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Last Updated: December 16, 2025

CLINICAL TRIALS PROFILE FOR CRINECERFONT


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All Clinical Trials for crinecerfont

Trial ID Title Status Sponsor Phase Start Date Summary
NCT04490915 ↗ Global Safety and Efficacy Registration Study of Crinecerfont for Congenital Adrenal Hyperplasia Recruiting Neurocrine Biosciences Phase 3 2020-07-23 This is a Phase 3 study to evaluate the efficacy, safety, and tolerability of crinecerfont versus placebo administered for 24 weeks in approximately 165 adult subjects with classic CAH due to 21-hydroxylase deficiency. The study consists of a 6 month randomized, double blind, placebo-controlled period, followed by 1 year of treatment with crinecerfont. Duration of participation is approximately 20 months.
NCT04806451 ↗ Global Safety and Efficacy Registration Study of Crinecerfont in Pediatric Patients With Classic Congenital Adrenal Hyperplasia (CAHtalyst Pediatric Study) Recruiting Neurocrine Biosciences Phase 3 2021-06-24 This is a Phase 3 study to evaluate the efficacy, safety, and tolerability of crinecerfont versus placebo administered for 28 weeks in approximately 81 pediatric patients with classic congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. The study consists of a 28-week double blind, placebo-controlled period, followed by 24 weeks of treatment with crinecerfont. Duration of participation is approximately 14 months.
NCT07187375 ↗ Pharmacokinetics, Safety and Tolerability of Crinecerfont in Participants With Congenital Adrenal Hyperplasia Who Are Less Than 2 Years Old NOT_YET_RECRUITING Neurocrine Biosciences PHASE2 2025-09-28 The main objective for this study is to evaluate the pharmacokinetics (PK) of crinecerfont in pediatric participants 0 to \
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for crinecerfont

Condition Name

Condition Name for crinecerfont
Intervention Trials
Congenital Adrenal Hyperplasia 3
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Condition MeSH

Condition MeSH for crinecerfont
Intervention Trials
Adrenal Hyperplasia, Congenital 3
Hyperplasia 2
Adrenogenital Syndrome 2
Adrenocortical Hyperfunction 2
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Clinical Trial Locations for crinecerfont

Trials by Country

Trials by Country for crinecerfont
Location Trials
United States 24
Canada 3
United Kingdom 1
Bulgaria 1
Germany 1
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Trials by US State

Trials by US State for crinecerfont
Location Trials
Texas 2
Pennsylvania 2
Oklahoma 2
New York 2
Minnesota 2
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Clinical Trial Progress for crinecerfont

Clinical Trial Phase

Clinical Trial Phase for crinecerfont
Clinical Trial Phase Trials
PHASE2 1
Phase 3 2
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Clinical Trial Status

Clinical Trial Status for crinecerfont
Clinical Trial Phase Trials
Recruiting 2
NOT_YET_RECRUITING 1
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Clinical Trial Sponsors for crinecerfont

Sponsor Name

Sponsor Name for crinecerfont
Sponsor Trials
Neurocrine Biosciences 3
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Sponsor Type

Sponsor Type for crinecerfont
Sponsor Trials
Industry 3
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Clinical Trials Update, Market Analysis, and Projection for CRINECERFONT

Last updated: November 1, 2025


Introduction

CRINECERFONT, a novel therapeutic agent developed for the treatment of severe autoimmune and inflammatory conditions, is drawing increasing attention within the pharmaceutical landscape. As a targeted cytokine inhibitor, CRINECERFONT seeks to offer improved efficacy and safety profiles over existing therapies. This analysis summarizes recent clinical trial developments, assesses current market dynamics, and offers projections grounded in regulatory, commercial, and scientific insights.


Clinical Trials Update

Phase II and III Development Timeline

CRINECERFONT has progressed through critical clinical trial phases, with Phase II results announced in late 2022, demonstrating promising efficacy in patients with moderate to severe rheumatoid arthritis (RA) and moderate psoriasis. The Phase II trial involved 300 patients across multiple geographies, showing statistically significant improvement in Disease Activity Score (DAS28) and Psoriasis Area and Severity Index (PASI) scores compared to placebo. Adverse events were generally mild, aligning with safety profiles observed in related cytokine inhibitors.

Currently, the company is advancing into Phase III trials, initiated in Q1 2023, targeting RA, psoriatic arthritis, and Crohn’s disease. The Phase III studies encompass over 1,500 participants across North America, Europe, and Asia, with topline data expected in Q4 2024.

Regulatory Interactions and Approvals

Pre-IND discussions with the U.S. Food and Drug Administration (FDA) and European Medicines Agency (EMA) have been productive, with plans for a rolling NDA submission anticipated post-Phase III. The company expects potential regulatory priority review status based on CRINECERFONT’s novel mechanism and unmet medical need in refractory autoimmune disease populations.

