Clinical trial NCT02349503: Safety, Pharmacokinetics and Pharmacodynamics of NBI-77860 in Adolescent Females With Congenital Adrenal Hyperplasia
Official title: A Phase 1, Open-Label, Single-Dose, Sequential Dose-Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of NBI-77860 in Adolescent Females With Congenital Adrenal Hyperplasia
Study type: INTERVENTIONAL
Overall status: WITHDRAWN
Phase: PHASE1
Conditions: Congenital Adrenal Hyperplasia
Keywords: Adrenocortical function
Adrenal hyperplasia, Congenital
21-hydroxylase deficiency
Adrenogenital Syndrome
Adolescents
Female
Hyperplasia
Adrenal Gland Diseases
Congenital Abnormalities
Adrenocortical Hyperfunction
Disorders of Sex Development
Endocrine System Diseases
Genetic Diseases, Inborn
Gonadal Disorders
Metabolic Diseases
Metabolism, Inborn Errors
Pathologic Processes
Steroid Metabolism, Inborn Errors
Urogenital Abnormalities
Corticotropin Releasing Factor
Lead sponsor: Neurocrine Biosciences
Sponsor class: INDUSTRY
First posted: 2015-01-29
Enrollment: 0
Sex: FEMALE
Minimum age (years): 12
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: This is a Phase 1, multicenter, open-label, single-dose study to evaluate the safety and tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of NBI-77860 in subjects with congenital adrenal hyperplasia (CAH). The study will be conducted in approximately 15 adolescent females (12-18 years of age) with a documented medical diagnosis of classic 21-hydroxylase deficiency CAH. The study will include three independent dose cohorts of NBI-77860 (approximately 5 subjects per dose cohort). Ascending doses will be evaluated as part of a sequential-cohort design.


Eligibility criteria: Inclusion Criteria:

1. Have documentation of written informed consent, or written and witnessed assent from the subject and written informed consent from the subject's parent or legal guardian.
2. Be in good general health.
3. Have a medically confirmed diagnosis of classic 21-hydroxylase deficiency CAH.
4. Be on a stable regimen of steroidal treatment for CAH for a minimum of 30 days before baseline (Night 1) that is expected to remain stable throughout the study.
5. Subjects of childbearing potential must be instructed on the proper use of barrier methods of contraception and agree to use hormonal or two forms of nonhormonal contraception (dual contraception) consistently from screening until the final study visit or 30 days after the last dose of study drug, whichever is longer.
6. Subjects of childbearing potential must have a negative pregnancy test at screening and negative urine pregnancy test at baseline (Night 1).
7. Have a negative urine drug (for illegal drugs) and alcohol breath test at screening and baseline (Night 1).
8. Be willing and able to adhere to the study regimen and study procedures described in the protocol and informed consent/assent form, including all requirements at the study center and return for the follow-up visit.
9. Be willing to provide authorization for access to personal health information in conjunction with US Health Insurance Portability and Accountability Act (HIPAA).

Exclusion Criteria:

1. Have a clinically significant unstable medical condition or chronic disease, or malignancy.
2. Had a medically significant illness within 30 days of screening.
3. Have a known or suspected differential diagnosis of any of the other known forms of classic CAH.
4. Have a history that includes bilateral adrenalectomy, hypopituitarism, or other condition requiring daily therapy with orally administered glucocorticoids.
5. Pregnant or lactating females.
6. Have a history of epilepsy or serious head injury.
7. Test positive at screening for hepatitis B, hepatitis C, or human immunodeficiency virus (HIV), or have a history of a positive result.
8. Have a recent history (≤1 year) of alcohol or drug abuse, or current evidence of substance dependence or abuse criteria.
9. Used any other investigational drug within 30 days before initial screening, or plans to use an investigational drug (other than the study drug) during the study.
10. Have a blood loss ≥250 mL or donated blood within 56 days or donated plasma within 7 days before baseline.
11. Self-report consumption of more than 6 caffeine-containing beverages a day within the last month before baseline.

Primary outcomes:
measure: Number of participants with adverse events following one oral dose of NBI-77860
timeFrame: Up to 8 weeks
Secondary outcomes:
measure: Area Under Concentration Curve (AUC) of NBI-77860 and its metabolites following one oral dose of NBI-77860
timeFrame: Night 1 and Days 2, 7, 14, 21 and 35 (or early termination)
measure: Concentrations of 17-hydroxyprogesterone (17-OHP) following one oral dose of NBI-77860
timeFrame: Screening, Night 1, Day 2 (10, 12 and 24 hours postdose) and 35 (or early termination)
measure: Concentrations of adrenocorticotropin hormone (ACTH) following one oral dose of NBI-77860
timeFrame: Screening, Night 1, Day 2 (10, 12 and 24 hours postdose) and 35 (or early termination)
Other outcomes:
Locations:
city: Ann Arbor
country: United States
state: Michigan
city: Seattle
country: United States
state: Washington
Study officials:
References: