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Monoclonal Antibodies

Relacorilant + Pembrolizumab for Adrenocortical Cancer

Phase 1
Waitlist Available
Research Sponsored by Corcept Therapeutics
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 24 months
Awards & highlights

Study Summary

This trial will study if a new drug combo is safe and effective for a particular type of cancer.

Who is the study for?
This trial is for patients with advanced Adrenocortical Carcinoma producing excess cortisol. Eligible participants must have measurable disease, documented hormone excess, stable mitotane levels if applicable, an ECOG status ≤2, and proper organ/bone marrow function. Pregnant women or those with major surgery recently, uncontrolled conditions like unstable angina or active infections, prior positive response to checkpoint inhibitors/T-cell stimulants, certain drug interactions (strong CYP3A inducers), untreated brain metastases requiring steroids, chronic systemic glucocorticoid treatment due to autoimmune diseases are excluded.Check my eligibility
What is being tested?
The study tests the safety and effectiveness of combining Relacorilant with Pembrolizumab in treating Adrenocortical Carcinoma that causes overproduction of cortisol. It aims to see how well these drugs work together against this type of cancer.See study design
What are the potential side effects?
Potential side effects may include immune-related reactions such as inflammation in various organs; infusion-related symptoms; fatigue; changes in blood counts leading to increased risk of infections or bleeding; hormonal imbalances; and possibly allergic reactions related to monoclonal antibody use.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 24 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 24 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Dose-limiting Toxicity (DLT)
Secondary outcome measures
Non-Progression Rate (NPR)
Number of Participants with Adverse Events
Plasma Concentrations of Relacorilant in Combination with Pembrolizumab in Patients with Advanced ACC and Glucocorticoid Excess
+1 more

Side effects data

From 2024 Phase 2 trial • 57 Patients • NCT03004183
21%
Fatigue
13%
Nausea
11%
Back pain
9%
Shortness of Breath
9%
Anemia
9%
Abdominal pain
9%
Diarrhea
7%
Pneumonia
7%
Kidney Injury and/or Infection
7%
Dyspnea
7%
Weight Loss
5%
Malnutrition, Hypercalcemia and Weakness
5%
Pneumothorax
5%
Intractable pain, back pain, hip pain
5%
Activated partial thromboplastin time prolonged
4%
Pleural effusion
4%
Atrial fibrillation with rapid ventricular response
2%
Thrombocytopenia
2%
Respiratory failure
2%
Skin rash
2%
colitis
100%
80%
60%
40%
20%
0%
Study treatment Arm
Single Arm

Trial Design

1Treatment groups
Experimental Treatment
Group I: Relacorilant in Combination with PembrolizumabExperimental Treatment2 Interventions
Participants will be treated on Day -3 to Day 1 (Cohort 1 under fasting conditions) or Day -6 to Day 1 (Cohort 2 under fed conditions) for Cycle 1 only. During the lead-in period, 300 mg relacorilant will be administered daily for 4 -7 days. Patients will receive their first pembrolizumab infusion on Cycle 1 Day 1. The participants will then receive combined treatment from Cycle 1 Day 1 until confirmed PD or unacceptable toxicity. Pembrolizumab will be administered every 6 weeks (on Day 1 of each 42-day cycle) and relacorilant will be administered daily. Optional Cohort 3 will lead-in with 400 mg relacorilant once daily for 7 days and combined treatment of relacorilant and pembrolizumab, depending on PD and toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Pembrolizumab
2017
Completed Phase 2
~2010
Relacorilant
2021
Completed Phase 1
~140

Find a Location

Who is running the clinical trial?

Corcept TherapeuticsLead Sponsor
68 Previous Clinical Trials
6,365 Total Patients Enrolled
Andreas G Moraitis, MDStudy DirectorCorcept Therapeutics
2 Previous Clinical Trials
110 Total Patients Enrolled

Media Library

Pembrolizumab (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT04373265 — Phase 1
Adrenocortical Cancer Research Study Groups: Relacorilant in Combination with Pembrolizumab
Adrenocortical Cancer Clinical Trial 2023: Pembrolizumab Highlights & Side Effects. Trial Name: NCT04373265 — Phase 1
Pembrolizumab (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04373265 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What results are researchers hoping to achieve from this clinical trial?

"This clinical trial will monitor a variety of endpoints over 24 months, starting from the date of first treatment until either disease progression or death. The primary objective is to observe Dose-Limiting Toxicity (DLT), while secondary outcomes include Non-Progression Rate (NPR) per RECIST v1.1, an evaluation of cortisol excess' effects on hypertension and diabetes mellitus, as well as Duration of Response (DOR)."

Answered by AI

Has Relacorilant been sanctioned by the Food and Drug Administration?

"Our team at Power has determined that Relacorilant's safety rating is a 1, due to the limited data supporting its efficacy and level of harmlessness available from this Phase 1 clinical trial."

Answered by AI

How many participants are engaging in this experiment?

"Affirmative. According to the clinicaltrials.gov database, this medical research is still actively seeking participants as of June 27th 2022; it was first posted on September 30th 2020. The trial requires 26 volunteers from 6 different cities/regions."

Answered by AI

What is the geographic distribution of this experiment?

"There are 6 trial sites currently accepting participants, including Site #030 Mayo Clinic in Rochester, Site #150 Stanford Cancer Center in Stanford and Site#007 Moffitt Cancer Center in Tampa. Additionally, there are 3 other locations where the study is running."

Answered by AI

Are there any registration opportunities still available for this trial?

"Affirmative. According to clinicaltrials.gov, this examination is actively recruiting patients as of June 27th 2022 - the last edit date for the trial post which was initially published on September 30th 2020. 6 sites are currently in need of 26 participants for the study."

Answered by AI

What primary maladies is Relacorilant prescribed to address?

"Relacorilant is largely used to address malignant neoplasms, yet it also has potential applications for treating unresectable melanoma, microsatellite instability high, and chemotherapy-induced disease advancement."

Answered by AI

Have other research initiatives explored the efficacy of Relacorilant?

"Relacorilant was initially documented in a research paper originating from the City of Hope during 2010. To this day, there are 260 completed studies and 963 trials still recruiting participants; many of these experiments take place at Rochester's medical facilities."

Answered by AI
~3 spots leftby Apr 2025