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Mifepristone

  • Prescription medicine
  • Prescription only
  • Identity checked
  • Sources last checked 2026-09-04

This page shows what was measured, who it was measured in, and what that does not settle.

What Mifepristone does in the body

From the FDA-approved label: Mifepristone is a selective antagonist of the progesterone receptor at low doses and blocks the glucocorticoid receptor (GR-II) at higher doses.

Mifepristone has high affinity for the GR-II receptor but little affinity for the GR-I (MR, mineralocorticoid) receptor. In addition, mifepristone appears to have little or no affinity for estrogen, muscarinic, histaminic, or monoamine receptors.

Why people take it. Type 2 diabetes mellitus unrelated to endogenous Cushing's syndrome

What happened in people

RNAWiki has not yet published a reviewed conclusion for this use.

A fixed RNAWiki sentence

Where this came from

Wording RNAWiki always uses, not a finding about this substance.

No reviewed claim names a result for any goal on this record.

No source is stored against this line.

The limit that matters most

Not recorded.

Where it acts
Not recorded.
Kind of result
No result is published, so no kind of result applies yet
Supervision
Professional supervision is normally required. A regulator classifies this substance in a way that restricts how it is supplied.

What the registries record it as

  • The substance registry classes this as chemical.

    FDA substance registry · 320T6RNW1F · read 2026-08-29

  • Its recorded molecular formula is C29H35NO2, weighing 429.60.

    US prescribing information · 63c068cd-9370-460f-829b-70e8c7ebe91e · read 2026-08-30

Where each sentence above came from

A person wrote this explanation into the record, with the studies named in the path below.

The recorded use, written for a reader without medical training. Not signed off.

No statement of the main limit is recorded.

The four opening statements run to 79 words.

Words this page uses

Four words worth knowing first

Chosen from what this page shows, with each one explained before the word it depends on.

Stand-in result

A stand-in result is a number measured because the real result takes too long.

A picture of it, and where the picture fails

It is like judging a journey by the speedometer rather than by arriving.

Where that stops being true. Speed does predict arrival. Many stand-in results do not predict the real one.

What people get wrong. A stand-in result is often reported as the result itself.

A surrogate endpoint substituted for a clinical endpoint, valid only where the substitution has been shown to hold.

Enzyme

An enzyme is a protein that speeds up one chemical change.

A picture of it, and where the picture fails

An enzyme is like a machine on a production line doing one cut.

Where that stops being true. A machine is switched on and off by a person. Enzymes are controlled by the cell.

What people get wrong. Enzymes are thought to be used up. They are not; they work again and again.

A catalytic protein that lowers the activation energy of a specific reaction.

Receptor

A receptor is a part of a cell that a signal fits into.

A picture of it, and where the picture fails

A receptor is like a lock waiting for one key.

Where that stops being true. A lock either opens or does not. A receptor can be half-triggered, or worn out.

What people get wrong. Fitting a receptor is read as causing a benefit. It causes a step, and nothing more.

A protein that binds a specific ligand and converts that binding into a cellular response.

Pathway

A pathway is a chain of steps inside a cell, each one setting off the next.

A picture of it, and where the picture fails

A pathway is like a row of dominoes.

Where that stops being true. Dominoes fall one way. Pathways loop back and can switch themselves off.

What people get wrong. Changing one step is read as changing the outcome. Other steps often absorb it.

An ordered series of molecular interactions producing a defined cellular change.

What happened in peopleRead from sources, not yet reviewed

What was measured, goal by goal

One row for each goal a registered study measured something for. One column for each kind of thing that could be measured.

Registered studies list 40 outcome measures that RNAWiki could read. A registered study says what someone planned to measure. It does not say what they found. 0 of the matched studies tested this substance, and 0 posted a result.

There is no single score. A strong test result and a weak life result are different facts.

