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HypertensionPhase 4LINC CARENCT07247162

Osilodrostat in Patients With Hypertension Caused by Hypercortisolaemia Due to Cushing's Syndrome

A Phase 4 study testing Osilodrostat in people with Hypertension and Hypercortisolemia, run by RECORDATI GROUP at 3 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Osilodrostat has proven to be a safe and efficacious treatment for patients with CS. Demonstrating normalisation of hypercortisolaemia and in patients with hypertension and/or dysglycaemia clinically relevant and statistically significant reductions in blood pressure and glycaemia. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hypertension, Hypercortisolemia, Cushing Syndrome
What is being tested?
Osilodrostat
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
63 participants
Where
3 sitesUnited States
Study dates
26 Aug 2026to Jul 2028
Phase
Phase 4
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female ≥ 18 years of age
  • Able to provide and have provided signed written informed consent prior to study participation
  • Diagnosis of endogenous Cushing's Syndrome
  • mUFC values from two 24h urinary collections > ULN and ≤ 2x ULN
  • Participants with uncontrolled hypertension on stable doses of BP lowering medications (for at least 4 weeks); qualifying BP measurements by ABPM taken prior to randomisation defined as: Average of 24h ABPM SBP ≥ 135 or DBP ≥ 85 mmHg
  • Participants under glucocorticoid replacement therapy can be recruited only if this therapy has been already stopped for at least seven days or 5 half-lives prior to screening, whichever was longer
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  • Not taking any drug therapy for CS. The following minimum periods without these medications need to be completed before baseline assessments:
  • Steroidogenesis inhibitors (e.g. ketoconazole, metyrapone): 1 week
  • Mifepristone: 3 weeks
  • SC Pasireotide: 1 week
  • Pasireotide LAR: 3 months
  • Cabergoline: 4 weeks
  • Able to take oral medication and be willing to comply with the requirements of the study

Who cannot join

  • Previously treated with osilodrostat less than 12 weeks prior to start of screening
  • Known hypersensitivity to osilodrostat
  • Presence of any severe and/or uncontrolled medical condition or other conditions that could affect participation in the study
  • Participants who are scheduled for a surgery to treat CS within 32 weeks of randomisation to the study drug
  • Presence of a known "long term" history of both hypertension and diabetes (defined as both hypertension and diabetes diagnosed >10 years prior to the initial diagnosis of endogenous CS)
  • History of cyclic CS with fluctuating clinical manifestations
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  • Participants with pseudo-CS
  • Participants with compression of the optic chiasm due to a macroadenoma or participants at high risk of compression of the optic chiasm (tumour within 2 mm of optic chiasm)
  • Participants who have undergone pituitary or adrenal surgery for Cushing's syndrome within 3 months prior to screening.
  • Pituitary radiation therapy within 3 years of screening
  • Ectopic ACTH syndrome or adrenocortical carcinoma with a life expectancy of <3 years or receiving chemotherapy
  • Having received prior mitotane treatment
  • Participants who are shift workers or have conditions that can affect the measurement of late-night salivary cortisol (LNSC) or the LDDST
  • Poorly controlled diabetes mellitus with a baseline HbA1c > 10.5%. Participants receiving glucose lowering medications must be on stable doses for at least 4 weeks prior screening.
  • Participants who are hypothyroid and not on adequate replacement therapy
  • History of major surgery/surgical therapy for any cause within 4 weeks before entering the study. Participants should have recovered from the surgery and be in good clinical condition before entering the study
  • Presence of bradycardia and/or QT-related exclusion criteria
  • Total bilirubin > 1.5 x ULN and ALT or AST > 3 x ULN
  • Participation in any clinical investigation within 4 weeks prior to screening or longer if required by local regulation (Use of an investigational drug within 4 weeks prior to dosing)
  • Occurrence of any significant acute illness within 3 weeks prior to dosing/randomisation
  • Female participants who are pregnant, intending to become pregnant or breastfeed during the study or lactating, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test
  • Women of childbearing potential (WOCBP) who are unwilling to use highly effective contraception methods
  • Potentially unreliable or vulnerable participants (e.g. person kept in detention) and those judged by the Investigator to be unsuitable for the study.

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

United States3 sites, 3 recruiting
  • Diabetes And Endocrinology Associates Of Stark County, Inc.

