Adrenal disease

Crinecerfont, a CRF1 Receptor Antagonist, Lowers Adrenal Androgens in Adolescents With Congenital Adrenal Hyperplasia

J Clin Endocrinol MetabPublished Open-label phase 2 study

Authors' conclusion

Adolescents with classic 21OHD CAH had substantial reductions in adrenal androgens and androgen precursors after 14 days of oral crinecerfont administration. These results are consistent with a study of crinecerfont in adults with classic 21OHD CAH.

Study context

Population
Males and females aged 14 to 17 years with classic 21OHD congenital adrenal hyperplasia (CAH); median age 15 years, 88% Caucasian/White3 males · 5 females
Participants
8 participants
Outcome
Change from baseline in circulating ACTH, 17OHP, androstenedione and testosterone
Follow-up
Day 14
Methodological details4 centres in the United States
  • 4 centres in the United States

Main finding

As reported in the abstract

Median percent reduction from baseline

ACTH, median % change from baseline

−57%

17OHP, median % change from baseline

−69%

Androstenedione, median % change from baseline

−58%

Females with ≥50% reduction from baseline in testosterone

60%

3/5

Original publication

Crinecerfont, a CRF1 Receptor Antagonist, Lowers Adrenal Androgens in Adolescents With Congenital Adrenal Hyperplasia. J Clin Endocrinol Metab. Published 22 May 2023. doi:10.1210/clinem/dgad270

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