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Drug-Drug Interaction Study of Atumelnant in Healthy Participants

A Phase 1, Open-Label, Two-Cohort Study to Assess the Effect of a Strong CYP3A4 Inducer on the Pharmacokinetics of Atumelnant and the Effect of Atumelnant on the Pharmacokinetics of CYP3A4, P-gp, and MATE1/2-K Substrates in Healthy Participants

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07570082
Enrollment
46
Registered
2026-05-06
Start date
2026-05-28
Completion date
2026-07-30
Last updated
2026-08-19

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

Conditions

Healthy Volunteers

Keywords

Healthy volunteers, CRN04894, Atumelnant

Brief summary

This study aims to evaluate the impact of strong CYP3A4 induction on the pharmacokinetics (PK) of atumelnant, as well as the effect of atumelnant on CYP3A4, P-gp, and MATE1/2-K substrates in healthy participants.

Detailed description

This is a Phase 1, open-label, two-Cohort Study to assess the effect of a strong CYP3A4 inducer on the pharmacokinetics of atumelnant and the effect of atumelnant on the pharmacokinetics of CYP3A4, P-gp, and MATE1/2-K Substrates in healthy participants. Approximately 20 healthy male and female participants adult male and female (of non-childbearing potential) participants will be enrolled in Cohort 1. Approximately 26 healthy male and female participants adult male and female (of non-childbearing potential) participants will be enrolled in Cohort 2.

Interventions

Atumelnant, tablets

DRUGCarbamazepine

CYP3A4 inducer

DRUGMidazolam

CYP3A4 substrate

DRUGDigoxin

P-gp substrate

DRUGMetformin

MATE1/2-K substrate

Sponsors

Crinetics Pharmaceuticals Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
19 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

1. Healthy adult females of non-childbearing potential (Section 14.2) or healthy adult males, 19-55 years of age, inclusive, at the screening visit. 2. BMI ≥18.0 and ≤32.0 kg/m2 at the screening visit. 3. Is willing and able to comply with all study procedures and restrictions, including fasting and consumption of protocol-specified standardized meal for required study measurements; inpatient admission; follow-up contact; receipt of rescue therapy, if necessary; abstinence from tobacco, alcohol, drugs, and from strenuous unaccustomed exercise and sports (defined as greater than 30 minutes per day) during the study period. 4. Normal adrenocorticotropic hormone (ACTH)-stimulated cortisol test at the screening visit and does not have signs and symptoms of adrenal insufficiency as deemed by the PI or designee.

Exclusion criteria

1. Is mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected during the conduct of the study. 2. History or presence of clinically significant medical or psychiatric condition or disease in the opinion of the PI or designee. 3. Female participant with a positive pregnancy test at the screening visit or at first check-in or who is lactating. 4. Female participant of childbearing potential. 5. Had prior treatment with atumelnant. 6. Participation in another clinical study within 30 days or received any investigational drug within 5 half-lives prior to the first dosing, whichever is longer. The time window will be derived from the date of the last blood collection or dosing, whichever is later, in the previous study to Day 1 of the current study. 7. History or presence of hypersensitivity or idiosyncratic reaction to the study interventions or related compounds. 8. Has a blood loss ≥500 mL or donated blood within 3 months prior to the first dosing. 9. Unable to refrain from or anticipates the use of any drugs, including prescription and non-prescription medications, herbal remedies, vitamin supplements, or other food supplements within 14 days or 5 half-lives prior to the first dosing, whichever is longer.

Design outcomes

Primary

MeasureTime frame
Cohort 2: Pharmacokinetics (AUC 0-last)Up to Day 21
Cohort 2: Pharmacokinetics (Cmax)Up to Day 21
Cohort 1: Pharmacokinetics (Cmax)Up to Day 34
Cohort 2: Pharmacokinetics (AUC 0-inf)Up to Day 21
Cohort 1: Pharmacokinetics (AUC 0-last)Up to Day 34
Cohort 1: Pharmacokinetics (AUC 0-inf)Up to Day 34

Secondary

MeasureTime frame
Cohort 1: Number of participants with Treatment Emergent Adverse EventsUp to Day 34
Cohort 2: Number of participants with Treatment Emergent Adverse EventsUp to Day 21

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 20, 2026