A Block-and-Replace Therapy With Osilodrostat and Concomitant Glucocorticoid Replacement
NCT06430528 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 12
Last updated 2025-08-20
Summary
The major goal of this study is to determine the incidence of adrenal insufficiency in patients with endogenous Cushing syndrome receiving osilodrostat treatment combined with a replacement of glucocorticoid (block-and-replace approach).
The investigators are also evaluating new biomarker steroids to reflect adequate osilodrostat dosing, the durability and safety, and clinical improvement during treatment.
Conditions
- Endogenous Cushing Syndrome
- Adrenal Insufficiency
- Hypercortisolism
Interventions
- DRUG
-
Osilodrostat
Add methylprednisolone to osilodrostat therapy after first dose and continue during osilodrostat titration.
Sponsors & Collaborators
-
Recordati Rare Diseases
collaborator INDUSTRY - lead OTHER
Principal Investigators
-
Richard Auchus, MD, PhD · University of Michigan
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-07-19
- Primary Completion
- 2027-05-31
- Completion
- 2027-08-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Canadian Continuation of Roll-over Study in Patients With Endogenous Cushing's Syndrome
NCT06131580 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Osilodrostat for the Treatment of Non-Cushing's Disease Cushing's Syndrome
NCT05633953 ·Status: COMPLETED
-
The Hypothalamic-Pituitary-Adrenal (HPA) Axis as an Effector System in Weight Regulation
NCT00688987 ·Status: COMPLETED ·Phase: NA
-
The Influence of Different Hydrocortisone Replacement Doses on the Partitioning and Flexibility of Ectopic Lipids in Patients With Corticotropic Hypopituitarism
NCT02360046 ·Status: TERMINATED ·Phase: NA
-
Efficacy and Safety of Pasireotide Administered Monthly in Patients With Cushing's Disease
NCT01374906 ·Status: COMPLETED ·Phase: PHASE3
-
SPI-62 as a Treatment for Adrenocorticotropic Hormone-dependent Cushing's Syndrome
NCT05307328 ·Status: COMPLETED ·Phase: PHASE2
-
The Risk of Adrenal Insufficiency and Cushing Syndrome Associated With Glucocorticoid Therapy in People With Chronic Inflammatory Diseases
NCT03575247 ·Status: COMPLETED
-
Congenital Adrenal Hyperplasia Once Daily Hydrocortisone Treatment
NCT03760835 ·Status: RECRUITING ·Phase: PHASE4
-
A Study to Confirm Recurrent or Persistent Cushing's Syndrome in Patients With Signs or Symptoms of Hypercortisolemia
NCT00796783 ·Status: TERMINATED
-
Study of Hypercortisolism in Cushing's Syndrome and Stress-Induced Pseudo-Cushing's Syndrome
NCT00004343 ·Status: UNKNOWN
-
A Study to Assess SOM230 in Patients With Pituitary Cushing's Disease
NCT00088608 ·Status: COMPLETED ·Phase: PHASE2
-
Extension Study to Evaluate the Safety of Long-Term Use of Relacorilant in Patients With Cushing Syndrome
NCT03604198 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Extension Study to Assess the Safety and Efficacy of Pasireotide in Participants With Cushing's Disease
NCT00171951 ·Status: COMPLETED ·Phase: PHASE2
-
Long Term Safety and Efficacy of Pasireotide s.c. in Patients With Cushing's Disease
NCT02310269 ·Status: COMPLETED
-
Biomarker(s) for Glucocorticoids
NCT02152553 ·Status: COMPLETED ·Phase: NA
-
Chronocort Versus Plenadren Replacement Therapy in Adults With Adrenal Insufficiency
NCT05222152 ·Status: COMPLETED ·Phase: PHASE2
-
Study on the Incidence of Adrenal Insufficiency After Surgery in Primary Aldosteronism Patients Concurrent With or Without Autonomous Cortisol Secretion
NCT06955286 ·Status: RECRUITING
-
Hydrocortisone in Hormone Replacement Therapy for Large Pituitary Neuroendocrine Tumors
NCT06679816 ·Status: RECRUITING ·Phase: PHASE4
-
Study of Depression, Peptides, and Steroids in Cushing's Syndrome
NCT00004334 ·Status: UNKNOWN
-
Study of the Efficacy and Safety of Pasireotide s.c. +/- Cabergoline in Patients With Cushing's Disease
NCT01915303 ·Status: TERMINATED ·Phase: PHASE2
-
A Study of the Efficacy and Safety of Relacorilant in Patients With Cortisol-Secreting Adrenal Adenomas
NCT04308590 ·Status: COMPLETED ·Phase: PHASE3
-
Once-daily Oral Modified Release Hydrocortisone in Patients With Adrenal Insufficiency
NCT00915343 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
The Clinical Efficacy and Safety of Finerenone in the Treatment of Primary Aldosteronism
NCT06381323 ·Status: COMPLETED ·Phase: PHASE4
-
Updated Diagnostic Cortisol Values for Adrenal Insufficiency
NCT05149638 ·Status: RECRUITING ·Phase: NA
-
A Study of the Efficacy and Safety of Relacorilant in Patients With Endogenous Cushing Syndrome
NCT03697109 ·Status: COMPLETED ·Phase: PHASE3