ClinicalTrials.gg
Active, not recruitingNCT06471829BalanCeDUpdated Oct 16, 2026

A Trial of Lu AG13909 in Adult Participants With Cushing's Disease

A Phase 2 interventional study of Lu AG13909 in Cushing's Disease, sponsored by H. Lundbeck A/S. Active, not recruiting at 27 sites in 9 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by H. Lundbeck A/S · Phase 2, Interventional, and Treatment

Updated Oct 16, 2026Now Active, not recruitingPrimary completion moved+3 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
16
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This trial will evaluate the effects of Lu AG13909 in adult participants with Cushing's disease (CD). CD is a rare and serious disorder where the body makes too much of a hormone called cortisol. The main goals of this trial are to learn about

  1. the effect of Lu AG13909 on cortisol levels.
  2. the safety and tolerability of Lu AG13909.
  3. the pharmacokinetic parameters of Lu AG13909 (how the drug is absorbed, distributed, and processed by the body).
Read the detailed description

This trial is divided into 3 parts:

  • Part A, consisting of 3 periods: an intravenous (IV) Titration Period, a subcutaneous (SC) Period, and a Safety Follow up Period
  • Part B, consisting of 3 periods: a SC Titration Period, a Maintenance Period, and a Safety Follow-up Period
  • Extension Period, consisting of a Long-Term Efficacy/Safety Period after Part B and a Safety Follow-up Period
02

Conditions studied

  • Cushing's Disease
03

In context

Pituitary ACTH Hypersecretion

64 studies on the registry are indexed under Pituitary ACTH Hypersecretion; 16 are open to participants now.

This study's enrollment of 16 is below the median of 44 across 40 interventional studies indexed under Pituitary ACTH Hypersecretion.

Browse Pituitary ACTH Hypersecretion studies →

Lead sponsor

H. Lundbeck A/S is the lead sponsor of 224 studies on the registry; 9 are open to participants now.

Of its 33 completed or terminated interventional studies of FDA-regulated products, 10 (30%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 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

  • The participant is a man or woman with a confirmed diagnosis of adrenocorticotropic hormone (ACTH) driven CD of pituitary source as per current guidelines
  • Morning plasma ACTH levels > lower limit of normal (LLN) and
  • Evidence of a pituitary origin of the excess ACTH:

    i. Either MRI confirmation of pituitary adenoma >6 millimeters (mm), or ii. inferior petrosal sinus gradient >2, or iii. histopathology confirmation of ACTH-secreting tumour

  • The participant has a 24-hour UFC >1.5 × (the mean of ≥3 days of 24-hour urine collection).
  • Apart from CD and associated well-controlled comorbidities (for example, diabetes mellitus and hypertension), the participant is generally healthy in the opinion of the investigator and based on medical history, physical examination, vital signs, (ECG), and the results of the safety laboratory tests.
  • For participants on medical treatment for hypercortisolism due to CD, pre-defined must be completed prior to the Baseline efficacy assessments.

Exclusion criteria

Exclusion Criteria:

  • The participant is pregnant, breastfeeding, intends to become pregnant, or is of and not willing to use adequate methods.
  • The participant has a abnormal laboratory value, parameter, vital signs value, or other safety findings at the Screening Visit that indicate a potential risk to the participant's safety if enrolled, in the opinion of the investigator.
  • The participant has a history of known or intolerance to Lu AG13909 or its .
  • The participant has immediate need for pituitary surgery within 6 months from screening in the opinion of the investigator.
  • The participant has severe CD per investigator judgement; among others, this could be participants with:

    i. poorly controlled hypertension ii. poorly controlled diabetes mellitus iii. severe psychiatric illness iv. compression of the optic chiasm causing any visual field defect or risk thereof v. very high risk of thromboembolic events

  • The participant had pituitary surgery \<3 month prior to screening.
  • The participant had pituitary radiotherapy within the last 10 years.

Other protocol-defined criteria apply.

Terms in these criteria, in plain language(8)

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

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.

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.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    Lu AG13909

    Participants will first receive Lu AG13909 IV per predefined dosing schedule. Participants will then receive Lu AG13909 SC per predefined dosing schedule.

