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Trial ยท NCT00915343

Once-daily Oral Modified Release Hydrocortisone in Patients With Adrenal Insufficiency

NCT00915343, Phase 2, Phase 3, Completed, Shire; results first posted 2015-07-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Once-daily Oral Modified Release Hydrocortisone in Patients With Adrenal Insufficiency. Trials, record NCT00915343. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00915343

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Once-daily Oral Modified Release Hydrocortisone in Patients With Adrenal Insufficiency
NCT number
NCT00915343
Status
Completed
Phases
Phase 2, Phase 3
Enrollment
64 participants, actual
Lead sponsor
Shire
Conditions
Adrenal Insufficiency
Interventions
hydrocortisone (modified release), oral tablet 20 and 5 mg, Hydrocortisone, oral tablet, 10 mg
First posted
2009-06-08
Last updated
2020-11-24
Other registries' IDs
eudract:2006-007084-89
Results first posted
2015-07-20

Source ClinicalTrials.gov

Registered outcomes40

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryArea Under the Concentration Time Curve From Zero to 24 Hours (AUC0-24h) of Total S-cortisol in Plasma After Multiple Doses During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days
AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The data for combined arm 1+2 after multiple doses were reported.
SecondaryMaximal Concentration (Cmax1) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days
Cmax is a term that refers to the maximum (or peak) concentration that a drug achieves in the body after the drug has been administrated. Cmax1 is the Cmax after first dose of study drug. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported.
SecondaryMaximal Concentration (Cmax2) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days
Cmax is a term that refers to the maximum (or peak) concentration that a drug achieves in the body after the drug has been administrated. Cmax2 is the Cmax after second dose of study drug. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported.
SecondaryAverage Concentration of S-cortisol During the Dosing Interval at Steady State (Css,av) in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days
Css,av was calculated as the area under the S-cortisol concentration versus time curve during a dosing interval at steady state (AUCtau) divided by dosing interval (tau). Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported.
SecondaryFirst Detectable Concentration (Cfirst) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days
Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported.
SecondaryConcentration at 6 Hours (C6h) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days
Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported.
SecondaryConcentration at 7 Hours (C7h) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days
Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported.
SecondaryTime to Peak Plasma Concentration (Tmax1) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days
Tmax is the time after administration of a drug when the maximum plasma concentration in the body is reached. Tmax1 is the Tmax after first dose of study drug. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported.
SecondaryTime to Peak Plasma Concentration (Tmax2) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days
Tmax is the time after administration of a drug when the maximum plasma concentration in the body is reached. Tmax2 is the Tmax after second dose of study drug. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported.
SecondaryTime to First Detectable Concentration (Tfirst) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days
Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported.

Outcomes40

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYArea Under the Concentration Time Curve From Zero to 24 Hours (AUC0-24h) of Total S-cortisol in Plasma After Multiple Doses During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days
Part A: Intention-To-Treat (ITT) set included all randomised participants who took at least 1 dose of study drug with primary efficacy assessments including all pharmacokinetic (PK) samplings during either treatment period. Here number of participants analysed signifies those who were evaluable for the outcome measure.
hour*nanomole per literMEAN
SECONDARYMaximal Concentration (Cmax1) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 daysPart A ITT population with participants evaluable for this outcome.nanomoles per literMEAN
SECONDARYMaximal Concentration (Cmax2) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 daysPart A ITT population with participants evaluable for this outcome.nanomoles per literMEAN
SECONDARYAverage Concentration of S-cortisol During the Dosing Interval at Steady State (Css,av) in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 daysPart A ITT population with participants evaluable for this outcome.nanomoles per literMEAN
SECONDARYFirst Detectable Concentration (Cfirst) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 daysPart A ITT population with participants evaluable for this outcome.nanomoles per literMEAN
SECONDARYConcentration at 6 Hours (C6h) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 daysPart A ITT population with participants evaluable for this outcome.nanomoles per literMEAN
SECONDARYConcentration at 7 Hours (C7h) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 daysPart A ITT population with participants evaluable for this outcome.nanomoles per literMEAN
SECONDARYTime to Peak Plasma Concentration (Tmax1) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 daysPart A ITT population with participants evaluable for this outcome.hoursMEDIAN
SECONDARYTime to Peak Plasma Concentration (Tmax2) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 daysPart A ITT population with participants evaluable for this outcome.hoursMEDIAN
SECONDARYTime to First Detectable Concentration (Tfirst) of S-cortisol in Plasma After Single and Multiple Dosing During Part AArm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 daysPart A ITT population with participants evaluable for this outcome.hoursMEDIAN

