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NCT03776812

Study of Relacorilant in Combination With Nab-Paclitaxel for Patients With Recurrent Platinum-Resistant Ovarian, Fallopian Tube, or Primary Peritoneal Cancer

Completed Phase 2 Results posted Last updated 7 October 2025
What this trial tests

Phase 2 trial testing Relacorilant in Recurrent Ovarian Cancer in 178 participants. Completed in 12 July 2023.

Timeline
5 April 2019
Primary endpoint
16 March 2021
12 July 2023

Quick facts

Lead sponsorCorcept Therapeutics
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment178
Start date5 April 2019
Primary completion16 March 2021
Estimated completion12 July 2023
Sites24 locations across Italy, Belgium, Canada, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Corcept Therapeutics — full company profile →

Who can join

18 and older, female only, with Recurrent Ovarian Cancer or Recurrent Fallopian Tube Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Progression-free Survival (PFS) Primary · Baseline and up to 15 months

To assess time from randomization until the date of first documented progressive disease (PD) by RECIST v1.1 (as determined by the Investigator at the local site), or death due to any cause, whichever occurs first.

GroupValue95% CI
Arm A: Continuous Relacorilant Dosing5.293.84 – 5.55
Arm B: Intermittent Relacorilant Dosing5.553.68 – 7.20
Arm C: Nab-paclitaxel Comparator3.763.52 – 5.36
Objective Response Rate (ORR) Secondary · Baseline and up to 15 months

To assess the proportion of patients with measurable disease at Baseline who attain complete response (CR) or partial response (PR) by RECIST v1.1 (confirmation not required).

GroupValue95% CI
Arm A: Continuous Relacorilant Dosing19
Arm B: Intermittent Relacorilant Dosing20
Arm C: Nab-paclitaxel Comparator19
Duration of Response (DOR) Secondary · From first documented response up to 12 months

To assess the time from when response (CR or PR) was first documented to the first objectively documented PD or death (whichever occurs first)

GroupValue95% CI
Arm A: Continuous Relacorilant Dosing3.792.33 – 5.55
Arm B: Intermittent Relacorilant Dosing5.553.75 – 5.88
Arm C: Nab-paclitaxel Comparator3.652.89 – 5.09
Cancer Antigen 125 (CA-125) Response According to Gynecological Cancer Intergroup Criteria (GCIG) Secondary · Baseline and up to 15 months

To assess the overall CA-125 response per GCIG criteria. Response was defined as ≥50% reduction in CA-125 from a pre-treatment sample. Patients whose CA-125 levels fall within the reference range are classified as complete responders.

GroupValue95% CI
Arm A: Continuous Relacorilant Dosing32
Arm B: Intermittent Relacorilant Dosing34
Arm C: Nab-paclitaxel Comparator28
Best Overall Response (BOR) Secondary · Baseline and up to 15 months

To assess the best response (CR, PR, stable disease \[SD\], or PD) recorded from the date of randomization until PD/recurrence (or death)

Complete response
GroupValue95% CI
Arm A: Continuous Relacorilant Dosing4
Arm B: Intermittent Relacorilant Dosing1
Arm C: Nab-paclitaxel Comparator2
Partial response
GroupValue95% CI
Arm A: Continuous Relacorilant Dosing15
Arm B: Intermittent Relacorilant Dosing19
Arm C: Nab-paclitaxel Comparator17
Stable disease
GroupValue95% CI
Arm A: Continuous Relacorilant Dosing23
Arm B: Intermittent Relacorilant Dosing20
Arm C: Nab-paclitaxel Comparator21
Progressive disease
GroupValue95% CI
Arm A: Continuous Relacorilant Dosing9
Arm B: Intermittent Relacorilant Dosing14
Arm C: Nab-paclitaxel Comparator12
Not evaluable
GroupValue95% CI
Arm A: Continuous Relacorilant Dosing3
Arm B: Intermittent Relacorilant Dosing2
Arm C: Nab-paclitaxel Comparator1
PFS Rate at 6 and 12 Months Secondary · 6 and 12 months

To assess the proportion of patients who have not progressed according to RECIST v1.1 criteria at 6 and 12 months. Values are Kaplan-Meier estimates of the patients progression-free at the time points specified.