    Drug: Lu AG13909

Interventions

06

What researchers measure

Primary outcomes

  1. Part A & Part B: Urinary Free Cortisol (UFC) Complete Response: mean UFC (mUFC) ≤ Upper Limit of Normal (ULN) at the end of the IV/SC Titration Period

    Time frame: Up to 490 days

Secondary outcomes

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Up to 1415 days

  2. AUC0-tau,ss: Area Under the Plasma Concentration Curve of Lu AG13909 at Steady State

    Time frame: Up to 1429 days

  3. CL: Systemic Clearance of Lu AG13909

    Time frame: Up to 1429 days

  4. t½: Elimination Half-life of Lu AG13909

    Time frame: Up to 1429 days

  5. Vd: Apparent Volume of Distribution of Lu AG13909

    Time frame: Up to 1429 days

  6. SC Bioavailability (F) of Lu AG13909

    Time frame: Up to 1429 days

  7. Number of Participants With Anti-Drug Antibodies (ADAs)

    Time frame: Up to 1429 days

  8. Part A Only: Cmax: Maximum Observed Plasma Concentration of Lu AG13909

    Time frame: Up to 323 days

  9. Part A Only: Tmax: Nominal Time Corresponding to the Occurrence of Cmax of Lu AG13909

    Time frame: Up to 323 days

  10. Part A & Part B: Ctrough: Minimum Observed Concentration of Lu AG13909

    Time frame: Up to 659 days

  11. Part A & Part B: Ttrough: Nominal Time Corresponding to the Occurrence of Ctrough

    Time frame: Up to 659 days

  12. UFC Complete Response (mUFC ≤ ULN) or Partial Response (≥50% Reduction in UFC from Baseline and mUFC >ULN) at the End of the IV/SC Titration Period

    Time frame: Up to 491 days

  13. Maintenance of UFC Complete Response (mUFC ≤ULN) at the End of the Part B Maintenance Period

    Time frame: Up to 337 days

  14. Part A and Part B: Percentage Change from Baseline in mUFC at the End of the Titration Period and the Completion Visit

    Time frame: Baseline, up to 561 days

  15. Part A and Part B: UFC Complete Response (mUFC ≤ ULN) or Partial Response (≥50% Reduction in UFC from Baseline and mUFC >ULN) at the Completion Visit

    Time frame: Up to 561 days

  16. Part A and Part B: Late Night Salivary Cortisol (LNSC) Complete Response (Mean LNSC (mLNSC)≤ULN) or Partial Response (≥50% Reduction from Baseline in LNSC and mLNSC >ULN) at the End of the Titration Period and the Completion Visit

    Time frame: Up to 561 days

07

Study locations

27 sites
  • University of Michigan Health-A. Alfred Taubman Health Care Center
    Ann Arbor, Michigan 48109, United States
  • Washington University School of Medicine in St. Louis
    St Louis, Missouri 63110-1010, United States
  • Hospices Civils de Lyon (HCL) - Hopital Louis Pradel - Centre De Reference Maladie De Rendu-Osler
    Bron, Auvergne-Rhône-Alpes 69677, France
  • Centre Hospitalier Universitaire de Lille (CHU Lille)
    Lille, Hauts-de-France 59000, France
  • Centre Hospitalier Universitaire de Bordeaux - Hopital Haut-Leveque
    Pessac, New Aquitaine 33604, France
  • Centre Hospitalier Universitaire d'Angers - Centre de recherche clinique
    Angers, Pays de la Loire Region 49933, France
  • Assistance Publique Hopitaux de Marseille (AP-HM) - Hopital de la Conception - Pole Psychiatrie C...
    Marseille, Provence-Alpes-Côte d'Azur Region 13005, France
  • AP-HP - Hôpital Bicêtre
    Le Kremlin-Bicêtre, 94275, France
  • Aversi Clinic - Tbilisi
    Tbilisi, 0159, Georgia
  • Multiprofile Clinic - Consilium Medulla
    Tbilisi, 0186, Georgia
  • Aversi Clinic - Tbilisi
    Tbilisi, 160, Georgia
  • Pecsi Tudomanyegyetem (PTE) (University of Pecs)
    Pécs, Baranya 7622, Hungary
  • Debreceni Egyetem - Klinikai Kozpont - Onkologiai Klinika
    Debrecen, Hajdú-Bihar 4032, Hungary
  • Semmelweis Egyetem - Belgyogyaszati es Onkologiai Klinika (I.sz. Belgyogyaszati Klinika)
    Budapest, 1083, Hungary
  • Azienda Ospedaliera Universitaria "Gaetano Martino" - Messina
    Messina, 98125, Italy
  • Universita degli Studi di Padova - Azienda Ospedaliera di Padova - Ospedale Busonera
    Padua, 35128, Italy
  • Azienda Ospedaliero Universitaria Pisana - Stabilimento Ospedaliero di Santa Chiara - Istituto To...
    Pisa, 56126, Italy
  • Sapienza Universita di Roma - Azienda Ospedaliera Sant Andre
    Rome, 00189, Italy
  • Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino - Ospedale Sant'Anna
    Turin, 10126, Italy
  • Uniwersytet Jagiellonski Collegium Medicum - Szpital Uniwersytecki w Krakowie - Katedra i Klinika...
    Krakow, Lesser Poland Voivodeship 30-688, Poland
  • Spitalul Clinic Judetean de Urgenta Cluj-Napoca
    Cluj-Napoca, Cluj 400006, Romania
  • Spitalul Clinic Judetean Mures (SCJM)
    Târgu Mureş, Mureș County 540072, Romania
  • Institutul National de Endocrinologie "C.I. Parhon"
    Bucharest, 11863, Romania
  • Hospital de la Santa Creu I Sant Pau
    Barcelona, 08041, Spain
  • Hospital Universitario Ramon y Cajal
    Madrid, 28034, Spain
  • Northern Care Alliance NHS Foundation Trust - North Manchester General Hospital
    Manchester, Europe M8 5RB, United Kingdom
  • University of Birmingham - Institute of Metabolism and Systems Research (IMSR)
    Birmingham, West Midlands B15 2TT, United Kingdom
08

