ClinicalTrials.gg
Active, not recruitingNCT04806451Updated Feb 5, 2025Results posted

Global Safety and Efficacy Registration Study of Crinecerfont in Pediatric Participants With Classic Congenital Adrenal Hyperplasia (CAHtalyst Pediatric Study)

A Phase 3 interventional study of Crinecerfont and Placebo in Congenital Adrenal Hyperplasia, sponsored by Neurocrine Biosciences. Active, not recruiting at 46 sites in 10 countries. Open to participants aged 2 Years to 17 Years. Per ClinicalTrials.gov, last updated 2025-02-05.

Sponsored by Neurocrine Biosciences · Phase 3, Interventional, and Treatment

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Phase 3
Study type
Interventional
Enrollment
103
Allocation
Randomized
Ages
2 Years to 17 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 16 studies in Adrenal Hyperplasia, Congenital by Neurocrine Biosciences — 2 open to participants now, 5 under way, 2 of them phase 3. Adrenal Hyperplasia, Congenital · Neurocrine Biosciences.

Enrollment
3rd of 16
103 · median 24
Started
2021
the only one that year
Phase 3
6 of 16
none open now
Registered
12th of 16
by date

Among the 16 studies in Adrenal Hyperplasia, Congenital by Neurocrine Biosciences, this one is the 3rd largest by enrollment, is the only one that started in 2021, is one of 6 in phase 3, and was the 12th registered.

Adrenal Hyperplasia, Congenital

101 studies on the registry are indexed under Adrenal Hyperplasia, Congenital; 28 are open to participants now.

Browse Adrenal Hyperplasia, Congenital studies →

Open to participants now

2 of the 16 studies in Adrenal Hyperplasia, Congenital by Neurocrine Biosciences are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

Who these studies take

Of the 20 Adrenal Hyperplasia, Congenital studies recruiting now, 10 (50%) set no upper age limit and 9 (45%) stop at 75 or younger; 7 take children under 18; none take healthy volunteers.

This study: 2 Years to 17 Years · all sexes · no healthy volunteers.

The full table on the hub →

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

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 16 studies in Adrenal Hyperplasia, Congenital by Neurocrine Biosciences, or all of them as a file.
02

Study summary

This is a Phase 3 study to evaluate the efficacy, safety, and tolerability of crinecerfont versus placebo administered for 28 weeks in approximately 81 pediatric participants with classic congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. The study consists of a 28-week double blind, placebo-controlled period, followed by 24 weeks of open-label treatment with crinecerfont. Subsequently, participants may elect to participate in the open-label extension (OLE) period. The duration of participation in the study is approximately 14 months for the core study and will be a variable amount of time per participant for the OLE (estimated to be approximately 3 years).

03

Conditions studied

  • Congenital Adrenal Hyperplasia

Keywords

  • classic congenital adrenal hyperplasia (CAH)
  • 21-hydroxylase deficiency
04

Who can participate

Ages eligible
2 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Be willing and able to adhere to the study procedures, including all requirements at the study center, and return for the follow-up visit.
  • Have a medically confirmed diagnosis of classic CAH due to 21-hydroxylase deficiency.
  • Be on a stable regimen.
  • Have elevated androgen levels.
  • Participants of must be abstinent or agree to use appropriate during the study.

Exclusion criteria

Exclusion Criteria:

  • Have a diagnosis of any of the other forms of classic CAH.
  • Have a history of bilateral adrenalectomy, hypopituitarism, or other condition requiring chronic therapy.
  • Have a unstable medical condition or chronic disease other than CAH.
  • Have a history of cancer unless considered to be cured.
  • Have a known history of clinically significant arrhythmia or abnormalities on (ECG).
  • Have a known to any corticotropin-releasing hormone antagonist.
  • Have received an drug within 30 days before initial screening or plan to use an investigational drug (other than the study drug) during the study.
  • Have current substance dependence or substance (drug) or alcohol abuse.
  • Have had a significant blood loss or donated blood or blood products within 8 weeks prior to the study.
Terms in these criteria, in plain language(7)

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
103 participants (actual)

Study arms

  • Experimental
    Crinecerfont

    Crinecerfont solution or capsule, administered orally, twice daily for 28 weeks during the placebo-controlled treatment period, followed by active treatment with crinecerfont for at least 24 weeks.

    Drug: Crinecerfont

  • Placebo comparator
    Placebo

    Placebo solution or capsule, administered orally, twice daily for 28 weeks, followed by active treatment with crinecerfont for at least 24 weeks.

    Drug: Crinecerfont · Drug: Placebo

Interventions

  • CRF type 1 receptor antagonist

    Also known as: NBI-74788, Crenessity

  • DrugPlacebo

    Non-active dosage form

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Serum Androstenedione at Week 4

    Blood serum samples were collected for the analysis of serum androstenedione concentrations. Least square (LS) mean and standard error (SE) were calculated using analysis of covariance (ANCOVA) model.

