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A Controlled Trial of Mifepristone in Gulf War Veterans With Chronic Multisymptom Illness

A Randomized, Double-blind Placebo-controlled Crossover Trial of Mifepristone in Gulf War Veterans With Chronic Multisymptom Illness

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00691067
Enrollment
65
Registered
2008-06-05
Start date
2008-05-31
Completion date
2012-08-31
Last updated
2017-01-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Multisymptom Illness in Gulf War Veterans

Brief summary

We propose to conduct placebo-controlled trial of the glucocorticoid receptor antagonist mifepristone in Gulf War veterans (GWV) with chronic multisymptom illness (CMI) to examine its effects on physical and mental health and cognitive functioning. In addition, we propose to examine whether HPA axis biomarkers or their response to mifepristone are useful predictors of clinical response.

Interventions

DRUGmifepristone

200 mg po per day x 6 weeks

DRUGPlacebos

placebo

Sponsors

U.S. Army Medical Research and Development Command
CollaboratorFED
Bronx Veterans Medical Research Foundation, Inc
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
35 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Veteran of the 1991 Gulf War * Veteran meets criteria for multisymptom illness

Exclusion criteria

* Veteran lacks the capacity to provide consent. * Veteran has a major medical or neurological disorder or traumatic brain injury * Veteran has morning plasma cortisol level less than 5 mcg/dl or a history of adrenal insufficiency * Veteran is taking oral corticosteroids * Veteran has a lifetime diagnosis of schizophrenia, schizoaffective disorder or bipolar disorder * Veteran has been psychiatrically hospitalized or attempted suicide within the previous 2 years * Veteran has current suicidal ideation * Veteran is pregnant or breastfeeding or plans to become pregnant within the year (male or female) not willing to use appropriate forms of contraception during the study and for at least 90 days post treatment. * Women veterans with diseases of the uterus by history or a family history of uterine cancer * Known allergy to mifepristone

Design outcomes

Primary

MeasureTime frame
change in the health components score of the veterans RAND 36-item health survey (VR-36)baseline, every two weeks, endpoint

Secondary

MeasureTime frame
cognitive functioning and measures of depression, fatigue and PTSDbaseline and endpoint

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026