NCT00146523

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

90
On Track

Trial Health Score

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

Enrollment
247

participants targeted

Target at P25-P50 for phase_3 major-depressive-disorder

Timeline
Completed

Started May 2005

Shorter than P25 for phase_3 major-depressive-disorder

Geographic Reach
4 countries

19 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

May 1, 2005

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

September 2, 2005

Completed
5 days until next milestone

First Posted

Study publicly available on registry

September 7, 2005

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2006

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2006

Completed
Last Updated

February 15, 2012

Status Verified

February 1, 2012

Enrollment Period

1.2 years

First QC Date

September 2, 2005

Last Update Submit

February 14, 2012

Conditions

Keywords

Psychotic Major DepressionPMDDepressionMajor DepressionPsychosis

Outcome Measures

Primary Outcomes (1)

  • The change in a measure of psychosis

    screening and on Days 0, 7, 14, 28, 42, and 56

Secondary Outcomes (1)

  • The change in a measure of depression

    screening and on Days 0, 7, 14, 28, 42, and 56

Study Arms (2)

mifepristone 600 mg

EXPERIMENTAL
Drug: Mifepristone

matching placebo

PLACEBO COMPARATOR
Drug: placebo

Interventions

mifepristone 600 mg
matching placebo

Eligibility Criteria

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

You may qualify if:

  • Are 18 to 75 years of age
  • Have a diagnosis of major depressive disorder with psychotic features (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition \[DSM IV\] 296.24 or 296.34)
  • Are able to provide written informed consent.

You may not qualify if:

  • 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 (19)

Georgy Koychev M.D.

Sofia, Bulgaria

Location

Luchezar G Hranov M.D.

Sofia, Bulgaria

Location

Svetlozar H Haralanov Ph.D.

Sofia, Bulgaria

Location

Vihra Milanova M.D.

Sofia, Bulgaria

Location

Georgi Popov M.D.

Varna, Bulgaria

Location

Pavo Filakovic M.D./Ph.D.

Osijek, Croatia

Location

Ljiljana Moro M.D./Ph.D.

Rijeka, Croatia

Location

Goran Dodig M.D./Ph.D.

Split, Croatia

Location

Dubravka Kocijan-Hercigonja M.D.

Zagreb, Croatia

Location

Miro Jakovljevic M.D.

Zagreb, Croatia

Location

Vera Folnegovic-Smalc M.D./Ph.D.

Zagreb, Croatia

Location

Mihai Dumitru Gheorge

Bucharest, Romania

Location

Aurel Nirestean M.D./Ph.D.

Târgu Mureş, Romania

Location

Ivana Timotijevic M.D.

Belgrade, Serbia and Montenegro

Location

Jelena Martinovic M.D.

Belgrade, Serbia and Montenegro

Location

Vladimir Diligenski M.D.

Belgrade, Serbia and Montenegro

Location

Vladimir Paunovic M.D.

Belgrade, Serbia and Montenegro

Location

Dragana Ignjatovic-Ristic M.D.

Kragujevac, Serbia and Montenegro

Location

Ratomir Lisulov M.D.

Novi Sad, Serbia and Montenegro

Location

Related Publications (4)

  • 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
  • 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, 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
  • 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, MajorDepressionPsychotic Disorders

Interventions

Mifepristone

Condition Hierarchy (Ancestors)

Depressive DisorderMood DisordersMental DisordersBehavioral SymptomsBehaviorSchizophrenia Spectrum and Other Psychotic Disorders

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

September 2, 2005

First Posted

September 7, 2005

Study Start

May 1, 2005

Primary Completion

July 1, 2006

Study Completion

July 1, 2006

Last Updated

February 15, 2012

Record last verified: 2012-02

Locations