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Mifepristone

Generic Name
Mifepristone
Brand Names
Korlym, Mifegymiso
Drug Type
Small Molecule
Chemical Formula
C29H35NO2
CAS Number
84371-65-3
Unique Ingredient Identifier
320T6RNW1F
Background

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).

Indication

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.

Associated Conditions
Hyperglycemia
Associated Therapies
Medically induced abortion

Letrozole Versus Mifepristone and Misoprostol in Silent Miscarriage

Not Applicable
Not yet recruiting
Conditions
Silent Miscarriage
Interventions
First Posted Date
2024-12-13
Last Posted Date
2024-12-13
Lead Sponsor
The University of Hong Kong
Target Recruit Count
884
Registration Number
NCT06733727

REVERSE: Improving Treatment-resistant Post Traumatic Stress Disorder (PTSD) with Glucocorticoid Receptor (GR) Antagonism

Phase 2
Recruiting
Conditions
Treatment-resistant PTSD
Interventions
First Posted Date
2024-11-14
Last Posted Date
2024-11-14
Lead Sponsor
Christiaan Vinkers
Target Recruit Count
60
Registration Number
NCT06689254
Locations
🇳🇱

Amsterdam UMC, location VUmc, Amsterdam, Noord-Holland, Netherlands

Endometrial Transcript Profile with Progesterone After Post-ovulatory Mifepristone

Early Phase 1
Completed
Conditions
Endometrial Endocrine Regulation
Progesterone Supplementation in Women After Mifepristone
Interventions
Drug: Micronized Progesterone 600 mg
Drug: Placebo Vaginal
Drug: Oral Placebo Tablet
First Posted Date
2024-09-27
Last Posted Date
2024-09-27
Lead Sponsor
Reproductive Health Research Insritute, Chile
Target Recruit Count
9
Registration Number
NCT06616077
Locations
🇨🇱

Hospital San Borja Arriarán, Santiago, Región Metropolitana, Chile

Mifepristone vs Misoprostol

Phase 1
Recruiting
Conditions
Cervical Preparation
Interventions
First Posted Date
2024-07-16
Last Posted Date
2024-11-08
Lead Sponsor
Montefiore Medical Center
Target Recruit Count
94
Registration Number
NCT06502158
Locations
🇺🇸

Montefiore Medical Center, Bronx, New York, United States

Assessing the Efficacy and Acceptability of Two Missed Period Pills Regimens

Phase 2
Not yet recruiting
Conditions
Pregnancy Related
Pregnancy Early
Interventions
First Posted Date
2024-07-09
Last Posted Date
2024-07-18
Lead Sponsor
Gynuity Health Projects
Target Recruit Count
286
Registration Number
NCT06492889

Efficacy, Safety, and Acceptability of Mifepristone 50 Mg Once-weekly As a Contraceptive

Phase 3
Not yet recruiting
Conditions
Female Contraception
Interventions
First Posted Date
2024-05-01
Last Posted Date
2025-03-12
Lead Sponsor
Leiden University Medical Center
Target Recruit Count
1186
Registration Number
NCT06394999
Locations
🇳🇱

Noordwest Ziekenhuisgroep, Alkmaar, Netherlands

🇳🇱

Flevoziekenhuis, Almere, Netherlands

🇳🇱

Admiraal De Ruyter Ziekenhuis, Goes, Netherlands

and more 11 locations

A Study of Enzalutamide, Enzalutamide in Combination With Mifepristone, or Chemotherapy in People With Metastatic Breast Cancer

Phase 2
Recruiting
Conditions
Metastatic Breast Cancer
Interventions
First Posted Date
2023-10-25
Last Posted Date
2025-04-10
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
201
Registration Number
NCT06099769
Locations
🇺🇸

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

and more 9 locations

To Prevent Type I-II Myoma After TCRM Recurrence by Gonadotropin-releasing Hormone (GnRH )Analogues or Mifepristone

Not Applicable
Not yet recruiting
Conditions
Submucous Leiomyoma of Uterus
Interventions
First Posted Date
2023-06-12
Last Posted Date
2023-06-12
Lead Sponsor
Women's Hospital School Of Medicine Zhejiang University
Target Recruit Count
294
Registration Number
NCT05898321
Locations
🇨🇳

Women's Hospital School of Medicine Zhejiang University, Hangzhou, Zhejiang, China

Mifepristone and Misoprostol for Undesired Pregnancy of Unknown Location

First Posted Date
2023-05-03
Last Posted Date
2023-09-05
Lead Sponsor
Planned Parenthood League of Massachusetts
Target Recruit Count
50
Registration Number
NCT05839899
Locations
🇺🇸

Planned Parenthood League of Massachusetts, Boston, Massachusetts, United States

Study to Determine the Prevalence of Hypercortisolism in Patients With Type 2 Diabetes and Treatment With Korlym® (Mifepristone) (CATALYST)

Phase 4
Completed
Conditions
Hypercortisolism
Diabetes Mellitus, Type 2
Interventions
First Posted Date
2023-03-16
Last Posted Date
2025-01-20
Lead Sponsor
Corcept Therapeutics
Target Recruit Count
1113
Registration Number
NCT05772169
Locations
🇺🇸

Site 407, Escondido, California, United States

🇺🇸

Site 379, Gardena, California, United States

🇺🇸

Site 378, Huntington Park, California, United States

and more 33 locations
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