Trials / Completed
CompletedNCT03718234
Subcutaneous Hydrocortisone Children With Congenital Adrenal Hyperplasia
Interval Bolus Delivery of Subcutaneous Hydrocortisone Via Infusion Pump in Children With Congenital Adrenal Hyperplasia
- Status
- Completed
- Phase
- Phase 1
- Study type
- Interventional
- Enrollment
- 11 (actual)
- Sponsor
- University of Minnesota · Academic / Other
- Sex
- All
- Age
- 4 Years – 18 Years
- Healthy volunteers
- Not accepted
Summary
This is an open-label, non-randomized, single arm proof-of concept feasibility trial comparing standard oral hydrocortisone (HC) treatment with a six-week intervention of interval bolus delivery (pulsatile) of subcutaneous (SQ) HC via infusion pump in children with congenital adrenal hyperplasia (CAH). Eight children, ages 4-18 yrs, will have 24-hr pharmacokinetic and pharmacodynamic (PKPD) profiles of cortisol, 17- hydroxyprogesterone (17OHP) and androstenedione (A4) concentrations while on standard oral hydrocortisone therapy (admission 1, week 1); during a safety check using a subcutaneous hydrocortisone pump (admission 2, week 7); and after 6 weeks of SQHC pump treatment (admission 3, week 14). A pharmacokinetic and pharmacodynamic analysis will be used to compare cortisol, 17OHP and A4 exposures between standard oral HC therapy (week 1) with SQHC pump treatment (week 14). Funding Source - FDA OOPD
Conditions
- Congenital Adrenal Hyperplasia
- Hyperplasia
- Adrenal Hyperplasia
- Congenital Disorders
- Adrenocortical Hyperfunction
- Disorders of Sex Development
- Urogenital Abnormalities
- Genetic Diseases, Inborn
- Steroid Metabolic Diseases, Inborn
- Adrenal Gland Disease
- Hydrocortisone
Interventions
| Type | Name | Description |
|---|---|---|
| DRUG | Subcutaneous hydrocortisone | Pulsatile subcutaneous hydrocortisone administered in 8 doses per day via SQ infusion pump for 6 weeks |
Timeline
- Start date
- 2019-01-01
- Primary completion
- 2023-02-23
- Completion
- 2023-02-23
- First posted
- 2018-10-24
- Last updated
- 2025-06-25
- Results posted
- 2025-06-25
Locations
1 site across 1 country: United States
Regulatory
- FDA-regulated drug study
Source: ClinicalTrials.gov record NCT03718234. Inclusion in this directory is not an endorsement.