Abstract

Therapy options for patients with recurrent, platinum-resistant ovarian cancer are limited. Cortisol contributes to chemotherapy resistance, one driver of poor outcomes, by suppressing apoptotic pathways used by cytotoxic agents. A phase 2 study of relacorilant (RELA) + nab-paclitaxel (NP) in patients with ovarian cancer has shown that glucocorticoid receptor modulation with RELA can improve the efficacy of NP. In all patients, intermittent RELA + NP significantly improved progression-free survival (PFS) and improved overall survival (OS) without additional side-effect burden.

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