- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05350020
The Effects of Two Brands of Hydrocortisone Injected Intramuscularly Into Deltoid and Thigh Muscles
April 22, 2022 updated by: The London Clinic
An Open Label Pilot Study to Investigate the Effects of Two Preparations of Hydrocortisone (Hydrocortisone 100mg/ml and Solu-Cortef) Injected Intramuscularly Into the Deltoid and Upper Thigh Muscle During the State of Hypocortisolaemia
The study will be looking at the cortisol profiles of hypocortisolaemic patients following 100mg injections of two hydrocortisone preparations (Solu-Cortef® & Hydrocortisone 100mg/ml).
The investigators plan to use two methods of intramuscular injection to administer the preparations, one using a 1inch orange needle into the deltoid muscle and the other using a 1.25inch blue needle into the thigh muscle.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
8
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Christine Topham
- Phone Number: 0203 219 3570
- Email: clinicalresearch@thelondonclinic.co.uk
Study Contact Backup
- Name: Phillip Yeoh
- Phone Number: 0207 953 4444
Study Locations
-
-
-
London, United Kingdom, W1G 6HL
- Recruiting
- The London Clinic
-
Contact:
- Phillip Yeoh
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 70 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age 18-70 inclusive
- Written informed consent provided, prior to any study related assessments/procedure being conducted.
- Men & Women with a BMI between 18-30kg/m2
- Addison's disease or Bilateral Adrenalectomised patients with pre-hydrocortisone cortisol level below 100nmol/L and ACTH greater than 50ng/L on screening visit
- All patients must be stabilised on hydrocortisone with no change in dosage for 6 months, other than transient increases for concurrent illness.
- Able to self-inject into deltoid and thigh muscles following teaching at recruitment.
- Female patients of child-bearing potential must be willing to use an acceptable method of birth control/abstinence from the time consent is signed until 6 weeks after treatment is discontinued. Acceptable methods include: physical barrier (male or female condom, contraceptive sponges, diaphragms and cervical caps),-contraceptive pill or patch, spermicidal method alongside a physical barrier or an intrauterine device (IUD). Abstinence is also acceptable if it falls in line with the patient's usual lifestyle however it must be complete abstinence and not either; periodic, ovulation timed, symptothermal or withdrawal based. Those patients that utilise hormonal contraceptives must have used the same method for at least three months before additional barrier contraception (as described above). Patients of non-child-bearing potential are defined as having 12 month amenorrhoea or are surgically sterile.
Exclusion Criteria:
- Patient on oestrogen based or mixed oral contraceptives unless willing to use alternate effective method of contraception
- Patient on any forms of oral steroids other than hydrocortisone.
- Any patient with secondary adrenal failure
- Patients with a diagnosis of any disease or condition listed in Hydrocortisone 100mg/ml and Solu-Cortef®'s SmPC as being contraindicated or precautionary for use
- Patient with concurrent illness in the week preceding screening/study visit.
- Patient must not have had an adrenal crisis in the week before screening
- Patient with Nelson's syndrome.
- Participating in another IMP investigation
- Patient who is unable or unwilling to comply with the protocol.
- Patient taking any medications/substances that are known to interact with hydrocortisone e.g. CYP3A4 inhibitors
- Pregnant or breastfeeding patients
- Patient has any other disease or condition that, in the opinion of the investigator, might compromise patient safety or interfere with the results of the trial
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Solu-Cortef® in deltoid muscle
|
Licensed medicine used in clinical practice.
Preparations will be used unmodified in this trial withinmarketing authorisations.
|
Experimental: Solu-Cortef® in thigh muscle
|
Licensed medicine used in clinical practice.
Preparations will be used unmodified in this trial withinmarketing authorisations.
|
Experimental: Hydrocortisone 100mg/ml in deltoid muscle
|
Licensed medicine used in clinical practice.
Preparations will be used unmodified in this trial within marketing authorisations.
|
Experimental: Hydrocortisone 100mg/ml in thigh muscle
|
Licensed medicine used in clinical practice.
Preparations will be used unmodified in this trial within marketing authorisations.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
State of Hypocortisolaemia when injected into deltoid muscle or thigh muscle
Time Frame: 4 weeks
|
Measure of Peak Serum Cortisol
|
4 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain perception following use of difference sizes of needles (1inch orange needle versus 1.25inch blue needle), muscle groups (deltoid versus thigh) and hydrocortisone preparations (Solu-Cortef® versus Hydrocortisone 100mg/ml)
Time Frame: 4 Weeks
|
Verbal Numerical Rating Scale for Pain from 0 (no pain) to 10 (worst pain) Size of needle Injection site used Hydrocortisone preparation
|
4 Weeks
|
Hydrocortisone absorption
Time Frame: 4 Weeks
|
Measured by Injection site circumference measured in Centimeters and BMI (weight in kilograms, height in meters) BMI combined to view Area under curve and Time to peak concentration
|
4 Weeks
|
Ability to Self-Inject
Time Frame: 4 Weeks
|
Measure by assessment of the following: Hypocortisolaemia symptoms Leftover IMP in ampoules (Quanitity of IMP measure in ml to calculate remaining mg of IMP) Time taken to inject
|
4 Weeks
|
Subjective health status/impact on quality of life
Time Frame: 5 Weeks
|
AddiQol score (AddiQol Health-related quality of life in Addison's disease) total score 30 Ability to self-inject
|
5 Weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Pierre Bouloux, Endocrinology Consultant
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 14, 2022
Primary Completion (Anticipated)
March 1, 2023
Study Completion (Anticipated)
August 1, 2023
Study Registration Dates
First Submitted
March 29, 2022
First Submitted That Met QC Criteria
April 22, 2022
First Posted (Actual)
April 27, 2022
Study Record Updates
Last Update Posted (Actual)
April 27, 2022
Last Update Submitted That Met QC Criteria
April 22, 2022
Last Verified
March 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ATC 017
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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