Relacorilant in Combination With Different Treatment Regimens in Patients With Gynecological Cancers
- Summary
- 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.
- Short title
- Relacorilant in Combination With Different Treatment Regimens in Patients With Gynecological Cancers
- Official title
- An Open-label, Global, Multi-Arm Study to Evaluate the Efficacy and Safety of Relacorilant in Combination With Different Treatment Regimens in Patients With Gynecological Cancers (BELLA)
- Control arm
- Open label
- Registry reports results
- Listing at source
- Listed
- Recruitment status
- Recruiting
- Phase
- Phase 2
- Study type
- Interventional
- Completion date
- 2026-12-01
- First posted
- 2025-04-02
- Registry last updated
- 2026-07-16
- Primary completion date
- 2026-08-01
- Start date
- 2025-04-11
- Participants
- Participant count basis
- Estimated
- Planned participants
- Protocol amendments
- Number of sites
- Data monitoring committee
- Registry sponsor category
- Industry
- Lead sponsor
- Corcept Therapeutics
- Source registry
- ClinicalTrials.gov
- Registry ID
- NCT06906341
- ClinicalTrials.gov ID
- NCT06906341
- Registry record
- Open registry record
- Allocation
- Not randomised
- Model
- Parallel groups
- Purpose
- Treatment
- Masking
- No masking
Progression-Free Survival (PFS)
Timeframe: Date of first dose until PD or death, up to 18 months
To evaluate PFS as the time from enrollment until first documented progressive disease (PD) by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 as determined by the Investigator, or death due to any cause, whichever occurs first.
Objective Response Rate (ORR)
Timeframe: Date of first dose until PD or death, up to 18 months
To evaluate the proportion of patients with measurable disease at Baseline who attain complete response (CR) or partial response (PR) by RECIST version 1.1.
Best Overall Response Rate (BOR)
Timeframe: Date of first dose until PD or death, up to 18 months
To evaluate the BOR by RECIST version 1.1 recorded from the date of enrollment until PD or death.
Duration of Response (DOR)
Timeframe: Time of first objective response until PD or death, up to 18 months
To evaluate DOR as the time from the first CR or PR to first objectively documented PD or death, whichever comes first.
Clinical Benefit Rate (CBR)
Timeframe: Week 24
To evaluate CBR as the proportion of patients who attain CR, PR, or stable disease (SD) at Week 24 as per RECIST version 1.1.
Overall Survival (OS)
Timeframe: Date of first dose up to 6, 12, and 18 months
To evaluate the probability of OS survival at 6, 12, and 18 months.
Number of patients with one or more adverse events
Timeframe: Date of first dose up to 30 days after last dose
Area under the plasma concentration-time curve (AUC) of relacorilant
Timeframe: On Cycle 1 Day 8 (each cycle is 28 days)
To estimate exposure of relacorilant. This outcome applies to Arms B and C only.
Maximum plasma concentration (Cmax) of relacorilant
Timeframe: On Cycle1 Day 8 (each cycle is 28 days)
To estimate exposure of relacorilant. This outcome applies to Arms B and C only.
Trough plasma concentrations (Cmin) of relacorilant
Timeframe: On Cycle 2 Day 8 through the last cycle (up to 12 cycles, each cycle is 28 days)
To estimate exposure of relacorilant. This outcome applies to Arms B and C only.
- Sex
- Female
- Age groups
- Adults, Older adults
- Minimum age
- 18 Years
- Healthy volunteers
- No
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
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.
- 004Birmingham, United StatesRecruiting
- 150Palo Alto, United StatesRecruiting
- 014San Francisco, United StatesRecruiting
- 544Fort Myers, United StatesRecruiting
- 335Miami Beach, United StatesRecruiting
- 543West Palm Beach, United StatesRecruiting
- 518Minneapolis, United StatesRecruiting
- 334Kansas City, United StatesRecruiting
- 521St Louis, United StatesRecruiting
- 292Albuquerque, United StatesRecruiting
- 304Centerville, United StatesRecruiting
- 517Eugene, United StatesRecruiting
- 127Pittsburgh, United StatesRecruiting
- 522Fairfax, United StatesRecruiting
- 300Norfolk, United StatesRecruiting
- 121Milwaukee, United StatesRecruiting
- 328Aalst, BelgiumRecruiting
- 326Charleroi, BelgiumRecruiting
- 325Hasselt, BelgiumRecruiting
- 108Leuven, BelgiumRecruiting
- 306Lille, FranceRecruiting
- 307Nancy, FranceRecruiting
- 310Nice, FranceRecruiting
- 324Pierre-Bénite, FranceRecruiting
- 323Plérin, FranceRecruiting
And 24 more, listed on the interactive page.
Related records
Drugs (3)
Lead sponsors (1)
Conditions (8)
- Endometrial cancer
- Fallopian tube cancer
- Fallopian tube disorder
- Fallopian tube neoplasm
- Ovarian cancer Primary condition
- Ovarian disorder
- Ovarian neoplasm
- Peritoneal neoplasm