Goals down the side, kinds of measurement across the top. Each cell says what kind of thing was registered, not what was found.
GoalLife outcomeWhat a body can doHow a person feelsA test resultA step in the bodyHarmsHow longWho was studied
MoodNothing in the sources checkedNo registered study lists a life outcome for this goal.Nothing in the sources checkedNo registered study lists a performance measure for this goal.Waiting for a reviewer1 registered symptom measure.Nothing in the sources checkedNo registered study lists a test result for this goal.Nothing in the sources checkedNo registered study lists a body-step measure for this goal.Not recordedHarms were not a registered measure for this goal.Not recordedNo finished study window is recorded.Waiting for a reviewerWho was studied is listed further down the page.
Body weightNothing in the sources checkedNo registered study lists a life outcome for this goal.Nothing in the sources checkedNo registered study lists a performance measure for this goal.Nothing in the sources checkedNo registered study lists a symptom measure for this goal.Only a number moved1 registered test measure.Nothing in the sources checkedNo registered study lists a body-step measure for this goal.Not recordedHarms were not a registered measure for this goal.Not recordedNo finished study window is recorded.Waiting for a reviewerWho was studied is listed further down the page.
Blood sugarNothing in the sources checkedNo registered study lists a life outcome for this goal.Nothing in the sources checkedNo registered study lists a performance measure for this goal.Nothing in the sources checkedNo registered study lists a symptom measure for this goal.Only a number moved1 registered test measure.Nothing in the sources checkedNo registered study lists a body-step measure for this goal.Not recordedHarms were not a registered measure for this goal.Not recordedNo finished study window is recorded.Waiting for a reviewerWho was studied is listed further down the page.
Which registered measures put each goal on this table
Mood
hamilton depression rating scale
Body weight
body weight
Blood sugar
insulin sensitivity index

Sorted by fixed word lists, version v1. A name the rules do not recognise stays unsorted rather than moving to the nearest column.

What each mark on this table means
Nothing in the sources checked
No registered study lists a life outcome for this goal.
Waiting for a reviewer
1 registered symptom measure.
Not recorded
Harms were not a registered measure for this goal.
Only a number moved
1 registered test measure.

What happened in peopleRead from sources, not yet reviewed

What happened in people

Each card is one study: the exact question it asked, who was in it, and whether it showed what it set out to show.

Continued, ongoing pregnancy

The study did not show it

Who was studied
NCT01410266
How many people
2400
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Abortion completion

The study did not show it

Who was studied
NCT07174856
How many people
1900
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

successful menstrual regulation without the need for a surgical evacuation

The study did not show it

Who was studied
NCT01798017
How many people
1738
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Continued, ongoing pregnancy

The study did not show it

Who was studied
NCT01150422
How many people
1500
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Need for surgical completion for incomplete abortions or ongoing viable pregnancies at follow up visit Study day 15.

The study did not show it

Who was studied
NCT00286208
How many people
1443
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Efficacy: Proportion of women who successfully complete abortion without surgical intervention to resolve viable pregnancy or incomplete abortion

The study did not show it

Who was studied
NCT00997347
How many people
1400
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot
What we know
RNAWiki holds 6 written-up human studies for this substance, each with the question it asked.
How we know it
Each card names the study, the number of people and what the study set out to measure.
What this does not prove
These summaries were written by a person and have not been signed off as reviewed claims.
Why it matters
A study that failed is as informative as one that worked, and both are here.
What we still do not know
No reviewed claim exists, so no exact population, effect size or interval is published yet.

What happened in peopleRead from sources, not yet reviewed

How close this is to real life

The top step is something a person would feel or care about. The bottom is a guess from software. Filled steps are where evidence exists for this substance.

  1. Living longer, or avoiding a major event Evidence recorded. Death, a heart attack, a stroke, a hospital stay.4 registered measures of this kind. No reviewed result.
  2. What a body can do day to day No evidence recorded. Walking, dressing, breathing, recovering.No registered study measures this.
  3. Measured performance No evidence recorded. How much was lifted, how far was run, how fast.No registered study measures this.
  4. Symptoms and quality of life Evidence recorded. Pain, tiredness, mood, sleep, as the person rated it.2 registered measures of this kind.
  5. A number that stands in for health Evidence recorded. Cholesterol, blood sugar, bone density. A stand-in, not the thing itself.4 registered measures of this kind.
  6. A step measured inside a person Evidence recorded. Something measured in human tissue or human cells.A human record sits on the stored organism ladder.
  7. Animals Evidence recorded. Mice, rats, dogs. Useful for ideas, not proof about people.Stored records in C. elegans (roundworm), Drosophila (fruit fly), Mouse. A result in animals says what to test next. It does not say what happens in people.
  8. Cells in a dish Evidence recorded. Cells or chemistry on a bench, far from a whole body.Stored mechanism abstracts describe steps measured in cells or tissue.
  9. A guess from software No evidence recorded. Nobody measured it. RNAWiki never publishes one as a finding.RNAWiki stores no prediction for this record. Software can suggest a link. RNAWiki does not publish one as a finding.

