Can a sprinkle of hydrocortisone replace tablets for babies with adrenal insufficiency?
NCT ID NCT02720952
First seen Oct 02, 2026 · Last updated Oct 02, 2026
Summary
Researchers are testing Infacort, a dry granule form of hydrocortisone, in children under 6 years old who have adrenal insufficiency and need replacement therapy. The study enrolls 24 children in three age groups, starting with ages 2 to under 6, then babies 28 days to under 2 years, and finally newborns up to 28 days. Doctors give the granules and measure blood cortisol levels over four hours to see how well the drug is absorbed, and they ask parents about the taste. An independent committee reviews safety data before each new age group joins.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Infacort, a dry granule form of hydrocortisone
- What this could lead to
- If it works, this could give families a child-friendly hydrocortisone option that is easier to swallow and dose than standard tablets.
- What could go wrong
- The study is small, with 24 children, and only measures how the body absorbs the drug and how it tastes. It cannot show long-term benefits or rare side effects, and results in babies may differ from older children.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
24 people
The number who actually took part.
- Start date
-
Mar 2015
- Finished
-
Jul 2016
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
1 week to 6 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Male and female children less than 6 years of age. 2. A diagnosis of adrenal insufficiency as confirmed by an inappropriately low cortisol usually with other supporting tests. 3. Receiving appropriate adrenocortical replacement therapy (hydrocortisone with/without fludrocortisone). 4. Adequately hydrated and nourished. 5. Ability of parents/carers to understand and give written Informed Consent Exclusion Criteria: 1. Clinically evident acute adrenal insufficiency (adrenal crisis). 2. Inability of the child to take oral therapy. 3. Concomitant therapy (other than that required to treat adrenal insufficiency, Vitamin D, Fluoride, Thyroxine and growth hormone). 4. Subjects with clinical signs of acute infection or fever on Day 1. 5. Any surgical or medical condition which in the opinion of the investigator may place the subject at higher risk from his/her participation in the study. 6. Parents/carers of subjects unwilling to consent to saving and propagation of pseudonymised medical data for study reasons. 7. Subjects who are dependent on the investigator or the sponsor.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Adrenal insufficiency are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Charité-Universitätsmedizin Berlin, CVK
Berlin, 13353, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Blood test probes whether cortisol chaos rewires the Body's clock genes
- Hidden adrenal risk: steroid treated arthritis patients may have a silenced stress gland
- Child-Friendly hydrocortisone granules put to the test for growing kids with adrenal insufficiency
- Can a timed hydrocortisone pill match the Body's own hormone clock?
- New hydrocortisone granule formulation tested against standard tablets
- Can a Modified-Release hydrocortisone mimic the Body's natural rhythm?