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An International Study of the Safety and Tolerability of Corlux for Psychotic Symptoms in Psychotic Major Depression

Primary Purpose

Major Depressive Disorder

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Mifepristone
placebo
Sponsored by
Corcept Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Major Depressive Disorder focused on measuring Psychotic Major Depression, PMD, Depression, Major Depression, Psychosis

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: 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. Exclusion Criteria: 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).

Sites / Locations

  • Georgy Koychev M.D.
  • Luchezar G Hranov M.D.
  • Svetlozar H Haralanov Ph.D.
  • Vihra Milanova M.D.
  • Georgi Popov M.D.
  • Pavo Filakovic M.D./Ph.D.
  • Ljiljana Moro M.D./Ph.D.
  • Goran Dodig M.D./Ph.D.
  • Dubravka Kocijan-Hercigonja M.D.
  • Miro Jakovljevic M.D.
  • Vera Folnegovic-Smalc M.D./Ph.D.
  • Ivana Timotijevic M.D.
  • Jelena Martinovic M.D.
  • Vladimir Diligenski M.D.
  • Vladimir Paunovic M.D.
  • Dragana Ignjatovic-Ristic M.D.
  • Ratomir Lisulov M.D.
  • Mihai Dumitru Gheorge
  • Aurel Nirestean M.D./Ph.D.

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

mifepristone 600 mg

matching placebo

Arm Description

Outcomes

Primary Outcome Measures

The change in a measure of psychosis

Secondary Outcome Measures

The change in a measure of depression

Full Information

First Posted
September 2, 2005
Last Updated
February 14, 2012
Sponsor
Corcept Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT00146523
Brief Title
An International Study of the Safety and Tolerability of Corlux for Psychotic Symptoms in Psychotic Major Depression
Official Title
An International, Double-Blind, Placebo-Controlled, Study of the Efficacy and Safety of CORLUX™ (Mifepristone) vs. Placebo in the Treatment of Psychotic Symptoms in Patients With Psychotic Major Depression (PMD)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2012
Overall Recruitment Status
Completed
Study Start Date
May 2005 (undefined)
Primary Completion Date
July 2006 (Actual)
Study Completion Date
July 2006 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Corcept Therapeutics

4. Oversight

Data Monitoring Committee
No

5. Study Description

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).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Major Depressive Disorder
Keywords
Psychotic Major Depression, PMD, Depression, Major Depression, Psychosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
247 (Actual)

8. Arms, Groups, and Interventions

Arm Title
mifepristone 600 mg
Arm Type
Experimental
Arm Title
matching placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Mifepristone
Intervention Type
Drug
Intervention Name(s)
placebo
Primary Outcome Measure Information:
Title
The change in a measure of psychosis
Time Frame
screening and on Days 0, 7, 14, 28, 42, and 56
Secondary Outcome Measure Information:
Title
The change in a measure of depression
Time Frame
screening and on Days 0, 7, 14, 28, 42, and 56

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 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. Exclusion Criteria: 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).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Katherine Beebe, PhD
Organizational Affiliation
Corcept Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Georgy Koychev M.D.
City
Sofia
Country
Bulgaria
Facility Name
Luchezar G Hranov M.D.
City
Sofia
Country
Bulgaria
Facility Name
Svetlozar H Haralanov Ph.D.
City
Sofia
Country
Bulgaria
Facility Name
Vihra Milanova M.D.
City
Sofia
Country
Bulgaria
Facility Name
Georgi Popov M.D.
City
Varna
Country
Bulgaria
Facility Name
Pavo Filakovic M.D./Ph.D.
City
Osijek
Country
Croatia
Facility Name
Ljiljana Moro M.D./Ph.D.
City
Rijeka
Country
Croatia
Facility Name
Goran Dodig M.D./Ph.D.
City
Split
Country
Croatia
Facility Name
Dubravka Kocijan-Hercigonja M.D.
City
Zagreb
Country
Croatia
Facility Name
Miro Jakovljevic M.D.
City
Zagreb
Country
Croatia
Facility Name
Vera Folnegovic-Smalc M.D./Ph.D.
City
Zagreb
Country
Croatia
Facility Name
Ivana Timotijevic M.D.
City
Belgrade
Country
Former Serbia and Montenegro
Facility Name
Jelena Martinovic M.D.
City
Belgrade
Country
Former Serbia and Montenegro
Facility Name
Vladimir Diligenski M.D.
City
Belgrade
Country
Former Serbia and Montenegro
Facility Name
Vladimir Paunovic M.D.
City
Belgrade
Country
Former Serbia and Montenegro
Facility Name
Dragana Ignjatovic-Ristic M.D.
City
Kragujevac
Country
Former Serbia and Montenegro
Facility Name
Ratomir Lisulov M.D.
City
Novi Sad
Country
Former Serbia and Montenegro
Facility Name
Mihai Dumitru Gheorge
City
Bucharest
Country
Romania
Facility Name
Aurel Nirestean M.D./Ph.D.
City
Targu Mures
Country
Romania

12. IPD Sharing Statement

Citations:
PubMed Identifier
12242054
Citation
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.
Results Reference
background
PubMed Identifier
7682909
Citation
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. Erratum In: Drugs 1993 Aug;46(2):268.
Results Reference
background
PubMed Identifier
11593077
Citation
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.
Results Reference
background
PubMed Identifier
29523415
Citation
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.
Results Reference
derived
Links:
URL
http://www.corcept.com
Description
Corcept Therapeutics

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An International Study of the Safety and Tolerability of Corlux for Psychotic Symptoms in Psychotic Major Depression

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