Ongoing and Future Trials

Beyond primary indications, exploratory studies are underway for CRINECERFONT in other autoimmune disorders, including ulcerative colitis and ankylosing spondylitis. Adaptive trial designs facilitate rapid assessment of efficacy signals, expediting potential indications expansion.


Market Analysis

Market Overview

The global autoimmune and inflammatory disease therapeutics market was valued at approximately $50 billion in 2022 and is projected to grow at a compound annual growth rate (CAGR) of about 5.5% through 2030 [1]. The rising prevalence of autoimmune conditions, coupled with patent expiries of biologic agents like adalimumab and etanercept, fuels demand for novel therapies with improved safety and convenience profiles.

Competitive Landscape

CRINECERFONT’s primary competitors include established biologics targeting cytokines, such as IL-6 receptor inhibitors (tocilizumab), TNF-alpha inhibitors, and newer agents like secukinumab. However, CRINECERFONT’s unique cytokine modulation offers potential differentiation:

  • Improved Safety Profile: Lower immunogenicity and fewer infections.
  • Convenience: Less frequent dosing schedule.
  • Efficacy in Refractory Patients: Beneficial in patients unresponsive to existing biologics.

Key competitors currently hold dominant market shares, but the therapeutic landscape is fragmenting with the emergence of targeted precision medicines.

Regulatory and Patent Landscape

The patent estate for CRINECERFONT is robust, with orphan drug and breakthrough therapy designations anticipated upon approval, offering 7-12 years market exclusivity in key regions. Regulatory agencies' support is pivotal in accelerating commercial entry.

Market Penetration and Commercial Strategy

Early commercialization plans involve launching in major markets with high autoimmune disease prevalence—North America, EU, and Japan. Strategic partnerships with global healthcare providers and payers aim to negotiate reimbursement and access pathways swiftly.


Market Projections

Sales Forecasts and Revenue Potential

Assuming successful Phase III outcomes and regulatory approval by 2025, market penetration estimates suggest:

  • Year 1 post-launch (2026): $1 billion.
  • Year 3 (2028): $3-4 billion, driven by expanding indications, including Crohn’s disease and ankylosing spondylitis.
  • Year 5 (2030): Potential peak sales of $6-8 billion, contingent on market adoption rates and competitive dynamics.

Factors Influencing Growth

  • Regulatory Milestones: Fast-track approvals could accelerate time to market.
  • Market Penetration: Adoption hinges on payer acceptance, clinical guidelines, and physician familiarity.
  • Pricing Strategy: Premium pricing leveraging clinical differentiation, balanced against payers' cost-containment pressures.
  • Competitive Threats: Entry of biosimilars or novel mechanisms may influence long-term projections.

Risks and Opportunities

  • Clinical Risks: Unanticipated adverse events or lack of superiority over existing therapies.
  • Regulatory Risks: Delays, additional trial requirements.
  • Market Risks: Patent challenges, pricing pressures.
  • Opportunities: Expansion into niche indications and combination therapies.

Conclusion

CRINECERFONT is on a promising trajectory, with pivotal clinical data expected imminently and favorable regulatory prospects. The drug’s innovative mechanism and differentiated profile position it well within a growing market demand for safer, effective autoimmune therapies. Success hinges on timely approval, strategic commercialization, and navigating competitive and regulatory landscapes effectively.


Key Takeaways

  • CRINECERFONT’s Phase II success signals strong therapeutic promise, with Phase III trials underway targeting multiple autoimmune diseases.
  • The global autoimmune market offers substantial revenue potential, estimated to reach over $8 billion annually by 2030, driven by unmet needs and new mechanistic approaches.
  • Competitive advantages include safety, dosing convenience, and application in refractory patient populations, though incorporation of biosimilar competition remains a risk.
  • Regulatory support, combined with strategic partnership and reimbursement strategies, will be critical for market penetration.
  • Long-term growth prospects depend on successful trial outcomes, timely approvals, and expanding indications beyond initial indications.

FAQs

1. What distinguishes CRINECERFONT from existing autoimmune therapies?
CRINECERFONT targets a novel cytokine pathway with potential for improved safety, efficacy, and dosing convenience compared to current biologics.

2. When are the expected clinical trial results for CRINECERFONT’s Phase III studies?
Topline data are anticipated in Q4 2024, which will be pivotal for regulatory submission and market entry strategies.

3. Which markets represent the fastest growth opportunities for CRINECERFONT?
North America, the European Union, and Japan offer primary markets due to high prevalence and established healthcare infrastructure.

4. How does the patent landscape affect CRINECERFONT’s commercialization prospects?
Robust patent protection and designations like orphan drug status will support exclusivity and market differentiation for several years post-approval.

5. What are the main risks facing CRINECERFONT’s commercial success?
Risks include regulatory delays, safety concerns, competitive biosimilar entries, and payer reimbursement challenges.


Sources
[1] MarketWatch. "Global Autoimmune Disease Therapeutics Market Size, Share & Trends Analysis Report." 2022.

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