Central Serous Chorioretinopathy Clinical Trial
Official title:
Short-Term Oral Mifepristone for Central Serous Chorioretinopathy. A Placebo-controlled Dose Ranging Study of Mifepristone in the Treatment of CSC (STOMP-CSC)
The goal of the study is to assess the efficacy and safety of mifepristone 300 or 900-mg once-daily dosing by mouth for 4 weeks in patients with central serous chorioretinopathy.
- Prospective, randomized, double-masked, placebo-controlled dose-ranging study
- Eligible patients will be those with CSC, with symptoms of blurred or distorted vision,
with the presence of sub-retinal fluid as documented on optical coherence tomography
(OCT) in the central foveal sub-field
- Only one eye of a participant will be included in the study, although both eyes will be
evaluated. In patients with bilateral CSC, the eye with more sub-foveal fluid on OCT
will be the study eye.
- Patients will be evaluated and treated at one of two study centers:
Ophthalmic Consultants of Boston (OCB), 50 Staniford St., Suite 600, Boston, MA
Bay Area Retina Associates (BARA), 122 La Casa Via, Suite 223, Walnut Creek, CA
- All participants will receive a standard ophthalmic examination as well as fluorescein
and indocyanine green angiography and macular OCT per protocol.
- 30 patients will be enrolled, as follows:
10 patients will be randomly assigned to Cohort 1, and will take one (1) mifepristone
300-mg tablet (300 mg total dose) once daily by mouth for 4 weeks.
10 patients will be randomly assigned to Cohort 2, and will take three (3) mifepristone
300-mg tablet (900 mg total dose) once daily by mouth for 4 weeks.
10 patients will be randomly assigned to Cohort 3, and will take placebo tablet(s) once
daily by mouth for 4 weeks.
- After completing the enrollment criteria, a subject will be randomized 1:1:1 to Cohort
1, 2, or 3.
- During the Baseline visit and at the Week 2, 4, and 8 visits, all subjects will have
laboratory testing of the following lab tests: serum electrolytes, BUN and creatinine,
liver function tests
- Prior to initiating dosing of the study drug, all women of child-bearing potential
(WOCBP) will have a serum beta-HCG assessed to rule out pregnancy; all WOCBP who are
enrolled in the study will be required to use barrier contraception throughout the
study.
- Adverse events will be tracked at each visit (see "Data Safety and Monitoring Plan"
below)
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