ClinicalTrials.gg
CompletedNCT03343327Updated Sep 14, 2026

A Study of Chronocort® Versus Cortef ® in Healthy Adult Male Subjects

A Phase 1 interventional study of Chronocort® and Cortef® in Adrenal Insufficiency, sponsored by Neurocrine UK Limited. Completed at 1 site in United Kingdom. Open to male participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-14.

Sponsored by Neurocrine UK Limited (formerly part of Neurocrine Biosciences) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Apr 2018, 8 years 6 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 23 studies testing hydrocortisone in Adrenal Insufficiency — 2 open to participants now, 2 under way, none of them phase 3. Hydrocortisone · Adrenal Insufficiency.

Enrollment
17th of 23
25 · median 50
Started
2018
with 1 other
Phase 1
6 of 23
none open now
Registered
19th of 23
by date
Lead sponsor
9 of 23
Neurocrine UK Limited

Among the 23 studies testing hydrocortisone in Adrenal Insufficiency, this one is the 17th largest by enrollment, is one of 2 that started in 2018, is one of 6 in phase 1, and was the 19th registered.

Adrenal Insufficiency

136 studies on the registry are indexed under Adrenal Insufficiency; 27 are open to participants now.

Browse Adrenal Insufficiency studies →

Open to participants now

2 of the 23 studies testing hydrocortisone in Adrenal Insufficiency are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

About hydrocortisone

Hydrocortisone: first FDA approval 1951 (HYDROCORTONE), first EMA approval 2011. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 20 Adrenal Insufficiency studies recruiting now, 7 (35%) set no upper age limit and 7 (35%) stop at 75 or younger; 5 take children under 18; 5 take healthy volunteers.

This study: 18 Years to 45 Years · male · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 23 studies testing hydrocortisone in Adrenal Insufficiency, or all of them as a file.
02

Study summary

This was a single centre, open label, randomised, two period, crossover study to evaluate the bioavailability of Chronocort® versus Cortef® immediate release hydrocortisone tablets in dexamethasone-suppressed healthy adult male subjects.

Read the detailed description

This study was an open-label, randomised, single dose, two-period, crossover study in 25 healthy male subjects.

The study comprised of a pre-study screen, followed by 2 treatment periods (1 and 2) and a post-study followup.

Screening (Day -28 to Day -1): Screening assessments were carried out within 28 days before first administration of IMP. Eligible subjects were asked to return for the treatment periods. Continued eligibility was confirmed pre-dose during each treatment period.

Treatment Periods (Day -1 to Day 1): Eligible subjects received a single-dose of each IMP over 2 treatment periods (1/period as determined by the randomisation schedule), each separated by 7 days washout. Each study period was approximately 2 days in duration, from the afternoon of Day -1 to the morning of Day 1 at 24 hours (h) post-dose. During each treatment period, Subjects arrived at the Clinical Unit on Day -1, IMP was administered on the morning of Day 0 fasted (following an overnight fast of at least 10 h) and subjects were discharged following the 24 h post-dose blood samples and completion of the scheduled measurements.

Pharmacokinetic (PK) samples were collected pre-dose at \~ -2min and up to 23 h post-dose (Day 1) (24 samples) for the measurement of cortisol. A further 3 baseline samples were taken for the measurement of cortisol. Safety was also evaluated throughout the study.

Post Study: After completion of both study periods, the subjects returned 4-22 days later for the final followup visit.

03

Conditions studied

  • Adrenal Insufficiency

Browse trials for

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Healthy male subjects between 18 and 45 years of age inclusive (at screening).
  2. A of 18-30 kg/m2 (inclusive).
  3. No abnormal serum biochemistry, haematology or urine examination values as defined by the Investigator.
  4. A negative urinary drugs of abuse screen. A positive alcohol test or drugs of abuse test may be repeated at the discretion of the Investigator.
  5. Negative and Hepatitis Band C results.
  6. No clinically significant abnormalities in 12-lead as defined by the Investigator.
  7. No clinically significant deviation outside the normal ranges for blood pressure and heart rate measurements as defined by the Investigator.
  8. Subjects (unless anatomically sterile or where abstaining from sexual intercourse is in line with the preferred and usual lifestyle of the subject) and sexual partners must use 2 effective methods during the trial and for 3 months after the last dose, for example:

    • Oral, injected or implanted hormonal contraceptive+ condom
    • Intra-uterine device (IUD) + condom
    • Diaphragm with spermicide + condom
  9. Subjects must be available to complete both periods of the study and the follow-up visit.
  10. Subjects must satisfy a medical examiner about their fitness to participate in the study.
  11. Subjects must be able to read and understand the form and must provide written informed consent to participate in the study.

