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HealthyPhase 1NCT04795479

T/QT Study to Investigate the Effect of Relacorilant on Cardiac Repolarization in Healthy Volunteers

A Phase 1 study testing Relacorilant and Moxifloxacin in people with Healthy, run by Corcept Therapeutics at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This dedicated T/QT study will investigate the effect of relacorilant on cardiac repolarization in healthy participants. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Relacorilant and Moxifloxacin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
36 participants
Where
1 siteUnited States
Study dates
22 Jan 2021to 13 Jul 2021
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participant with a BMI ≥18.0 kg/m^2 and ≤30.0 kg/m^2 at screening
  • No clinically significant abnormal findings with the physical examination, medical/surgical/medication history, vital signs, or clinical laboratory assessments and adequate cardiac conduction by electrocardiogram (ECG) without evidence of first-, second- or third-degree atrioventricular block
  • Female participants of childbearing potential with a negative serum pregnancy test at screening and urine pregnancy test on Day -1 of Period 1
  • All male participants agree to use condom to prevent exposure to partner; male participants with female partner of childbearing potential to use a second method of contraception
  • Female participants of childbearing potential agree to use the highly effective contraception of low user dependency
  • Participant is willing and able to comply with all study procedures and restrictions
  • Participant understands the study procedures and agrees to participate by providing written informed consent.

Who cannot join

  • Participant with history or presence of any clinically significant cardiovascular, pulmonary, respiratory, hepatic, renal, hematological, endocrine, immunologic, dermatologic, neurological, psychiatric disease or disorder or any uncontrolled medical illness which in the opinion of the investigator would jeopardize the safety of the participant, interfere with study assessments, or impact the validity of the study results
  • Participant with a history or family history of additional risk factors for Torsade de Pointe (TdP)
  • Participant with a marked prolongation of ECG intervals, including QTcF >450 milliseconds (msec), PR >200 msec, or QRS >120 msec
  • Participant with resting heart rate of <45beats per minute (bpm) or >100 bpm
  • Participant with clinically significant abnormal ECG results
  • Participant who uses medications that could prolong the QT/QTc interval
Show all 20Show fewer
  • Participant taking medications/dietary supplements that are highly dependent on cytochrome (CYP)3A for clearance and cannot undergo dose modification upon co-administration with strong CYP3A inhibitors
  • Participant using any strong CYP3A inhibitor/inducer or any other medications prohibited per protocol
  • Participant who is receiving testosterone within 40 days prior to study start
  • Participant with a positive result for human immunodeficiency virus (HIV) antibody, hepatitis B surface antigen, or hepatitis C antibody
  • Participant with a positive test result for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) viral RNA test, either asymptomatic or present with symptoms of Coronavirus disease 2019 (COVID-19)
  • Participant who has travelled abroad within 3 months prior to the screening visit or plans to travel abroad during the study
  • Participant who has had a major surgery within the last 28 days prior to Screening
  • Participant who received any investigational product within 30 days prior to Screening
  • Participant who has a known or suspected allergy, or sensitivity to study products, or any of its ingredient(s), or to moxifloxacin
  • Intolerance to repeated venipuncture or inability to swallow capsules
  • Donation of blood within 56 days or plasma within 14 days prior to Screening or plans to donate during the entire study period
  • Positive alcohol test and/or positive drugs of abuse screen or reports of a history of substance or alcohol abuse within 1 year prior to Screening
  • Female participant who is pregnant, breastfeeding, or is planning to become pregnant during the entire study period
  • Male participant with pregnant partner.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Single Site

    Springfield, Missouri, 65802

Other trials in United States

About this study

Official title: A Randomized, Partial Double-Blind, Placebo- and Positive- Controlled, Multiple-Dose, 4-Way Crossover, Thorough QT/QTc (TQT) Study to Investigate the Effect of Relacorilant on Cardiac Repolarization in Healthy Volunteers

This dedicated T/QT study will investigate the effect of relacorilant on cardiac repolarization in healthy participants.

Read the detailed description

This four-period crossover study with 12 treatment sequences includes relacorilant administered at therapeutic (400 mg once daily [QD]) and supra-therapeutic (800 mg QD) doses, placebo for relacorilant as a negative control, and oral moxifloxacin as a positive control. The positive control will serve to determine the sensitivity of the assay to detect small increases from baseline in the QTc interval. Each of the four treatment periods will last 5 days with a washout of at least 10 days between periods. Relacorilant and placebo to relacorilant will be administered double-blind; moxifloxacin will be administered open label.

