Trial Outcomes & Findings for Preliminary Trial of the Effect of Glucocorticoid Receptor Antagonist on Borderline Personality Disorder (BPD) (NCT NCT01212588)

NCT ID: NCT01212588

Last Updated: 2019-02-26

Results Overview

To evaluate whether mifepristone will produce rapid symptom change after seven days of active treatment, as measured by Borderline Personality Disorder Severity Index (BPDSI) total score. The BPDSI is a semi-structured clinical interview assessing the frequency and severity of manifestations of Borderline Personality Disorder (BPD) during a circumscribed period of the previous 7 days. The BPDSI measures 9 symptoms associated with BPD on a Likert scale ranging from 0-7 (0 = never; 7 = daily). Each symptom measure produces a mean score ranging from 0-7, with a higher score indicating more prevalent symptoms. A total score is then calculated using the summed symptom mean scores, ranging from 0-63, with a higher score indicating more prevalent symptoms.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

22 participants

Primary outcome timeframe

Baseline to 7 days of study medication

Results posted on

2019-02-26

Participant Flow

Participant milestones

Participant milestones
Measure
Mifepristone
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Overall Study
STARTED
10
12
Overall Study
COMPLETED
9
10
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Mifepristone
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Overall Study
Physician Decision
0
1
Overall Study
Protocol Violation
1
1

Baseline Characteristics

Preliminary Trial of the Effect of Glucocorticoid Receptor Antagonist on Borderline Personality Disorder (BPD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Total
n=22 Participants
Total of all reporting groups
Age, Categorical
<=18 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=5 Participants
12 Participants
n=7 Participants
21 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
40.90 years
STANDARD_DEVIATION 11.75 • n=5 Participants
33.42 years
STANDARD_DEVIATION 10.33 • n=7 Participants
36.82 years
STANDARD_DEVIATION 11.39 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
11 Participants
n=7 Participants
19 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=5 Participants
12 Participants
n=7 Participants
22 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
12 participants
n=7 Participants
22 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to 7 days of study medication

To evaluate whether mifepristone will produce rapid symptom change after seven days of active treatment, as measured by Borderline Personality Disorder Severity Index (BPDSI) total score. The BPDSI is a semi-structured clinical interview assessing the frequency and severity of manifestations of Borderline Personality Disorder (BPD) during a circumscribed period of the previous 7 days. The BPDSI measures 9 symptoms associated with BPD on a Likert scale ranging from 0-7 (0 = never; 7 = daily). Each symptom measure produces a mean score ranging from 0-7, with a higher score indicating more prevalent symptoms. A total score is then calculated using the summed symptom mean scores, ranging from 0-63, with a higher score indicating more prevalent symptoms.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Rapid Symptom Change
BPDSI Total Score after 7 days of medication
13.5 Scores on a scale
Standard Deviation 7.93
9.45 Scores on a scale
Standard Deviation 4.24
Rapid Symptom Change
BPDSI Total Score at Baseline
17.99 Scores on a scale
Standard Deviation 6.65
13.66 Scores on a scale
Standard Deviation 7.72

PRIMARY outcome

Timeframe: 7 days of study medication to 21 days after discontinuation of study medication

To evaluate whether seven days of mifepristone treatment will result in a durable change in symptoms persisting after active treatment discontinuation, as measured by Borderline Personality Disorder Severity Index (BPDSI) total score. The BPDSI is a semi-structured clinical interview assessing the frequency and severity of manifestations of Borderline Personality Disorder (BPD) during a circumscribed period of the previous 7 days. The BPDSI measures 9 symptoms associated with BPD on a Likert scale ranging from 0-7 (0 = never; 7 = daily). Each symptom measure produces a mean score ranging from 0-7, with a higher score indicating more prevalent symptoms. A total score is then calculated using the summed symptom mean scores, ranging from 0-63, with a higher score indicating more prevalent symptoms.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Durable Symptom Change
BPDSI Total Score after 7 days of medication
13.50 Scores on a scale
Standard Deviation 7.93
9.45 Scores on a scale
Standard Deviation 4.24
Durable Symptom Change
BPDSI Total Score 21 days after discont. study med
13.58 Scores on a scale
Standard Deviation 5.31
8.17 Scores on a scale
Standard Deviation 4.32