Exclusion criteria

Exclusion Criteria:

  1. A history of gastrointestinal disorder likely to influence drug absorption.
  2. Receipt of any medication with the exception of paracetamol within the 14 days prior to dosing (including topical , vitamins, dietary supplements or herbal remedies).
  3. Evidence of renal. hepatic, central nervous system, respiratory, cardiovascular or metabolic dysfunction.
  4. Receipt of any vaccination within the previous one month.
  5. Presence of infections (systemic fungal and viral infections, acute bacterial infections).
  6. Current or previous history of tuberculosis.
  7. A clinically significant history of previous allergy/sensitivity to hydrocortisone and/or dexamethasone.
  8. Meeting any of the for Cortef® and/or dexamethasone, as detailed in the United States Prescribing Information (USPI)/Summary of Product Characteristics (SmPC), respectively
  9. A clinically significant history of drug or alcohol abuse.
  10. Inability to communicate well with the Investigator (i.e., language problem, poor mental development or impaired cerebral function).
  11. Participation in a New Chemical Entity clinical study or a marketed drug clinical study within the previous three months, or five half- lives of the study drug, whichever is the longer period. (NB. the three-month between trials is defined as the period of time elapsed between the last dose of the previous study and the first dose of the next study).
  12. Subjects who have consumed more than two units of alcohol per day within seven days prior to the first dose or have consumed any alcohol within the 48-hour period prior to the first dose.
  13. Donation or receipt of 450 mL of blood within the previous three months.
  14. Subjects who smoke (or ex-smokers who have smoked within six months prior to first dose). This includes e-cigarette and shisha users.
  15. Subjects who work shifts (i.e. regularly alternate between days, afternoons and nights).
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    Chronocort®, then Cortef®

    Single dose of 20mg Chronocort® (oral administration), followed by a single dose of 20mg Cortef® Immediate Release Hydrocortisone Tablets (oral administration).

    Drug: Chronocort® · Drug: Cortef®

  • Active comparator
    Cortef®, then Chronocort®

    Single dose of 20mg Cortef® Immediate Release Hydrocortisone Tablets (oral administration), followed by a single dose of 20mg Chronocort® (oral administration).

    Drug: Chronocort® · Drug: Cortef®

Interventions

  • Single dose of 20mg Chronocort® administered in one treatment period

  • Single dose of 20mg Cortef® administered in one treatment period

06

What researchers measure

Primary outcomes

  1. Area under the concentration time curve from time 0 to infinity (AUC0-inf) of Chronocort® to Cortef® based on baseline adjusted and unadjusted serum cortisol concentration calculated for each sampling time point.

    Comparing the area under the concentration time curve of Chronocort® compared to Cortef® immediate release hydrocortisone tablets.

    Time frame: Samples taken at 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 11,12, 13, 14, 16, 18, 20, 22, and 24 hours (morning of Day 1) in both periods.

Secondary outcomes

  1. Pharmacokinetic parameters for serum cortisol + relative bioavailability - Cmax

    The following PK endpoint was derived from baseline adjusted and unadjusted serum cortisol concentration-time data following administration of each IMP. ◦ Cmax Maximum plasma cortisol concentration.

    Time frame: Samples taken at 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 11,12, 13, 14, 16, 18, 20, 22, and 24 hours (morning of Day 1) in both periods.

  2. Pharmacokinetic parameters for serum cortisol + relative bioavailability - Tmax

    The following PK endpoint was derived from baseline adjusted and unadjusted serum cortisol concentration-time data following administration of each IMP. ◦ Tmax The time to maximum observed cortisol concentration sampled during a dosing interval.