Conditions
Healthy
Being tested
Relacorilant, Placebo to relacorilant, Moxifloxacin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RelacorilantDrug

    Also called CORT125134

    Relacorilant 400 mg (therapeutic dose) or 800 mg (supra-therapeutic dose) capsule by mouth once daily

  • Placebo to relacorilantDrug

    Placebo to relacorilant capsule by mouth once daily

  • MoxifloxacinDrug

    Moxifloxacin 400 mg tablet by mouth

Study groups in NCT04795479
Study groupRoleWhat they receive
Treatment Sequence 1ExperimentalParticipants will receive relacorilant 400 mg once daily (QD) for 5 days in Period 1, followed by relacorilant 800 mg QD for 5 days in Period 2, followed by placebo to relacorilant QD for 5 days in Period 3, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 4. Treatment periods will be separated by a washout of at least 10 days.
Receives: Drug: Relacorilant; Drug: Placebo to relacorilant; Drug: Moxifloxacin
Treatment Sequence 2ExperimentalParticipants will receive relacorilant 800 mg QD for 5 days in Period 1, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 2, followed by relacorilant 400 mg QD for 5 days in Period 3, followed by placebo to relacorilant QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.
Receives: Drug: Relacorilant; Drug: Placebo to relacorilant; Drug: Moxifloxacin
Treatment Sequence 3ExperimentalParticipants will receive placebo to relacorilant QD for 5 days in Period 1, followed by relacorilant 400 mg QD for 5 days in Period 2, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 3, followed by relacorilant 800 mg QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.
Receives: Drug: Relacorilant; Drug: Placebo to relacorilant; Drug: Moxifloxacin
Treatment Sequence 4ExperimentalParticipants will receive relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 1, followed by placebo to relacorilant QD for 5 days in Period 2, followed by relacorilant 800 mg QD for 5 days in Period 3, followed by relacorilant 400 mg QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.
Receives: Drug: Relacorilant; Drug: Placebo to relacorilant; Drug: Moxifloxacin
Treatment Sequence 5ExperimentalParticipants will receive relacorilant 800 mg QD for 5 days in Period 1, followed by placebo to relacorilant QD for 5 days in Period 2, followed by relacorilant 400 mg QD for 5 days in Period 3, followed by relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 4. Treatment periods will be separated by a washout of at least 10 days.
Receives: Drug: Relacorilant; Drug: Placebo to relacorilant; Drug: Moxifloxacin
Treatment Sequence 6ExperimentalParticipants will receive placebo to relacorilant QD for 5 days in Period 1, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 2, followed by relacorilant 800 mg QD for 5 days in Period 3, followed by relacorilant 400 mg QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.
Receives: Drug: Relacorilant; Drug: Placebo to relacorilant; Drug: Moxifloxacin
Treatment Sequence 7ExperimentalParticipants will receive relacorilant 400 mg QD for 5 days in Period 1, followed by relacorilant 800 mg QD for 5 days in Period 2, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 3, followed by placebo to relacorilant QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.
Receives: Drug: Relacorilant; Drug: Placebo to relacorilant; Drug: Moxifloxacin
Treatment Sequence 8ExperimentalParticipants will receive placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 1, followed by relacorilant 400 mg QD for 5 days in Period 2, followed by placebo to relacorilant QD for 5 days in Period 3, followed by relacorilant 800 mg QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.
Receives: Drug: Relacorilant; Drug: Placebo to relacorilant; Drug: Moxifloxacin
Treatment Sequence 9ExperimentalParticipants will receive placebo to relacorilant QD for 5 days in Period 1, followed by relacorilant 400 mg QD for 5 days in Period 2, followed by relacorilant 800 mg QD for 5 days in Period 3, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 4. Treatment periods will be separated by a washout of at least 10 days.
Receives: Drug: Relacorilant; Drug: Placebo to relacorilant; Drug: Moxifloxacin
Treatment Sequence 10ExperimentalParticipants will receive relacorilant 400 mg QD for 5 days in Period 1, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 2, followed by placebo to relacorilant QD for 5 days in Period 3, followed by relacorilant 800 mg QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.
Receives: Drug: Relacorilant; Drug: Placebo to relacorilant; Drug: Moxifloxacin
Treatment Sequence 11ExperimentalParticipants will receive relacorilant 800 mg QD for 5 days in Period 1, followed by placebo to relacorilant QD for 5 days in Period 2, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 3, followed by relacorilant 400 mg QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.
Receives: Drug: Relacorilant; Drug: Placebo to relacorilant; Drug: Moxifloxacin
Treatment Sequence 12ExperimentalParticipants will receive placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 1, followed by relacorilant 800 mg QD for 5 days in Period 2, followed by relacorilant 400 mg QD for 5 days in Period 3, followed by placebo to relacorilant QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.
Receives: Drug: Relacorilant; Drug: Placebo to relacorilant; Drug: Moxifloxacin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Placebo-corrected Change from Baseline in Cardiac QT Interval Corrected by Fridericia's Formula (QTcF)