    Canton, Ohio, 44718

    Rachel Bledsoe, 330-493-0013 ext. 129, rachelb@go2endo.com

    Recruiting
  • NOLA Care, LLC

    Jacksonville, Florida, 32258

    Rosina Ducote, 904-701-3610, rosinaducote@gmail.com

    Recruiting
  • Texas Valley Clinical Research

    Weslaco, Texas, 78596

    Anna Rubio Rodriguez, 956-554-4003, annar@tvcrtrials.com

    Recruiting

Other trials in United States

About this study

Official title: A Double-blind, Randomised, 30-week Placebo-controlled Phase IV Study to Assess the Efficacy and Safety of Osilodrostat in Patients With Hypertension Caused by Hypercortisolaemia Due to Cushing's Syndrome

Osilodrostat has proven to be a safe and efficacious treatment for patients with CS. Demonstrating normalisation of hypercortisolaemia and in patients with hypertension and/or dysglycaemia clinically relevant and statistically significant reductions in blood pressure and glycaemia. This study aims at providing additional evidence on the safety, efficacy and appropriate dosing of osilodrostat in patients with CS, who have hypertension.

Being tested
Osilodrostat, Placebo
Keywords
osilodrostat, hypertension, hypercolesterolaemia, cushing's syndrome
Medical subject headings
Hypertension, ACTH Syndrome, Ectopic, Cushing Syndrome

What participants receive

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

  • OsilodrostatDrug

    Also called isturisa

    Osilodrostat tablets 1 mg and 5 mg for oral useOsilodrostat tablets 1 mg and 5 mg for oral use.During the 18-week titration phase, the dose of the medication will be titrated every 3 weeks based on the cortisolaemic and clinical response to treatment. An independent endocrinologist titration committee will be applied to provide recommendations on dose-titration based on biochemical and clinical response. At the end of the 18-week dose titration phase, participants will enter a 12-week dose maintenance phase, which is also blinded. They will continue with the dose they were receiving at the end of the dose titration phase, unless there is a need to down-titrate or to stop the study medication for safety purposes.

  • PlaceboDrug

    matching placebo

Study groups in NCT07247162
Study groupRoleWhat they receive
LCI699 (osilodrostat)Experimental1 mg QOD
Receives: Drug: Osilodrostat
PlaceboPlacebo comparatormatching placebo
Receives: Drug: Placebo

What is being measured

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

  1. To evaluate the efficacy of osilodrostat on the proportion of participants with normalization of urinary-free cortisol (UFC)

    Normalization status for each participant at Week 30 of treatment with osilodrostat or placebo, based on the mean of UFC concentrations from two 24-hour urine collections, with normalization defined as ≤1× the upper limit of normal (ULN).

    Measured: 30 weeks

Secondary outcomes (37)
  1. Percentage of Participants With Blood Pressure Response by 24-Hour Ambulatory Blood Pressure Monitoring (ABPM) at Week 30 (key secondary)

    Blood pressure (BP) responder status is assessed by 24-hour ABPM. This measure will check the % of participants that are responders. A participant is a responder if mean systolic and/or diastolic BP decreases by at least 5 mmHg from baseline, without worsening of either and without any modification in antihypertensive medication attributable to worsening hypertension. Participants without a valid ABPM assessment at Week 30 are classified as non-responders.

    Measured: Week 30

  2. Percentage of Participants With Hypocortisolism-Related Adverse Events (Overall)

    Percentage of participants with at least one hypocortisolism-related adverse event (AE) during the treatment period.

    Measured: Week 30

  3. Percentage of Participants With Glucocorticoid Withdrawal Syndrome

    Percentage of participants with glucocorticoid withdrawal syndrome, a category of hypocortisolism-related AEs, during the treatment period.

    Measured: Week 30

  4. Percentage of Participants With Confirmed Adrenal Insufficiency

    Percentage of participants with confirmed adrenal insufficiency, a category of hypocortisolism-related AEs, during the treatment period.

    Measured: Week 30

  5. Percentage of Participants With Glycemic Response at Week 30 in Participants With High-Risk Dysglycemia

    Assessed in participants with high-risk dysglycemia at baseline (HbA1c >=6.0%). A glycemic responder has a reduction of at least 25% from baseline in glucose area under the curve (AUC) during an oral glucose tolerance test (OGTT), without the addition of, or an increase in the dose of, glucose-lowering medications.

