The purpose of this study is to evaluate the dose-related safety, tolerability, pharmacokinetics (PK) and pharmacological effects (PD) of CORT125329 after single and multiple ascending oral doses of CORT125329 lipid capsule formulations in healthy participants.
This is a 3-part, single-center study of single and multiple ascending doses of CORT125329 in healthy participants. Part 1 will be a double-blind, randomized, placebo-controlled assessment of single ascending doses (SAD) of CORT125329 lipid capsule formulations. Participants will be enrolled sequentially into 1 of up to 8 cohorts, each containing 8 participants. Part 2 will be double-blind, randomized, placebo-controlled assessments of multiple oral ascending doses (MAD) of CORT125329 lipid capsule formulations. Participants will be enrolled sequentially into 1 of up to 4 cohorts, each containing 8 participants. Optional Part 3 will be an open-label, 2-way fixed sequence cross-over study and will serve as proof of PD (glucocorticoid receptor modulation) for CORT125329 lipid capsule formulations. Participants will be enrolled in a single cohort of 10 participants. Throughout the study, routine safety tests will be performed. In selected parts of the study, assessments of PK (CORT125329), changes in serum cortisol and plasma adrenocorticotrophic hormone (ACTH), and changes in hematological and bone biomarkers will be measured.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
115
CORT125329 lipid capsule formulation 1 or 2 for oral administration
Placebo matching CORT125329 lipid capsule formulation 1 or 2 for oral administration
Prednisone tablet for oral administration
Quotient Sciences
Ruddington, Nottingham, United Kingdom
Percentage of Participants with One or More Adverse Events
Time frame: SAD Cohorts: up to Day 11; MAD Cohorts: up to Day 23; PD Effect Cohort: up to Day 2 in Period 1 and up to Day 11 in Period 2
Percentage of Participants with One or More Serious Adverse Events
Time frame: SAD Cohorts: up to Day 11; MAD Cohorts: up to Day 23; PD Effect Cohort: up to Day 2 in Period 1 and up to Day 11 in Period 2
Percentage of Participants Discontinued from the Study Due to an Adverse Event
Time frame: SAD Cohorts: up to Day 11; MAD Cohorts: up to Day 23; PD Effect Cohort: up to Day 2 in Period 1 and up to Day 11 in Period 2
Plasma Pharmacokinetics (PK) of CORT125329: Maximum Observed Concentration (Cmax)
Time frame: SAD Cohorts: before dosing and at prespecified time points up to Day 11; MAD Cohorts: before dosing and at prespecified time points up to Day 23; PD Effect Cohort: before dosing and at prespecified time points up to Day 11 in Period 2
Plasma PK of CORT125329: Elapsed Time from Dosing at which the Analyte was First Quantifiable in a Concentration vs Time Profile (tlag)
Time frame: SAD Cohorts: before dosing and at prespecified time points up to Day 11; MAD Cohorts: before dosing and at prespecified time points up to Day 23; PD Effect Cohort: before dosing and at prespecified time points up to Day 11 in Period 2
Plasma PK of CORT125329: Time from Dosing at which Cmax was Apparent (Tmax)
Time frame: SAD Cohorts: before dosing and at prespecified time points up to Day 11; MAD Cohorts: before dosing and at prespecified time points up to Day 23; PD Effect Cohort: before dosing and at prespecified time points up to Day 11 in Period 2
Plasma PK of CORT125329: Apparent Elimination Half-life (t1/2)
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Time frame: SAD Cohorts: before dosing and at prespecified time points up to Day 11; MAD Cohorts: before dosing and at prespecified time points up to Day 23; PD Effect Cohort: before dosing and at prespecified time points up to Day 11 in Period 2
Plasma PK of CORT125329: Area Under the Curve from Zero Time to the Last Measurable Concentration (AUC0-last)
Time frame: SAD Cohorts: before dosing and at prespecified time points up to Day 11; PD Effect Cohort: before dosing and at prespecified time points up to Day 11 in Period 2
Plasma PK of CORT125329: Area Under the Curve During a Dosing Interval (AUC0-tau)
Time frame: MAD Cohorts: before dosing and at prespecified time points up to Day 15
Plasma PK of CORT125329: Area Under the Curve from Zero Time Extrapolated to Infinity (AUC0-inf)
Time frame: SAD Cohorts: before dosing and at prespecified time points up to Day 11; PD Effect Cohort: before dosing and at prespecified time points up to Day 11 in Period 2
Serum Cortisol
Time frame: MAD Cohorts: before dosing in the morning of Days 1 and 14 and in the evening of Days -1 and 14
Plasma Adrenocorticotrophic Hormone (ACTH)
Time frame: MAD Cohorts: two samples taken before dosing in the morning of Days 1 and 14 and in the evening of Days -1 and 14
Eosinophil Count
Time frame: PD Effect Cohort: before dosing and at prespecified time points up to 24 hours after dosing in Period 1 and 2
Lymphocyte Count
Time frame: PD Effect Cohort: before dosing and at prespecified time points up to 24 hours after dosing in Period 1 and 2
Neutrophil Count
Time frame: PD Effect Cohort: before dosing and at prespecified time points up to 24 hours after dosing in Period 1 and 2
Serum Osteocalcin
Time frame: PD Effect Cohort: before dosing and at prespecified time points up to 24 hours after dosing in Period 1 and 2