NCT00128479

Brief Summary

Corlux (mifepristone) is a new medication that modulates the body's use of a hormone called cortisol. Under normal conditions, cortisol and other hormones are created by the body in response to physical and emotional stress, triggering a healthy stress response. People who suffer from psychotic major depression may have unusually high levels of cortisol circulating within them or abnormal patterns of cortisol levels, overloading the stress response mechanism and causing symptoms of psychosis such as delusional thoughts or hallucinations. If Corlux can keep the body's cortisol receptors from being overloaded, the stress response system may return to normal function, which may result in improvement of symptoms. The purpose of this 56 day study is to learn the safety and effectiveness of Corlux in patients who have been diagnosed with psychotic major depression (PMD).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
443

participants targeted

Target at P50-P75 for phase_3 major-depressive-disorder

Timeline
Completed

Started Sep 2004

Typical duration for phase_3 major-depressive-disorder

Geographic Reach
1 country

44 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2004

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

August 8, 2005

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 10, 2005

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2007

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2007

Completed
Last Updated

February 15, 2012

Status Verified

February 1, 2012

Enrollment Period

2.3 years

First QC Date

August 8, 2005

Last Update Submit

February 14, 2012

Conditions

Keywords

PMDPsychotic DepressionPsychosisMajor DepressionDepressionPsychotic Major Depression

Outcome Measures

Primary Outcomes (1)

  • The change in a measure of psychosis

    screen, Days 0, 7, 14, 28, 42, 56

Secondary Outcomes (1)

  • The change in a measure of depression

    screen, Days 0,7, 14, 28, 42, 56

Study Arms (4)

mifepristone 300 mg

EXPERIMENTAL
Drug: mifepristone

placebo

PLACEBO COMPARATOR
Drug: mifepristone matched placebo

mifepristone 600 mg

EXPERIMENTAL
Drug: mifepristone 600 mg

mifepristone 1200 mg

EXPERIMENTAL
Drug: mifepristone 1200 mg

Interventions

mifepristone 300 mg daily for 7 dats

mifepristone 300 mg

daily for 7 days

placebo

mifepristone 600 mg daily for 7 days

mifepristone 600 mg

mifepristone 1200 mg daily for 7 days

mifepristone 1200 mg

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Individuals eligible for enrollment into this study are male and female adult patients who:
  • Are 18 to 75 years of age
  • Have a diagnosis of major depressive disorder with psychotic features (DSM-IV 296.24 or 296.34)
  • Are able to provide written informed consent.

You may not qualify if:

  • Individuals not eligible to be enrolled into the study are those who:
  • Have a major medical problem
  • Have previously participated in a CORLUX (C-1073, mifepristone) clinical trial
  • Have a history of an allergic reaction to CORLUX (C-1073, mifepristone).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (44)

K&S Research Services

Little Rock, Arkansas, 72201, United States

Location

Center for Emotional Fitness

Cerritos, California, 90703, United States

Location

Harbor Medical Associates, Inc.

Fountain Valley, California, 92708, United States

Location

Synergy Clinical Research Center

National City, California, 91950, United States

Location

Excell Research

Oceanside, California, 92056, United States

Location

Pacific Clinical Research Medical Group

Riverside, California, 92506, United States

Location

AV Institute, Inc.

Torrance, California, 90505, United States

Location

Neuropsychiatric Institute of Orange County

Westminster, California, 92683, United States

Location

Geriatric and Adult Psych

Hamden, Connecticut, 06518, United States

Location

Comprehensive NeuroScience, Inc.

Washington D.C., District of Columbia, 20016, United States

Location

Professional Clinical Research Inc.

Fort Lauderdale, Florida, 33319, United States

Location

Amit Vijapura, MD

Jacksonville, Florida, 32256, United States

Location

Tukoi Inst for Clinical Research

Miami, Florida, 33180, United States

Location

Bioquan Research Group, Inc.

North Miami, Florida, 33161, United States

Location

Scientific Clinical Research, Inc.

North Miami, Florida, 33161, United States

Location

Mark Ashby, MD

Sebring, Florida, 33870, United States

Location

Stedman Clinical Trials, LLC

Tampa, Florida, 33613, United States

Location

Hawaii Clinical Research Center

Honolulu, Hawaii, 96826, United States

Location

Midwest Center for Neurobehavioral Medicine

Oakbrook Terrace, Illinois, 60181, United States

Location

Peryam and Kroll Health Care Research

Schaumburg, Illinois, 60194, United States

Location

Clintell, Inc.

