Neurocrine Reports Clinical Findings on 11beta-Hydroxylase Deficiency
Neurocrine Biosciences announced clinical findings from the first retrospective case series in pediatric and adult patients with classic congenital adrenal hyperplasia due to 11beta-hydroxylase deficiency. This subtype was not previously studied in clinical trials of CRENESSITY and is the second most common form of classic CAH after 21-hydroxylase deficiency, accounting for approximately 5% of cases. The findings were presented at the Endocrine Society's annual meeting, ENDO 2026, in Chicago. Androstenedione and other adrenal hormone levels in 11beta-hydroxylase-deficient patients improved substantially after initiation of CRENESSITY, with greater than90% median reductions in 11-deoxycortisol and 11-deoxycorticosterone. Nearly all patients (14/15) reduced their total glucocorticoid dose with CRENESSITY, and 2 of 5 patients on antihypertensive medications reduced or discontinued these drugs. Findings provide initial clinical insights in patients with classic congenital adrenal hyperplasia due to 11beta-hydroxylase deficiency, a rare subtype not previously studied in clinical trials of CRENESSITY.