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A Study of Mifepristone vs. Placebo in the Treatment of Patients With Major Depression With Psychotic Features

Primary Purpose

Psychotic Depression, Severe Major Depression With Psychotic Features, Psychosis

Status
Terminated
Phase
Phase 3
Locations
United States
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 Psychotic Depression focused on measuring psychotic depression, major depression with psychotic features, psychosis

Eligibility Criteria

22 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Have provided written consent to participate in the study prior to any study procedures and understand that they are free to withdraw from the study at any time. Patients must be able to read and understand the consent form, complete study-related procedures, and communicate with the study staff
  • Have a DSM-IV TR diagnosis of Major Depressive Disorder with Psychotic Features (DSM-IV 296.24 or 296.34), and are clinically symptomatic with their illness
  • Have pre-specified minimum scores on standardized psychiatric rating scales at baseline
  • Have not been taking excluded medication for at least 7 days prior to randomization
  • Have a negative pregnancy test
  • If not postmenopausal for ≥ 2 years or surgically sterile (6 months post-surgery), must consent (patient or partner) to utilize two medically acceptable methods of contraception, one of which is a barrier method, throughout the entire study period and for 3 months after the study is completed

Exclusion Criteria:

  • Have any primary psychiatric diagnosis other than psychotic depression.
  • Have a major medical problem, which in the opinion of the investigator would place the patient at undue risk.
  • Have undergone electroconvulsive therapy within 3 months prior to randomization
  • Have had a hospitalization due to a suicide attempt within 45 days prior to randomization
  • Are female and of childbearing age, and are unable or unwilling to use two medically acceptable methods of contraception during the study and for three months after study completion, one of which must be a barrier method
  • Are female and are pregnant or lactating
  • Are currently taking excluded medications
  • Have used drugs of abuse within 30 days prior to screen, as per patient report and urine drug screen
  • Have a history of active drug or alcohol abuse within 3 months or dependence within 6 months prior to screening
  • Are in the opinion of the investigator at immediate risk of suicide, or at risk of harming others
  • Have received investigational therapy (drug, vaccine, biological agent or device) within 6 months prior to randomization
  • Have previously participated in a clinical trial of mifepristone
  • Have a history of an allergic reaction to mifepristone
  • Are in the investigator's opinion not appropriate for participation in the study or may not be capable of following the study schedule for any reason
  • Are patients who are employees of the study unit or their family members, students who are working in the study unit, or family members of the investigator or Corcept Therapeutics

Sites / Locations

  • K&S Professional Research Services, LLC
  • Woodland International Research Group, Inc.
  • South Coast Clinical Trials, Inc
  • Diligent Clinical Trials
  • Synergy Clinical Research Center
  • Collaborative Neuroscience Network, Inc.
  • Pacific Research Partners
  • North County Clinical Research
  • Breakthrough Clinical Trials
  • Sharp Mesa Vista Hospital
  • Cnri, Llc
  • Professional Clinical Research, Inc.
  • University of Florida
  • Segal Institute for Clinical Research
  • Accurate Clinical Trials
  • AMB Research Center
  • Lakeside Behavioral Health
  • University of South Florida Dept of Psychiatry and Neurosciences
  • Atlanta Center for Medical Research
  • Alexian Brothers Center for Psychiatric Research
  • Precise Research Centers
  • Millennium Psychiatric Associate
  • PsychCare Consultants Research
  • CRI Lifetree
  • Neurobehavioral Research, Inc.
  • The Zucker Hillside Hospital
  • Inquest Clinical Group/ Global Research Associates
  • Wake Forest University Baptist Medical Center
  • Midwest Clinical Research Center
  • Oklahoma Clinical Research Center
  • Lehigh Center for Clinical Research
  • Belmont Center for Comprehensive Treatment
  • University of Pittsburgh Medical Center (UPMC)
  • Carolina Clinical Trials, Inc.
  • FutureSearch Clinical Trials, L.P.
  • Pillar Clinical Research, LLC
  • University of Texas Southwestern Medical Center
  • InSite Clinical Research, LLC
  • Claghorn-Lesem Research Clinic
  • Clinical Trial Network
  • Fein-Jennings Clinic, Inc.
  • Lifetree Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

