About this trial
The purpose of this study is to evaluate the long-term safety, tolerability, and efficacy of atumelnant (CRN04894).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants with CAH who have completed the Treatment Period in a Crinetics parent atumelnant CAH study, and in the opinion of the Investigator had an acceptable benefit-risk assessment in the completed study and would benefit from continued dosing in this extension study.
Group 1: Participants meeting the above criteria and did not have study drug administration interrupted between End of Trial (EOT) of the parent study and the commencement of the OLE study.
Group 2: Participants meeting the above criteria but had study drug administration interrupted between EOT of the parent study and the commencement of the OLE study.
Be of nonchildbearing potential, defined as either surgically sterile (ie, hysterectomy, bilateral salpingectomy for at least 3 months, or bilateral oophorectomy), OR
Disqualifiers
Any medical condition(s) or laboratory findings that, in the opinion of the Investigator, might jeopardize the participant's safety or ability to complete the study.
Participants have known history of (that is within the past 12 months), or current alcohol or drug abuse.
Participants have any mental condition rendering him/her unable to understand the nature, scope, and possible consequences of the study, and/or evidence of poor compliance with medical instructions.
Participants have a known allergy or hypersensitivity to any of the test materials or related compounds, including being at high risk of adrenal insufficiency as judged by the Investigator.
Trial design
Single group
Treatments tested in this trial
atumelnant (CRN04894)
DrugAtumelnant is an orally active nonpeptide melanocortin 2 receptor (MC2R) or adrenocorticotropic hormone (ACTH) receptor antagonist.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of treatment-emergent adverse events (TEAEs), including treatment-emergent serious adverse events (SAEs), adverse events of special interest (AESI [adrenal insufficiency]) and any adverse events (AEs) leading to discontinuation
Incidence of glucocorticoid (GC) deficiency / adrenal insufficiency and adrenal crisis
Incidence of hospitalizations related to congenital adrenal hyperplasia (CAH)
Change from baseline in morning (before 11:00 AM) serum androstenedione (A4) over time
Secondary outcomes
Change from baseline in morning (before 11:00 AM) serum 17-hydroxyprogesterone (17-OHP) over time
Change from baseline in daily glucocorticoid (GC) dose (hydrocortisone [HC] mg equivalents body surface area [BSA] adjusted) over time
Sponsors and contacts
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