Higher on these steps means closer to something a person would feel. It does not mean better done.

What it would be like to takeRead from sources, not yet reviewed

Felt, measured, or meaningful

Three different things that get called the same word. Registered studies measured all three, and mixing them is how a blood test becomes a health claim.

Felt

Things a person could notice without a test.

  • hamilton depression rating scale
  • improvement in quality of life

Measured

Things only a test, a scale or a device shows.

  • body weight
  • blood pressure
  • insulin sensitivity index
  • hemoglobin a1c

Meaningful

Things that change how a life goes, not only a number.

  • progression free survival at 6 months
  • psa progression free survival
  • overall survival
  • progression free survival

A registered study says what someone planned to measure. It does not say what they found. A number moving is not the same as a life going better. The two are shown apart here.

Felt, but not shown to help. A person notices a change. No study showed it leads anywhere good.

Measured, but not felt. A number moves. The person notices nothing. Both can be true.

Measured, but not shown to matter. A number moves in the good direction. Nobody showed that lives went better.

Matters, but takes years. The result that counts may take longer than anyone would keep watching.

Names that fit none of the three (30)
  • induction to delivery time
  • objective tumor response
  • overall response
  • duration of response
  • cortisol level
  • adverse events
  • complete abortion rate
  • procedure time
  • total procedure time
  • skin conductance response
  • initial cervical dilation at the time of surgical abortion
  • operative time
  • women who have undergone a successful abortion
  • cognition
  • homa ir
  • gestational sac expulsion by the 30 day telephone call
  • uterine asperation
  • rate of successful evacuation of the uterus
  • initial cervical dilation
  • rate of successful abortion by 24 hours

These are harms, study-process measures, or names the rules did not recognise. They are shown rather than dropped.

What is missing or unclearRead from sources, not yet reviewed

Were people like you studied?

RNAWiki cannot tell whether a study fits you. It can show who was in it, and where the result stops carrying.

Who was studied

People similar to this profile were included.

  • KORLYM (mifepristone) is a cortisol receptor blocker indicated to control hyperglycemia secondary to hypercortisolism in adult patients with endogenous Cushing's syndrome who have type 2 diabetes mellitus or glucose intolerance and have failed surgery or are not candidates for surgery.

Who is missing from the studies

  • Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What the label states about particular groups

  • On pediatric, the label states: “Safety and effectiveness of mifepristone in pediatric patients have not been established.”

    US prescribing information · 63c068cd-9370-460f-829b-70e8c7ebe91e · read 2026-08-30

  • On older people, the label states: “Clinical studies with mifepristone did not include sufficient numbers of patients aged 65 and over to determine whether they respond differently than younger people.”

    US prescribing information · 63c068cd-9370-460f-829b-70e8c7ebe91e · read 2026-08-30

  • On people who are pregnant, the label states: “Risk Summary Mifepristone is contraindicated in pregnancy because the use of mifepristone results in pregnancy loss.”

    US prescribing information · 63c068cd-9370-460f-829b-70e8c7ebe91e · read 2026-08-30

  • On people who are breastfeeding, the label states: “Risk Summary Mifepristone is present in human milk, however, there are no data on the amount of mifepristone in human milk, the effects on the breastfed infant, or the effects on milk production during long term use of mifepristone (see Data) .”

    US prescribing information · 63c068cd-9370-460f-829b-70e8c7ebe91e · read 2026-08-30

  • On people with reduced liver function, the label states: “In patients with mild to moderate hepatic impairment, the maximum dose should not exceed 600 mg per day.”

    US prescribing information · 63c068cd-9370-460f-829b-70e8c7ebe91e · read 2026-08-30

  • On people with reduced kidney function, the label states: “The maximum dose should not exceed 600 mg per day in renally impaired patients. [See Clinical Pharmacology ( 12.3 )]”

    US prescribing information · 63c068cd-9370-460f-829b-70e8c7ebe91e · read 2026-08-30

Where the result stopped carrying

  • This is a scope explorer, not a diagnosis engine.
  • It shows who was studied so you can see whether people similar to you were included.

RNAWiki cannot tell whether a study fits you. It can show who was in it.

What it would be like to takeRead from sources, not yet reviewed

Why it might seem to do nothing

A real effect and a noticed effect are different things. These are the recorded reasons the two come apart.

It was studied for a different goal

The studies measured something else entirely.

On this record: Some registered studies measured things that match no goal on this page.