Updates

1 registry update since Sep 25, 2026
Status
Recruiting→Active, not recruiting
changed Oct 16, 2026
Sites
13 sites added, 14 sites removed
Show 13 added (5 Italy, 3 Georgia, 2 Hungary, 1 France, 1 Poland, 1 United Kingdom)
  • AP-HP - Hôpital Bicêtre · Le Kremlin-Bicêtre, France
  • Aversi Clinic - Tbilisi · Tbilisi, Georgia
  • Multiprofile Clinic - Consilium Medulla · Tbilisi, Georgia
  • Aversi Clinic - Tbilisi · Tbilisi, Georgia
  • Pecsi Tudomanyegyetem (PTE) (University of Pecs) · Pécs, Hungary
  • Semmelweis Egyetem - Belgyogyaszati es Onkologiai Klinika (I.sz. Belgyogyaszati Klinika) · Budapest, Hungary
  • Azienda Ospedaliera Universitaria "Gaetano Martino" - Messina · Messina, Italy
  • Universita degli Studi di Padova - Azienda Ospedaliera di Padova - Ospedale Busonera · Padua, Italy
  • Azienda Ospedaliero Universitaria Pisana - Stabilimento Ospedaliero di Santa Chiara - Istituto To... · Pisa, Italy
  • Sapienza Universita di Roma - Azienda Ospedaliera Sant Andre · Rome, Italy
  • Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino - Ospedale Sant'Anna · Turin, Italy
  • Uniwersytet Jagiellonski Collegium Medicum - Szpital Uniwersytecki w Krakowie - Katedra i Klinika... · Krakow, Poland
  • Northern Care Alliance NHS Foundation Trust - North Manchester General Hospital · Manchester, United Kingdom
Show 14 removed
  • APHP - Hôpital Bicêtre · Le Kremlin-Bicêtre, France
  • Aversi Clinic - Central Branch · Tbilisi, Georgia
  • Multiprofile Clinic Consilium Medulla Ltd · Tbilisi, Georgia
  • National Institute of Endocrinology - Prof. Elene Giorgadze Clinic · Tbilisi, Georgia
  • Aversi Clinic - Central Branch · Tbilisi, Georgia
  • Semmelweis Egyetem, Belgyogyaszati es Onkologiai Klinika · Budapest, Hungary
  • University Hospital of Pecs · Pécs, Hungary
  • Azienda Ospedale Università di Padova · Padova, Italy
  • Azienda Ospedaliero-Universitaria Pisana · Pisa, Italy
  • Università degli Studi di Messina - Azienda Ospedaliera Universitaria Policlinico 'Gaetano Martino' · Messina, Italy
  • Universita degli Studi di Roma La Sapienza - Azienda Ospedaliera Sant Andrea · Rome, Italy
  • AOU Citta della Salute e della Scienza di Torino · Torino, Italy
  • University Hospital in Krakow · Krakow, Poland
  • Northern Care Alliance, North Manchester General Hospital · Manchester, United Kingdom
Oct 16, 2026
Primary completion
Sep 15, 2026→Aug 10, 2027
Oct 16, 2026
Enrollment
18 (estimated)→16 (actual)
Oct 16, 2026
Secondary outcomes
7 time frame changed
What changed in the outcomes
  • Time frameNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)Up to 1023 days → Up to 1415 days
  • Time frameAUC0-tau,ss: Area Under the Plasma Concentration Curve of Lu AG13909 at Steady StateUp to 1037 days → Up to 1429 days
  • Time frameCL: Systemic Clearance of Lu AG13909Up to 1037 days → Up to 1429 days
  • Time framet½: Elimination Half-life of Lu AG13909Up to 1037 days → Up to 1429 days
  • Time frameVd: Apparent Volume of Distribution of Lu AG13909Up to 1037 days → Up to 1429 days
  • Time frameSC Bioavailability (F) of Lu AG13909Up to 1037 days → Up to 1429 days
  • Time frameNumber of Participants With Anti-Drug Antibodies (ADAs)Up to 1037 days → Up to 1429 days
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    Recruiting→Active, not recruiting
    13 sites added, 14 sites removed
    Show 13 added (5 Italy, 3 Georgia, 2 Hungary, 1 France, 1 Poland, 1 United Kingdom)
    • AP-HP - Hôpital Bicêtre · Le Kremlin-Bicêtre, France