PRIMARY outcome

Timeframe: Baseline to 21 days after discontinuation of study medication

To determine the safety and tolerability of mifepristone according to subject report of possibly and probably related adverse events (AEs). AEs were evaluated by study physicians at each visit and each reported AE was evaluated for relatedness (unrelated, possibly related, or probably related) to the study drug/procedure.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Number of Participants With Possibly and Probably Related Adverse Events
Number of subjects with possibly related AEs
9 Participants
6 Participants
Number of Participants With Possibly and Probably Related Adverse Events
Number of subjects with probably related AEs
3 Participants
3 Participants

PRIMARY outcome

Timeframe: Baseline (Visit 2), 7 days of study medication (Visit 4), 7 days after discontinuation of study medication (Visit 5), 21 days after discontinuation of study medication (Visit 6)

To assess cortisol levels as a potential biomarker of hypothalamic-pituitary-adrenal (HPA)-axis engagement

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Levels of Cortisol
Cortisol Level - Baseline
13.88 mcg/dL
Standard Deviation 5.39
14.38 mcg/dL
Standard Deviation 8.58
Levels of Cortisol
Cortisol Level - 7 days of study med
35.01 mcg/dL
Standard Deviation 17.41
16.33 mcg/dL
Standard Deviation 9.50
Levels of Cortisol
Cortisol Level - 7 days after disc of study med
20.91 mcg/dL
Standard Deviation 5.53
14.30 mcg/dL
Standard Deviation 6.88
Levels of Cortisol
Cortisol Level - 21 days after disc study med
11.90 mcg/dL
Standard Deviation 4.95
15.73 mcg/dL
Standard Deviation 12.00

SECONDARY outcome

Timeframe: Baseline (Visit 2)

Borderline Personality Disorder Severity Index (BPDSI) symptom domain subscales scores. The BPDSI is a semi-structured clinical interview assessing the frequency and severity of manifestations of Borderline Personality Disorder (BPD) during a circumscribed period of the previous 7 days. The BPDSI measures 9 symptoms associated with BPD on a Likert scale ranging from 0-7 (0 = never; 7 = daily). Each symptom measure produces a mean score ranging from 0-7, with a higher score indicating more prevalent symptoms.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Abandonment
1.46 Scores on a scale
Standard Deviation 0.96
1.36 Scores on a scale
Standard Deviation 1.55
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Interpersonal Relationships
1.34 Scores on a scale
Standard Deviation 0.91
0.70 Scores on a scale
Standard Deviation 0.77
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Identity
2.76 Scores on a scale
Standard Deviation 1.14
1.49 Scores on a scale
Standard Deviation 1.34
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Impulsivity
0.78 Scores on a scale
Standard Deviation 0.62
0.32 Scores on a scale
Standard Deviation 0.37
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Parasuicidal Behavior
0.48 Scores on a scale
Standard Deviation 0.62
0.30 Scores on a scale
Standard Deviation 0.46
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Affective Instability
4.40 Scores on a scale
Standard Deviation 1.79
4.48 Scores on a scale
Standard Deviation 2.41
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Emptiness
3.96 Scores on a scale
Standard Deviation 2.17
2.35 Scores on a scale
Standard Deviation 1.39
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Outbursts of Anger
1.45 Scores on a scale
Standard Deviation 1.27
1.53 Scores on a scale
Standard Deviation 2.36
Symptom Change - BPDSI Subscales
BPDSI Sub. Score-Dissociation & Paranoid Ideation
1.45 Scores on a scale
Standard Deviation 0.98
1.14 Scores on a scale
Standard Deviation 1.28

SECONDARY outcome

Timeframe: Baseline (Visit 2), 7 days of study medication (Visit 4), 7 days after discontinuation of study medication (Visit 5), 21 days after discontinuation of study medication (Visit 6)

