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Drug overview for LIFYORLI (relacorilant):
Generic name: RELACORILANT (REL-a-KOR-i-lant)
Drug class: Glucocorticoid Receptor Antagonists
Therapeutic class: Antineoplastics
Relacorilant, a reversible glucocorticoid receptor antagonist, is an antineoplastic agent.
No enhanced Uses information available for this drug.
Generic name: RELACORILANT (REL-a-KOR-i-lant)
Drug class: Glucocorticoid Receptor Antagonists
Therapeutic class: Antineoplastics
Relacorilant, a reversible glucocorticoid receptor antagonist, is an antineoplastic agent.
No enhanced Uses information available for this drug.
DRUG IMAGES
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The following indications for LIFYORLI (relacorilant) have been approved by the FDA:
Indications:
Epithelial ovarian cancer
Malignant neoplasm of fallopian tube
Primary malignant neoplasm of peritoneum
Professional Synonyms:
Carcinoma of ovary
Epithelial carcinoma of ovary
Epithelial ovarian carcinoma
Malignant epithelial neoplasm of ovary
Malignant tumor of fallopian tube
Ovarian carcinoma
Primary malignant tumor of peritoneum
Indications:
Epithelial ovarian cancer
Malignant neoplasm of fallopian tube
Primary malignant neoplasm of peritoneum
Professional Synonyms:
Carcinoma of ovary
Epithelial carcinoma of ovary
Epithelial ovarian carcinoma
Malignant epithelial neoplasm of ovary
Malignant tumor of fallopian tube
Ovarian carcinoma
Primary malignant tumor of peritoneum
The following dosing information is available for LIFYORLI (relacorilant):
It isessential that the manufacturer's labeling be consulted for more detailed information on dosage and administration of this drug. Dosage summary:
The recommended dosage of relacorilant is 150 mg orally once on the day before, the day of, and the day after each nab-paclitaxel infusion. The recommended dosage for nab-paclitaxel is 80 mg/m2 administered as an IV infusion on Days 1, 8 and 15 of each 28-day cycle until disease progression or unacceptable toxicity. The recommended dosage and dosage modifications for nab-paclitaxel when administered in combination with relacorilant differ from those for other nab-paclitaxel indications.
Take relacorilant with food. Swallow capsules whole. Do not crush, chew, dissolve, or split the capsules.
Refer to the Prescribing Information for nab-paclitaxel administration.
See Full Prescribing Information for dosage modification recommendations for adverse reactions.
The recommended dosage of relacorilant is 150 mg orally once on the day before, the day of, and the day after each nab-paclitaxel infusion. The recommended dosage for nab-paclitaxel is 80 mg/m2 administered as an IV infusion on Days 1, 8 and 15 of each 28-day cycle until disease progression or unacceptable toxicity. The recommended dosage and dosage modifications for nab-paclitaxel when administered in combination with relacorilant differ from those for other nab-paclitaxel indications.
Take relacorilant with food. Swallow capsules whole. Do not crush, chew, dissolve, or split the capsules.
Refer to the Prescribing Information for nab-paclitaxel administration.
See Full Prescribing Information for dosage modification recommendations for adverse reactions.
No enhanced Administration information available for this drug.
| DRUG LABEL | DOSING TYPE | DOSING INSTRUCTIONS |
|---|---|---|
| LIFYORLI 125 MG DOSE PACK | Maintenance | Adults take by oral route per package directions |
| LIFYORLI 150 MG DOSE PACK | Maintenance | Adults take by oral route per package directions |
No generic dosing information available.
The following drug interaction information is available for LIFYORLI (relacorilant):
There are 0 contraindications.
There are 1 severe interactions.
These drug interactions can produce serious consequences in most patients. Actions required for severe interactions include, but are not limited to, discontinuing one or both agents, adjusting dosage, altering administration scheduling, and providing additional patient monitoring. Review the full interaction monograph for more information.
