Study to Evaluate the Effects of Hepatic Impairment on the Pharmacokinetics of Miricorilant

Last updated: March 28, 2025
Sponsor: Corcept Therapeutics
Overall Status: Completed

Phase

1

Condition

Liver Disease

Treatment

Miricorilant

Clinical Study ID

NCT05553470
CORT118335-854
  • Ages 18-75
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The primary objective of this study is to determine the effect of hepatic impairment on the pharmacokinetics (PK) of miricorilant following a single oral dose by comparing participants with normal hepatic function with participants with moderate hepatic impairment with or without nonalcoholic steatohepatitis (NASH).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Non-smoker or light smokers (no more than 5 cigarettes/day or nicotine equivalent)with BMI ≥18.0 and ≤32 kg/m2 and body weight ≥50.0 kg.

  • Female participants must be non-childbearing or willing to use an acceptableintra-uterine contraceptive device 4 weeks prior and throughout the study and for 90days after study drug administration.

  • Male participants who are sexually active must be willing to use an acceptablecontraceptive method from dosing until at least 90 days after study drugadministration.

  • Total abstinence from heterosexual intercourse when this is in line with thepreferred and usual lifestyle of the participant.

  • Male participants must be willing to not donate sperm until 90 days following theadministration of the study drug.

  • Estimated glomerular filtration rate (eGFR) ≥ 60 mL/min/1.73 m^2 at screening, bythe Modification of Diet in Renal Disease, 4 variable (MDRD4) Equation.

Additional Inclusion Criteria for Control Group Participants Only:

  • On a population basis, matched to participants with moderate hepatic impairmentaccording to gender, age (± 10 years), and weight (± 20 %).

  • Absence of clinically significant history of neurological, endocrine,cardiovascular, pulmonary, hematological, immunologic, psychiatric,gastrointestinal, renal, hepatic (including cholecystectomy), and metabolic disease.

  • Non-clinically significant deviation for laboratory tests results (albumin ≥ thelower limit of normal (LLN), total bilirubin ≤ ULN, aspartate aminotransferase (AST) ≤ upper limit of normal (ULN), alanine aminotransferase (ALT) ≤ ULN, alkalinephosphatase ≤ ULN).

Additional Inclusion Criteria for Participants With Hepatic Impairment Only:

  • Participant with stable hepatic impairment (Child-Pugh [CP] class A or B accordingto group)

  • Documented parenchymal hepatic disease as evidenced by ultrasonography, computedtomography (CT), magnetic resonance imaging (MRI), or biopsy.

  • Participants who have chronic (≥ 6 months) mild or moderate hepatic impairment thathas been clinically stable

  • Have hepatic impairment as assessed by a CP classification score: Mild (5-6 points),or Moderate (7-9 points) impaired hepatic function with known medical history ofliver disease.

  • Have non-clinically significant findings at physical examination and in clinicallylaboratory evaluations.

  • Moderate hepatic impairment participants with nonalcoholic steatohepatitis (NASH)only should have a history or presence of metabolic syndrome or type 2 diabetes,clinical characteristics or prior liver biopsy, ALT ≥ 43 IU/L for men and ≥ 28 IU/Lfor women, and except for participants with prior liver biopsy, participants shouldhave currently or previously one of the following: MRI-iron-corrected T1 (cT1) value > 800 ms, MRI proton density fat fraction (PDFF) liver fat content ≥ 8 % orFibroScan liver stiffness measurement (LSM) ≥ 8.5 kilopascals (kPa).

Exclusion

Exclusion Criteria:

  • Clinically significant illness or surgery within 4 weeks prior to dosing.

  • Gastrointestinal surgery that interferes with physiological absorption and motilityor gastric bands.

  • Clinically significant history or presence of any gastrointestinal pathology, orunresolved gastrointestinal symptoms that can interfere with drug absorption.

  • History of suicidal tendency, disposition to seizures, state of confusion, orclinically relevant psychiatric diseases.

  • Any medical condition that could be aggravated by glucocorticoid antagonism, and/ormineralocorticoid antagonism, such as autoimmune disease, rheumatic disease,hypotension, or postural hypotension.

  • Clinically significant electrocardiogram (ECG) abnormalities or vital signabnormalities at screening

  • Acute viral hepatitis in the 6 calendar months before the administration of thestudy drug.