1

2

Arm Description

Mifepristone followed by an antidepressant

Placebo followed by an antidepressant

Outcomes

Primary Outcome Measures

Proportion of Mifepristone vs. Placebo Treated Patients With at Least a 50% Reduction From Baseline in Brief Psychiatric Rating Scale-Positive Symptom Subscale (BPRS-PSS) at Days 7 and 56
Response as measured by 50% reduction in psychosis at Days 7 and 56 was compared between the group administered placebo and the group administered mifepristone

Secondary Outcome Measures

Proportion of Mifepristone Treated Patients With Plasma Drug Concentrations Equal to or Above 1637 ng/mL vs. Placebo Treated Patients Who Achieve a ≤ 50% Reduction in BPRS-PSS at Days 7 and 56
Response as measured by 50% reduction in psychosis at Days 7 and 56 was compared between the group administered placebo and the group who achieved a sufficiently high plasma level of mifepristone

Full Information

First Posted
March 11, 2008
Last Updated
May 4, 2017
Sponsor
Corcept Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT00637494
Brief Title
A Study of Mifepristone vs. Placebo in the Treatment of Patients With Major Depression With Psychotic Features
Official Title
A Double-Blind, Placebo-Controlled Study of the Efficacy and Safety of Mifepristone vs. Placebo in the Treatment of Psychotic Symptoms in Patients With Major Depressive Disorder With Psychotic Features
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Terminated
Why Stopped
DRC recommended stopping study as it had missed its primary endpoint
Study Start Date
March 2008 (undefined)
Primary Completion Date
June 2014 (Actual)
Study Completion Date
June 2014 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Approximately 450 patients will be randomized to receive mifepristone or placebo for 7 days followed by antidepressant. The purpose is to compare the efficacy of mifepristone followed by antidepressant versus placebo followed by antidepressant in reducing psychotic symptoms in patients with a diagnosis of psychotic depression.
Detailed Description
Up to 450 patients with psychotic depression will be randomly assigned to receive either mifepristone or matching placebo. Patients will be assessed by the investigator or site staff during screening and on study days. A single antidepressant selected from a list of approved drugs will be administered after the administration of investigational drug. Adverse events, laboratory assessments, electrocardiograms, and physical examinations will be used to assess safety.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psychotic Depression, Severe Major Depression With Psychotic Features, Psychosis
Keywords
psychotic depression, major depression with psychotic features, psychosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
292 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Active Comparator
Arm Description
Mifepristone followed by an antidepressant
Arm Title
2
Arm Type
Placebo Comparator
Arm Description
Placebo followed by an antidepressant
Intervention Type
Drug
Intervention Name(s)
mifepristone
Other Intervention Name(s)
Korlym
Intervention Description
1200 mg (administered as four 300 mg tablets) once a day by mouth for the initial 7 days
Intervention Type
Drug
Intervention Name(s)
placebo
Other Intervention Name(s)
control
Intervention Description
Tablets of identical appearance to active drug, once a day by mouth for the initial 7 days
Primary Outcome Measure Information:
Title
Proportion of Mifepristone vs. Placebo Treated Patients With at Least a 50% Reduction From Baseline in Brief Psychiatric Rating Scale-Positive Symptom Subscale (BPRS-PSS) at Days 7 and 56
Description
Response as measured by 50% reduction in psychosis at Days 7 and 56 was compared between the group administered placebo and the group administered mifepristone
Time Frame
56 days
Secondary Outcome Measure Information:
Title
Proportion of Mifepristone Treated Patients With Plasma Drug Concentrations Equal to or Above 1637 ng/mL vs. Placebo Treated Patients Who Achieve a ≤ 50% Reduction in BPRS-PSS at Days 7 and 56
Description
Response as measured by 50% reduction in psychosis at Days 7 and 56 was compared between the group administered placebo and the group who achieved a sufficiently high plasma level of mifepristone
Time Frame
56 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
