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relacorilant   Click here for help

GtoPdb Ligand ID: 13830

Synonyms: compound 7 [PMID: 28368581] | CORT-125134 | CORT125134 | Lifyorli®
Approved drug Immunopharmacology Ligand
relacorilant is an approved drug
Compound class: Synthetic organic
Comment: Relacorilant (CORT125134; Corcept Therapeutics) is an orally bioavailable selective glucocorticoid receptor (GR) modulator (antagonist) [4]. It was originally developed as a treatment for Cushing syndrome, and was subsequently identified as offering oncology potential, as it was discovered that reducing cortisol signalling can increase tumour sensitivity to chemotherapy [5].
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 9
Hydrogen bond donors 0
Rotatable bonds 6
Topological polar surface area 106.39
Molecular weight 586.56
XLogP 0.93
No. Lipinski's rules broken 1

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

SMILES / InChI / InChIKey
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Canonical SMILES CN1C=C(C=N1)S(=O)(=O)N2CCC3=CC4=C(C[C@@]3(C2)C(=O)C5=CC(=CC=N5)C(F)(F)F)C=NN4C6=CC=C(C=C6)F
Isomeric SMILES CN1C=C(C=N1)S(=O)(=O)N2CCC3=CC4=C(C[C@@]3(C2)C(=O)C5=NC=CC(=C5)C(F)(F)F)C=NN4C6=CC=C(C=C6)F
InChI InChI=1S/C27H22F4N6O3S/c1-35-15-22(14-33-35)41(39,40)36-9-7-18-11-24-17(13-34-37(24)21-4-2-20(28)3-5-21)12-26(18,16-36)25(38)23-10-19(6-8-32-23)27(29,30)31/h2-6,8,10-11,13-15H,7,9,12,16H2,1H3/t26-/m0/s1
InChI Key WANIDIGFXJFFEL-SANMLTNESA-N

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

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Summary of Clinical Use Click here for help
Relacorilant (CORT125134) is being investigated for efficacy as a treatment for Cushing syndrome (endogenous hypercortisolism) [7], and for antitumour activity [1,6]. In 2018 the US FDA granted orphan drug designation for use as a Cushing syndrome therapy and to treat pancreatic cancer. The EU EMA granted orphan designations for these two indications in 2019, followed by OD for the treatment of ovarian cancer in 2023. A combination therapy using relacorilant and nab-paclitaxel was approved by the FDA in March 2026, to treat advanced/previously treated platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal cancers.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT02804750 Study to Evaluate CORT125134 in Participants With Cushing's Syndrome Phase 2 Interventional Corcept Therapeutics
NCT03776812 Study of Relacorilant in Combination With Nab-Paclitaxel for Patients With Recurrent Platinum-Resistant Ovarian, Fallopian Tube, or Primary Peritoneal Cancer Phase 2 Interventional Corcept Therapeutics
NCT04329949 Study of Relacorilant in Combination With Nab-Paclitaxel in Patients With Metastatic Pancreatic Ductal Adenocarcinoma Phase 3 Interventional Corcept Therapeutics 1
NCT03697109 A Study of the Efficacy and Safety of Relacorilant in Patients With Endogenous Cushing Syndrome Phase 3 Interventional Corcept Therapeutics The GRACE study
NCT05257408 Relacorilant in Combination With Nab-Paclitaxel in Advanced, Platinum-Resistant, High-Grade Epithelial Ovarian, Primary Peritoneal, or Fallopian-Tube Cancer Phase 3 Interventional Corcept Therapeutics The ROSELLA trial 2,5-6