Chronocort versus Plenadren replacement therapy in adults with adrenal insufficiency

  • Research type

    Research Study

  • Full title

    A Double-Blind, Double-Dummy, Two-Way Cross-Over, Randomised, Phase II Study of Efficacy, Safety and Tolerability of Modified-Release Hydrocortisones: Chronocort® Versus Plenadren®, in Adrenal Insufficiency

  • IRAS ID

    1003971

  • Contact name

    Richard Ross

  • Contact email

    r.j.ross@sheffield.ac.uk

  • Sponsor organisation

    Diurnal Limited

  • Eudract number

    2021-000144-21

  • Clinicaltrials.gov Identifier

    NCT05222152

  • Research summary

    Chronocort® (Diurnal) is an oral formulation of hydrocortisone, designed to match normal serum levels of cortisol by replicating the normal overnight increase in cortisol levels and providing physiological levels upon waking. It is anticipated that providing a near physiological circadian rhythm of cortisol will improve the general health of patients with adrenal insufficiency (AI) who are receiving glucocorticoid replacement therapy. The primary purpose of this research study is to see whether Chronocort, compared to a similar product Plenadren, is better able to improve the pattern of cortisol release to reflect normal physiological cortisol levels. The secondary purpose is to determine whether improved cortisol levels will reduce fatigue and improve quality of life.
    Subjects will be given Chronocort for 4 weeks and Plenadren for 4 weeks. The order in which subjects receive the two treatments is decided at random. Both subjects and study doctors will not know which treatment subjects are taking and in which order.

  • REC name

    South Central - Oxford C Research Ethics Committee

  • REC reference

    21/SC/0275

  • Date of REC Opinion

    12 Oct 2021

  • REC opinion

    Further Information Favourable Opinion