It was studied in different people

The people in the studies were not much like the reader.

On this record: Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

The evidence may simply be wrong

Small early studies often do not hold up.

On this record: RNAWiki has not yet published a reviewed conclusion for this use.

Other reasons RNAWiki checked and found nothing for (10)
A different form was studied
The studied form is not the form on the shelf. Nothing in this record points to this reason.
There was nothing to correct
Where a level is already normal, topping it up may change nothing. Nothing in this record points to this reason.
Something else had to happen too
In the studies it was paired with training, a diet or another treatment. Nothing in this record points to this reason.
The change is too small to feel
A real change can still sit below what a person notices. Nothing in this record points to this reason.
Day-to-day swing hides it
Sleep, food, stress and time of day move most numbers more than this would. Nothing in this record points to this reason.
Not enough time yet
The studies ran longer than the person has waited. Nothing in this record points to this reason.
It was not taken as studied
Missed days change the result, and studies count them. Nothing in this record points to this reason.
Something else changed at the same time
Two changes at once cannot be told apart afterwards. Nothing in this record points to this reason.
The product may not be what it says
Contents of a sold product are not always what the label states. Nothing in this record points to this reason.
No recorded reason
RNAWiki has nothing stored that would explain it. Nothing in this record points to this reason.

None of these is a reason to take more. Taking more is not a step this page ever suggests.

What it would be like to takeRead from sources, not yet reviewed

What taking it involves

The recorded facts about getting hold of it and using it. Nothing here is a suggestion about what you should do.

How it is supplied

Prescription only

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Read from the recorded approval status.

No source is stored against this line.

Form and route

Oral

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form and route recorded on this substance.

No source is stored against this line.

Who oversees it

Professional supervision is normally required. A regulator classifies this substance in a way that restricts how it is supplied.

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Suppression classes recorded: S1, S5, S6.

No source is stored against this line.

What is in the pack

Sold as tablet, tablet, film coated, given by the oral route.

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

Recorded notes on how this is sold and what that means for what is in the pack.

No source is stored against this line.

Where it is registered

Regulatory records are listed in the technical disclosure at the foot of this page.

Counted from records

Where this came from

A count of rows RNAWiki holds. It describes our records, not your body.

Register entries are stored per jurisdiction and shown with their dates.

No source is stored against this line.

Why people stop

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

No record of why people stopped taking it is stored for this substance.

No source is stored against this line.

What it would be like to takeNothing found in the sources checked

What can go wrong

Sorted by where each line came from. A regulator's label and a report somebody sent in are not the same kind of fact.

Nothing found in the sources checked

No harm is recorded against this substance in the sources RNAWiki checked. Finding nothing is not the same as showing there is nothing.

The sources listed were searched and held nothing. That is not the same as nothing existing.

Reports sent to a regulator

  • These are reports people sent to a regulator. They do not show the medicine caused the reaction.
  • Nobody counted how many people took the medicine and reported nothing.
  • The same event can be reported more than once, and many reports are incomplete.
  • News coverage, lawsuits and new warnings change how often people report.
  • A count is not a rate and not a risk.

Mifepristone appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 1406 reaction mentions were counted. One report can name several reactions.

The recorded terms (10)
  • abortion incomplete — 373 reaction mentions
  • haemorrhage — 357 reaction mentions
  • pregnancy — 125 reaction mentions
  • anaemia — 109 reaction mentions
  • pain — 97 reaction mentions
  • muscle spasms — 81 reaction mentions
  • vomiting — 73 reaction mentions
  • dizziness — 72 reaction mentions
  • pyrexia — 62 reaction mentions
  • vaginal haemorrhage — 57 reaction mentions
  • open-targets-adr · recorded 2026-06-24 · a recorded source, not a stored snapshot

Over a long time. No completed tested study window is recorded, so long-term effects are not established by the registry record.

Groups the studies covered thinly. Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What is missing or unclearRead from sources, not yet reviewed

Does the exact form matter?

Evidence belongs to the exact thing that was tested. A different salt, a different mixture or a different preparation is a different question.

The form that was studied

Oral

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form used in the studies cited on this page.

No source is stored against this line.

What is sold

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

Nothing further is recorded about which forms are sold.

No source is stored against this line.

What is recorded as being sold

  • 16 products list this as an active ingredient in the United States drug directory. 16 of them contain it and nothing else.

