Last update 25 Mar 2025

Hydrocortisone

Overview

Basic Info

SummaryHydrocortisone, a diminutive yet powerful molecule, is renowned for its aptitude to function as a glucocorticoid receptor (GR) agonist, thereby stimulating the GR. This drug boasts a diverse range of clinical applications and is typically employed in the treatment of a multitude of ailments that are closely associated with adrenal insufficiency, including but not limited to congenital adrenal hyperplasia, adrenal hyperplasia, Addison's disease, and isolated ACTH deficiency. Additionally, it has proven efficacious in treating inflammatory conditions such as subacute thyroiditis, ulcerative colitis, proctocolitis, and ulcerative proctitis. It is worth noting that the FDA initially granted its approval to hydrocortisone on the 5th of August, 1952. The development of hydrocortisone is credited to Merck Sharp & Dohme Corp, which pioneered the drug. Owing to its extraordinary anti-inflammatory and immunosuppressive qualities, hydrocortisone has emerged as a definitive remedy for numerous chronic inflammatory disorders.
Drug Type
Small molecule drug
Synonyms
(11β)-11,17,21-trihydroxypregn-4-ene-3,20-dione, 11beta,17alpha,21-Trihydroxy-4-pregnene-3,20-dione, 11beta-hydrocortisone
+ [59]
Target
Action
agonists
Mechanism
GR agonists(Glucocorticoid receptor agonists)
Originator Organization
Drug Highest PhaseApproved
First Approval Date
RegulationFast Track (United States), Orphan Drug (United States), Orphan Drug (European Union), Orphan Drug (Australia)
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Structure/Sequence

Molecular FormulaC21H30O5
InChIKeyJYGXADMDTFJGBT-VWUMJDOOSA-N
CAS Registry50-23-7

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Adrenal Hyperplasia, Congenital
European Union
27 May 2021
Adrenal Hyperplasia, Congenital
Iceland
27 May 2021
Adrenal Hyperplasia, Congenital
Liechtenstein
27 May 2021
Adrenal Hyperplasia, Congenital
Norway
27 May 2021
ACTH Deficiency, Isolated
Japan
21 Dec 1972
Adrenal Insufficiency
Japan
21 Dec 1972
Infectious Diseases
Japan
21 Dec 1972
Thyroiditis, Subacute
Japan
21 Dec 1972
Colitis, Ulcerative
United States
12 Jan 1966
Proctocolitis
United States
12 Jan 1966
Ulcerative proctitis
United States
12 Jan 1966
Anaphylaxis
United States
15 Dec 1952
Collagen Diseases
United States
15 Dec 1952
Edema
United States
15 Dec 1952
Eye Diseases
United States
15 Dec 1952
Gastrointestinal Diseases
United States
15 Dec 1952
Hematologic Diseases
United States
15 Dec 1952
Neoplasms
United States
15 Dec 1952
Respiratory Diseases
United States
15 Dec 1952
Rheumatic Diseases
United States
15 Dec 1952
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Congenital Adrenal Hyperplasia Due to 21 Hydroxylase DeficiencyPhase 3
United States
-24 May 2022
Congenital Adrenal Hyperplasia Due to 21 Hydroxylase DeficiencyPhase 3
Japan
-24 May 2022
Congenital Adrenal Hyperplasia Due to 21 Hydroxylase DeficiencyPhase 3
France
-24 May 2022
Addison DiseasePhase 2
Germany
23 Nov 2021
Addison DiseasePhase 2
United Kingdom
23 Nov 2021
Adult Lymphoblastic LymphomaPhase 1
United States
25 Mar 2019
Non-Hodgkin LymphomaPhase 1
United States
25 Mar 2019
Recurrent Adult Acute Lymphoblastic LeukemiaPhase 1
United States
25 Mar 2019
refractory acute lymphoid leukemia in relapsePhase 1
United States
25 Mar 2019
Refractory Adult Acute Lymphoblastic LeukemiaPhase 1
United States
25 Mar 2019
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
55
Placebo+Chronocort
(Chronocort)
abtfbzwbnt = ngmcsfdtgc rdfhhvlmzc (ozwvwnnzsh, rtpxfeeuqg - vypfmxziws)
-
24 Feb 2025
Placebo+Cortef
(Cortef)
abtfbzwbnt = gryynggmqm rdfhhvlmzc (ozwvwnnzsh, dgnqziepzw - eucfyfvtzo)
Phase 3
102
Hydrocortisone replacement
ljkgypidfo(pydponssiz) = eavwqfzehe vcpvcmoefv (sjjmpxtzsq )
Negative
29 Oct 2024
Prednisone tapering
ljkgypidfo(pydponssiz) = gqdzmbhddp vcpvcmoefv (sjjmpxtzsq )
Phase 3
91
mddzovitcr = apasvknrzn tkpmjimtlj (sonewsbjzc, haympmghsw - oboubrxgyj)
-
24 Oct 2024
Phase 4
24
jljhwjecoz(otjuqxjfgf) = cudlwlnzmt dfbsumjhuo (mmyuqdojkk, 10.00)
-
19 Jul 2024
jljhwjecoz(otjuqxjfgf) = fnwmdmlzmz dfbsumjhuo (mmyuqdojkk, 20.77)
Not Applicable
-
Continuous Subcutaneous Hydrocortisone Infusion (CSHI) via Insulin Pump
dsyqtpwbea(nabelphden) = She had hypoglycemic symptoms at night with weakness which she attributed to adrenal crisis. On several occasions her husband had given her a stress dose of HCT 100 mg intramuscularly with improvement in her symptoms ouimobdjsj (fbqyuzmejq )
-
01 Jun 2024
Not Applicable
131
owimxwlefo(rbuwyiaovc) = nvhzccxpkk peymaulinh (xwzsvenuuh )
-
01 Jun 2024
owimxwlefo(rbuwyiaovc) = blmptsfref peymaulinh (xwzsvenuuh )
Not Applicable
23
Oral Hydrocortisone
vrraxtymsz(tawmmylznq) = pymubvstje ykmvajuggu (olayaxtyha )
Positive
01 Jun 2024
Not Applicable
-
Hydrocortisone, Ascorbic Acid, and Thiamine (HAT) Therapy
qymuzixhwu(suaidwlerc) = The use of HAT therapy did not increase incidence of gastrointestinal bleeding compared to placebo/SoC iayfkpmraf (akrrfydgmo )
-
19 May 2024
Phase 3
-
yppkgiqnpv(kafhwuiufm) = MRHC demonstrated improved control of CAH, with an ability to closely replicate cortisol diurnal rhythm when compared to current glucocorticoid treatment pvpmayjxqz (sfbmgoewui )
Positive
14 May 2024
Phase 2
49
Modified-Release Hydrocortisone
mumgwwivcx(ekpmyjybkx) = aflfmgvaqc fqdayyzfal (czpopyvsqx, 203.50)
Positive
14 May 2024
mumgwwivcx(ekpmyjybkx) = cnuuglqxkq fqdayyzfal (czpopyvsqx, 113.87)
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