T/QT Study to Investigate the Effect of Relacorilant on Cardiac Repolarization in Healthy Volunteers

Corcept Therapeutics

Status and phase: Completed; Phase 1

Conditions: Healthy

Treatments: Drug: Placebo to relacorilant; Drug: Moxifloxacin; Drug: Relacorilant

Study type: Interventional

Funder types: Industry

Identifiers

NCT04795479

CORT125134-130

Details and patient eligibility

About

This dedicated T/QT study will investigate the effect of relacorilant on cardiac repolarization in healthy participants.

Full description

This four-period crossover study with 12 treatment sequences includes relacorilant administered at therapeutic (400 mg once daily [QD]) and supra-therapeutic (800 mg QD) doses, placebo for relacorilant as a negative control, and oral moxifloxacin as a positive control. The positive control will serve to determine the sensitivity of the assay to detect small increases from baseline in the QTc interval. Each of the four treatment periods will last 5 days with a washout of at least 10 days between periods. Relacorilant and placebo to relacorilant will be administered double-blind; moxifloxacin will be administered open label.

Enrollment: 36 patients

Sex: All

Ages: 18 to 55 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Participant with a BMI ≥18.0 kg/m^2 and ≤30.0 kg/m^2 at screening
• No clinically significant abnormal findings with the physical examination, medical/surgical/medication history, vital signs, or clinical laboratory assessments and adequate cardiac conduction by electrocardiogram (ECG) without evidence of first-, second- or third-degree atrioventricular block
• Female participants of childbearing potential with a negative serum pregnancy test at screening and urine pregnancy test on Day -1 of Period 1
• All male participants agree to use condom to prevent exposure to partner; male participants with female partner of childbearing potential to use a second method of contraception
• Female participants of childbearing potential agree to use the highly effective contraception of low user dependency
• Participant is willing and able to comply with all study procedures and restrictions
• Participant understands the study procedures and agrees to participate by providing written informed consent.

Exclusion criteria

• Participant with history or presence of any clinically significant cardiovascular, pulmonary, respiratory, hepatic, renal, hematological, endocrine, immunologic, dermatologic, neurological, psychiatric disease or disorder or any uncontrolled medical illness which in the opinion of the investigator would jeopardize the safety of the participant, interfere with study assessments, or impact the validity of the study results
• Participant with a history or family history of additional risk factors for Torsade de Pointe (TdP)
• Participant with a marked prolongation of ECG intervals, including QTcF >450 milliseconds (msec), PR >200 msec, or QRS >120 msec
• Participant with resting heart rate of <45beats per minute (bpm) or >100 bpm
• Participant with clinically significant abnormal ECG results
• Participant who uses medications that could prolong the QT/QTc interval
• Participant taking medications/dietary supplements that are highly dependent on cytochrome (CYP)3A for clearance and cannot undergo dose modification upon co-administration with strong CYP3A inhibitors
• Participant using any strong CYP3A inhibitor/inducer or any other medications prohibited per protocol
• Participant who is receiving testosterone within 40 days prior to study start
• Participant with a positive result for human immunodeficiency virus (HIV) antibody, hepatitis B surface antigen, or hepatitis C antibody
• Participant with a positive test result for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) viral RNA test, either asymptomatic or present with symptoms of Coronavirus disease 2019 (COVID-19)
• Participant who has travelled abroad within 3 months prior to the screening visit or plans to travel abroad during the study
• Participant who has had a major surgery within the last 28 days prior to Screening
• Participant who received any investigational product within 30 days prior to Screening
• Participant who has a known or suspected allergy, or sensitivity to study products, or any of its ingredient(s), or to moxifloxacin
• Intolerance to repeated venipuncture or inability to swallow capsules
• Donation of blood within 56 days or plasma within 14 days prior to Screening or plans to donate during the entire study period
• Positive alcohol test and/or positive drugs of abuse screen or reports of a history of substance or alcohol abuse within 1 year prior to Screening
• Female participant who is pregnant, breastfeeding, or is planning to become pregnant during the entire study period
• Male participant with pregnant partner.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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36 participants in 12 patient groups

Treatment Sequence 1

Experimental group

Description:

Participants will receive relacorilant 400 mg once daily (QD) for 5 days in Period 1, followed by relacorilant 800 mg QD for 5 days in Period 2, followed by placebo to relacorilant QD for 5 days in Period 3, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 4. Treatment periods will be separated by a washout of at least 10 days.

