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DRUG CLASS:

Progesterone receptor antagonist

2d
Efficacy, Safety, and Acceptability of Mifepristone 50 mg Once-weekly as a Contraceptive (clinicaltrials.gov)
P3, N=615, Active, not recruiting, Leiden University Medical Center | Recruiting --> Active, not recruiting | N=1186 --> 615 | Trial completion date: Apr 2030 --> Jan 2028 | Trial primary completion date: Apr 2029 --> Jun 2027
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date
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Mifeprex (mifepristone)
12d
Preoperative onapristone-XR in postmenopausal women with progesterone receptor-positive (PgR+)/HER2-negative early breast cancer: SOLTI-1802 ONAWA trial results. (PubMed, NPJ Breast Cancer)
Of the 10 patients, 60% experienced adverse events, including one grade 3 increase in gamma-glutamyltransferase. In conclusion, ONA-XR showed early tumor proliferation suppression, particularly in high PgR-expressing tumors, supporting its potential for further clinical evaluation.
Journal
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HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor) • STAT3 (Signal Transducer And Activator Of Transcription 3)
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HR positive • HER-2 negative • PGR positive • HR positive + HER-2 negative
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Apristor (onapristone XR)
19d
Patient Agreement Form and Medication Abortion Knowledge (clinicaltrials.gov)
P=N/A, N=637, Completed, University of California, San Francisco
New trial
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Mifeprex (mifepristone)
23d
Glucocorticoids induce a phagocytic C1Q+ macrophage phenotype primed for IFNγ-dependent CXCL9 secretion. (PubMed, Sci Rep)
In vivo, ACC-bearing mice were treated with immune checkpoint inhibitors and mifepristone...Moreover, the percentage of macrophages detected by immunohistochemistry positively correlated with response to immunotherapy. Collectively, this study identifies a glucocorticoid-induced C1Q+ CD163 + macrophage phenotype that may contribute to T cell recruitment and enhance the efficacy of immunotherapy in ACC.
Journal • IO biomarker
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IFNG (Interferon, gamma) • CD163 (CD163 Molecule) • CXCL9 (Chemokine (C-X-C motif) ligand 9) • CD4 (CD4 Molecule) • CD68 (CD68 Molecule)
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Mifeprex (mifepristone)
2ms
Clinical study of mifepristone in the prevention of pulmonary infections in elderly patients with TBI (ChiCTR2500109288)
P=N/A, N=108, Completed, Affiliated Hospital of Nantong University; Affiliated Hospital of Nantong University | Not yet recruiting --> Completed
Trial completion
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Mifeprex (mifepristone)
2ms
Anti-haemorrhagic Potential of Phytoconstituents of Macrosphyra longistyla ethanol leaf extract in Abnormal Uterine Bleeding induced by Incomplete Abortion in Rats. (PubMed, J Ethnopharmacol)
These findings demonstrate that M. longistyla extract possesses significant anti-hemorrhagic activity evidenced by reduced uterine bleeding, suppression of pro-inflammatory cytokine (TNF-α) and upregulation of VEGF. These effects suggest that the extract promotes endometrial repair and restoration of uterine homeostasis.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha)
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Mifeprex (mifepristone)
2ms
New P3 trial
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Mifeprex (mifepristone)
4ms
Short-term hormonal modulation with mifepristone does not induce oncogenic changes in the endometrium of BRCA1/2 pathogenic variant carriers. (PubMed, Commun Med (Lond))
Short-term mifepristone exposure does not produce molecular changes linked to endometrial carcinogenesis in BRCA1/2 pathogenic variant carriers. These findings provide important safety data for the future development of progesterone receptor modulators in cancer prevention. Long-term studies are needed to confirm these observations.
Clinical • Journal • BRCA Biomarker
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset)
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Mifeprex (mifepristone)
5ms
Mifepristone Reduces Serum CA125 and PRL Levels to Improve Pregnancy Rates in Uterine Adenomyosis Mouse Models†. (PubMed, Biol Reprod)
The study found that mifepristone treatment significantly reduced serum CA125 and PRL levels, and the 20 mg/kg/day dose was most effective in improving pregnancy outcomes. These findings suggest that mifepristone can reduce key biomarkers associated with uterine adenomyosis and improve fertility outcomes, offering a promising treatment option for women suffering from this condition.
Preclinical • Journal
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ER (Estrogen receptor) • MUC16 (Mucin 16, Cell Surface Associated) • PRL (Prolactin)
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Mifeprex (mifepristone)
6ms
Assessing progesterone receptor modulation in glioblastoma: from in vitro and animal model to a human pilot protocol. (PubMed, Cancer Biol Ther)
Current treatment involves surgery, radiotherapy and chemotherapy (temozolomide), but survival rates remain low. Repurposing mifepristone (MF), a contraceptive drug, shows promise for GB treatment, warranting further study...The pilot trial demonstrated the pharmacological safety of using MF as an adjuvant in GB treatment. Patients treated with MF showed a significant increase in survival, with an 80% survival rate at 1 year compared to 0% in those who were treated with the standard treatment.
Preclinical • Journal
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PGR (Progesterone receptor)
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temozolomide • Mifeprex (mifepristone)
6ms
Study of Pembrolizumab and Mifepristone in Patients With Advanced HER2-negative Breast Cancer (clinicaltrials.gov)
P2, N=24, Terminated, University of Chicago | N=74 --> 24 | Active, not recruiting --> Terminated; side effects (rash)
Enrollment change • Trial termination
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HER-2 negative
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Keytruda (pembrolizumab) • Mifeprex (mifepristone)
6ms
Good Quality 66.7% 5-year Overall Survival in Terminal Lung Cancer Patients Treated With Mifepristone. (PubMed, Anticancer Res)
The likelihood of this type of response occurring by chance is extremely low. It is hoped that this report will encourage oncologists, scientists, and clinicians to further investigate the use of SPRMs in a larger cohort of patients with stage IV lung cancer, and potentially in those with less advanced disease.
Journal
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PGR (Progesterone receptor)
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Mifeprex (mifepristone)