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Relacorilant + nab-paclitaxel + gemcitabine is a combination therapy regimen under investigation for the treatment of metastatic pancreatic cancer. The combination includes relacorilant, a selective glucocorticoid receptor (GR) antagonist developed by Corcept Therapeutics, alongside the standard-of-care chemotherapeutic agents nab-paclitaxel (an albumin-bound microtubule inhibitor) and gemcitabine (a nucleoside metabolic inhibitor). Relacorilant is designed to block the activity of cortisol at the GR, which is hypothesized to prevent cortisol-mediated anti-apoptotic signaling in tumor cells, thereby sensitizing them to the cytotoxic effects of chemotherapy. This triplet regimen is currently being evaluated in the Phase 2 TRIDENT clinical trial for patients with metastatic pancreatic ductal adenocarcinoma.
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