    Measured: baseline and Week 30

  6. Percentage of Participants With Glycemic Response at Week 21 in Participants With High-Risk Dysglycemia

    Assessed in participants with high-risk dysglycemia at baseline (HbA1c >=6.0%). A glycemic responder has a reduction of at least 25% from baseline in glucose area under the curve (AUC) during an oral glucose tolerance test (OGTT), without the addition of, or an increase in the dose of, glucose-lowering medications.

    Measured: Baseline and Week 21

  7. Percentage of Participants With Body Weight Response at Week 30

    A body weight responder has a decrease of at least 5% from baseline in body weight, without the addition of, or an increase in the dose of, weight-lowering medications.

    Measured: baseline and Week 30

  8. Percentage of Participants With Body Weight Response at Week 21

    A body weight responder has a decrease of at least 5% from baseline in body weight, without the addition of, or an increase in the dose of, weight-lowering medications.

    Measured: baseline and Week 21

  9. Change From Baseline in Systolic Blood Pressure (SBP) by 24-Hour ABPM at Week 30

    Change from baseline in mean 24-hour SBP measured by ambulatory blood pressure monitoring (ABPM). Change = value at Week 30 minus baseline value.

    Measured: Baseline, Week 30

  10. Change From Baseline in Systolic Blood Pressure (SBP) by 24-Hour ABPM at Week 21

    Change from baseline in mean 24-hour SBP measured by ambulatory blood pressure monitoring (ABPM). Change = value at Week 21 minus baseline value.

    Measured: baseline and Week 21

  11. Change From Baseline in Glucose AUC During OGTT at Week 30 in Participants With High-Risk Dysglycemia

    Assessed in participants with high-risk dysglycemia at baseline (HbA1c >=6.0%). Change from baseline in glucose area under the curve (AUC) during an oral glucose tolerance test (OGTT). Change = value at Week 30 minus baseline value.

    Measured: baseline and Week 30

  12. Change From Baseline in Glucose AUC During OGTT at Week 21 in Participants With High-Risk Dysglycemia

    Assessed in participants with high-risk dysglycemia at baseline (HbA1c >=6.0%). Change from baseline in glucose area under the curve (AUC) during an oral glucose tolerance test (OGTT). Change = value at Week 21 minus baseline value.

    Measured: baseline and Week 21

  13. Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 30 in Participants With High-Risk Dysglycemia

    Assessed in participants with high-risk dysglycemia at baseline (HbA1c >=6.0%). Change = HbA1c value at Week 30 minus baseline value.

    Measured: baseline and Week 30

  14. Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 21 in Participants With High-Risk Dysglycemia

    Assessed in participants with high-risk dysglycemia at baseline (HbA1c >=6.0%). Change = HbA1c value at Week 21 minus baseline value.

    Measured: baseline and Week 21

  15. Change From Baseline in 2-Hour Postprandial Glucose at Week 30 in Participants With High-Risk Dysglycemia

    Assessed in participants with high-risk dysglycemia at baseline (HbA1c >=6.0%). Change = 2-hour postprandial glucose value at Week 30 minus baseline value.

    Measured: Baseline, Week 30

  16. Change From Baseline in 2-Hour Postprandial Glucose at Week 21 in Participants With High-Risk Dysglycemia

    Assessed in participants with high-risk dysglycemia at baseline (HbA1c >=6.0%). Change = 2-hour postprandial glucose value at Week 21 minus baseline value.

    Measured: baseline and Week 21

  17. Change From Baseline in Fasting Plasma Glucose Over Time in Participants With High-Risk Dysglycemia

    Assessed in participants with high-risk dysglycemia at baseline (HbA1c >=6.0%). Change from baseline in fasting plasma glucose (FPG) at each scheduled visit.

    Measured: Up to Week 30

  18. Change From Baseline in Body Weight Over Time

    Change from baseline in body weight at each scheduled visit.

    Measured: Up to Week 30

  19. Participants (n) With Adverse Events

    Frequency of participants with AEs, by treatment group, during the treatment period.

    Measured: Up to Week 30

  20. Participants (%) With Adverse Events

    percentage of participants with AEs, by treatment group, during the treatment period.

    Measured: Up to Week 30

  21. Change From Baseline in Laboratory Values

    Change from baseline in safety laboratory values at each scheduled visit.

    Measured: Up to Week 30

  22. Change From Baseline in Electrocardiogram (ECG) Parameters

    Change from baseline in ECG readings at each scheduled visit.

