Methods and compositions are disclosed for diagnosing a patient suspected of suffering from, and for treating a patient suffering from, a disorder such as hypercortisolemia,
metabolic syndrome, pre-diabetes, diabetes, Cushing'
s syndrome, Cushing's
Disease, hyperglycemia secondary to hypercortisolemia, a
liver disease, a cardiac disorder, high
blood pressure, a
blood clotting disorder, a
cancer, a psychological disorder,
weight gain, a disorder of
glucose control, a bone disorder (e.g.,
osteoporosis), hypogonadism, pseudoacromegaly,
pituitary tumors, functional hypercortisolism, ACTH secreting tumors,
peripheral neuropathy,
dyslipidemia and other disorders.The methods and compositions include administration of a heteroaryl-
ketone fused azadecalin
glucocorticoid receptor modulator (GRM). The preferred heteroaryl-
ketone fused azadecalin GRM is relacorilant ((R)-(1-(4-fluorophenyl)-6-((1-methyl-1H-pyrazol-4-yl)
sulfonyl)-4,4a,5,6,7,8-hexahydro-1H-pyrazolo[3,4-g]isoquinolin-4a-yl)(4-(
trifluoromethyl)pyridin-2-yl)methanone). In some cases, the GRM (e.g., relacorilant) is orally administered. In some cases, the GRM (e.g., relacorilant) is orally administered without food.