Evidence map›Paper›PMID 33942574›Full record

Trial reportClinical pharmacology in drug development2021

A Phase 1 Study to Investigate the Effects of Cortexolone 17α-Propionate, Also Known as Clascoterone, on the QT Interval Using the Meal Effect to Demonstrate ECG Assay Sensitivity.

Jörg Täubel, Alessandro Mazzetti, Georg Ferber, William Burch, Sara Fernandes, Avani Patel, Christopher S Spencer, Anne Freier, Claus Graff, Jørgen K Kanters and 1 more

Open access · hybridAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Clinical pharmacology in drug development, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Jörg TäubelRichmond Pharmacology Ltd, London, United Kingdom.
Alessandro MazzettiCassiopea SpA, Lainate, Italy.
Georg FerberStatistik Georg Ferber GmbH, Riehen, Switzerland.
William BurchRichmond Pharmacology Ltd, London, United Kingdom.
Sara FernandesRichmond Pharmacology Ltd, London, United Kingdom.
Avani PatelRichmond Pharmacology Ltd, London, United Kingdom.
Christopher S SpencerRichmond Research Institute, St George's University, London, United Kingdom.
Anne FreierRichmond Research Institute, St George's University, London, United Kingdom.
Claus GraffDepartment of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Jørgen K KantersDepartment of Biomedical Sciences, Kobenhavns Universitet, Copenhagen, Denmark.
John CammSt George's, University of London, London, United Kingdom.
St George's, University of London · GBRichmond Royal Hospital · GBAalborg University · DKIT University of Copenhagen · DKUniversità degli studi di Cassino e del Lazio Meridionale · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cortexolone 17α-propionate, also known as clascoterone, is a potent androgen receptor inhibitor intended for the topical treatment of skin diseases associated with androgenic pathway alterations. In nonclinical studies, cortexolone 17α-propionate was found to have a weak inhibitory effect on human Ether-à-go-go-Related Gene (hERG) potassium channels, which are vital for normal electrical activity in the heart. When used in a cream formulation, little cortexolone 17α-propionate is absorbed. However, the solution formulation developed for the treatment of androgenetic alopecia leads to a measurable systemic concentration and accumulation of the antiandrogen. This phase 1 study assessed the effect of cortexolone 17α-propionate on the QTc interval using concentration-effect analysis and the effect of a meal on QTc to confirm assay sensitivity. Thirty-two volunteers were randomly assigned to receive the active drug or a matching vehicle as placebo. Participants were dosed twice daily on days 1 to 3 (225 mg applied topically as a 7.5% solution 12 hours apart) and once on day 4. Pharmacokinetic and electrocardiogram assessments were performed after supratherapeutic doses. Assay sensitivity was successfully confirmed by using the food effect on the QTc interval. The results of this concentration-QTc analysis demonstrate that cortexolone 17α-propionate and its metabolite/degradation product had no effect on the QTc interval in the concentration range tested.

Indexed as

Food-Drug InteractionsAdministration, CutaneousAdolescentAdultAndrogen AntagonistsCortodoxoneDouble-Blind MethodElectrocardiographyFemaleHumansMalePropionatesYoung AdultAndrogen AntagonistsClascoteroneCortodoxonePropionatesandrogenetic alopeciaandrogen receptor inhibitorantiandrogencardiac safetycortexolone 17α-propionateQT interval

Identifiers

PMID33942574
PMCPMC8251570
OpenAlexW3157791046

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.