Safety, Tolerability, and Pharmacokinetic Study of CORT113176 in Healthy Participants

Multiple Dose Safety, Tolerability, Plasma and Cerebrospinal-Fluid Pharmacokinetic Study of Oral Doses of CORT113176

This is a safety, tolerability, and pharmacokinetic study in 2 cohorts of healthy male participants with an option for an additional cohort. Cohorts 1 and 2 will receive once daily by mouth CORT113176 150 mg and 300 mg, respectively, for 14 days under fed conditions. Progression from Cohort 1 to Cohort 2 will be done based on the safety and tolerability outcome in Cohort 1 and after Cohort 1 has received the study drug for at least 7 days. The optional Cohort 3 may receive a higher dose that will not exceed CORT113176 450 mg once daily by mouth for 14 days under fed conditions. The progression from Cohort 2 to the optional cohort (Cohort 3) will be based on the same precautions as with the progression from Cohort 1 to Cohort 2. Each participant will undergo safety evaluations. Pharmacokinetics of CORT113176 will be assessed in plasma and cerebrospinal fluid (CSF) samples. Pharmacodynamic assessments will include the measurement of serum cortisol.

Study Overview

• Status: Completed
• Conditions: Healthy Adults
• Intervention / Treatment: Drug: CORT113176; Drug: Placebo matching CORT113176

• Study Type: Interventional
• Enrollment (Actual): 16
• Phase: Phase 1

Contacts and Locations

Study Locations

• Netherlands
  • Groningen, Netherlands, 9728 NZ
    • Site 01

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: Male

Description

Inclusion Criteria:

• Body mass index (BMI) of 18.0 to 30.0 kg/m^2, inclusive
• Body weight ≤100 kg.
• Must agree to adhere to the requirements on contraception, exposure to sexual partners, and sperm donation as defined in the protocol
• Additional criteria apply.

Exclusion Criteria:

• Received any investigational drug in a clinical research study within the last 90 days
• History of alcohol abuse or drug addiction (including soft drugs like cannabis products) within past 5 years.
• Regular alcohol consumption
• Positive drug, nicotine (cotinine), or alcohol screen
• Current smokers, user of e-cigarettes and nicotine replacement products and those who have used these products within the last 3 months
• Have a pregnant partner
• Clinically significant abnormal clinical chemistry, hematology (including coagulation), or urinalysis
• Positive hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody or human immunodeficiency virus (HIV) results
• Positive nasopharyngeal polymerase chain reaction (PCR) test for severe acute respiratory syndrome Covid Virus-2 (SARS-CoV-2) on Day -1 or within 8 weeks prior to screening.
• Contact with COVID-19 positive (or suspected) persons within 14 days prior to first dose
• Active renal and/or hepatic disease
• History of clinically significant cardiovascular, renal, hepatic, endocrine, metabolic, respiratory, gastrointestinal (GI), neurological, or psychiatric disorder
• Abnormalities in brain and lumbar spine, or other medical or surgical conditions or clinically significant abnormal findings, for which lumbar puncture is contraindicated
• History of clinically significant back pain, back pathology and/or back injury
• History of significant active bleeding or coagulation disorder or have taken non-steroidal anti-inflammatory drugs or other drugs that affect coagulation or platelet function within 14 days prior to lumbar puncture
• Allergy to lidocaine (Xylocaine®) or its derivatives
• Any form of cancer within the 5 years (exceptions apply)
• History and/or symptoms of adrenal insufficiency
• Have a condition that could be aggravated by glucocorticoid antagonism
• Donation or loss of greater than 400 mL of blood within the previous 3 months
• Currently using glucocorticoids or have a history of systemic glucocorticoid use at any dose within the last 12 months or 3 months for inhaled products
• Additional criteria apply.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

6

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Cohort 1: CORT113176 150 mg; Participants will receive CORT113176 150 mg lipid capsule formulation by mouth once daily under fed conditions for 14 days.	Drug: CORT113176; CORT113176 lipid capsule formulation for oral administration
Placebo Comparator: Cohort 1: Placebo matching CORT113176; Participants will receive placebo matching CORT113176 capsule by mouth once daily under fed conditions for 14 days.	Drug: Placebo matching CORT113176; Placebo matching CORT113176 lipid capsule formulation for oral administration
Experimental: Cohort 2: CORT113176 300 mg; Participants will receive CORT113176 300 mg lipid capsule formulation by mouth once daily under fed conditions for 14 days. Progression from Cohort 1 to 2 will be done based on safety and tolerability outcome from Cohort 1 and only after Cohort 1 has received study drug for ≥7 days.	Drug: CORT113176; CORT113176 lipid capsule formulation for oral administration
Placebo Comparator: Cohort 2: Placebo matching CORT113176; Participants will receive placebo matching CORT113176 capsule by mouth once daily under fed conditions for 14 days.	Drug: Placebo matching CORT113176; Placebo matching CORT113176 lipid capsule formulation for oral administration
Experimental: Cohort 3: CORT113176 ≥300 mg; Participants will receive CORT113176 ≥300 mg not to exceed 450 mg lipid capsule formulation by mouth once daily under fed conditions for 14 days. Cohort 3 is optional, and progression from Cohort 2 to 3 be done based on safety and tolerability outcome from Cohort 2 and only after Cohort 2 has received study drug for ≥7 days.	Drug: CORT113176; CORT113176 lipid capsule formulation for oral administration
Placebo Comparator: Cohort 3: Placebo matching CORT113176; Participants will receive placebo matching CORT113176 capsule by mouth once daily under fed conditions for 14 days.	Drug: Placebo matching CORT113176; Placebo matching CORT113176 lipid capsule formulation for oral administration

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Number of Participants with One or More Adverse Events	Up to Day 28

Secondary Outcome Measures

Outcome Measure	Time Frame
Maximum Plasma Concentration (Cmax) of CORT113176	Before dosing and a pre-specified time points up to Day 17
Time of Cmax (Tmax) of Plasma CORT113176	Before dosing and a pre-specified time points up to Day 17
Apparent Elimination Half-life (t1/2) of Plasma CORT113176	Before dosing and a pre-specified time points up to Day 17
Area Under the Plasma Concentration-time Curve (AUC) of Plasma CORT113176	Before dosing and a pre-specified time points up to Day 17
Cerebrospinal Fluid Concentration of CORT113176	Approximately 3 and 5 hours after dosing on Day 7
Serum Concentration of Cortisol	Before and approximately 12 hours after dosing on Days 1, 7, and 14

Collaborators and Investigators

• Sponsor: Corcept Therapeutics

Study record dates

Study Major Dates

• Study Start (Actual): July 13, 2021
• Primary Completion (Actual): September 30, 2021
• Study Completion (Actual): September 30, 2021

Study Registration Dates

• First Submitted: July 29, 2021
• First Submitted That Met QC Criteria: July 29, 2021
• First Posted (Actual): August 6, 2021

Study Record Updates

• Last Update Posted (Actual): October 11, 2021
• Last Update Submitted That Met QC Criteria: October 7, 2021
• Last Verified: October 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Anti-Inflammatory Agents; Cortisone
• Other Study ID Numbers: CORT113176-653; 2021-002456-36 (EudraCT Number)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No