Clinical trial • Phase II • Endocrinology|Rare Disease

DEXAMETHASONE for Congenital adrenal hyperplasia|Congenital adrenal hyperplasia - virilising form

Phase II trial of DEXAMETHASONE for Congenital adrenal hyperplasia|Congenital adrenal hyperplasia - virilising form. 122 participants.

Overview

Trial Therapeutic Area
Endocrinology|Rare Disease
Trial Disease
Congenital adrenal hyperplasia|Congenital adrenal hyperplasia - virilising form
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
05-09-2024
First CTIS Authorization Date
19-11-2024

Trial design

Phase II trial across 2 sites in Germany.

Target Sample Size
122

Eligibility

Recruits 122 Vulnerable population selected: pregnant women / unborn child. Written informed consent is required from the pregnant mother and the legal guardians of the unborn child ("Written informed consent of the pregnant mother and the legal guardians of the unborn child"). No additional assent procedures or age-specific consent languages are specified in the provided sources..

Pregnancy Exclusion
Pregnancy with twins or multiples
Vulnerable Population
Vulnerable population selected: pregnant women / unborn child. Written informed consent is required from the pregnant mother and the legal guardians of the unborn child ("Written informed consent of the pregnant mother and the legal guardians of the unborn child"). No additional assent procedures or age-specific consent languages are specified in the provided sources.

Inclusion criteria

  • {"criterion_text":"-Adult pregnant females with risk of classic CAH in their fetuses (genetic mutations in both parents)"}
  • {"criterion_text":"-Written informed consent of the pregnant mother and the legal guardians of the unborn child"}
  • {"criterion_text":"-GW <8+0 post menstruationem"}

Exclusion criteria

  • {"criterion_text":"-Co-morbid condition requiring daily administration of a medication (or use of any medications/supplements) that interferes with the metabolism of glucocorticoids"}
  • {"criterion_text":"-Clinical or biochemical evidence of hepatic or renal disease. Creatinine over twice the upper limit of normal (ULN) or elevated liver function tests (ALT or AST >2 times ULN])"}
  • {"criterion_text":"-Subjects on regular daily inhaled, topical, nasal or oral steroids for any indication other than therapy of CAH in the fetus or in the CAH affected mother herself"}
  • {"criterion_text":"-History of malignancy (other than basal cell carcinoma successfully treated)"}
  • {"criterion_text":"-Participation in a clinical trial of an investigational or licensed drug or device within the 3 months prior to inclusion in this study."}
  • {"criterion_text":"-Body weight <50 kg or >95 kg before pregnancy"}
  • {"criterion_text":"-Subjects unable to comply with the requirements of the protocol"}
  • {"criterion_text":"-Pregnancy with twins or multiples"}

Endpoints

Primary endpoints

  • {"endpoint_text":"-Closure of urogenital sinus (Prader stage)","definition_or_measurement_approach":""}
  • {"endpoint_text":"-Gestational weight gain (GWG) of mother","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"-Parameters of treatment consequences/safety in treated mothers and children","definition_or_measurement_approach":""}
  • {"endpoint_text":"-safety parameters: stillbirths, miscarriages, maternal side effects and adverse events, serious adverse events (AEs, SAEs) in treated mothers and children, maternal quality of life, maternal mental health and sleep, child´s birth weight and height at birth, week of gestation at birth, infant nervous system development, malformations in the child)","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
122
Recruitment Window Months
119
Consent Approach
Written informed consent is required from the pregnant mother and the legal guardians of the unborn child ("Written informed consent of the pregnant mother and the legal guardians of the unborn child"). Subject information and informed consent form documents are listed (L1_PREDICT_ICF_p and L1_PREDICT_PIC_Observational Control_p). No languages or remote/online consent procedures are specified in the provided sources.

Geography

Total Number Of Sites
2
Total Number Of Participants
122

Germany

Earliest CTIS Part Ii Submission Date
06-11-2024
Latest Decision Or Authorization Date
02-12-2025
Processing Time Days
391
Number Of Sites
2
Number Of Participants
122

Sites

Site Name
Klinikum der Universitaet Muenchen AöR
Department Name
Endokrinologie
Principal Investigator Name
Nicole Reisch
Principal Investigator Email
Nicole.Reisch@med.uni-muenchen.de
Contact Person Name
Nicole Reisch
Site Name
Charite Universitaetsmedizin Berlin KöR
Department Name
Klinik für pädiatrische Endokrinologie und Diabetologie
Principal Investigator Name
Uta Neumann
Principal Investigator Email
uta.neumann@charite.de
Contact Person Name
Uta Neumann
Contact Person Email
uta.neumann@charite.de

Sponsor

Primary sponsor

Full Name
Philipps-Universitaet Marburg
Organisation Type
Educational Institution
Country Of Registered Address
Germany

Third parties

  • {"country":"Germany","full_name":"Universitaetsklinikum Erlangen AöR","duties_or_roles":"sponsorDuties codes: [14]","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"Germany","full_name":"Ludwig-Maximilians-Universitaet Muenchen","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Educational Institution"}
  • {"country":"Germany","full_name":"Freie Universitaet Berlin","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Educational Institution"}
  • {"country":"Germany","full_name":"Eurofins Humangenetik und Praenatal-Medizin MVZ GmbH","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
Dexamethason 0.15mg
Active Substance
DEXAMETHASONE
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
Authorised
Starting Dose
0.15 mg
Dose Levels
0.15 mg
Maximum Dose
45 mg (maxTotalDoseAmount)
Investigational Product Name
Dexamethason 0.21mg
Active Substance
DEXAMETHASONE
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
Authorised
Starting Dose
0.21 mg
Dose Levels
0.21 mg
Maximum Dose
60 mg (maxTotalDoseAmount)
Investigational Product Name
Dexamethason 0.5mg
Active Substance
DEXAMETHASONE
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
Authorised
Starting Dose
0.5 mg
Dose Levels
0.5 mg
Maximum Dose
140 mg (maxTotalDoseAmount)
Investigational Product Name
Dexamethason 0.41mg
Active Substance
DEXAMETHASONE
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
Authorised
Starting Dose
0.41 mg
Dose Levels
0.41 mg
Maximum Dose
115 mg (maxTotalDoseAmount)

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