The Brief Psychiatric Rating Scale (BPRS) is an 19-item scale measuring positive symptoms, general psychopathology and affective symptoms during the last 7 days. The BPRS measures symptoms with scores ranging from 0-7, with a higher score indicating more severity. A total score is then calculated by adding all the item scores, ranging from 0-133, with a higher score indicating more severity.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Symptom Change - BPRS
BPRS - Baseline
37.70 Scores on a scale
Standard Deviation 5.85
37.50 Scores on a scale
Standard Deviation 7.09
Symptom Change - BPRS
BPRS - 7 days of study medication
33.90 Scores on a scale
Standard Deviation 6.15
33.36 Scores on a scale
Standard Deviation 7.30
Symptom Change - BPRS
BPRS - 7 days after disc of study med
35.78 Scores on a scale
Standard Deviation 6.57
33.50 Scores on a scale
Standard Deviation 7.66
Symptom Change - BPRS
BPRS - 21 days after disc study med
35.22 Scores on a scale
Standard Deviation 6.34
30.50 Scores on a scale
Standard Deviation 5.44

SECONDARY outcome

Timeframe: Baseline (Visit 2), 7 days of study medication (Visit 4), 7 days after discontinuation of study medication (Visit 5), 21 days after discontinuation of study medication (Visit 6)

The Borderline Personality Checklist (BPD Checklist) is a 47-item DSM-IV based self-report questionnaire, designed to assess the experienced burden of specific BPD symptoms during the previous week. The BPD Checklist measures symptoms with scores ranging from 1-5, with a higher score indicating more severity. A total score is then calculated by adding all the item scores, ranging from 47-235, with a higher score indicating more severity.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Symptom Change - Borderline Checklist
BPD Checklist - Baseline
103.60 Scores on a scale
Standard Deviation 30.83
96.92 Scores on a scale
Standard Deviation 26.29
Symptom Change - Borderline Checklist
BPD Checklist - 7 days of study med
98.10 Scores on a scale
Standard Deviation 27.22
88.36 Scores on a scale
Standard Deviation 32.02
Symptom Change - Borderline Checklist
BPD Checklist - 7 days after disc of study med
91.56 Scores on a scale
Standard Deviation 26.74
82.80 Scores on a scale
Standard Deviation 37.94
Symptom Change - Borderline Checklist
BPD Checklist - 21 days after disc study med
87.89 Scores on a scale
Standard Deviation 24.31
78.80 Scores on a scale
Standard Deviation 28.01

SECONDARY outcome

Timeframe: Baseline (Visit 2)

The Symptom Checklist-90-Revised (SCL-90-R) instrument helps evaluate a broad range of psychological problems and symptoms of psychopathology. The instrument is also useful in measuring patient progress or treatment outcomes. The SCL-90-R contains 90 items on a 5-point rating scale, with a higher score indicating more severity. The items are categorized into 12 domains (9 scores along primary symptom dimensions and 3 scores among global distress indices). A t-score for each domain is then obtained by norming by sex and ranges between 19-81, with a higher score indicating more severity.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Symptom Change - SCL-90-R
SCl-90-R - Somatization
55.80 Scores on a scale
Standard Deviation 6.18
50.25 Scores on a scale
Standard Deviation 9.96
Symptom Change - SCL-90-R
SCL-90-R - Obsessive-Complusive
56.20 Scores on a scale
Standard Deviation 8.48
51.50 Scores on a scale
Standard Deviation 9.04
Symptom Change - SCL-90-R
SCL-90-R - Interpersonal Sensitivity
56.50 Scores on a scale
Standard Deviation 12.19
51.58 Scores on a scale
Standard Deviation 7.55
Symptom Change - SCL-90-R
SCL-90-R - Depression
54.40 Scores on a scale
Standard Deviation 8.91
49.75 Scores on a scale
Standard Deviation 9.20
Symptom Change - SCL-90-R
SCL-90-R - Anxiety
52.60 Scores on a scale
Standard Deviation 9.09
47.17 Scores on a scale
Standard Deviation 7.72
Symptom Change - SCL-90-R
SCL-90-R - Hostility
53.70 Scores on a scale
Standard Deviation 8.54
53.00 Scores on a scale
Standard Deviation 7.60
Symptom Change - SCL-90-R
SCL-90-R - Phobic Anxiety
50.00 Scores on a scale
Standard Deviation 8.94
54.58 Scores on a scale
Standard Deviation 11.05
Symptom Change - SCL-90-R
SCL-90-R - Paranoid Ideation
56.40 Scores on a scale
Standard Deviation 9.75
48.45 Scores on a scale
Standard Deviation 7.66
Symptom Change - SCL-90-R
SCL-90-R - Psychoticism
52.20 Scores on a scale
Standard Deviation 9.37
47.67 Scores on a scale
Standard Deviation 8.55
Symptom Change - SCL-90-R
SCL-90-R - Global Severity Index
55.20 Scores on a scale
Standard Deviation 9.16
50.00 Scores on a scale
Standard Deviation 8.42
Symptom Change - SCL-90-R
SCL-90-R - Positive Symptom Total
55.90 Scores on a scale
Standard Deviation 10.72
49.00 Scores on a scale
Standard Deviation 7.95
Symptom Change - SCL-90-R
SCL-90-R - Positive Symptom Distress Index
54.50 Scores on a scale
Standard Deviation 7.49
52.25 Scores on a scale
Standard Deviation 8.92