6 months
GroupValue95% CI
Arm A: Continuous Relacorilant Dosing0.260.15 – 0.38
Arm B: Intermittent Relacorilant Dosing0.400.28 – 0.53
Arm C: Nab-paclitaxel Comparator0.250.15 – 0.36
12 months
GroupValue95% CI
Arm A: Continuous Relacorilant Dosing0.080.02 – 0.18
Arm B: Intermittent Relacorilant Dosing0.110.04 – 0.23
Arm C: Nab-paclitaxel Comparator0.040.01 – 0.12
PFS in Patients Who Cross Over to Continuous Treatment at Time of Initial PD Secondary · Crossover Baseline (Day 50) up to Day 272

To assess the time from crossover Baseline (initial PD) until the earliest date of subsequent PD by RECIST v1.1, as determined by the Investigator at the local site, or death from any cause, whichever comes first.

GroupValue95% CI
Crossover Patients2.101.87 – 2.50
ORR in Patients Who Cross Over to Continuous Treatment at Time of Initial PD Secondary · Crossover Baseline (Day 50) up to Day 272

To assess the proportion of patients with measurable disease at the crossover Baseline who attain confirmed CR or PR by RECIST v1.1

GroupValue95% CI
Crossover Patients0
BOR in Patients Who Cross Over to Continuous Treatment at Time of Initial PD Secondary · Crossover Baseline (Day 50) up to Day 272

To assess the best overall response (CR, PR, SD, or PD) recorded in the crossover period

Complete response
GroupValue95% CI
Crossover Patients0
Partial response
GroupValue95% CI
Crossover Patients0
Stable disease
GroupValue95% CI
Crossover Patients3
Progressive disease
GroupValue95% CI
Crossover Patients18
Not evaluable
GroupValue95% CI
Crossover Patients0
Overall Survival (OS) Secondary · Up to 31 months

To assess the time from randomization to death by any cause.

GroupValue95% CI
Arm A: Continuous Relacorilant Dosing11.307.52 – 16.39
Arm B: Intermittent Relacorilant Dosing13.9011.07 – 18.43
Arm C: Nab-paclitaxel Comparator12.197.72 – 15.28
Overall Response According to Combined RECIST v1.1 + GCIG Criteria Secondary · Baseline and up to 15 months

To assess the proportion of patients with measurable disease at Baseline who attain confirmed CR or PR by RECIST v1.1 and GCIG criteria. GCIG response was defined as ≥50% reduction in CA-125 from a pre-treatment sample.

GroupValue95% CI
Arm A: Continuous Relacorilant Dosing34
Arm B: Intermittent Relacorilant Dosing36
Arm C: Nab-paclitaxel Comparator33

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 39 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm A: Continuous Relacorilant Dosing
Serious: 30/57 (53%)
Deaths: 53/58
Arm B: Intermittent Relacorilant Dosing
Serious: 15/60 (25%)
Deaths: 49/60
Arm C: Nab-paclitaxel Comparator
Serious: 19/60 (32%)
Deaths: 56/60

Serious adverse events (67 terms)

ReactionSystemArm A: Continuous Relacori…Arm B: Intermittent Relaco…Arm C: Nab-paclitaxel Comp…
Intestinal obstructionGastrointestinal disorders
Abdominal painGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
Pleural efffusionRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
Large intestinal obstructionGastrointestinal disorders
VomitingGastrointestinal disorders
General physical health deteriorationGeneral disorders
CholangitisHepatobiliary disorders
PneumoniaInfections and infestations
Upper respiratory tract infectionInfections and infestations
Malignant ascitesGastrointestinal disorders
Metastases to central nervous systemNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Cardiac failureCardiac disorders
Coronary artery stenosisCardiac disorders
Myocardial infarctionCardiac disorders
Pericardial effusionCardiac disorders
PericarditisCardiac disorders
TachycardiaCardiac disorders
VertigoEar and labyrinth disorders
AscitesGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Other adverse events (101 terms — click to expand)