Treatment:

Drug: Moxifloxacin

Drug: Placebo to relacorilant

Drug: Relacorilant

Treatment Sequence 2

Experimental group

Description:

Participants will receive relacorilant 800 mg QD for 5 days in Period 1, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 2, followed by relacorilant 400 mg QD for 5 days in Period 3, followed by placebo to relacorilant QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.

Treatment:

Drug: Moxifloxacin

Drug: Placebo to relacorilant

Drug: Relacorilant

Treatment Sequence 3

Experimental group

Description:

Participants will receive placebo to relacorilant QD for 5 days in Period 1, followed by relacorilant 400 mg QD for 5 days in Period 2, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 3, followed by relacorilant 800 mg QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.

Treatment:

Drug: Moxifloxacin

Drug: Placebo to relacorilant

Drug: Relacorilant

Treatment Sequence 4

Experimental group

Description:

Participants will receive relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 1, followed by placebo to relacorilant QD for 5 days in Period 2, followed by relacorilant 800 mg QD for 5 days in Period 3, followed by relacorilant 400 mg QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.

Treatment:

Drug: Moxifloxacin

Drug: Placebo to relacorilant

Drug: Relacorilant

Treatment Sequence 5

Experimental group

Description:

Participants will receive relacorilant 800 mg QD for 5 days in Period 1, followed by placebo to relacorilant QD for 5 days in Period 2, followed by relacorilant 400 mg QD for 5 days in Period 3, followed by relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 4. Treatment periods will be separated by a washout of at least 10 days.

Treatment:

Drug: Moxifloxacin

Drug: Placebo to relacorilant

Drug: Relacorilant

Treatment Sequence 6

Experimental group

Description:

Participants will receive placebo to relacorilant QD for 5 days in Period 1, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 2, followed by relacorilant 800 mg QD for 5 days in Period 3, followed by relacorilant 400 mg QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.

Treatment:

Drug: Moxifloxacin

Drug: Placebo to relacorilant

Drug: Relacorilant

Treatment Sequence 7

Experimental group

Description:

Participants will receive relacorilant 400 mg QD for 5 days in Period 1, followed by relacorilant 800 mg QD for 5 days in Period 2, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 3, followed by placebo to relacorilant QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.

Treatment:

Drug: Moxifloxacin

Drug: Placebo to relacorilant

Drug: Relacorilant

Treatment Sequence 8

Experimental group

Description:

Participants will receive placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 1, followed by relacorilant 400 mg QD for 5 days in Period 2, followed by placebo to relacorilant QD for 5 days in Period 3, followed by relacorilant 800 mg QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.

Treatment:

Drug: Moxifloxacin

Drug: Placebo to relacorilant

Drug: Relacorilant

Treatment Sequence 9

Experimental group

Description:

Participants will receive placebo to relacorilant QD for 5 days in Period 1, followed by relacorilant 400 mg QD for 5 days in Period 2, followed by relacorilant 800 mg QD for 5 days in Period 3, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 4. Treatment periods will be separated by a washout of at least 10 days.

Treatment:

Drug: Moxifloxacin

Drug: Placebo to relacorilant

Drug: Relacorilant

Treatment Sequence 10

Experimental group

Description:

Participants will receive relacorilant 400 mg QD for 5 days in Period 1, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 2, followed by placebo to relacorilant QD for 5 days in Period 3, followed by relacorilant 800 mg QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.

Treatment:

Drug: Moxifloxacin

Drug: Placebo to relacorilant

Drug: Relacorilant

Treatment Sequence 11

Experimental group

Description:

Participants will receive relacorilant 800 mg QD for 5 days in Period 1, followed by placebo to relacorilant QD for 5 days in Period 2, followed by placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 3, followed by relacorilant 400 mg QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.

Treatment:

Drug: Moxifloxacin

Drug: Placebo to relacorilant

Drug: Relacorilant

Treatment Sequence 12

Experimental group

Description:

Participants will receive placebo to relacorilant QD for 4 days and moxifloxacin 400 mg on Day 5 in Period 1, followed by relacorilant 800 mg QD for 5 days in Period 2, followed by relacorilant 400 mg QD for 5 days in Period 3, followed by placebo to relacorilant QD for 5 days in Period 4. Treatment periods will be separated by a washout of at least 10 days.

Treatment:

Drug: Moxifloxacin

Drug: Placebo to relacorilant

Drug: Relacorilant