| Drug Interaction | Drug Names |
|---|---|
| Relacorilant/Glucocorticoids SEVERITY LEVEL: 2-Severe Interaction: Action is required to reduce the risk of severe adverse interaction. MECHANISM OF ACTION: Relacorilant is a reversible antagonist of the glucocorticoid receptor (GR).(1) CLINICAL EFFECTS: Relacorilant may antagonize the effect of glucocorticoids, and glucocorticoids may decrease the effect of relacorilant. Conditions requiring glucocorticoids may be exacerbated and adrenal insufficiency may occur.(1) PREDISPOSING FACTORS: None determined. PATIENT MANAGEMENT: Relacorilant is contraindicated in patients who require glucocorticoids for life-saving purposes (e.g., immunosuppression after organ transplant). In patients taking glucocorticoids for other purposes, avoid relacorilant if possible. If coadministration cannot be avoided, monitor for reduced effectiveness of relacorilant and glucocorticoids. If adrenal insufficiency occurs, withhold relacorilant and administer glucocorticoid therapy. High doses of glucocorticoids may be required to overcome glucocorticoid receptor antagonism, which may continue for up to 6 days after the last dose of relacorilant. After adrenal insufficiency resolves, resume the previous dose, reduce dose, or permanently discontinue relacorilant based on the severity, as recommended in the manufacturer prescribing information.(1) DISCUSSION: Relacorilant antagonizes the glucocorticoid receptor. Relacorilant is contraindicated in patients receiving glucocorticoids for life-saving conditions and should be avoided in patients taking glucocorticoids for other conditions.(1) |
AGAMREE, ALKINDI SPRINKLE, ANALPRAM HC, ANUCORT-HC, ANUSOL-HC, BECLOMETHASONE DIPROPIONATE, BETALOAN SUIK, BETAMETHASONE ACETATE MICRO, BETAMETHASONE ACETATE-SOD PHOS, BETAMETHASONE DIPROPIONATE, BETAMETHASONE SOD PHOS-ACETATE, BETAMETHASONE SOD PHOS-WATER, BETAMETHASONE SODIUM PHOSPHATE, BETAMETHASONE VALERATE, BUDESONIDE, BUDESONIDE DR, BUDESONIDE EC, BUDESONIDE ER, BUDESONIDE MICRONIZED, BUPIVACAINE-DEXAMETH-EPINEPHRN, CELESTONE, CLOBETASOL PROPIONATE MICRO, CORTEF, CORTENEMA, CORTIFOAM, CORTISONE ACETATE, DEFLAZACORT, DEPO-MEDROL, DESONIDE MICRONIZED, DESOXIMETASONE, DEXABLISS, DEXAMETHASONE, DEXAMETHASONE ACETATE, DEXAMETHASONE ACETATE MICRO, DEXAMETHASONE INTENSOL, DEXAMETHASONE ISONICOTINATE, DEXAMETHASONE MICRONIZED, DEXAMETHASONE SOD PHOS-WATER, DEXAMETHASONE SODIUM PHOSPHATE, DEXAMETHASONE-0.9% NACL, DEXLYT, DEXONTO, DMT SUIK, DOUBLEDEX, EMFLAZA, EOHILIA, FLUDROCORTISONE ACETATE, FLUNISOLIDE, FLUOCINOLONE ACETONIDE, FLUOCINOLONE ACETONIDE MICRO, FLUOCINONIDE MICRONIZED, FLUTICASONE PROPIONATE, FLUTICASONE PROPIONATE MICRO, HEMADY, HEMMOREX-HC, HEXATRIONE, HYDROCORTISONE, HYDROCORTISONE ACETATE, HYDROCORTISONE SOD SUCCINATE, HYDROCORTISONE-PRAMOXINE, JAYTHARI, KENALOG-10, KENALOG-40, KENALOG-80, KHINDIVI, KYMBEE, LIDOCAINE-HYDROCORTISONE, LIDOCIDEX-I, MAS CARE-PAK, MEDROL, MEDROLOAN II SUIK, MEDROLOAN SUIK, METHYLPREDNISOLONE, METHYLPREDNISOLONE AC MICRO, METHYLPREDNISOLONE ACETATE, METHYLPREDNISOLONE SODIUM SUCC, MILLIPRED, MILLIPRED DP, MOMETASONE FUROATE, ORAPRED ODT, P-PACK PREDNISONE, PREDNISOLONE, PREDNISOLONE ACETATE MICRONIZE, PREDNISOLONE MICRONIZED, PREDNISOLONE SODIUM PHOS ODT, PREDNISOLONE SODIUM PHOSPHATE, PREDNISONE, PREDNISONE INTENSOL, PREDNISONE MICRONIZED, PROCORT, PROCTOCORT, PROCTOFOAM-HC, PYQUVI, SOLU-CORTEF, SOLU-MEDROL, TAPERDEX, TARPEYO, TRIAMCINOLONE, TRIAMCINOLONE ACETONIDE, TRIAMCINOLONE DIACETATE, TRIAMCINOLONE DIACETATE MICRO, TRILOAN II SUIK, TRILOAN SUIK, UCERIS, VERIPRED 20, ZCORT, ZILRETTA |
There are 0 moderate interactions.
The following contraindication information is available for LIFYORLI (relacorilant):
Drug contraindication overview.
Concurrent systemic glucocorticoid therapy for a lifesaving indication.
Concurrent systemic glucocorticoid therapy for a lifesaving indication.
There are 2 contraindications.
Absolute contraindication.
| Contraindication List |
|---|
| Child-pugh class B hepatic impairment |
| Lactation |
There are 2 severe contraindications.
Adequate patient monitoring is recommended for safer drug use.
| Severe List |
|---|
| Disease of liver |
| Neutropenic disorder |
There are 2 moderate contraindications.
Clinically significant contraindication, where the condition can be managed or treated before the drug may be given safely.
| Moderate List |
|---|
| Adrenocortical insufficiency |
| Infection |
The following adverse reaction information is available for LIFYORLI (relacorilant):
Adverse reaction overview.