    Time frame: Baseline, Week 4

Secondary outcomes

  1. Change From Baseline in Serum 17-hydroxyprogesterone (17-OHP) at Week 4

    Time frame: Baseline, Week 4

  2. Percent Change From Baseline in Glucocorticoid Daily Dose at Week 28

    Time frame: Baseline, Week 28

  3. Number of Participants Who Achieved a Reduction to Physiologic Glucocorticoid Dose While Maintaining Androstenedione Control at Week 28

    Time frame: Week 28

  4. Change From Baseline in Body Mass Index (BMI) Standard Deviation Score (SDS) at Week 28

    Time frame: Baseline, Week 28

  5. Change From Baseline in Mean 24-hour Salivary 17-OHP at Week 28

    Time frame: Baseline, Week 28

  6. Change From Baseline in the Ratio of Bone Age to Chronological Age (BA:CA) at Week 28

    Time frame: Baseline, Week 28

07

Results

Posted Feb 5, 2025

Participant flow

DB Treatment Period (28 Weeks)
Participant flow — DB Treatment Period (28 Weeks)
MilestonePlaceboCrinecerfont
Started3469
Received at least 1 dose of study drug3369
Completed3166
Not completed33
Withdrew: Withdrawal by subject31
Withdrew: Adverse event02
OL Treatment Period (24 Weeks)
Participant flow — OL Treatment Period (24 Weeks)
MilestonePlaceboCrinecerfont
Started3166
Received at least 1 dose of study drug3166
Completed1529
Not completed1637
Withdrew: Ongoing in the study1637

Outcome measures

PrimaryChange From Baseline in Serum Androstenedione at Week 4

Blood serum samples were collected for the analysis of serum androstenedione concentrations. Least square (LS) mean and standard error (SE) were calculated using analysis of covariance (ANCOVA) model.

Time frame:
Baseline, Week 4
Reported as:
Least squares mean · ng/dL
Change From Baseline in Serum Androstenedione at Week 4
ng/dLPlaceboCrinecerfont
Change From Baseline in Serum Androstenedione at Week 470.986 ± 56.198-196.789 ± 39.369
Statistical analysis
  • Placebo vs Crinecerfont · ANCOVA · p = 0.0002 · Ls mean difference: -267.775 · 95% CI -403.427 to -132.124
SecondaryChange From Baseline in Serum 17-hydroxyprogesterone (17-OHP) at Week 4
Time frame:
Baseline, Week 4

Results for this outcome have not been posted.

SecondaryPercent Change From Baseline in Glucocorticoid Daily Dose at Week 28
Time frame:
Baseline, Week 28

Results for this outcome have not been posted.

SecondaryNumber of Participants Who Achieved a Reduction to Physiologic Glucocorticoid Dose While Maintaining Androstenedione Control at Week 28
Time frame:
Week 28

Results for this outcome have not been posted.

SecondaryChange From Baseline in Body Mass Index (BMI) Standard Deviation Score (SDS) at Week 28
Time frame:
Baseline, Week 28

Results for this outcome have not been posted.

SecondaryChange From Baseline in Mean 24-hour Salivary 17-OHP at Week 28
Time frame:
Baseline, Week 28

Results for this outcome have not been posted.

SecondaryChange From Baseline in the Ratio of Bone Age to Chronological Age (BA:CA) at Week 28
Time frame:
Baseline, Week 28

Results for this outcome have not been posted.

Adverse events

Collected over Baseline up to Week 28. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
DB Period: Placebo0/34 (0%)4/33 (12.1%)22/33 (66.7%)
DB Period: Crinecerfont0/69 (0%)1/69 (1.4%)51/69 (73.9%)
Most frequent serious events
Most frequent serious events
EventDB Period: PlaceboDB Period: Crinecerfont
VomitingGastrointestinal disorders2/330/69
PharyngitisInfections and infestations1/330/69
Chest painGeneral disorders1/330/69
Gastroenteritis norovirusInfections and infestations1/330/69
GastroenteritisInfections and infestations1/330/69
Gastroenteritis viralInfections and infestations1/330/69
PyrexiaGeneral disorders0/331/69
Most frequent other events
Showing 10 of 22
Most frequent other events
EventDB Period: PlaceboDB Period: Crinecerfont
HeadacheNervous system disorders2/3317/69
PyrexiaGeneral disorders8/3315/69
VomitingGastrointestinal disorders8/3310/69
NasopharyngitisInfections and infestations6/337/69
Upper respiratory tract infectionInfections and infestations0/338/69
Coronavirus infectionInfections and infestations3/335/69
DizzinessNervous system disorders3/334/69
Blood androstenedione increasedInvestigations3/333/69
Blood corticotrophin increasedInvestigations3/332/69
DiarrhoeaGastrointestinal disorders3/332/69

Baseline characteristics

Full Analysis Set included all randomized participants.