22 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have provided written consent to participate in the study prior to any study procedures and understand that they are free to withdraw from the study at any time. Patients must be able to read and understand the consent form, complete study-related procedures, and communicate with the study staff Have a DSM-IV TR diagnosis of Major Depressive Disorder with Psychotic Features (DSM-IV 296.24 or 296.34), and are clinically symptomatic with their illness Have pre-specified minimum scores on standardized psychiatric rating scales at baseline Have not been taking excluded medication for at least 7 days prior to randomization Have a negative pregnancy test If not postmenopausal for ≥ 2 years or surgically sterile (6 months post-surgery), must consent (patient or partner) to utilize two medically acceptable methods of contraception, one of which is a barrier method, throughout the entire study period and for 3 months after the study is completed Exclusion Criteria: Have any primary psychiatric diagnosis other than psychotic depression. Have a major medical problem, which in the opinion of the investigator would place the patient at undue risk. Have undergone electroconvulsive therapy within 3 months prior to randomization Have had a hospitalization due to a suicide attempt within 45 days prior to randomization Are female and of childbearing age, and are unable or unwilling to use two medically acceptable methods of contraception during the study and for three months after study completion, one of which must be a barrier method Are female and are pregnant or lactating Are currently taking excluded medications Have used drugs of abuse within 30 days prior to screen, as per patient report and urine drug screen Have a history of active drug or alcohol abuse within 3 months or dependence within 6 months prior to screening Are in the opinion of the investigator at immediate risk of suicide, or at risk of harming others Have received investigational therapy (drug, vaccine, biological agent or device) within 6 months prior to randomization Have previously participated in a clinical trial of mifepristone Have a history of an allergic reaction to mifepristone Are in the investigator's opinion not appropriate for participation in the study or may not be capable of following the study schedule for any reason Are patients who are employees of the study unit or their family members, students who are working in the study unit, or family members of the investigator or Corcept Therapeutics
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Thaddeus Block, MD
Organizational Affiliation
Corcept Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
K&S Professional Research Services, LLC
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72201
Country
United States
Facility Name
Woodland International Research Group, Inc.
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72211
Country
United States
Facility Name
South Coast Clinical Trials, Inc
City
Anaheim
State/Province
California
ZIP/Postal Code
92804
Country
United States
Facility Name
Diligent Clinical Trials
City
Downey
State/Province
California
ZIP/Postal Code
90241
Country
United States
Facility Name
Synergy Clinical Research Center
City
Escondido
State/Province
California
ZIP/Postal Code
92025
Country
United States
Facility Name
Collaborative Neuroscience Network, Inc.
City
Garden Grove
State/Province
California
ZIP/Postal Code
92845
Country
United States
Facility Name
Pacific Research Partners
City
Oakland
State/Province
California
ZIP/Postal Code
94612
Country
United States
Facility Name
North County Clinical Research
City
Oceanside
State/Province
California
ZIP/Postal Code
92056
Country
United States
Facility Name
Breakthrough Clinical Trials
City
San Bernardino
State/Province
California
ZIP/Postal Code
92408
Country
United States
Facility Name
Sharp Mesa Vista Hospital
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Cnri, Llc
City
San Diego
State/Province
California
ZIP/Postal Code
92126
Country
United States
Facility Name
Professional Clinical Research, Inc.
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
University of Florida
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32606
Country
United States
Facility Name
Segal Institute for Clinical Research
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33021