Results by group114

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Area Under the Concentration Time Curve From Zero to 24 Hours (AUC0-24h) of Total S-cortisol in Plasma After Multiple Doses During Part AHydrocortisone MR Tablet OD - Part A3962.0Standard Deviation 1079.6hour*nanomole per liter
Area Under the Concentration Time Curve From Zero to 24 Hours (AUC0-24h) of Total S-cortisol in Plasma After Multiple Doses During Part AHydrocortisone Tablet TID - Part A4879.6Standard Deviation 1194.4hour*nanomole per liter
Maximal Concentration (Cmax1) of S-cortisol in Plasma After Single and Multiple Dosing During Part AHydrocortisone MR Tablet OD - Part A690.7Standard Deviation 109.2nanomoles per liter
Maximal Concentration (Cmax1) of S-cortisol in Plasma After Single and Multiple Dosing During Part AHydrocortisone Tablet TID - Part A802.8Standard Deviation 136.2nanomoles per liter
Maximal Concentration (Cmax2) of S-cortisol in Plasma After Single and Multiple Dosing During Part AHydrocortisone MR Tablet OD - Part A553.8Standard Deviation 170.8nanomoles per liter
Maximal Concentration (Cmax2) of S-cortisol in Plasma After Single and Multiple Dosing During Part AHydrocortisone Tablet TID - Part A446.9Standard Deviation 129.3nanomoles per liter
Average Concentration of S-cortisol During the Dosing Interval at Steady State (Css,av) in Plasma After Single and Multiple Dosing During Part AHydrocortisone MR Tablet OD - Part A165.1Standard Deviation 45.0nanomoles per liter
Average Concentration of S-cortisol During the Dosing Interval at Steady State (Css,av) in Plasma After Single and Multiple Dosing During Part AHydrocortisone Tablet TID - Part A203.3Standard Deviation 49.8nanomoles per liter
First Detectable Concentration (Cfirst) of S-cortisol in Plasma After Single and Multiple Dosing During Part AHydrocortisone MR Tablet OD - Part A229.0Standard Deviation 169.8nanomoles per liter
First Detectable Concentration (Cfirst) of S-cortisol in Plasma After Single and Multiple Dosing During Part AHydrocortisone Tablet TID - Part A295.1Standard Deviation 203.2nanomoles per liter

Participant flow27

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Part A - First Intervention PeriodSTARTEDHydrocortisone MR OD Then Hydrocortisone TID - Part A32
Part A - First Intervention PeriodSTARTEDHydrocortisone TID Then Hydrocortisone MR OD - Part A32
Part A - First Intervention PeriodSTARTEDHydrocortisone MR Tablet OD - Part B (All 6 Months)0
Part A - First Intervention PeriodCOMPLETEDHydrocortisone MR OD Then Hydrocortisone TID - Part A32
Part A - First Intervention PeriodCOMPLETEDHydrocortisone TID Then Hydrocortisone MR OD - Part A32
Part A - First Intervention PeriodCOMPLETEDHydrocortisone MR Tablet OD - Part B (All 6 Months)0
Part A - First Intervention PeriodNOT COMPLETEDHydrocortisone MR OD Then Hydrocortisone TID - Part A0
Part A - First Intervention PeriodNOT COMPLETEDHydrocortisone TID Then Hydrocortisone MR OD - Part A0
Part A - First Intervention PeriodNOT COMPLETEDHydrocortisone MR Tablet OD - Part B (All 6 Months)0
Part A - Second Intervention PeriodSTARTEDHydrocortisone MR OD Then Hydrocortisone TID - Part A32

Adverse events75

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersHydrocortisone MR Tablet OD - Part A1641
otherDiarrhoeaGastrointestinal disordersHydrocortisone Tablet TID - Part A0640
otherDiarrhoeaGastrointestinal disordersHydrocortisone MR Tablet OD - Part B (First 3 Months)0590
otherDiarrhoeaGastrointestinal disordersHydrocortisone MR Tablet OD - Part B (Second 3 Months)4575
otherDiarrhoeaGastrointestinal disordersHydrocortisone MR Tablet OD - Part B (All 6 Months)4595
otherFatigueGeneral disordersHydrocortisone MR Tablet OD - Part A86410
otherFatigueGeneral disordersHydrocortisone Tablet TID - Part A3643
otherFatigueGeneral disordersHydrocortisone MR Tablet OD - Part B (First 3 Months)4594
otherFatigueGeneral disordersHydrocortisone MR Tablet OD - Part B (Second 3 Months)2572
otherFatigueGeneral disordersHydrocortisone MR Tablet OD - Part B (All 6 Months)6596

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityHydrocortisone MR Tablet OD - Part A
Total, all-cause mortalityHydrocortisone Tablet TID - Part A
Total, all-cause mortalityHydrocortisone MR Tablet OD - Part B (First 3 Months)
Total, all-cause mortalityHydrocortisone MR Tablet OD - Part B (Second 3 Months)
Total, all-cause mortalityHydrocortisone MR Tablet OD - Part B (All 6 Months)
Total, other adverse eventsHydrocortisone MR Tablet OD - Part A2964
Total, other adverse eventsHydrocortisone Tablet TID - Part A2564
Total, other adverse eventsHydrocortisone MR Tablet OD - Part B (First 3 Months)1259
Total, other adverse eventsHydrocortisone MR Tablet OD - Part B (Second 3 Months)1657
Total, other adverse eventsHydrocortisone MR Tablet OD - Part B (All 6 Months)2359

Papers14

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
1986026BACKGROUNDPubMed
3184107BACKGROUNDPubMed
6273020BACKGROUNDPubMed
7889636BACKGROUNDPubMed
9156032BACKGROUNDPubMed
10997607BACKGROUNDPubMed
12919163BACKGROUNDPubMed
16895963BACKGROUNDPubMed
16968806BACKGROUNDPubMed
17684047BACKGROUNDPubMed

1 to 10 of 14

See all 14 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00915343

GET https://conductscience.org/api/trials/v1/NCT00915343/registered?page=2