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A Study of ATR-101 for the Treatment of Congenital Adrenal Hyperplasia

Phase 2
Completed
Conditions
Congenital Adrenal Hyperplasia
Interventions
Drug: ATR-101
Registration Number
NCT02804178
Lead Sponsor
Millendo Therapeutics, Inc.
Brief Summary

This is a Phase 2 multicenter, single-blind, multiple dose study to evaluate the safety and efficacy of orally administered ATR-101 in subjects with classic congenital adrenal hyperplasia (CAH). Treatment duration will range from a minimum of approximately 2 months to 6 months per subject. A subject may receive a minimum of one dose level or up to a maximum of 5 dose levels, in sequentially increasing dose strengths. Each dose level will last 28 days.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Documented historical diagnosis of classic CAH due to 21-hydroxylase deficiency based on: Documented genetic mutation in the CYP21A2 enzyme consistent with a diagnosis of classic CAH, or historical documentation of elevated 17-hydroxyprogesterone
  • Biochemical marker of disease status of 17-hydroxyprogesterone ≥ 4 times the upper limit of normal
  • Chronic glucocorticoid replacement therapy for at least 6 consecutive months
  • Stable glucocorticoid and mineralocorticoid regimen for at least 1 month
Exclusion Criteria
  • Non-classic CAH
  • Other causes of adrenal insufficiency
  • Surgery within the previous 3 months prior to screening or planned surgery during study participation
  • History of active cancer requiring medical or surgical therapy within the past 6 months

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
ATR-101ATR-101Ascending dose levels of ATR-101 beginning with 125 mg by mouth twice per day up to 1000 mg twice per day.
Primary Outcome Measures
NameTimeMethod
Number of Participants With Reduction of 17-hydroxyprogesterone to </= 2 Times the Upper Limit of Normal at Any Time Following 2 Weeks of Dosing With ATR-101Evaluated at baseline and day 15 of each dose level. Each subject will have up to 5 dose levels.

17-hydroxyprogesterone was measured predose in the morning at the beginning and end of each dose level.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (6)

Mayo Clinic - Rochester

🇺🇸

Rochester, Minnesota, United States

The Children's Hospital of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

National Institutes of Health Clinical Center

🇺🇸

Bethesda, Maryland, United States

University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

The University of Oklahoma - Tulsa Schusterman Center

🇺🇸

Tulsa, Oklahoma, United States

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