Country
United States
Facility Name
Accurate Clinical Trials
City
Kissimmee
State/Province
Florida
ZIP/Postal Code
34741
Country
United States
Facility Name
AMB Research Center
City
Miami
State/Province
Florida
ZIP/Postal Code
33144
Country
United States
Facility Name
Lakeside Behavioral Health
City
Orlando
State/Province
Florida
ZIP/Postal Code
32810
Country
United States
Facility Name
University of South Florida Dept of Psychiatry and Neurosciences
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Atlanta Center for Medical Research
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30308
Country
United States
Facility Name
Alexian Brothers Center for Psychiatric Research
City
Hoffman Estates
State/Province
Illinois
ZIP/Postal Code
60169
Country
United States
Facility Name
Precise Research Centers
City
Flowood
State/Province
Mississippi
ZIP/Postal Code
39232
Country
United States
Facility Name
Millennium Psychiatric Associate
City
Creve Coeur
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
PsychCare Consultants Research
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63128
Country
United States
Facility Name
CRI Lifetree
City
Marlton
State/Province
New Jersey
ZIP/Postal Code
08053
Country
United States
Facility Name
Neurobehavioral Research, Inc.
City
Cedarhurst
State/Province
New York
ZIP/Postal Code
11516
Country
United States
Facility Name
The Zucker Hillside Hospital
City
Glen Oaks
State/Province
New York
ZIP/Postal Code
11004
Country
United States
Facility Name
Inquest Clinical Group/ Global Research Associates
City
Hope Mills
State/Province
North Carolina
ZIP/Postal Code
28348
Country
United States
Facility Name
Wake Forest University Baptist Medical Center
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27157
Country
United States
Facility Name
Midwest Clinical Research Center
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45417
Country
United States
Facility Name
Oklahoma Clinical Research Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
Lehigh Center for Clinical Research
City
Allentown
State/Province
Pennsylvania
ZIP/Postal Code
18104
Country
United States
Facility Name
Belmont Center for Comprehensive Treatment
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19131
Country
United States
Facility Name
University of Pittsburgh Medical Center (UPMC)
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Carolina Clinical Trials, Inc.
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29405
Country
United States
Facility Name
FutureSearch Clinical Trials, L.P.
City
Austin
State/Province
Texas
ZIP/Postal Code
78731
Country
United States
Facility Name
Pillar Clinical Research, LLC
City
Dallas
State/Province
Texas
ZIP/Postal Code
75243
Country
United States
Facility Name
University of Texas Southwestern Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
InSite Clinical Research, LLC
City
DeSoto
State/Province
Texas
ZIP/Postal Code
75115
Country
United States
Facility Name
Claghorn-Lesem Research Clinic
City
Houston
State/Province
Texas
ZIP/Postal Code
77008
Country
United States
Facility Name
Clinical Trial Network
City
Houston
State/Province
Texas
ZIP/Postal Code
77074
Country
United States
Facility Name
Fein-Jennings Clinic, Inc.
City
Houston
State/Province
Texas
ZIP/Postal Code
77074
Country
United States
Facility Name
Lifetree Clinical Research
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84106
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
16889757
Citation
DeBattista C, Belanoff J, Glass S, Khan A, Horne RL, Blasey C, Carpenter LL, Alva G. Mifepristone versus placebo in the treatment of psychosis in patients with psychotic major depression. Biol Psychiatry. 2006 Dec 15;60(12):1343-9. doi: 10.1016/j.biopsych.2006.05.034. Epub 2006 Aug 4.
Results Reference
background
PubMed Identifier
16160710
Citation
Flores BH, Kenna H, Keller J, Solvason HB, Schatzberg AF. Clinical and biological effects of mifepristone treatment for psychotic depression. Neuropsychopharmacology. 2006 Mar;31(3):628-36. doi: 10.1038/sj.npp.1300884.
Results Reference
background
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
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

Learn more about this trial

A Study of Mifepristone vs. Placebo in the Treatment of Patients With Major Depression With Psychotic Features

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