Impact of 1 mg Osilodrostat Therapy on Mild Autonomous Cortisol Secretion (MACS)

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorMayo Clinic

About this trial

The purpose of this study is to evaluate the safety and tolerability of 1 mg osilodrostat therapy in patients with mild autonomous cortisol secretion (MACS), and to determine the impact on 24h urine steroid metabolome and circadian cortisol/cortisone concentrations

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Provide written informed consent

Stated willingness to comply with all study procedures and availability for the duration of the study

Age ≥ 18 years

Diagnosed with MACS

Disqualifiers

Planned alternative therapy for MACS during the study period

Current use of oral exogenous glucocorticoid therapy

Current use of opioid therapy >20 MME/day

Planned use of oral exogenous glucocorticoid therapy

Trial design

Design model

Single group

Treatments tested in this trial

  • Osilodrostat 1 MG

    Drug

    Osilodrostat 1 mg administered between noon and 6 pm daily, for 4 weeks

Treatment groups

15 Participants
are divided into 1 treatment group
Group A: Mild autonomous cortisol secretion (MACS)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Adverse Events

Number of adverse events

Time frame
4 weeks
2

Adrenal insufficiency

Number of subjects to experience adrenal insufficiency, defined as combined measurements of cortisol \< 7 mcg/dL and ACTH\>60 pg/dL or single cortisol \< 5 mcg/dL

Time frame
4 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Mayo Clinic

Lead sponsor

RECORDATI GROUP

Collaborator