New cortisol timing therapy may improve life for adults with rare hormone disorder
NCT ID NCT07622030
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study follows 100 adults with congenital adrenal hyperplasia (CAH) who switch from standard steroids to a timed-release hydrocortisone (Efmody). The goal is to see if better mimicking the body's natural cortisol rhythm improves hormone levels, metabolic health, and quality of life over the long term. Researchers will collect data from medical records and routine check-ups.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Approximately 32 patients are currently available for retrospective and prospective analysis. Additional eligible patients may be enrolled prospectively during the observational phase. All patients who come for an appointment at the endocrinology clinics of IRCCS San Raffaele for routine clinical evaluations
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥18 years; 2. Genetically confirmed diagnosis of 21-hydroxylase deficiency congenital adrenal hyperplasia; 3. Transition from conventional glucocorticoid therapy to modified-release hydrocortisone according to routine clinical practice; 4. Stable glucocorticoid and mineralocorticoid therapy before transition; 5. Ability to understand study procedures and provide informed consent for prospective data collection whenever applicable Exclusion Criteria: 1. Age \<18 years; 2. Pregnancy or breastfeeding; 3. Severe uncontrolled medical or psychiatric illness; 4. Use of glucocorticoids for indications other than CAH; 5. Use of drugs interfering with glucocorticoid metabolism; 6. History of bilateral adrenalectomy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
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How to take part
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The official record
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