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

Phase
Recruitment status
Participants
Lead sponsor
Corcept Therapeutics
Start date
Number of sites

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
Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Corcept Therapeutics
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Not randomised
Model
Parallel groups
Purpose
Treatment
Masking
No masking
Sources for study design

  1. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. Number of patients with one or more adverse events

    Timeframe: Date of first dose up to 30 days after last dose

  7. 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.

  8. 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.

  9. 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.

Sources for outcomes

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.
Sources for eligibility

  • 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.

Sources for sites

Related records

Drugs (3)

Lead sponsors (1)

Conditions (8)

Targets (18)