SECONDARY outcome

Timeframe: Baseline, 21 days after discontinuation of study medication

Population: The IPII assessment was added to the study midway through the study therefore, the first 10 subjects did not have this assessments.

The Indiana Psychiatric Illness Interview (IPII) is a semi-structured interview developed to assess illness narratives. Responses are audio taped and later transcribed. It is scored using the Metacognition Assessment Scale- Abbreviated (MAS-A), which has four domains of metacognition: i) Self-Reflectivity ranging from 0-9; ii) Understanding the Mind of Other ranging from 0-7; iii) Decentration ranging from 0-3; and iv) Mastery ranging from 0-9. Lower scores indicate metacognitive deficits, higher scores indicate more integrated and nuanced metacognition. MAS-A total score is the sum of the scores on each of the domains of metacognition, ranging from 0-28, with a lower score indicating metacognitive deficits and a higher score indicating more integrated and nuanced metacognition.

Outcome measures

Outcome measures
Measure
Mifepristone
n=6 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=6 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Metacognitive Capacity
IIPI - Self-Reflectivity - Baseline
5.08 Scores on a scale
Standard Deviation 1.63
4.63 Scores on a scale
Standard Deviation 1.70
Metacognitive Capacity
IIPI-Self-Reflectivity-21 days after dis study med
5.25 Scores on a scale
Standard Deviation 1.89
3.90 Scores on a scale
Standard Deviation 0.42
Metacognitive Capacity
IIPI - Understanding Others - Baseline
3.25 Scores on a scale
Standard Deviation 1.08
2.88 Scores on a scale
Standard Deviation 1.31
Metacognitive Capacity
IIPI-Understanding Others-21 days after dis meds
2.75 Scores on a scale
Standard Deviation 0.50
2.50 Scores on a scale
Standard Deviation 1.00
Metacognitive Capacity
IIPI - Decentration - Baseline
0.50 Scores on a scale
Standard Deviation 0.45
0.38 Scores on a scale
Standard Deviation 0.48
Metacognitive Capacity
IIPI-Decentration-21 days after dis meds
0.38 Scores on a scale
Standard Deviation 0.75
0.20 Scores on a scale
Standard Deviation 0.45
Metacognitive Capacity
IIPI - Mastery - Baseline
2.67 Scores on a scale
Standard Deviation 1.89
3.88 Scores on a scale
Standard Deviation 2.10
Metacognitive Capacity
IIPI-Mastery-21 days after dis meds
2.75 Scores on a scale
Standard Deviation 0.50
2.80 Scores on a scale
Standard Deviation 1.64
Metacognitive Capacity
IIPI - Total - Baseline
11.50 Scores on a scale
Standard Deviation 4.69
11.75 Scores on a scale
Standard Deviation 4.99
Metacognitive Capacity
IIPI-Total-21 days after dis meds
11.13 Scores on a scale
Standard Deviation 2.95
9.40 Scores on a scale
Standard Deviation 2.43

SECONDARY outcome

Timeframe: Baseline, 7 days of study medication (Visit 4), 21 days after discontinuation of study medication (Visit 6)