    Measured: Up to Week 30

  23. Change From Baseline in Vital Signs

    Change from baseline in vital signs at each scheduled visit.

    Measured: Up to Week 30

  24. Shift in American Heart Association (AHA) Hypertension Category From Baseline to Week 30

    Distribution of participants by AHA blood pressure classification category at Week 30 compared with baseline.

    Measured: baseline and Week 30

  25. Shift in American Heart Association (AHA) Hypertension Category From Baseline to Week 21

    Distribution of participants by AHA blood pressure classification category at Week 21 compared with baseline.

    Measured: baseline and Week 21

  26. Shift in American Diabetes Association (ADA) Glycemia Category From Baseline to Week 30

    Distribution of participants by ADA glycemia classification category at Week 30 compared with baseline.

    Measured: baseline and Week 30

  27. Shift in American Diabetes Association (ADA) Glycemia Category From Baseline to Week 21

    Distribution of participants by ADA glycemia classification category at Week 21 compared with baseline.

    Measured: baseline and Week 21

  28. Change From Baseline in Blood Pressure-Lowering Medications (Dose Changes) at Week 30

    Distribution of dose changes (increase, decrease, no change) of blood pressure-lowering medications at Week 30 compared with baseline.

    Measured: baseline and Week 30

  29. Change From Baseline in Blood Pressure-Lowering Medications (Number) at Week 30

    number of blood pressure-lowering medications at Week 30 compared with baseline.

    Measured: baseline and Week 30

  30. Change From Baseline in Blood Pressure-Lowering Medications (Number) at Week 21

    number of blood pressure-lowering medications at Week 21 compared with baseline.

    Measured: baseline and Week 21

  31. Change From Baseline in Blood Pressure-Lowering Medications (Dose Change) at Week 21

    Distribution of dose changes (increase, decrease, no change) of blood pressure-lowering medications at Week 21 compared with baseline.

    Measured: baseline and Week 21

  32. Change From Baseline in Glucose-Lowering Medications (Dose Changes) at Week 30

    Distribution of dose changes (increase, decrease, no change) of glucose-lowering medications at Week 30 compared with baseline.

    Measured: baseline and Week 30

  33. Change From Baseline in Glucose-Lowering Medications (Dose Changes) at Week 21

    Distribution of dose changes (increase, decrease, no change) of glucose-lowering medications at Week 21 compared with baseline.

    Measured: Baseline, Week 21

  34. Change From Baseline in Glucose-Lowering Medications (Number) at Week 30

    number of glucose-lowering medications at Week 30 compared with baseline.

    Measured: Baseline, Week 30

  35. Change From Baseline in Glucose-Lowering Medications (Number) at Week 21

    number of glucose-lowering medications at Week 21 compared with baseline.

    Measured: baseline and Week 21

  36. Percentage of Participants With Normalization of 24-Hour Urinary Free Cortisol (UFC) Over Time

    Normalization status of 24-hour UFC for each participant at each scheduled visit, defined as UFC <=1x the upper limit of normal (ULN).

    Measured: up Week 30

  37. Percentage of Participants With Blood Pressure Response by 24-Hour ABPM at Week 21

    Blood pressure (BP) responder status is assessed by 24-hour ABPM. A participant is a responder if mean systolic and/or diastolic BP decreases by at least 5 mmHg from baseline, without worsening of either and without any modification in antihypertensive medication attributable to worsening hypertension.

    Measured: Week 21

Timeline

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

  1. First posted25 Nov 2025
  2. Study start26 Aug 2026
  3. Primary completionMay 2028 (estimated)
  4. Study completionJul 2028 (estimated)

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
63 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07247162
Sponsor's protocol ID
LCI699-RECAG-CL-0615
Other IDs
2025-524649-28-00, 2025
Acronym
LINC CARE
Status last verified
Oct 2026
First submitted
19 Nov 2025
Last updated
2 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Osilodrostat in people with Hypertension and Hypercortisolemia, run by RECORDATI GROUP at 3 sites 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 13 inclusion and 23 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: looking for participants now, as of the sponsor's last update on 2 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites 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. Some participants in this study may receive a placebo. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Michal Sarnecki (+41 (0)79 911 79 87, sarnecki.m@recordati.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To evaluate the efficacy of osilodrostat on the proportion of participants with normalization of urinary-free cortisol (UFC) (time frame: 30 weeks). 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 2 Nov 2026.

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