    • Aversi Clinic - Tbilisi · Tbilisi, Georgia
    • Multiprofile Clinic - Consilium Medulla · Tbilisi, Georgia
    • Aversi Clinic - Tbilisi · Tbilisi, Georgia
    • Pecsi Tudomanyegyetem (PTE) (University of Pecs) · Pécs, Hungary
    • Semmelweis Egyetem - Belgyogyaszati es Onkologiai Klinika (I.sz. Belgyogyaszati Klinika) · Budapest, Hungary
    • Azienda Ospedaliera Universitaria "Gaetano Martino" - Messina · Messina, Italy
    • Universita degli Studi di Padova - Azienda Ospedaliera di Padova - Ospedale Busonera · Padua, Italy
    • Azienda Ospedaliero Universitaria Pisana - Stabilimento Ospedaliero di Santa Chiara - Istituto To... · Pisa, Italy
    • Sapienza Universita di Roma - Azienda Ospedaliera Sant Andre · Rome, Italy
    • Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino - Ospedale Sant'Anna · Turin, Italy
    • Uniwersytet Jagiellonski Collegium Medicum - Szpital Uniwersytecki w Krakowie - Katedra i Klinika... · Krakow, Poland
    • Northern Care Alliance NHS Foundation Trust - North Manchester General Hospital · Manchester, United Kingdom
    Show 14 removed
    • APHP - Hôpital Bicêtre · Le Kremlin-Bicêtre, France
    • Aversi Clinic - Central Branch · Tbilisi, Georgia
    • Multiprofile Clinic Consilium Medulla Ltd · Tbilisi, Georgia
    • National Institute of Endocrinology - Prof. Elene Giorgadze Clinic · Tbilisi, Georgia
    • Aversi Clinic - Central Branch · Tbilisi, Georgia
    • Semmelweis Egyetem, Belgyogyaszati es Onkologiai Klinika · Budapest, Hungary
    • University Hospital of Pecs · Pécs, Hungary
    • Azienda Ospedale Università di Padova · Padova, Italy
    • Azienda Ospedaliero-Universitaria Pisana · Pisa, Italy
    • Università degli Studi di Messina - Azienda Ospedaliera Universitaria Policlinico 'Gaetano Martino' · Messina, Italy
    • Universita degli Studi di Roma La Sapienza - Azienda Ospedaliera Sant Andrea · Rome, Italy
    • AOU Citta della Salute e della Scienza di Torino · Torino, Italy
    • University Hospital in Krakow · Krakow, Poland
    • Northern Care Alliance, North Manchester General Hospital · Manchester, United Kingdom
    Primary completion Sep 15, 2026→Aug 10, 2027
    Enrollment 18 (estimated)→16 (actual)
    Secondary outcomes 7 time frame changed
    What changed in the outcomes
    • Time frameNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)Up to 1023 days → Up to 1415 days
    • Time frameAUC0-tau,ss: Area Under the Plasma Concentration Curve of Lu AG13909 at Steady StateUp to 1037 days → Up to 1429 days
    • Time frameCL: Systemic Clearance of Lu AG13909Up to 1037 days → Up to 1429 days
    • Time framet½: Elimination Half-life of Lu AG13909Up to 1037 days → Up to 1429 days
    • Time frameVd: Apparent Volume of Distribution of Lu AG13909Up to 1037 days → Up to 1429 days
    • Time frameSC Bioavailability (F) of Lu AG13909Up to 1037 days → Up to 1429 days
    • Time frameNumber of Participants With Anti-Drug Antibodies (ADAs)Up to 1037 days → Up to 1429 days
    + 2 other changes: verification date and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06471829
Lead sponsor
H. Lundbeck A/S
Responsible party
Sponsor
First posted
Jun 24, 2024
Start date
Jun 19, 2024
Primary completion
Aug 10, 2027 (estimated)
Completion
Oct 31, 2027 (estimated)
Last update
Oct 16, 2026

Study contacts

Email contact via H. Lundbeck A/S
study director · HQ_Medinfo@Lundbeck.com

Oversight

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

Not currently enrolling

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