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Relative oral bioavailability and tolerability of hydrocortisone from 2-dimensionally printed orodispersible films in children and adolescents with primary adrenal insufficiency (REPLACE trial)

Status
Not yet recruiting
Phases
Phase 1
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2026-526416-37-00
Enrollment
8
Registered
2026-08-27
Start date
Unknown
Completion date
Unknown
Last updated
2026-08-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

adrenal insufficiency

Brief summary

The GMR of the AUC of orally administered hydrocortisone ODF compared to the AUC of hydrocortisone oral tablets.

Detailed description

Descriptive PK parameters of all IMP formu-lations, e.g. AUC, Cmax, the time to Cmax (tmax), and the apparent volume of distribu-tion (Vz/F)., Correlation of concentrations of salivary cor-tisone and hydrocortisone with serum free cortisone and hydrocortisone., Evaluation of palatability by assessing partic-ipants satisfaction and ease of administra-tion of hydrocortisone ODF., Evaluation of frequency, severity, serious-ness, relatedness, expectedness, and out-come of AE under trial medication., Evaluation of the concentration-time profiles of the following biomarkers after different hy-drocortisone formulations: o plasma ACTH as well as glucose and electrolytes (sodium, potassium) in blood gas analysis, Evaluation of the amount of urine hydrocorti-sone excretion within 8 h for all formulations.

Interventions

DRUGAcecort 5 mg Filmtabletten
DRUG2D printed Hydrocortisone orodispersible films
DRUGAcecort 1 mg Filmtabletten

Sponsors

Universitaetsklinikum Heidelberg AöR
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
0 Years to 17 Years

Design outcomes

Primary

MeasureTime frame
The GMR of the AUC of orally administered hydrocortisone ODF compared to the AUC of hydrocortisone oral tablets.

Secondary

MeasureTime frame
Descriptive PK parameters of all IMP formu-lations, e.g. AUC, Cmax, the time to Cmax (tmax), and the apparent volume of distribu-tion (Vz/F)., Correlation of concentrations of salivary cor-tisone and hydrocortisone with serum free cortisone and hydrocortisone., Evaluation of palatability by assessing partic-ipants satisfaction and ease of administra-tion of hydrocortisone ODF., Evaluation of frequency, severity, serious-ness, relatedness, expectedness, and out-come of AE under trial medication., Evaluation of the concentration-time profiles of the following biomarkers after different hy-drocortisone formulations: o plasma ACTH as well as glucose and electrolytes (sodium, potassium) in blood gas analysis, Evaluation of the amount of urine hydrocorti-sone excretion within 8 h for all formulations.

Outcome results

None listed

Source: EU CTIS · Data processed: Aug 28, 2026