Most common adverse reactions (incidence > 20%), including laboratory abnormalities, that occurred in patients treated with relacorilant in combination with nab-paclitaxel were decreased hemoglobin, decreased neutrophils, fatigue, nausea, diarrhea, decreased platelets, rash, and decreased appetite.
Most common adverse reactions (incidence > 20%), including laboratory abnormalities, that occurred in patients treated with relacorilant in combination with nab-paclitaxel were decreased hemoglobin, decreased neutrophils, fatigue, nausea, diarrhea, decreased platelets, rash, and decreased appetite.
There are 14 severe adverse reactions.
| More Frequent | Less Frequent |
|---|---|
|
Anemia Leukopenia Neutropenic disorder Thrombocytopenic disorder |
Acute kidney injury Adrenocortical insufficiency Hypertension Hypotension Infection Pleural effusions Pneumonia |
| Rare/Very Rare |
|---|
|
Cerebrovascular accident Gastrointestinal obstruction Septic shock |
There are 14 less severe adverse reactions.
| More Frequent | Less Frequent |
|---|---|
|
Anorexia Diarrhea Fatigue Nausea Skin rash |
Acute abdominal pain Cough Dizziness Dysgeusia Edema Fever Nail disorders Stomatitis Syncope |
| Rare/Very Rare |
|---|
| None. |
The following precautions are available for LIFYORLI (relacorilant):
The safety and effectiveness of relacorilant in pediatric patients have not been established.
Contraindicated
Severe Precaution
Management or Monitoring Precaution
Contraindicated
| None |
Severe Precaution
| None |
Management or Monitoring Precaution
| None |
Relacorilant is used in combination with nab-paclitaxel. Refer to the Prescribing Information of nab-paclitaxel for pregnancy information. Based on findings in animals, relacorilant can cause fetal harm when administered to a pregnant woman.
There are no available data on relacorilant use in pregnant women to inform drug-associated risk. In animal embryo-fetal development studies, oral administration of relacorilant to pregnant rabbits during the period of organogenesis resulted in embryo-fetal mortality and structural abnormalities at maternal doses of >= 10 mg/kg/day (0.6 times the human exposure based on AUC at the recommended dose). Oral administration of relacorilant to pregnant rats during the period of organogenesis did not result in fetal malformations.
Advise pregnant women and females of reproductive potential of the potential risk to a fetus. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is between 2 to 4% and 15 to 20%, respectively.
There are no available data on relacorilant use in pregnant women to inform drug-associated risk. In animal embryo-fetal development studies, oral administration of relacorilant to pregnant rabbits during the period of organogenesis resulted in embryo-fetal mortality and structural abnormalities at maternal doses of >= 10 mg/kg/day (0.6 times the human exposure based on AUC at the recommended dose). Oral administration of relacorilant to pregnant rats during the period of organogenesis did not result in fetal malformations.
Advise pregnant women and females of reproductive potential of the potential risk to a fetus. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is between 2 to 4% and 15 to 20%, respectively.
Relacorilant is used in combination with nab-paclitaxel. Refer to the Prescribing Information of nab-paclitaxel for lactation information. There are no data on the presence of relacorilant or its metabolites in animal or human milk, the effects on the breastfed child, or the effects on milk production. Because of the potential for serious adverse reactions in a breastfed child, advise women not to breastfeed during treatment with relacorilant and for 1 week after the last dose.
Of the 188 patients with platinum-resistant epithelial ovarian cancer who received relacorilant, 38% were 65 years of age or older and 9.6% were 75 years of age or older. A higher incidence of grade 3-4 adverse events and dosage modification occurred in patients 65 years of age or older when compared to younger adult patients. No overall differences in effectiveness were observed between patients >=65 years of age and younger patients.
The following prioritized warning is available for LIFYORLI (relacorilant):
No warning message for this drug.
No warning message for this drug.
The following icd codes are available for LIFYORLI (relacorilant)'s list of indications:
| Epithelial ovarian cancer | |
| C48.1 | Malignant neoplasm of specified parts of peritoneum |
| C48.2 | Malignant neoplasm of peritoneum, unspecified |
| C48.8 | Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum |
| C56 | Malignant neoplasm of ovary |
| C56.1 | Malignant neoplasm of right ovary |
| C56.2 | Malignant neoplasm of left ovary |
| C56.3 | Malignant neoplasm of bilateral ovaries |
| C56.9 | Malignant neoplasm of unspecified ovary |
| C57.01 | Malignant neoplasm of right fallopian tube |
| C57.02 | Malignant neoplasm of left fallopian tube |
| Malignant neoplasm of fallopian tube | |
| C57.0 | Malignant neoplasm of fallopian tube |
| C57.00 | Malignant neoplasm of unspecified fallopian tube |
| C57.01 | Malignant neoplasm of right fallopian tube |
| C57.02 | Malignant neoplasm of left fallopian tube |
| Primary malignant neoplasm of peritoneum | |
| C48.1 | Malignant neoplasm of specified parts of peritoneum |
| C48.2 | Malignant neoplasm of peritoneum, unspecified |
| C48.8 | Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum |
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