The Clinical Global Impressions Severity Scale (CGI-S) is used for repeated evaluations of global psychopathology. The CGI-S scale is widely used in schizophrenia research and is a single 7-point Likert scale rating severity of psychopathology on a scale of 1 (normal, not ill) to 7 (very severely ill), with a higher score indicating more severity.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Symptom Change - CGI-S
CGI-S - Baseline
4.30 Scores on a scale
Standard Deviation 0.67
4.42 Scores on a scale
Standard Deviation 0.90
Symptom Change - CGI-S
CGI-S - 7 days of study med
4.20 Scores on a scale
Standard Deviation 1.03
4.09 Scores on a scale
Standard Deviation 1.04
Symptom Change - CGI-S
CGI-S - 21 days after disc of study med
3.89 Scores on a scale
Standard Deviation 0.93
3.70 Scores on a scale
Standard Deviation 0.95

SECONDARY outcome

Timeframe: 7 days of study medication (Visit 4), 21 days after discontinuation of study medication (Visit 6)

Population: The CGI-I is measured at visits after baseline, there was 1 subject taking Placebo who discontinued prior to Visit 4 and therefore was not included in analysis.

The Clinical Global Impressions Improvement (CGI-I) scale is used to assess the clinical change as compared to symptoms at baseline using a 7-point Likert scale, ranging from very much improved (1) to very much worse (7), with a higher score indicating more severity.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=11 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Symptom Change - CGI-I
CGI-I - 7 days of study med
3.30 Scores on a scale
Standard Deviation 1.16
3.36 Scores on a scale
Standard Deviation 1.29
Symptom Change - CGI-I
CGI-I - 21 days after disc of study med
3.44 Scores on a scale
Standard Deviation 1.01
2.80 Scores on a scale
Standard Deviation 1.14

SECONDARY outcome

Timeframe: 7 days of study medication (Visit 4)

Borderline Personality Disorder Severity Index (BPDSI) symptom domain subscales scores. The BPDSI is a semi-structured clinical interview assessing the frequency and severity of manifestations of Borderline Personality Disorder (BPD) during a circumscribed period of the previous 7 days. The BPDSI measures 9 symptoms associated with BPD on a Likert scale ranging from 0-7 (0 = never; 7 = daily). Each symptom measure produces a mean score ranging from 0-7, with a higher score indicating more prevalent symptoms.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Emptiness
2.76 Scores on a scale
Standard Deviation 1.81
1.51 Scores on a scale
Standard Deviation 0.91
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Abandonment
0.90 Scores on a scale
Standard Deviation 0.59
1.27 Scores on a scale
Standard Deviation 1.15
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Interpersonal Relationships
0.80 Scores on a scale
Standard Deviation 0.54
0.58 Scores on a scale
Standard Deviation 0.53
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Identity
1.64 Scores on a scale
Standard Deviation 1.13
1.34 Scores on a scale
Standard Deviation 0.85
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Impulsivity
0.66 Scores on a scale
Standard Deviation 0.64
0.11 Scores on a scale
Standard Deviation 0.17
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Parasuicidal Behavior
0.37 Scores on a scale
Standard Deviation 0.52
0.19 Scores on a scale
Standard Deviation 0.37
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Affective Instability
3.67 Scores on a scale
Standard Deviation 2.43
2.89 Scores on a scale
Standard Deviation 1.90
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Outbursts of Anger
1.08 Scores on a scale
Standard Deviation 1.20
0.79 Scores on a scale
Standard Deviation 0.92
Symptom Change - BPDSI Subscales
BPDSI Sub. Score-Dissociation & Paranoid Ideation
1.63 Scores on a scale
Standard Deviation 1.26
0.77 Scores on a scale
Standard Deviation 0.84

SECONDARY outcome

Timeframe: 21 days after discontinuation of study medication (Visit 6)