Age, Continuous
Age, Continuous(years)PlaceboCrinecerfontTotal
Mean12.142 ± 3.69012.022 ± 3.40512.061 ± 3.484
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboCrinecerfontTotal
Female163450
Male183553
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboCrinecerfontTotal
Hispanic or Latino3811
Not Hispanic or Latino255277
Unknown or Not Reported6915
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PlaceboCrinecerfontTotal
Race — American Indian or Alaska Native011
Race — Asian279
Race — Black or African American033
Race — White234265
Race — Native Hawaiian or Other Pacific Islander011
Race — Other235
Race — Multiple134
Race — Not Collected6915
Serum Androstenedione Concentration
Serum Androstenedione Concentration(nanograms (ng)/deciliter (dL))PlaceboCrinecerfontTotal
Mean483.32 ± 455.64404.96 ± 464.10430.83 ± 460.58
08

Study locations

46 sites
  • Neurocrine Clinical Site
    Birmingham, Alabama 35233, United States
  • Neurocrine Clinical Site
    Los Angeles, California 90027, United States
  • Neurocrine Clinical Site
    Orange, California 92868, United States
  • Neurocrine Clinical Site
    San Diego, California 92123, United States
  • Neurocrine Clinical Site
    San Francisco, California 94158, United States
  • Neurocrine Clinical Site
    Aurora, Colorado 80045, United States
  • Neurocrine Clinical Site
    Hartford, Connecticut 06106, United States
  • Neurocrine Clinical Site
    Washington, District of Columbia 20010, United States
  • Neurocrine Clinical Site
    Atlanta, Georgia 30329, United States
  • Neurocrine Clinical Site
    Indianapolis, Indiana 46202, United States
  • Neurocrine Clinical Site
    Boston, Massachusetts 02115, United States
  • Neurocrine Clinical Site
    Ann Arbor, Michigan 48109, United States
  • Neurocrine Clinical Site
    Minneapolis, Minnesota 55454, United States
  • Neurocrine Clinical site
    Saint Louis, Missouri 63104, United States
  • Neurocrine Clinical Site
    New Hyde Park, New York 11040, United States
  • Neurocrine Clinical Site
    New York, New York 10065, United States
  • Neurocrine Clinical Site
    Oklahoma City, Oklahoma 73104, United States
  • Neurocrine Clinical Site
    Tulsa, Oklahoma 74135, United States
  • Neurocrine Clinical Site
    Philadelphia, Pennsylvania 19104, United States
  • Neurocrine Clinical Site
    Pittsburgh, Pennsylvania 15224, United States
  • Neurocrine Clinical Site
    Dallas, Texas 75235, United States
  • Neurocrine Clinical Site
    Seattle, Washington 98105, United States
  • Neurocrine Clinical Site
    Brussels, 1200, Belgium
  • Neurocrine Clinical Site
    Ghent, 9000, Belgium
  • Neurocrine Clinical Site
    Edmonton, Alberta T6G 1C9, Canada
  • Neurocrine Clinical Site
    Vancouver, British Columbia V6H 3V4, Canada
  • Neurocrine Clinical Site
    Montréal, Quebec H3T 1C5, Canada
  • Neurocrine Clinical Site
    Angers, 49933, France
  • Neurocrine Clinical Site
    Bordeau, 33076, France
  • Neurocrine Clinical Site
    Le Kremlin-Bicêtre, 94270, France
  • Neurocrine Clinical Site
    Paris, 75015, France
  • Neurocrine Clinical Site
    Paris, 75019, France
  • Neurocrine Clinical Site
    Berlin, 13353, Germany
  • Neurocrine Clinical Site
    Heidelberg, 69120, Germany
  • Neurocrine Clinical Site
    Magdeburg, 39120, Germany
  • Neurocrine Clinical Site
    Athens, 115 27, Greece
  • Neurocrine Clinical Site
    Athens, 11527, Greece
  • Neurocrine Clinical Site
    Bologna, 40138, Italy
  • Neurocrine Clinical Site
    Milan, 20132, Italy
  • Neurocrine Clinical Site
    Napoli, 80131, Italy
  • Neurocrine Clinical Site
    Roma, 00165, Italy
  • Neurocrine Clinical Site
    Gdańsk, 80-214, Poland
  • Neurocrine Clinical Site
    Rzeszów, 35-301, Poland
  • Neurocrine Clinical Site
    Barcelona, 08035, Spain
  • Neurocrine Clinical Site
    Sevilla, 41013, Spain
  • Neurocrine Clinical Site
    London, WC1N 3JH, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2021 to primary completion in Mar 2023, 20 months.

Results were first posted in Feb 2025, 1 year 10 months after primary completion. A results delay was requested in Mar 2024.

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

Registered
Mar 16, 2021
First posted
Mar 19, 2021
StartActual
Jun 25, 2021
Primary completionActual
Mar 10, 2023
CompletionEst.
Aug 2027
Results delay requested
Mar 5, 2024
Results first posted
Feb 5, 2025
Last update
Feb 5, 2025
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 Feb 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04806451
Responsible party
Sponsor
First posted
Mar 19, 2021
Start date
Jun 25, 2021
Primary completion
Mar 10, 2023
Completion
Aug 2027 (estimated)
Results posted
Feb 5, 2025
Last update
Feb 5, 2025

Study contacts

Clinical Development Lead
study director · Neurocrine Biosciences

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Crinecerfont

Start the discussion