Relacorilant in Combination With Different Treatment Regimens in Patients With Gynecological Cancers

NCT ID: NCT06906341

Last Updated: 2025-10-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

270 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-11

Study Completion Date

2026-12-31

Brief Summary

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This is a Phase 2, open-label, global, multi-arm study to evaluate efficacy and safety of relacorilant in combination with other treatments in patients with gynecological cancers.

Detailed Description

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This study is designed with the goal to add additional arms as new treatments become available. All arms will follow an independent and parallel design.

For Arms A and B, study treatment will comprise relacorilant combined with nab-paclitaxel, and bevacizumab and will begin on Cycle 1 Day 1 (C1D1). Each patient will receive relacorilant 150 mg administered orally under fed conditions, once daily for 3 consecutive days on the day before, the day of, and the day after nab-paclitaxel infusion (in Cycle 1 relacorilant is only given on 2 consecutive days, starting on C1D1), in combination with nab-paclitaxel (80 mg/m\^2 intravenously \[IV\]) administered on Days 1, 8, and 15 of each 28-day cycle. Bevacizumab (10 mg/kg IV once every 2 weeks \[Q2W\]) will be administered on Days 1 and 15 of each 28-day cycle. Study treatment for Arm C will be similar to Arm A but does not include bevacizumab. Patients will receive treatment until they reach a protocol-defined event of progressive disease (PD), experience an unmanageable toxicity, or until other treatment discontinuation criteria are met.

Conditions

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Ovarian Cancer Fallopian Tube Cancer Peritoneal Neoplasms Endometrial Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A: Relacorilant in Combination with Nab-paclitaxel and Bevacizumab

In Arm A, patients with platinum-resistant ovarian cancer will receive the combination of relacorilant with nab-paclitaxel and bevacizumab.

Group Type EXPERIMENTAL

Relacorilant 150 mg once daily (QD)

Intervention Type DRUG

Relacorilant is administered under fed conditions as capsules for oral dosing on the day before, the day of, and the day after nab-paclitaxel infusion.

Nab-paclitaxel 80 mg/m^2

Intervention Type DRUG

Nab-paclitaxel is administered as IV infusion on Days 1, 8, and 15 of each 28-day cycle.

Bevacizumab 10 mg/kg

Intervention Type DRUG

Bevacizumab is administered as IV infusion on Days 1 and 15.

Arm B: Relacorilant in Combination with Nab-Paclitaxel and Bevacizumab

In Arm B, patients with platinum-sensitive ovarian cancer who have progressed while receiving treatment with a polymerase inhibitor will receive relacorilant in combination with nab-paclitaxel and bevacizumab.

Group Type EXPERIMENTAL

Relacorilant 150 mg once daily (QD)

Intervention Type DRUG

Relacorilant is administered under fed conditions as capsules for oral dosing on the day before, the day of, and the day after nab-paclitaxel infusion.

Nab-paclitaxel 80 mg/m^2

Intervention Type DRUG

Nab-paclitaxel is administered as IV infusion on Days 1, 8, and 15 of each 28-day cycle.

Bevacizumab 10 mg/kg

Intervention Type DRUG

Bevacizumab is administered as IV infusion on Days 1 and 15.

Arm C: Relacorilant in Combination with Nab-Paclitaxel

In Arm C, patients with previously-treated advanced, recurrent, or metastatic endometrial cancer will receive relacorilant in combination with nab-paclitaxel.

Group Type EXPERIMENTAL

Relacorilant 150 mg once daily (QD)

Intervention Type DRUG

Relacorilant is administered under fed conditions as capsules for oral dosing on the day before, the day of, and the day after nab-paclitaxel infusion.

Nab-paclitaxel 80 mg/m^2

Intervention Type DRUG

Nab-paclitaxel is administered as IV infusion on Days 1, 8, and 15 of each 28-day cycle.

Interventions

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Relacorilant 150 mg once daily (QD)

Relacorilant is administered under fed conditions as capsules for oral dosing on the day before, the day of, and the day after nab-paclitaxel infusion.

Intervention Type DRUG

Nab-paclitaxel 80 mg/m^2

Nab-paclitaxel is administered as IV infusion on Days 1, 8, and 15 of each 28-day cycle.

Intervention Type DRUG

Bevacizumab 10 mg/kg

Bevacizumab is administered as IV infusion on Days 1 and 15.

Intervention Type DRUG

Other Intervention Names

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CORT125134

Eligibility Criteria

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Inclusion Criteria

Arms A and B

* Histologic diagnosis of epithelial ovarian, primary peritoneal, or fallopian-tube carcinoma
* Arm A Only: Platinum-resistant disease
* Arm B Only: Platinum-sensitive disease who had progression while receiving treatment with a poly(ADP-ribose) polymerase (PARP) inhibitor
* Life expectancy of ≥3 months
* Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
* Able to swallow and retain oral medication
* 1 to 3 lines of prior systemic anticancer therapy
* Adequate organ function
* Negative pregnancy test for patients of childbearing potential

Arm C

* Stage III or IV, recurrent, or metastatic endometrial cancer
* Life expectancy of ≥3 months
* ECOG performance status of 0 or 1
* Able to swallow and retain oral medication
* Prior treatment with a platinum agent and an approved anti-Programmed Cell Death Ligand 1 (PD\[L\]1) antibody
* 1 to 2 lines of prior systemic anticancer therapy for endometrial cancer
* Must consent to provide an available formalin-fixed paraffin-embedded (FFPE) tumor tissue block or recently cut sections
* Adequate organ function
* Negative pregnancy test for patients of childbearing potential