Borderline Personality Disorder Severity Index (BPDSI) symptom domain subscales scores. The BPDSI is a semi-structured clinical interview assessing the frequency and severity of manifestations of Borderline Personality Disorder (BPD) during a circumscribed period of the previous 7 days. The BPDSI measures 9 symptoms associated with BPD on a Likert scale ranging from 0-7 (0 = never; 7 = daily). Each symptom measure produces a mean score ranging from 0-7, with a higher score indicating more prevalent symptoms.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Abandonment
1.06 Scores on a scale
Standard Deviation 0.75
0.63 Scores on a scale
Standard Deviation 0.67
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Affective Instability
3.27 Scores on a scale
Standard Deviation 2.10
2.96 Scores on a scale
Standard Deviation 1.60
Symptom Change - BPDSI Subscales
BPDSI Sub. Score-Dissociation & Paranoid Ideation
1.62 Scores on a scale
Standard Deviation 1.03
0.56 Scores on a scale
Standard Deviation 0.58
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Interpersonal Relationships
0.84 Scores on a scale
Standard Deviation 0.86
0.64 Scores on a scale
Standard Deviation 0.88
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Identity
1.92 Scores on a scale
Standard Deviation 1.12
0.63 Scores on a scale
Standard Deviation 0.76
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Impulsivity
0.53 Scores on a scale
Standard Deviation 0.58
0.11 Scores on a scale
Standard Deviation 0.14
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Parasuicidal Behavior
0.43 Scores on a scale
Standard Deviation 0.38
0.25 Scores on a scale
Standard Deviation 0.37
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Emptiness
2.94 Scores on a scale
Standard Deviation 1.86
1.79 Scores on a scale
Standard Deviation 1.67
Symptom Change - BPDSI Subscales
BPDSI Subscale Score - Outbursts of Anger
0.97 Scores on a scale
Standard Deviation 1.22
0.62 Scores on a scale
Standard Deviation 1.07

SECONDARY outcome

Timeframe: 7 days of study medication (Visit 4)

The Symptom Checklist-90-Revised (SCL-90-R) instrument helps evaluate a broad range of psychological problems and symptoms of psychopathology. The instrument is also useful in measuring patient progress or treatment outcomes. The SCL-90-R contains 90 items on a 5-point rating scale, with a higher score indicating more severity. The items are categorized into 12 domains (9 scores along primary symptom dimensions and 3 scores among global distress indices). A t-score for each domain is then obtained by norming by sex and ranges between 19-81, with a higher score indicating more severity.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Symptom Change - SCL-90-R
SCL-90-R - Depression
52.60 Scores on a scale
Standard Deviation 9.32
47.82 Scores on a scale
Standard Deviation 10.05
Symptom Change - SCL-90-R
SCl-90-R - Somatization
53.00 Scores on a scale
Standard Deviation 10.92
46.27 Scores on a scale
Standard Deviation 9.18
Symptom Change - SCL-90-R
SCL-90-R - Obsessive-Complusive
54.30 Scores on a scale
Standard Deviation 11.49
47.91 Scores on a scale
Standard Deviation 9.69
Symptom Change - SCL-90-R
SCL-90-R - Interpersonal Sensitivity
53.00 Scores on a scale
Standard Deviation 10.07
48.45 Scores on a scale
Standard Deviation 10.05
Symptom Change - SCL-90-R
SCL-90-R - Anxiety
49.10 Scores on a scale
Standard Deviation 10.08
43.09 Scores on a scale
Standard Deviation 9.39
Symptom Change - SCL-90-R
SCL-90-R - Hostility
52.80 Scores on a scale
Standard Deviation 9.07
52.00 Scores on a scale
Standard Deviation 10.85
Symptom Change - SCL-90-R
SCL-90-R - Phobic Anxiety
49.60 Scores on a scale
Standard Deviation 6.59
49.55 Scores on a scale
Standard Deviation 7.88
Symptom Change - SCL-90-R
SCL-90-R - Paranoid Ideation
53.80 Scores on a scale
Standard Deviation 10.38
47.91 Scores on a scale
Standard Deviation 8.88
Symptom Change - SCL-90-R
SCL-90-R - Psychoticism
48.80 Scores on a scale
Standard Deviation 8.16
47.27 Scores on a scale
Standard Deviation 10.67
Symptom Change - SCL-90-R
SCL-90-R - Global Severity Index
52.30 Scores on a scale
Standard Deviation 9.89
45.82 Scores on a scale
Standard Deviation 9.29
Symptom Change - SCL-90-R
SCL-90-R - Positive Symptom Total
53.40 Scores on a scale
Standard Deviation 11.89
46.91 Scores on a scale
Standard Deviation 9.69
Symptom Change - SCL-90-R
SCL-90-R - Positive Symptom Distress Index
54.20 Scores on a scale
Standard Deviation 11.49
51.91 Scores on a scale
Standard Deviation 17.04

SECONDARY outcome

Timeframe: 21 days after discontinuation of study medication (Visit 6)

The Symptom Checklist-90-Revised (SCL-90-R) instrument helps evaluate a broad range of psychological problems and symptoms of psychopathology. The instrument is also useful in measuring patient progress or treatment outcomes. The SCL-90-R contains 90 items on a 5-point rating scale, with a higher score indicating more severity. The items are categorized into 12 domains (9 scores along primary symptom dimensions and 3 scores among global distress indices). A t-score for each domain is then obtained by norming by sex and ranges between 19-81, with a higher score indicating more severity.

