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Exicorilant is an orally available, selective glucocorticoid receptor (GR) antagonist developed primarily for oncology indications, especially metastatic castration-resistant prostate cancer (mCRPC). It acts as a competitive and reversible full antagonist of the glucocorticoid receptor, inhibiting GR-mediated proliferative and anti-apoptotic gene expression pathways. By blocking GR activity—which can substitute for androgen receptor signaling in resistant prostate cancer—exicorilant may slow tumor growth and overcome resistance to AR-targeted therapies such as enzalutamide. The drug is a small molecule currently in phase 2 clinical trials, most notably studied in combination with enzalutamide for mCRPC. Exicorilant was developed by Corcept Therapeutics[1][2][3][5][8].
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