Exclusion Criteria

Arm A and B

* Arm A Only: Has progressed while receiving weekly paclitaxel or nab-paclitaxel
* Prior enrollment in a clinical trial of relacorilant
* Prior anticancer therapy related toxicities not resolved to grade ≤1
* Any surgery within 4 weeks prior to enrollment
* Wide-field radiation to more than 25% of marrow-bearing areas
* Medical conditions requiring chronic or frequent treatment with corticosteroids
* Concurrent treatment with mifepristone or other glucocorticoid receptor modulators
* Peripheral neuropathy from any cause \>Grade 1
* Hypertension: ≥150 mm Hg systolic or ≥100 mm Hg diastolic
* Uncontrolled condition(s) which, may confound the results of the trial or interfere with the patient's safety or participation
* Bowel obstruction ≤12 weeks prior to study entry
* Ascites or pleural effusions requiring therapeutic paracentesis
* Untreated or symptomatic central nervous system metastases
* History of other malignancy within 3 years prior to enrollment
* Has received a live vaccine within 30 days prior to the study start date

Arm C

* Has progressed while receiving weekly paclitaxel or nab-paclitaxel
* Prior enrollment in a clinical trial of relacorilant
* Prior anticancer therapy related toxicities not resolved to grade ≤1
* Any surgery within 4 weeks prior to enrollment
* Wide-field radiation to more than 25% of marrow-bearing areas
* Medical conditions requiring chronic or frequent treatment with corticosteroids
* Concurrent treatment with mifepristone or other glucocorticoid receptor modulators
* Peripheral neuropathy from any cause \>Grade 1
* Uncontrolled condition(s) which, may confound the results of the trial or interfere with the patient's safety or participation
* Bowel obstruction ≤12 weeks prior to study entry
* Ascites or pleural effusions requiring therapeutic paracentesis
* History of other malignancy within 3 years prior to enrollment
* Has received a live vaccine within 30 days prior to the study start date
* Patients with central nervous system metastases are not eligible, unless they have completed local therapy and have discontinued the use of corticosteroids for this indication for at least 4 weeks before starting treatment in this study.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Corcept Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sachin Pai, MD, MS

Role: STUDY_DIRECTOR

Corcept Therapeutics

Locations

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150

Palo Alto, California, United States

Site Status RECRUITING

014

San Francisco, California, United States

Site Status RECRUITING

544

Fort Myers, Florida, United States

Site Status RECRUITING

543

West Palm Beach, Florida, United States

Site Status RECRUITING

518

Minneapolis, Minnesota, United States

Site Status RECRUITING

334

Kansas City, Missouri, United States

Site Status RECRUITING

521

St Louis, Missouri, United States

Site Status RECRUITING

292

Albuquerque, New Mexico, United States

Site Status RECRUITING

304

Centerville, Ohio, United States

Site Status RECRUITING

517

Eugene, Oregon, United States

Site Status RECRUITING

127

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

522

Fairfax, Virginia, United States

Site Status RECRUITING

300

Norfolk, Virginia, United States

Site Status RECRUITING

121

Milwaukee, Wisconsin, United States

Site Status RECRUITING

328

Aalst, , Belgium

Site Status RECRUITING

326

Charleroi, , Belgium

Site Status RECRUITING

325

Hasselt, , Belgium

Site Status RECRUITING

108

Leuven, , Belgium

Site Status RECRUITING

306

Lille, , France

Site Status RECRUITING

307

Nancy, , France

Site Status RECRUITING

310

Nice, , France

Site Status RECRUITING

324

Pierre-Bénite, , France

Site Status RECRUITING

323

Plérin, , France

Site Status RECRUITING

308

Toulouse, , France

Site Status RECRUITING

519

Aachen, , Germany

Site Status RECRUITING

255

Berlin, , Germany

Site Status RECRUITING

520

Kempten, , Germany

Site Status RECRUITING

321

Catania, , Italy

Site Status RECRUITING

122

Milan, , Italy

Site Status RECRUITING

516

Milan, , Italy

Site Status RECRUITING

295

Pavia, , Italy

Site Status RECRUITING

124

Rome, , Italy

Site Status RECRUITING

293

Torino, , Italy

Site Status RECRUITING

319

Treviso, , Italy

Site Status RECRUITING

341

Gdynia, , Poland

Site Status RECRUITING

329

Siedlce, , Poland

Site Status RECRUITING

396

Seoul, Gangnam-gu, South Korea

Site Status RECRUITING

397

Gyeonggi-do, Goyang-si, South Korea

Site Status RECRUITING

399

Seoul, Jongno-gu, South Korea

Site Status RECRUITING

523

Seoul, Seocho-gu, South Korea

Site Status RECRUITING

398

Seoul, Seodaemun-gu, South Korea

Site Status RECRUITING

403

Seoul, Songpa-gu, South Korea

Site Status RECRUITING

349

Badalona, , Spain

Site Status RECRUITING

115

Barcelona, , Spain

Site Status RECRUITING

330

Valencia, , Spain

Site Status RECRUITING

Countries

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United States Belgium France Germany Italy Poland South Korea Spain

Central Contacts

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Corcept Therapeutics

Role: CONTACT

650-684-0171

Other Identifiers

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CORT125134-557

Identifier Type: -

Identifier Source: org_study_id

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