ClinicalTrials.gg
Active, not recruitingNCT03604198Updated Nov 3, 2026

Extension Study to Evaluate the Safety of Long-Term Use of Relacorilant in Patients With Cushing Syndrome

A Phase 2 interventional study of relacorilant in Cushing Syndrome, sponsored by Corcept Therapeutics. Active, not recruiting at 48 sites in 10 countries. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Corcept Therapeutics · Phase 2, Interventional, and Treatment

Updated Oct 9, 2026First site in Austria4 sites addedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
125
Allocation
Not applicable
Sex
All
01

Study summary

This is an open-label extension study to evaluate the long-term safety of relacorilant in patients with endogenous Cushing syndrome who successfully completed participation in a Corcept-sponsored study of relacorilant and may benefit from continuing treatment.

Read the detailed description

This study is designed to allow continued therapy with relacorilant, a potent, selective glucocorticoid receptor (GR) antagonist in patients who have successfully completed participation of a Corcept-sponsored study of relacorilant (referred to as the "parent" study). Patients may qualify to enter this extension study if they complete their last treatment visit in their parent study and in the Investigator's opinion will benefit from continued treatment.

Once-daily dosing with relacorilant may continue for patients who receive clinical benefits (as judged by the Investigator) until relacorilant is commercially or otherwise available or the study is stopped by the Sponsor. A patient's dose may be maintained, reduced, or increased based on individual response and tolerability.

02

Conditions studied

  • Cushing Syndrome

Keywords

  • Cushing Syndrome
  • Cushing Disease
  • Cushing
  • Hypercortisolemia
  • Cushingoid
  • Type 2 Diabetes
  • Impaired Glucose Intolerance
  • Hypertension
  • Adrenocortical Carcinoma
  • Primary Pigmented Nodular Adrenal Disease (PPNAD)
  • Moon Facies
  • Dorsocervical Fat Pad
  • Adrenal Adenoma
  • Adrenal Carcinoma
  • Adrenal Autonomy
  • Cortisol
  • Adrenal Corticotropic Hormone (ACTH)
03

In context

Cushing Syndrome

123 studies on the registry are indexed under Cushing Syndrome; 42 are open to participants now.

This study's enrollment of 125 is above the median of 44 across 58 interventional studies indexed under Cushing Syndrome.

Browse Cushing Syndrome studies →

Lead sponsor

Corcept Therapeutics is the lead sponsor of 73 studies on the registry; 3 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 9 (28%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Major Inclusion Criteria:

    • Have completed a Corcept-sponsored study of relacorilant in endogenous Cushing syndrome
    • According to the Investigator's opinion will benefit from continuing treatment with relacorilant.

Exclusion criteria

Exclusion Criteria:

  • Major Exclusion Criteria:

    • Premature discontinuation from a relacorilant parent study
    • Has uncontrolled, hypothyroidism or hyperthyroidism.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
125 participants (actual)

Study arms

  • Experimental
    relacorilant (CORT125134)

    Drug: relacorilant

Interventions

  • CORT125134 is supplied as capsules for oral dosing.

    Also known as: CORT125134

06

What researchers measure

Primary outcomes

  1. Long-term safety of relacorilant

    Number of patients with treatment-emergent adverse events (TEAEs) as assessed by Common Terminology Criteria for Adverse Events (CTCAE) v4.0 or higher

    Time frame: 36 months

Other outcomes

  1. Number of patients with one or more hematology laboratory abnormality by severity grade

    The hematology laboratory abnormalities to be assessed are hemoglobin decreased, hemoglobin increased, platelet count decreased, white blood cell count decreased, leukocytosis, eosinophilia, lymphocyte count decreased, lymphocyte count increased, neutrophil count decreased. The laboratory abnormalities will be reported by worst grade of mild, moderate, severe, or life-threatening, using the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE, version 4 or higher) criteria.

    Time frame: Up to Month 99

  2. Number of patients with one or more clinical chemistry laboratory abnormality by severity grade

    The clinical chemistry laboratory abnormalities to be assessed are hypoalbuminemia, alkaline phosphatase increased, alanine aminotransferase increased, aspartate aminotransferase increased, hypocalcemia, hypercalcemia, creatine increased, hypoglycemia, hyperglycemia, blood lactate dehydrogenase increased, hypomagnesemia, hypermagnesemia, hypokalemia, hyperkalemia, hyponatremia, hypernatremia, creatine phosphokinase increased, blood bilirubin increased, and hyperuricemia. The laboratory abnormalities will be reported by worst grade of mild, moderate, severe, or life-threatening, using the CTCAE, version 4 or higher criteria.

    Time frame: Up to Month 99

  3. Change from Baseline in oral body temperature

    Time frame: Baseline and up to Month 99

  4. Change from Baseline in respiratory rate

    Time frame: Baseline and up to Month 99

  5. Change from Baseline in blood pressure

    Systolic and diastolic blood pressure will be assessed.