  • Positive to Coronavirus disease 2019 (COVID-19) test at screening

  • History of Gilbert's syndrome

  • Uncontrolled hyperlipidemia

  • History of significant drug abuse within 1 year prior to screening or recreationaluse of soft drugs within 1 month or hard drugs within 3 months prior to screening,unless for hepatic impaired participants only, the participants uses any of thesedrugs as prescriptions.

  • History of significant alcohol abuse within six months prior to screening or regularuse of alcohol within six months prior to the screening visit.

  • Donation of plasma within 7 days prior to dosing. Donation or loss of blood of 50 mLto 499 mL of blood within 30 days, or more than 499 mL within 56 days prior to thedosing.

  • Female participants with a positive pregnancy test.

  • Participant with a positive alcohol test at screening.

  • History of allergic reactions to miricorilant or other related drugs

  • Known clinically significant hypersensitivity to any of the ingredients orexcipients of the study drug

  • Previous participation in a study with miricorilant administration.

  • Participated in a clinical research study involving the administration of aninvestigational or marketed drug or device within 30 days prior to dosing.

  • Participants who have taken oral, parenteral, depot or intra-articularglucocorticoids within 12 months prior to study drug administration; or intranasal,topical, or inhaled glucocorticoids within 2 weeks prior to study drugadministration.

  • Male participants (including men who have had vasectomies) with a pregnant orlactating partner.

  • Breast-feeding female participants

  • Inability or difficulty to swallow tablets

  • Inability to be venipunctured and/or tolerate catheter venous access.

Additional Exclusion Criteria for Healthy Group (No Hepatic Impairment) Participants Only:

  • Previously documented parenchymal hepatic disease evidenced by, for example,ultrasonography, computed tomography, magnetic resonance imaging, or biopsy.

  • Any clinically significant abnormality at physical examination, clinicallysignificant abnormal laboratory test results or positive test for HBsAg, HCV, or HIVat screening;

  • Participants using medication other than topical products without significantsystemic absorption.

  • Participants with a positive urine drug screen at screening.

Additional Exclusion Criteria for Participants with Hepatic Impairment Only:

  • Clinically significant unstable medical conditions or clinically significant acuteexacerbation of hepatic disease within 30 days of study drug administration

  • Clinically significant abnormalities of laboratory, ECG, or clinical data that wouldpreclude participation in the study

  • Presence of chronic kidney disease (CKD).

  • Presence of hepatocellular carcinoma or acute hepatic disease from infection or drugtoxicity

  • Presence of clinically significant history of lactic acidosis and severehepatomegaly with steatosis

  • Presence of active stage 2, 3 or stage 4 hepatic encephalopathy

  • Evidence of severe ascites

  • Type 1 or uncontrolled Type 2 diabetes

  • Presence of surgically-created or transjugular intrahepatic portal systemic shunts.

  • Positive test for HIV

  • Positive drug screen at screening

  • Use of prohibited concomitant medication

  • History or clinical evidence of hepatic decompensation or other severe liverimpairment.

  • History of liver transplant, or current placement on a liver transplant list.

  • For moderate hepatic impairment participants with NASH, a history or clinicalevidence of chronic liver diseases other than nonalcoholic fatty liver disease (NAFLD).

  • Weight loss of > 5% total body weight within 3 months prior to screening.

Study Design

Total Participants: 19
Treatment Group(s): 1
Primary Treatment: Miricorilant
Phase: 1
Study Start date:
March 03, 2022
Estimated Completion Date:
September 13, 2024

Study Description

A reduced, adaptive study design will be used to compare the PK of miricorilant between participants with normal hepatic function and participants with hepatic impairment according to the Child-Pugh (CP) classification. Initially, participants with moderate hepatic impairment will be enrolled. Since indications for the development of miricorilant include participants with NASH, 3 or 4 of these participants will have NASH. Healthy control participants will be selected matched to these participants with moderate hepatic impairment according to gender, age (± 10 years), and weight (± 20 %) using a mean matching procedure. Based on the observed effect of moderate hepatic impairment on the miricorilant PK profile following an interim PK analysis, an optional group of participants with mild hepatic impairment may be evaluated. This optional group, matched to the participants with moderate hepatic impairment using the same procedure, will be enrolled to evaluate the effect of mild hepatic impairment on miricorilant PK.

Connect with a study center

  • Site 03

    Rialto, California 92377
    United States

    Site Not Available

  • Site 01

    Miami, Florida 33136
    United States

    Site Not Available

  • Site 02

    Miami Lakes, Florida 33104
    United States

    Site Not Available

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