    Measured: Before dosing (Baseline) through 24 hours after the final dose on Day 5 in each treatment period

Secondary outcomes (20)
  1. Change from Baseline in Cardiac QTcF

    Measured: Before dosing (Baseline) through 24 hours after the final dose on Day 5 in each treatment period

  2. Change from Baseline in Heart Rate (HR)

    Measured: Before dosing (Baseline) through 24 hours after the final dose on Day 5 in each treatment period

  3. Placebo-corrected Change from Baseline in HR

    Measured: Before dosing (Baseline) through 24 hours after the final dose on Day 5 in each treatment period

  4. Change from Baseline in Cardiac PR Interval

    Measured: Before dosing (Baseline) through 24 hours after the final dose on Day 5 in each treatment period

  5. Placebo-corrected Change from Baseline in Cardiac PR Interval

    Measured: Before dosing (Baseline) through 24 hours after the final dose on Day 5 in each treatment period

  6. Change from Baseline in Cardiac QRS Intervals

    Measured: Before dosing (Baseline) through 24 hours after the final dose on Day 5 in each treatment period

  7. Placebo-corrected Change from Baseline in Cardiac QRS Intervals

    Measured: Before dosing (Baseline) through 24 hours after the final dose on Day 5 in each treatment period

  8. Number of Participants with a Categorical Outlier in QTcF

    Measured: Up to Day 6 in each treatment period (through 24 hours after the final dose on Day 5 in each treatment period)

  9. Number of Participants with a Categorical Outlier in HR

    Measured: Up to Day 6 in each treatment period (through 24 hours after the final dose on Day 5 in each treatment period)

  10. Number of Participants with a Categorical Outlier in PR Interval

    Measured: Up to Day 6 in each treatment period (through 24 hours after the final dose on Day 5 in each treatment period)

  11. Number of Participants with a Categorical Outlier in QRS Intervals

    Measured: Up to Day 6 in each treatment period (through 24 hours after the final dose on Day 5 in each treatment period)

  12. Number of Participants with a Treatment-emergent Change of T-wave Morphology

    Measured: Up to Day 6 in each treatment period (through 24 hours after the final dose on Day 5 in each treatment period)

  13. Number of Participants with a Treatment-emergent Presence of U-waves

    Measured: Up to Day 6 in each treatment period (through 24 hours after the final dose on Day 5 in each treatment period)

  14. Maximum Plasma Concentration (Cmax) of Relacorilant, Metabolites of Relacorilant, and Moxifloxacin

    Measured: Before dosing and at 0.5, 1, 1,5, 2, 3, 4, 6, 8, 12, 16, and 24 hours after dosing on Day 1 and 5 in each treatment period

  15. Time to Reach Cmax (Tmax) of Plasma Relacorilant, Metabolites of Relacorilant, and Moxifloxacin

    Measured: Before dosing and at 0.5, 1, 1,5, 2, 3, 4, 6, 8, 12, 16, and 24 hours after dosing on Day 1 and 5 in each treatment period

  16. Minimum Plasma Concentration (Cmin) of Relacorilant, Metabolites of Relacorilant, and Moxifloxacin

    Measured: Before dosing on Day 5 of each treatment period

  17. Area Under the Plasma-concentration Curve from Time Zero to Time of Last Measurable Concentration (AUClast) of Relacorilant, Metabolites of Relacorilant, and Moxifloxacin

    Measured: Before dosing and at 0.5, 1, 1,5, 2, 3, 4, 6, 8, 12, 16, and 24 hours after dosing on Day 1 and 5 in each treatment period

  18. Area Under the Plasma-concentration Curve from Time Zero to 24 Hours Postdose (AUC0-24) of Relacorilant, Metabolites of Relacorilant, and Moxifloxacin

    Measured: Before dosing and at 0.5, 1, 1,5, 2, 3, 4, 6, 8, 12, 16, and 24 hours after dosing on Day 1 and 5 in each treatment period

  19. Number of Participants with One or More Adverse Events

    Measured: Up to Day 6 in each treatment period (up to 51 days)

  20. Number of Participants Discontinued From Study Treatment due to an Adverse Event

    Measured: Up to Day 6 of each treatment period (up to 51 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Mar 2021
  2. Study start22 Jan 2021
  3. Primary completion17 May 2021
  4. Study completion13 Jul 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04795479
Sponsor's protocol ID
CORT125134-130
Status last verified
Sep 2021
First submitted
29 Jan 2021
Last updated
14 Sep 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Relacorilant and Moxifloxacin in people with Healthy, run by Corcept Therapeutics at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Placebo-corrected Change from Baseline in Cardiac QT Interval Corrected by Fridericia's Formula (QTcF) (time frame: Before dosing (Baseline) through 24 hours after the final dose on Day 5 in each treatment period). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Sep 2021.

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