ReactionSystemArm A: Continuous Relacori…Arm B: Intermittent Relaco…Arm C: Nab-paclitaxel Comp…
NauseaGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
Peripheral sensory neuropathyNervous system disorders
ConstipationGastrointestinal disorders
AstheniaGeneral disorders
AlopeciaSkin and subcutaneous tissue disorders
DiarrhoeaGastrointestinal disorders
Abdominal painGastrointestinal disorders
FatigueGeneral disorders
NeutropeniaBlood and lymphatic system disorders
Decreased appetiteMetabolism and nutrition disorders
StomatitisGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HypokalaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Oedema peripheralGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
HypomagnesaemiaMetabolism and nutrition disorders
RashSkin and subcutaneous tissue disorders
PyrexiaGeneral disorders
Back painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
Abdominal pain upperGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
Nail disorderSkin and subcutaneous tissue disorders
Lacrimation increasedEye disorders
Urinary tract infectionInfections and infestations
Muscle spasmsMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
OnycholysisSkin and subcutaneous tissue disorders
LeukopeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
DyspepsiaGastrointestinal disorders
Blood alkaline phosphatase increasedInvestigations
DysgeusiaNervous system disorders
ParaesthesiaNervous system disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders

Most-reported serious reactions: Intestinal obstruction, Abdominal pain, Small intestinal obstruction, Pleural efffusion, Constipation, Large intestinal obstruction, Vomiting, General physical health deterioration.

Data from ClinicalTrials.gov NCT03776812 adverse events section.

Sponsor's own description

This is a Phase 2, open-label, randomized, 3-arm study to evaluate progression-free survival (PFS) in patients with recurrent platinum-resistant ovarian, fallopian tube, or primary peritoneal cancer treated with intermittent or continuous regimens of relacorilant in combination with nab-paclitaxel compared with patients treated with nab-paclitaxel alone.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Drug resistance in ovarian cancer: from mechanism to clinical trial.
    Wang L, Wang X, Zhu X, Zhong L, et al · · 2024 · cited 139× · PMID 38539161 · DOI 10.1186/s12943-024-01967-3
  2. Relacorilant + Nab-Paclitaxel in Patients With Recurrent, Platinum-Resistant Ovarian Cancer: A Three-Arm, Randomized, Controlled, Open-Label Phase II Study.
    Colombo N, Van Gorp T, Matulonis UA, Oaknin A, et al · · 2023 · cited 27× · PMID 37364223 · DOI 10.1200/jco.22.02624
  3. Overcoming Taxane Resistance: Preclinical and Phase 1 Studies of Relacorilant, a Selective Glucocorticoid Receptor Modulator, with Nab-Paclitaxel in Solid Tumors.
    Munster PN, Greenstein AE, Fleming GF, Borazanci E, et al · · 2022 · cited 25× · PMID 35583817 · DOI 10.1158/1078-0432.ccr-21-4363
  4. Overcoming the challenges of drug development in platinum-resistant ovarian cancer.
    Eskander RN, Moore KN, Monk BJ, Herzog TJ, et al · · 2023 · cited 24× · PMID 37916177 · DOI 10.3389/fonc.2023.1258228
  5. Glucocorticoid receptor antagonism promotes apoptosis in solid tumor cells.
    Greenstein AE, Hunt HJ. · · 2021 · cited 24× · PMID 34194622 · DOI 10.18632/oncotarget.27989
  6. Glucocorticoid Receptor Regulates and Interacts with LEDGF/p75 to Promote Docetaxel Resistance in Prostate Cancer Cells.
    Sanchez-Hernandez ES, Ochoa PT, Suzuki T, Ortiz-Hernandez GL, et al · · 2023 · cited 11× · PMID 37626856 · DOI 10.3390/cells12162046
  7. Super-enhancer Activates Master Transcription Factor NR3C1 Expression and Promotes 5-FU Resistance in Gastric Cancer.
    Yu J, Chen M, Sang Q, Li F, et al · · 2025 · cited 8× · PMID 39731339 · DOI 10.1002/advs.202409050
  8. Management of Advanced Ovarian Cancer: Current Clinical Practice and Future Perspectives.
    Papageorgiou D, Liouta G, Pliakou E, Zachariou E, et al · · 2025 · cited 5× · PMID 40722601 · DOI 10.3390/biomedicines13071525

Verify or expand the search:

Other trials of Relacorilant

Trials testing the same drug.

Other recruiting trials for Recurrent Ovarian Cancer

Currently open trials in the same condition.

Other Corcept Therapeutics trials

Trials by the same sponsor.

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