About this trial
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).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
The participant has a 24-hour UFC >1.5 × ULN (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, electrocardiogram (ECG), and the results of the safety laboratory tests.
Disqualifiers
The participant is pregnant, breastfeeding, intends to become pregnant, or is of child-bearing potential and not willing to use adequate contraceptive methods.
The participant has a clinically significant abnormal laboratory value, ECG 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 hypersensitivity or intolerance to Lu AG13909 or its excipients.
The participant has immediate need for pituitary surgery within 6 months from screening in the opinion of the investigator.
Trial design
Single group
Treatments tested in this trial
Lu AG13909
DrugSolution for injection/infusion
Treatment groups
Trial outcomes
Primary outcomes
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
Secondary outcomes
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
AUC0-tau,ss: Area Under the Plasma Concentration Curve of Lu AG13909 at Steady State
CL: Systemic Clearance of Lu AG13909
t½: Elimination Half-life of Lu AG13909
Sponsors and contacts
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