Skokie, Illinois, 60077, United States

Location

CTT Research

Prairie Village, Kansas, 66206, United States

Location

Lake Charles Clinical Trials

Lake Charles, Louisiana, 70601, United States

Location

Louisiana Research Associates, Inc

New Orleans, Louisiana, 70114, United States

Location

LSU Health Sciences Center

Shreveport, Louisiana, 71103, United States

Location

Saaid Khojasteh & Assoc, Inc

Saint Charles, Missouri, 63301, United States

Location

Medex Healthcare Research

St Louis, Missouri, 63108, United States

Location

Albuquerque Neuroscience, Inc.

Albuquerque, New Mexico, 87102, United States

Location

Brooklyn Medical Institute

Brooklyn, New York, 11223, United States

Location

Advanced Bio-Behavioral Science, Inc

Elmsford, New York, 10523, United States

Location

Saint Vincent Catholic Medical Centers of New York

Staten Island, New York, 10304, United States

Location

Anxiety and Depression Clinic at Montefiore Medical Center

The Bronx, New York, 10467, United States

Location

Lutheran Hospital

Cleveland, Ohio, 44109, United States

Location

Southwest Cleveland Sleep Center, Inc.

Middleburg Heights, Ohio, 44130, United States

Location

IPS Research Company

Oklahoma City, Oklahoma, 73101, United States

Location

Crossroads Counseling & Consulting Associates

Moon Township, Pennsylvania, 15108, United States

Location

CNS Research Institute (CRI)

Philadelphia, Pennsylvania, 19149, United States

Location

Segal Institute

Charleston, South Carolina, 29405, United States

Location

Harmony Research

Johnson City, Tennessee, 37601, United States

Location

UT Southwestern Medical Center

Dallas, Texas, 75235, United States

Location

The Cedars Hospital, InSite Clinical Research

DeSoto, Texas, 75115, United States

Location

Felin-Jennings Clinic

Houston, Texas, 77074, United States

Location

R&D Clinical Research, Inc.

Lake Jackson, Texas, 77566, United States

Location

America's Doctor/Essential Doctor, Inc

Seattle, Washington, 98126, United States

Location

Related Publications (5)

  • Brogden RN, Goa KL, Faulds D. Mifepristone. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential. Drugs. 1993 Mar;45(3):384-409. doi: 10.2165/00003495-199345030-00007.

    PMID: 7682909BACKGROUND
  • Belanoff JK, Rothschild AJ, Cassidy F, DeBattista C, Baulieu EE, Schold C, Schatzberg AF. An open label trial of C-1073 (mifepristone) for psychotic major depression. Biol Psychiatry. 2002 Sep 1;52(5):386-92. doi: 10.1016/s0006-3223(02)01432-4.

    PMID: 12242054BACKGROUND
  • Belanoff JK, Flores BH, Kalezhan M, Sund B, Schatzberg AF. Rapid reversal of psychotic depression using mifepristone. J Clin Psychopharmacol. 2001 Oct;21(5):516-21. doi: 10.1097/00004714-200110000-00009.

    PMID: 11593077BACKGROUND
  • Kruizinga J, Liemburg E, Burger H, Cipriani A, Geddes J, Robertson L, Vogelaar B, Nolen WA. Pharmacological treatment for psychotic depression. Cochrane Database Syst Rev. 2021 Dec 7;12(12):CD004044. doi: 10.1002/14651858.CD004044.pub5.

  • Block TS, Kushner H, Kalin N, Nelson C, Belanoff J, Schatzberg A. Combined Analysis of Mifepristone for Psychotic Depression: Plasma Levels Associated With Clinical Response. Biol Psychiatry. 2018 Jul 1;84(1):46-54. doi: 10.1016/j.biopsych.2018.01.008. Epub 2018 Jan 31.

Related Links

MeSH Terms

Conditions

Depressive Disorder, MajorPsychotic DisordersDepression

Interventions

Mifepristone

Condition Hierarchy (Ancestors)

Depressive DisorderMood DisordersMental DisordersSchizophrenia Spectrum and Other Psychotic DisordersBehavioral SymptomsBehavior

Intervention Hierarchy (Ancestors)

EstrenesEstranesSteroidsFused-Ring CompoundsPolycyclic Compounds

Study Officials

  • Katherine Beebe, PhD

    Corcept Therapeutics

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 8, 2005

First Posted

August 10, 2005

Study Start

September 1, 2004

Primary Completion

January 1, 2007

Study Completion

January 1, 2007

Last Updated

February 15, 2012

Record last verified: 2012-02

Locations