Outcome measures

Outcome measures
Measure
Mifepristone
n=10 Participants
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 Participants
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Symptom Change - SCL-90-R
SCL-90-R - Obsessive-Complusive
51.33 Scores on a scale
Standard Deviation 9.80
44.60 Scores on a scale
Standard Deviation 12.69
Symptom Change - SCL-90-R
SCl-90-R - Somatization
49.78 Scores on a scale
Standard Deviation 15.21
47.60 Scores on a scale
Standard Deviation 10.70
Symptom Change - SCL-90-R
SCL-90-R - Interpersonal Sensitivity
48.89 Scores on a scale
Standard Deviation 10.48
45.30 Scores on a scale
Standard Deviation 8.79
Symptom Change - SCL-90-R
SCL-90-R - Depression
49.00 Scores on a scale
Standard Deviation 9.86
44.00 Scores on a scale
Standard Deviation 12.44
Symptom Change - SCL-90-R
SCL-90-R - Anxiety
48.44 Scores on a scale
Standard Deviation 9.25
42.70 Scores on a scale
Standard Deviation 10.27
Symptom Change - SCL-90-R
SCL-90-R - Hostility
50.11 Scores on a scale
Standard Deviation 12.50
48.80 Scores on a scale
Standard Deviation 6.84
Symptom Change - SCL-90-R
SCL-90-R - Phobic Anxiety
46.00 Scores on a scale
Standard Deviation 6.96
50.10 Scores on a scale
Standard Deviation 8.75
Symptom Change - SCL-90-R
SCL-90-R - Paranoid Ideation
50.33 Scores on a scale
Standard Deviation 10.48
46.80 Scores on a scale
Standard Deviation 12.56
Symptom Change - SCL-90-R
SCL-90-R - Psychoticism
45.44 Scores on a scale
Standard Deviation 8.50
45.70 Scores on a scale
Standard Deviation 13.31
Symptom Change - SCL-90-R
SCL-90-R - Global Severity Index
49.00 Scores on a scale
Standard Deviation 10.30
45.10 Scores on a scale
Standard Deviation 12.05
Symptom Change - SCL-90-R
SCL-90-R - Positive Symptom Total
49.56 Scores on a scale
Standard Deviation 11.22
44.80 Scores on a scale
Standard Deviation 10.40
Symptom Change - SCL-90-R
SCL-90-R - Positive Symptom Distress Index
51.67 Scores on a scale
Standard Deviation 13.19
46.60 Scores on a scale
Standard Deviation 12.47

Adverse Events

Mifepristone

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Mifepristone
n=10 participants at risk
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 participants at risk
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Renal and urinary disorders
Foreign body in urethra
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued

