resolution and fibrosis improvement. With no current approved treatments for NASH, the trial's success could open new avenues for addressing this serious condition.

Market Sentiment Analysis

POSITIVE FACTORS

  • Initiation of MONARCH trial marks a significant step in NASH treatment.
  • Promising results from Phase 1b study indicate effective liver fat reduction.
  • Potential for miricorilant to greatly benefit millions suffering from NASH.
  • No current approved medications for NASH, positioning Corcept favorably in the market.

CONCERNS & RISKS

  • Success of the MONARCH trial is uncertain until results are published.
  • Dependence on regulatory approvals and oversight for future developments.
  • Risks related to the broader clinical development process for miricorilant.

Full Press Release Details

MENLO PARK, Calif., Oct. 26, 2023 (GLOBE NEWSWIRE) -- Corcept Therapeutics Incorporated (NASDAQ: CORT), a commercial-stage company engaged in the discovery and development of medications to treat severe endocrine, oncology, metabolism, and neurology disorders by modulating the effects of the hormone cortisol, today announced it has initiated MONARCH, a Phase 2b trial of its proprietary selective cortisol modulator miricorilant in patients with non-alcoholic steatohepatitis (NASH).
MONARCH is a 150-patient, randomized, double-blind, placebo-controlled study evaluating the efficacy and safety of miricorilant in adult patients with biopsy-confirmed NASH. Patients will receive either 100 mg of miricorilant or placebo orally twice weekly for 48 weeks. The primary endpoint is reduction in liver fat, with NASH resolution and fibrosis improvement as key secondary endpoints.
“We are excited to initiate the MONARCH study and to build on the promising results of our Phase 1b study, which demonstrated that miricorilant effectively reduces liver fat, improves liver health and key metabolic and lipid measures and is well-tolerated. Miricorilant has the potential to greatly benefit the millions of patients with NASH. We look forward to sharing more details about MONARCH at the upcoming AASLD conference,” says Bill Guyer, PharmD, Corcept’s Chief Development Officer.
Non-alcoholic steatohepatitis (NASH) is an advanced form of non-alcoholic fatty liver disease (NAFLD) that afflicts millions of patients and is a leading cause of liver-related mortality. Cortisol modulation may serve as a treatment for NASH since cortisol activity at the glucocorticoid receptor and mineralocorticoid receptor has been implicated in the development and progression of NAFLD. There are no current medications approved to treat NASH.
About Corcept Therapeutics
For over 25 years, Corcept’s focus on cortisol modulation and its potential to treat patients across a wide variety of serious disorders has led to the discovery of more than 1,000 proprietary selective cortisol modulators. Corcept’s advanced clinical trials are being conducted in patients with hypercortisolism, solid tumors, amyotrophic lateral sclerosis (ALS) and liver disease (NASH). In February 2012, the company introduced Korlym®, the first medication approved by the U.S. Food and Drug Administration for the treatment of patients with Cushing’s syndrome. Corcept is headquartered in Menlo Park, California. For more information, visit Corcept.com.
Forward-Looking Statements
Statements in this press release, other than statements of historical fact, are forward-looking statements based on our current plans and expectations that are subject to risks and uncertainties that might cause our actual results to differ materially from those such statements express or imply. These risks and uncertainties include, but are not limited to, our ability to operate our business; risks related to the development of relacorilant, miricorilant, dazucorilant and our other product candidates, including their clinical attributes, regulatory approvals, mandates, oversight and other requirements; and the scope and protective power of our intellectual property. These and other risks are set forth in our SEC filings, which are available at our website and the SEC’s website.
In this press release, forward-looking statements include those concerning the timing and substance of our Phase 2b trial in patients with NASH and the development of miricorilant as a treatment for NASH, including its clinical attributes, regulatory approvals, mandates, oversight, and other requirements. We disclaim any intention or duty to update forward-looking statements made in this press release.

Frequently Asked Questions

What is the MONARCH trial by Corcept Therapeutics?

The MONARCH trial is a Phase 2b study evaluating miricorilant in patients with NASH.

How many patients will participate in the MONARCH study?

The MONARCH study will include 150 randomized patients with biopsy-confirmed NASH.

What are the primary and secondary endpoints of MONARCH?

The primary endpoint is liver fat reduction; NASH resolution and fibrosis improvement are secondary.

What condition does miricorilant aim to treat?

Miricorilant is aimed at treating non-alcoholic steatohepatitis (NASH).

What is non-alcoholic steatohepatitis (NASH)?

NASH is an advanced form of non-alcoholic fatty liver disease leading to liver-related mortality.

Last updated: Oct 26, 2023