New Once-Daily pill could simplify CAH treatment
NCT ID NCT03760835
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tests whether a once-daily dual-release hydrocortisone pill (Plenadren) works better than standard multiple-dose glucocorticoids for adults with congenital adrenal hyperplasia. The trial will enroll 150 adults and measure changes in cholesterol, blood sugar, weight, blood pressure, and quality of life. The goal is to see if the simpler dosing schedule improves health outcomes and daily living.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dual-release hydrocortisone (Plenadren)
- What this could lead to
- If it works, this could offer a more convenient once-daily treatment option that improves cholesterol, blood sugar, and quality of life for people with congenital adrenal hyperplasia.
- What could go wrong
- This is a Phase 4 open-label study, so results may be influenced by participants knowing which treatment they receive. The improvement over standard therapy may be modest, and not all patients may respond well.
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
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2016
- Expected to finish
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Dec 2027
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.
- 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.
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: * males and females aged \>18 years; * established diagnosis of adrenal insufficiency in congenital adrenal hyperplasia due to 21-hydroxylase deficiency; * stably treated with conventional glucocorticoids, available to change their regimen according to random allocation * written informed consent/assent to participate in the study in compliance with local regulations. Exclusion Criteria: * clinical or laboratory signs of severe cerebral, respiratory, hepatobiliary or pancreatic diseases, renal dysfunction, gastrointestinal emptying, or motility disturbances (i.e. chronic diarrhea), significant psychiatric illnesses; * history of/or current alcohol and/or drug abuse; * night shift workers; * underlying diseases that could necessitate treatment with glucocorticoids; * therapies with hepatic enzyme induction drugs interfering with glucocorticoid kinetics, or immunosuppressive steroid therapy; * patients with a documented intolerance/known hypersensitivity to dual release hydrocortisone; * vulnerable populations, such as elderly, cancer patients, pregnant and lactating women; * history of non-compliance to medical regimens, or potentially unreliable patients
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Genom att skicka in godkänner du våra Användarvillkor
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Federico II University
RECRUITINGNaples, 80131, Italy
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a Timed-Release hydrocortisone pill match the Body's overnight hormone rhythm?
- Can a modified hydrocortisone mimic the Body's natural cortisol rhythm?
- Can a Twice-Daily hormone pill match standard care for CAH?
- Could a simple saliva test replace blood draws for hormone monitoring?
- New program aims to smooth healthcare transition for teens with rare hormone disorder
- New hope for CAH: drug may slash steroid use