Mifepristone is a progestational and glucocorticoid hormone antagonist. Its inhibition of progesterone induces bleeding during the luteal phase and in early pregnancy by releasing endogenous prostaglandins from the endometrium or decidua. As a glucocorticoid receptor antagonist, the drug has been used to treat hypercortisolism in patients with nonpituitary cushing syndrome. The two marketed forms of mifepristone are Mifeprex® (mifepristone 200mg) and Korlym™ (mifepristone 300mg). Currently under investigation for use in psychotic depression (phase 3 trials).
For the medical termination of intrauterine pregnancy through 49 days' pregnancy. Also indicated to control hyperglycemia secondary to hypercortisolism in adult patients with endogenous Cushing's syndrome who have type 2 diabetes mellitus or glucose intolerance and are not candidates for surgery or have had unsuccessful surgery.
Amsterdam UMC, location VUmc, Amsterdam, Noord-Holland, Netherlands
Hospital San Borja Arriarán, Santiago, Región Metropolitana, Chile
Montefiore Medical Center, Bronx, New York, United States
Noordwest Ziekenhuisgroep, Alkmaar, Netherlands
Flevoziekenhuis, Almere, Netherlands
Admiraal De Ruyter Ziekenhuis, Goes, Netherlands
University of Alabama at Birmingham, Birmingham, Alabama, United States
University of California San Francisco (Data collection only), San Francisco, California, United States
University of Chicago Medical Center, Chicago, Illinois, United States
Women's Hospital School of Medicine Zhejiang University, Hangzhou, Zhejiang, China
Planned Parenthood League of Massachusetts, Boston, Massachusetts, United States
Site 407, Escondido, California, United States
Site 379, Gardena, California, United States
Site 378, Huntington Park, California, United States
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