    Time frame: Baseline and up to Month 99

  6. Change from Baseline in heart rate

    Time frame: Baseline and up to Month 99

  7. Change from Baseline in electrocardiogram (ECG) parameters

    12-lead ECGs will be performed in duplicate and will be evaluated by a central reviewer. The parameters to be assessed are PR interval, QRS interval, QT interval, RR interval, QTcF interval, and QTcB interval.

    Time frame: Baseline and Month 3

  8. Change from Baseline in ECG ventricular rate

    12-lead ECGs will be performed in duplicate and will be evaluated by a central reviewer.

    Time frame: Baseline and Month 3

  9. Change from Baseline in the longest vertical diameter of pituitary tumors as determined with magnetic resonance imaging (MRI)

    Pituitary MRI imaging will be used to assess changes in tumor size during dosing. A computed tomography (CT) scan can be used in patients for whom MRI is contraindicated.

    Time frame: Baseline and up to Month 72

  10. Change from baseline in the volume of pituitary tumors as determined with MRI

    Pituitary MRI imaging will be used to assess changes in tumor size during dosing. A CT scan can be used in patients for whom MRI is contraindicated.

    Time frame: Baseline and up to Month 72

07

Study locations

48 sites
  • Site 49
    Phoenix, Arizona 85013, United States
  • Site 35
    Stanford, California 94305, United States
  • Site 39
    Torrance, California 90502, United States
  • Site 50
    Miami, Florida 33136, United States
  • Site 10
    Atlanta, Georgia 30318, United States
  • Site 9
    Chicago, Illinois 60611, United States
  • Site 1
    Indianapolis, Indiana 46202, United States
  • Site 5
    Metairie, Louisiana 70006, United States
  • Site 27
    Baltimore, Maryland 21287, United States
  • Site 13
    Fall River, Massachusetts 02721, United States
  • Site 8
    Ann Arbor, Michigan 48109, United States
  • Site 36
    Rochester, Minnesota 55905, United States
  • Site 34
    Jackson, Mississippi 39202, United States
  • Site 3
    St Louis, Missouri 63110, United States
  • Site 55
    Reno, Nevada 89511, United States
  • Site 6
    Albany, New York 12206, United States
  • Site 24
    New York, New York 10021, United States
  • Site 4
    Wilmington, North Carolina 28401, United States
  • Site 43
    Cleveland, Ohio 44195, United States
  • Site 2
    Pittsburgh, Pennsylvania 15212, United States
  • Site 46
    Pittsburgh, Pennsylvania 15213, United States
  • Site 11
    Dallas, Texas 75390, United States
  • Site 7
    El Paso, Texas 79935, United States
  • Site 32
    Fort Worth, Texas 76132, United States
  • Site 12
    Houston, Texas 77079, United States
  • Site 14
    Vienna, 1090, Austria
  • Site 51
    Nova Scotia, Canada
  • Site 16
    Munich, Germany
  • Site 42
    Würzburg, 97080, Germany
  • Site 20
    Ramat Gan, 5265601, Israel
  • Site 29
    Tel Aviv, 64239, Israel
  • Site 40
    Ancona, 60126, Italy
  • Site 44
    Messina, 98125, Italy
  • Site 25
    Milan, 20145, Italy
  • Site 21
    Naples, 80131, Italy
  • Site 48
    Padova, 35128, Italy
  • Site 52
    Torino, Italy
  • Site 33
    Rotterdam, 3015 GD, Netherlands
  • Site 47
    Krakow, 30-688, Poland
  • Site 45
    Lublin, 20412, Poland
  • Site 37
    Bucharest, 050474, Romania
  • Site 31
    Bucharest, 10825, Romania
  • Site 28
    Bucharest, 11863, Romania
  • Site 53
    Alicante, Spain
  • Site 18
    Girona, Spain
  • Site 17
    Madrid, 28007, Spain
  • Site 38
    Málaga, 29006, Spain
  • Site 19
    Seville, Spain
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
4 sites added — first site in Austria
Show 4 added (2 Italy, 1 Austria, 1 Israel)
  • Site 14 · Vienna, Austria
  • Site 20 · Ramat Gan, Israel
  • Site 44 · Messina, Italy
  • Site 52 · Torino, Italy
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    4 sites added — first site in Austria
    Show 4 added (2 Italy, 1 Austria, 1 Israel)
    • Site 14 · Vienna, Austria
    • Site 20 · Ramat Gan, Israel
    • Site 44 · Messina, Italy
    • Site 52 · Torino, Italy
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT03604198
Responsible party
Sponsor
First posted
Jul 27, 2018
Start date
May 7, 2018
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Nov 3, 2026

Study contacts

John McNally
study director · Corcept Therapeutics

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Relacorilant

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