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Treatment of Schizoaffective Disorder Using Mifepristone

Phase 2
Terminated
Conditions
Depressive Disorder
Psychotic Disorders
Depressive Disorder, Major
Interventions
Drug: Placebo Oral Tablet
Registration Number
NCT00725270
Lead Sponsor
Stanford University
Brief Summary

This study tests the hypothesis that mifepristone will diminish cognitive distortion and alleviate psychosis in patients with schizoaffective disorder.

Detailed Description

You are invited to participate in a research study which evaluates the effectiveness of mifepristone (RU 486) in rapidly reducing the symptoms associated with schizoaffective disorder. Our group believes that the cognitive deficits (a decline in the ability to think clearly) and psychosis (hallucinations or delusions) exhibited in some affective disorders are driven by an excess of stress hormone effects (hypercortisolemia). Often the origin of this hormonal imbalance is unknown. Current treatment for schizoaffective disorder (characterized by mood swings and hallucinations and/or delusions) involves using a combination of antidepressant medication (for mood elevation), mood stabilizing medications (to prevent extreme high and low moods) and antipsychotic medication (for the correction of altered thinking). While these therapies are often effective, they can take several weeks or longer to work. We hope to uncover a quick, effective, safe therapy for the treatment of individuals with your condition.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
12
Inclusion Criteria

The subjects will be 30 inpatients or outpatients with schizoaffective disorder.

Exclusion Criteria

Subjects must be between the ages of eighteen and seventy-five without major medical problems.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo Oral TabletPatients will be randomized to placebo
MifepristoneMifepristonePatients will be randomized to mifepristone
Primary Outcome Measures
NameTimeMethod
Change in Mood SymptomsBaseline and Day 9

Utilized the Hamilton Depression Rating Scale, 21-item version to assess depressive symptoms, with a range of 0-63, with higher scores indicating greater levels of depression.

Change in Positive Psychotic Symptoms Over the Course of Treatment8 days

Utilized the Positive Symptoms Subscale of the Brief Psychiatric Rating Scale is assess psychotic symptoms. Range for the subscale is 4-28, with 4 = no positive symptoms

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Stanford University School of Medicine

🇺🇸

Stanford, California, United States

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