Other adverse events

Other adverse events
Measure
Mifepristone
n=10 participants at risk
Mifepristone 600mg once daily x 7 days mifepristone: Mifepristone 600mg (3x200mg tablets) once daily for seven days
Placebo
n=12 participants at risk
Matching placebo tablets one daily Placebo: 3 tablets once daily for seven days
Cardiac disorders
Abnormal electrocardiogram
20.0%
2/10 • Number of events 2 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Gastrointestinal disorders
Abdominal bloating
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Gastrointestinal disorders
Abdominal Pain
10.0%
1/10 • Number of events 2 • Screening through 21 days after study medication was discontinued
16.7%
2/12 • Number of events 4 • Screening through 21 days after study medication was discontinued
Psychiatric disorders
Anxiety
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Musculoskeletal and connective tissue disorders
Arthritis
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 2 • Screening through 21 days after study medication was discontinued
Skin and subcutaneous tissue disorders
Atopic Dermatitis
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Eye disorders
Blurry Vision
20.0%
2/10 • Number of events 2 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Skin and subcutaneous tissue disorders
Bug Bites
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
General disorders
Chills
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Gastrointestinal disorders
Constipation
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Musculoskeletal and connective tissue disorders
Costochondritis
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Reproductive system and breast disorders
Cramping
0.00%
0/10 • Screening through 21 days after study medication was discontinued
16.7%
2/12 • Number of events 2 • Screening through 21 days after study medication was discontinued
General disorders
Decreased Appetite
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
General disorders
Decreased Concentration
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 2 • Screening through 21 days after study medication was discontinued
Gastrointestinal disorders
Diarrhea
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
16.7%
2/12 • Number of events 2 • Screening through 21 days after study medication was discontinued
General disorders
Dizziness
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Skin and subcutaneous tissue disorders
Dog Bite Infection
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Eye disorders
Dry Eyes
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Reproductive system and breast disorders
Dysmenorrhea
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Skin and subcutaneous tissue disorders
Ecchymosis
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Psychiatric disorders
Exacerbation of borderline personality disorder
0.00%
0/10 • Screening through 21 days after study medication was discontinued
16.7%
2/12 • Number of events 2 • Screening through 21 days after study medication was discontinued
General disorders
Exhaustion
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Musculoskeletal and connective tissue disorders
Fibromyalgia
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Gastrointestinal disorders
Gastroenteritis
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
General disorders
Hand tremor
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
General disorders
Headache/migraine
30.0%
3/10 • Number of events 3 • Screening through 21 days after study medication was discontinued
33.3%
4/12 • Number of events 4 • Screening through 21 days after study medication was discontinued
Musculoskeletal and connective tissue disorders
Heaviness in legs
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Renal and urinary disorders
Hemorrhoids
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Blood and lymphatic system disorders
Hypokalemia
20.0%
2/10 • Number of events 2 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
General disorders
Increased appetite
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
General disorders
influenza
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
General disorders
insomnia
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
General disorders
Irritability
0.00%
0/10 • Screening through 21 days after study medication was discontinued
16.7%
2/12 • Number of events 2 • Screening through 21 days after study medication was discontinued
Reproductive system and breast disorders
lactation
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Respiratory, thoracic and mediastinal disorders
lump in throat
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Reproductive system and breast disorders
menstural bleeding
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 2 • Screening through 21 days after study medication was discontinued
General disorders
mouth sores
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Gastrointestinal disorders
Nausea
50.0%
5/10 • Number of events 6 • Screening through 21 days after study medication was discontinued
16.7%
2/12 • Number of events 2 • Screening through 21 days after study medication was discontinued
Musculoskeletal and connective tissue disorders
Pain
30.0%
3/10 • Number of events 3 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Respiratory, thoracic and mediastinal disorders
Pharyngitis
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Musculoskeletal and connective tissue disorders
Pre-existing restless leg syndrome
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Skin and subcutaneous tissue disorders
Pruritus
20.0%
2/10 • Number of events 2 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Skin and subcutaneous tissue disorders
Rash
30.0%
3/10 • Number of events 3 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Skin and subcutaneous tissue disorders
Rosacea
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
Musculoskeletal and connective tissue disorders
Shakiness
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
General disorders
Sinus congestion
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
General disorders
Somnolence
30.0%
3/10 • Number of events 3 • Screening through 21 days after study medication was discontinued
0.00%
0/12 • Screening through 21 days after study medication was discontinued
General disorders
Toothache
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued
Infections and infestations
Upper respiratory infection
10.0%
1/10 • Number of events 1 • Screening through 21 days after study medication was discontinued
16.7%
2/12 • Number of events 2 • Screening through 21 days after study medication was discontinued
Renal and urinary disorders
Urinary tract infection
0.00%
0/10 • Screening through 21 days after study medication was discontinued
25.0%
3/12 • Number of events 3 • Screening through 21 days after study medication was discontinued
Skin and subcutaneous tissue disorders
worsening acne
0.00%
0/10 • Screening through 21 days after study medication was discontinued
8.3%
1/12 • Number of events 1 • Screening through 21 days after study medication was discontinued

Additional Information

Dr. Alan Breier

IndianaU

Phone: 317-880-8495

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place