Crinetics Pharmaceuticals Inc. has announced the initiation of the BALANCE-CAH Phase 2/3 clinical trial evaluating atumelnant, an investigational oral adrenocorticotropic hormone (ACTH) receptor antagonist, for the treatment of classic congenital adrenal hyperplasia $(CAH)$ in children and adolescents. The study, which recently dosed its first patient, is structured in three parts: an open-label, dose-ranging Phase 2 segment; a double-blind, randomized, placebo-controlled Phase 3 segment; and an open-label extension. Atumelnant is the first small molecule ACTH receptor antagonist in late-stage development for this indication and has received Orphan Drug Designation from the U.S. Food & Drug Administration. Study results have not yet been presented.
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