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Trial · NCT05128942

A Phase 2 Study to Evaluate the Safety, Efficacy and PK of Tildacerfont in Children Aged 2-17 Years With CAH

NCT05128942, Phase 2, Terminated, Spruce Biosciences; results first posted 2025-12-24

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Phase 2 Study to Evaluate the Safety, Efficacy and PK of Tildacerfont in Children Aged 2-17 Years With CAH. Trials, record NCT05128942. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05128942

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Trial

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

Title
A Phase 2 Study to Evaluate the Safety, Efficacy and PK of Tildacerfont in Children Aged 2-17 Years With CAH
NCT number
NCT05128942
Status
Terminated
Phases
Phase 2
Enrollment
67 participants, actual
Lead sponsor
Spruce Biosciences
Conditions
Congenital Adrenal Hyperplasia, 21-OHD
Interventions
Tildacerfont
First posted
2021-11-22
Last updated
2025-12-24
Results first posted
2025-12-24

Source ClinicalTrials.gov

Registered outcomes4

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

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Treatment-emergent Adverse Event (TEAE) as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 5.012 weeksTo evaluate safety of tildacerfont in participants with CAH as measured by number of subjects with adverse events following dosing by CTCAE version 5.0
SecondaryProportion of Participants Who Achieve a Reduction in Androstenedione (A4) or Reduction in Glucocorticoid (GC) Dosing12 weeks
To determine the efficacy of tildacerfont on disease control or reduction of GC use in participants with classic CAH as measured by number of subjects who achieve a reduction in A4 or reduction in GC dosing during treatment period
SecondaryProportion of Participants With Elevated Baseline A4 Who Achieve a Reduction in A44 weeksTo determine the efficacy of tildacerfont on disease control in participants with classic CAH measured by the number of participants with elevated baseline A4 who achieve reduction in A4 at week 4
SecondaryProportion of Participants With Elevated Baseline A4 Who Achieve a Reduction in A4 Who Achieve A4 Normalization4 weeks or 12 weeks
To determine the efficacy of tildacerfont on disease control in participants with classic CAH measured by the number of participants with elevated baseline A4 who achieve reduction in A4 at week 4 or week 12

Outcomes4

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Treatment-emergent Adverse Event (TEAE) as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 5.012 weeksFor Cohorts 5 and 8, the Statistical Analysis Plan pre-specified to analyze the data separately per Cohort, without regard to dose.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProportion of Participants Who Achieve a Reduction in Androstenedione (A4) or Reduction in Glucocorticoid (GC) Dosing12 weeksFor Cohorts 5 and 8, the Statistical Analysis Plan pre-specified to analyze the data separately per Cohort, without regard to dose.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProportion of Participants With Elevated Baseline A4 Who Achieve a Reduction in A44 weeksFor Cohorts 5 and 8, the Statistical Analysis Plan pre-specified to analyze the data separately per Cohort, without regard to dose.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProportion of Participants With Elevated Baseline A4 Who Achieve a Reduction in A4 Who Achieve A4 Normalization4 weeks or 12 weeksFor Cohorts 5 and 8, the Statistical Analysis Plan pre-specified to analyze the data separately per Cohort, without regard to dose.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group40

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Treatment-emergent Adverse Event (TEAE) as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0Cohort 1: Age 11-17 Treatment With Tildacerfont4Participants
Number of Participants With Treatment-emergent Adverse Event (TEAE) as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0Cohort 2: Age 11-17 Treatment With Tildacerfont6Participants
Number of Participants With Treatment-emergent Adverse Event (TEAE) as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0Cohort 3: Age 2-10 Treatment With Tildacerfont18Participants
Number of Participants With Treatment-emergent Adverse Event (TEAE) as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0Cohort 4: Treatment With Tildacerfont2Participants
Number of Participants With Treatment-emergent Adverse Event (TEAE) as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0Cohort 5: Treatment With Tildacerfont3Participants
Number of Participants With Treatment-emergent Adverse Event (TEAE) as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0Cohort 6: Treatment With Tildacerfont8Participants
Number of Participants With Treatment-emergent Adverse Event (TEAE) as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0Cohort 7: Treatment With Tildacerfont12Participants
Number of Participants With Treatment-emergent Adverse Event (TEAE) as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0Cohort 8: Treatment With Tildacerfont5Participants
Proportion of Participants Who Achieve a Reduction in Androstenedione (A4) or Reduction in Glucocorticoid (GC) DosingCohort 1: Age 11-17 Treatment With Tildacerfont5Participants
Proportion of Participants Who Achieve a Reduction in Androstenedione (A4) or Reduction in Glucocorticoid (GC) DosingCohort 2: Age 11-17 Treatment With Tildacerfont4Participants

Participant flow27

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1: Age 11-17 Treatment With Tildacerfont7
Overall StudySTARTEDCohort 2: Age 11-17 Treatment With Tildacerfont7
Overall StudySTARTEDCohort 3: Age 2-10 Treatment With Tildacerfont18
Overall StudySTARTEDCohort 4: Treatment With Tildacerfont2
Overall StudySTARTEDCohort 5: Treatment With Tildacerfont6
Overall StudySTARTEDCohort 6: Treatment With Tildacerfont8
Overall StudySTARTEDCohort 7: Treatment With Tildacerfont12
Overall StudySTARTEDCohort 8: Treatment With Tildacerfont7
Overall StudySTARTEDCohort 9: Treatment With Tildacerfont0
Overall StudyCOMPLETEDCohort 1: Age 11-17 Treatment With Tildacerfont2

Adverse events1,170

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNeutropeniaBlood and lymphatic system disordersCohort 1: Age 11-17 Treatment With Tildacerfont07
otherNeutropeniaBlood and lymphatic system disordersCohort 2: Age 11-17 Treatment With Tildacerfont07
otherNeutropeniaBlood and lymphatic system disordersCohort 3: Age 2-10 Treatment With Tildacerfont118
otherNeutropeniaBlood and lymphatic system disordersCohort 4: Treatment With Tildacerfont02
otherNeutropeniaBlood and lymphatic system disordersCohort 5: 300 mg Tildacerfont01
otherNeutropeniaBlood and lymphatic system disordersCohort 5: 400 mg Tildacerfont05
otherNeutropeniaBlood and lymphatic system disordersCohort 6: Treatment With Tildacerfont08
otherNeutropeniaBlood and lymphatic system disordersCohort 7: Treatment With Tildacerfont012
otherNeutropeniaBlood and lymphatic system disordersCohort 8: 300 mg Tildacerfont03
otherNeutropeniaBlood and lymphatic system disordersCohort 8: 400 mg Tildacerfont04

Adverse event totals30

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1: Age 11-17 Treatment With Tildacerfont07
Total, all-cause mortalityCohort 2: Age 11-17 Treatment With Tildacerfont07
Total, all-cause mortalityCohort 3: Age 2-10 Treatment With Tildacerfont018
Total, all-cause mortalityCohort 4: Treatment With Tildacerfont02
Total, all-cause mortalityCohort 5: 300 mg Tildacerfont01
Total, all-cause mortalityCohort 5: 400 mg Tildacerfont05
Total, all-cause mortalityCohort 6: Treatment With Tildacerfont08
Total, all-cause mortalityCohort 7: Treatment With Tildacerfont012
Total, all-cause mortalityCohort 8: 300 mg Tildacerfont03
Total, all-cause mortalityCohort 8: 400 mg Tildacerfont04

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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/NCT05128942

GET https://conductscience.org/api/trials/v1/NCT05128942/results?page=2