Relacorilant With Nab-Paclitaxel and Gemcitabine in Patients With Metastatic Pancreatic Adenocarcinoma
A Phase 2, Single-Arm Trial of Relacorilant in Combination With Nab-Paclitaxel and Gemcitabine in Patients With Previously Untreated Metastatic Pancreatic Adenocarcinoma (TRIDENT)
Corcept Therapeutics
60 participants
Jan 27, 2026
INTERVENTIONAL
Conditions
Summary
This is a Phase 2, single-arm study to evaluate the safety and efficacy of relacorilant in combination with nab-paclitaxel and gemcitabine in patients with previously untreated metastatic pancreatic adenocarcinoma (PDAC).
Eligibility
Inclusion Criteria14
- Signed and dated informed consent form prior to screening procedures
- Histologic diagnosis or cytologic diagnosis of pancreatic adenocarcinoma (PDAC)
- Initial diagnosis of metastatic disease occurred ≤6 weeks prior to enrollment in the study
- Life expectancy of ≥3 months
- Radiographic confirmation of metastatic disease with at least 1 distant tumor metastasis measurable on radiology imaging per RECIST version 1.1 criteria
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Able to provide informed consent and comply with protocol requirements
- Able to swallow and retain oral medication and does not have uncontrolled emesis
- Has adequate gastrointestinal absorption
- Received no prior systemic anticancer therapy to treat metastatic disease
- If a patient received prior treatment of PDAC with chemotherapy, disease progression must have occurred \>12 months after completing the last dose, and no persistent treatment-related toxicities can be present.
- Adequate organ function
- Negative pregnancy test for patients of childbearing potential
- Agree to use protocol defined precautions to avoid pregnancy
Exclusion Criteria17
- Any major surgery within 4 weeks prior to enrollment
- Prior treatment as follows:
- Radiotherapy, surgery, chemotherapy, immunotherapy, investigational therapy for the treatment of metastatic disease
- Systemic, inhaled, or prescription strength topical corticosteroids within 5 times the half-life of the corticosteroid used prior to first dose of study drug
- Received gemcitabine or nab-paclitaxel to treat their PDAC
- Known germline or somatic breast cancer gene (BRCA) mutation
- Peripheral neuropathy from any cause \>Grade 1
- Medical conditions requiring chronic or frequent treatment with corticosteroids
- History of severe hypersensitivity or severe reaction to any of study drugs or their excipients
- Concurrent treatment with mifepristone or other glucocorticoid receptor modulators.
- Uncontrolled condition(s) which, may confound the results of the trial or interfere with the patient's safety or participation
- Active infection with HIV, hepatitis C or hepatitis B virus
- Known untreated parenchymal brain metastasis or uncontrolled central nervous system metastases
- History of other malignancy within 3 years prior to enrollment
- Taking protocol-prohibited medications
- Concurrent treatment with other investigational treatment studies for cancer
- Has received a live vaccine within 30 days prior to the study start date
Interventions
Relacorilant will be administered as capsules for oral dosing on the day before (excluding Cycle 1, Day -1), the day of, and the day after nab-paclitaxel and gemcitabine infusions.
Nab-paclitaxel will be administered via intravenous (IV) infusion on Days 1, 8, and 15 of each 28-day cycle.
Gemcitabine will be administered via intravenous (IV) infusion on Days 1, 8, and 15 of each 28-day cycle.
Locations(4)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT07259317