    Time frame: Samples taken at 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 11,12, 13, 14, 16, 18, 20, 22, and 24 hours (morning of Day 1) in both periods.

  3. Pharmacokinetic parameters for serum cortisol + relative bioavailability - Kel

    The following PK endpoint was derived from baseline adjusted and unadjusted serum cortisol concentration-time data following administration of each IMP. ◦ kel Elimination rate constant.

    Time frame: Samples taken at 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 11,12, 13, 14, 16, 18, 20, 22, and 24 hours (morning of Day 1) in both periods.

  4. Pharmacokinetic parameters for serum cortisol + relative bioavailability - t1/2

    The following PK endpoint was derived from baseline adjusted and unadjusted serum cortisol concentration-time data following administration of each IMP. ◦ t1/2 Terminal half-life.

    Time frame: Samples taken at 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 11,12, 13, 14, 16, 18, 20, 22, and 24 hours (morning of Day 1) in both periods.

  5. Pharmacokinetic parameters for serum cortisol + relative bioavailability - AUC0-t

    The following PK endpoint was derived from baseline adjusted and unadjusted serum cortisol concentration-time data following administration of each IMP. ◦ AUC0-t Area under the plasma cortisol concentration-time curve (AUC) from the time of dosing to the time of the last observed concentration.

    Time frame: Samples taken at 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 11,12, 13, 14, 16, 18, 20, 22, and 24 hours (morning of Day 1) in both periods.

  6. Pharmacokinetic parameters for serum cortisol - Serum cortisol clearance (CL/F)

    Calculated as Dose / AUC0-inf. This PK endpoint was derived from baseline adjusted and unadjusted serum cortisol concentration-time data following administration of each IMP.

    Time frame: Samples taken at 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 11,12, 13, 14, 16, 18, 20, 22, and 24 hours (morning of Day 1) in both periods.

  7. Pharmacokinetic parameters for serum cortisol - Distribution during terminal elimination (Vz/F)

    Volume of distribution based on the terminal elimination phase following extravascular administration derived from baseline adjusted and unadjusted serum cortisol

    Time frame: Samples taken at 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 11,12, 13, 14, 16, 18, 20, 22, and 24 hours (morning of Day 1) in both periods.

  8. Observed changes in Safety Laboratory Data

    Observed changes in Safety Laboratory data (biochemistry, haematology \& urinalysis) during the course of the study, with any out of normal range values flagged.

    Time frame: Screening, Pre-dose and 10h and 24h post-dose during both treatment periods; Follow up

  9. Observed changes in Vital Signs

    Observed changes in vital signs data (blood pressure, pulse rate and oral temperature) during the course of the study, with any out of normal range values flagged.

    Time frame: Screening; Pre-dose and at 4 and 10h post-dose during both treatment periods; Follow up

  10. Observed changes in Electrocardiogram (ECG) data during the course of the study

    12-Lead ECG parameters (Heart Rate, PR interval, QRS width, QT interval, and QT interval corrected using Bazett's formula (QTcB)) and investigator clinical interpretation was listed with any out of normal range values flagged.

    Time frame: Screening, Pre-dose and 10h post-dose during both treatment periods; Follow up

  11. Adverse Events

    Adverse events (AEs) observed throughout the study

    Time frame: Through study completion - approximately 6 weeks

07

Study locations

1 site
  • Simbec Research Ltd.
    Merthyr Tydfil, CF48 4DR, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2018 to primary completion in Apr 2018, 2 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 31, 2017
First posted
Nov 17, 2017
StartActual
Feb 19, 2018
Primary completionActual
Apr 20, 2018
CompletionActual
Apr 20, 2018
Last update
Sep 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03343327
Collaborators
Simbec Research, Brush Clinical Research Ltd., Voet Consulting, Bionical Emas Ltd., Medical Matters International Ltd
Responsible party
Sponsor
First posted
Nov 17, 2017
Start date
Feb 19, 2018
Primary completion
Apr 20, 2018
Completion
Apr 20, 2018
Last update
Sep 14, 2026

Study contacts

A Koch
principal investigator · Simbec Research

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Hydrocortisone

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