Trial Search Results
Mifepristone in Refractory Depression
The purpose of the study is to examine the effectiveness of mifepristone treatment in patients with refractory depression. Refractory depression is defined as clinical depression that is unimproved after treatment with at least 2 different antidepressants of adequate dose and time trial. Mifepristone will augment current medications.
Stanford is currently not accepting patients for this trial.
- Drug: Mifepristone
- Drug: Placebo Oral Tablet
- 21-item HAM-D score of 20 or above.
- If currently taking antipsychotic, antidepressant, anticonvulsant, and/or
mood-stabilizing medications, must be stable on the medication for at least three
weeks prior to entering the study.
- At least 2 failed antidepressant medication trials of adequate dose and duration.
- Between 18 and 75 years of age.
- Not currently pregnant or trying to become pregnant.
Exclusion Criteria:-History of schizophrenia or other psychotic disorders.
- Transcranial magnetic stimulation treatment or ECT in the 3 months prior to starting
- History of vagus nerve stimulation treatment.
- No unstable or untreated cardiovascular disease, hypertension, or endocrine disorder.
- Current use of oral contraceptives or any other drug that may result in adverse
drug-mifepristone interactions effects (including Amiodarone, Clarithromycin,
Erythromycin, Fluconazole, Fluvoxamine, Indinavir, Intraconazole, Ketoconazole,
Metronidazole, Miconazole, Nefazodone, Nelfinavir, Norfloxacin, Omeprazole, Quinine,
Ritonavir, Saquinavir, Troleandomycin, Zafirlukast, Carbamazepine, Dexamethasone,
Ethosuximide, Phenobarbital, Phenytoin, Primidone, Rifabutin, Rifampin, Troglitazone).
A 30-day wash-out period for oral contraceptives is required before mifepristone
- Previous allergic reaction to mifepristone or drugs of similar chemical structure.
Ages Eligible for Study
18 Years - 75 Years
Genders Eligible for Study