    FDA National Drug Code directory · 44132-005 · read 2026-08-29

  • They are sold as powder, tablet and tablet, film coated, taken oral.

    FDA National Drug Code directory · 44132-005 · read 2026-08-29

  • The regulator's established pharmacologic class for it is progestational hormone receptor antagonists [moa] and progestin antagonist [epc].

    FDA National Drug Code directory · 44132-005 · read 2026-08-29

  • 5 published labels name it as an active ingredient. 5 of them describe this substance alone, which is where its own label text on this page comes from.

    US prescribing information · 63c068cd-9370-460f-829b-70e8c7ebe91e · read 2026-08-29

  • Those labels are classed as human prescription drug.

    US prescribing information · 63c068cd-9370-460f-829b-70e8c7ebe91e · read 2026-08-29

  • Mifepristone is oral at 3 DOSAGE FORMS AND STRENGTHS Tablets: 300 mg Oval shaped, light yellow to yellow tablets debossed with “Corcept” on one side and “300” on the other side., recorded as fda label in effect 2025-09-25 in the United States.

    US prescribing information · 63c068cd-9370-460f-829b-70e8c7ebe91e · read 2026-08-30

Evidence carries across two names for one substance. It does not carry across a salt, a mirror form or a mixture.

What it would be like to takeRead from sources, not yet reviewed

What you could measure

This one is decided with a clinician, so this section holds questions to ask rather than a plan to run.

Self-experiment planning is not offered for a prescription or clinician-supervised medicine. The questions below are for a clinician or pharmacist.

Questions worth asking

  • Which of the trials of Mifepristone studied people like me?
  • What was measured, and for how long?
  • Was the result a laboratory value or a health outcome?
  • What would we watch for, and when would we stop?

Tracking can show whether something changed for you. It cannot show what caused it.

RNAWiki records evidence. It does not say whether this substance is right for you.

What is missing or unclearRead from sources, not yet reviewed

What nobody knows yet

Open questions, each with why it is open and what would close it.

Missing populations

Which groups were under-represented in the studies has not been recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing long-term data

No completed tested study window is recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

No reviewed conclusion

RNAWiki has not yet published a reviewed conclusion for this use.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing interaction studies

No interaction was found in the registers checked. Not finding one is not the same as showing there is none.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Formulation uncertainty

Several salts, forms or products of Mifepristone are recorded. Results from one form may not transfer to another.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Mechanism not reviewed

No reviewed mechanism story exists for this substance.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

What happened in peopleRead from sources, not yet reviewed

Check any of this yourself

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  • 5 documents were read for this substance.

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  • 2 of them state the same halfLife, and they agree.

    RNAWiki source record

Where else this substance is registered

FDA substance identifier (UNII)
320T6RNW1F
RxNorm concept
1245262

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  • 5 approved applications cover products containing this substance. The earliest was NDA020687, approved 20000928 to DANCO LABS LLC.

    Drugs@FDA application register · NDA020687 · read 2026-08-29

  • Marketing status on the register: prescription.

    Drugs@FDA application register · NDA020687 · read 2026-08-29

  • The earliest marketing start date recorded for a listed product is 20000928.

    FDA National Drug Code directory · 44132-005 · read 2026-08-29

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Recorded evidence blocks (14)

What did Mifepristone's largest trial (884 people) and its longest (20 years) measure?


884 people in Mifepristone's largest registered study, 20 years in its longest registered window, measuring Mechanistic effects on biomarker relationships. ClinicalTrials.gov · 2026-09-01

46 phase2, 31 phase3, 27 phase4, 20 na, 20 phase1, 4 early phase1, 3 na or unstated; NCT03015701; 2012-11; no ageing endpoint recorded. Last human test completed 2025, NCT04254627.

Interpretation These counts include studies where Mifepristone was a comparison treatment, a background treatment or an exposure in an observational study, and the longest window may be a planned end date. Trial roles have not yet been classified for this record.

Show the evidence
  • phase2
    46
  • phase3
    31
  • phase4
    27
  • na
    20
  • phase1
    20
  • early phase1
    4
2 more recorded rows
  • na or unstated
    3
  • Last recorded human test NCT04254627
    2025-09-30

recorded 2026-09-01 · last checked 2026-09-04

From C. elegans to human: where has Mifepristone shown lifespan?


C. elegans: mechanism-only, Drosophila: lifespan, mouse: healthspan and human: biomarker (137): the rungs where Mifepristone has a recorded finding. Europe PMC and ClinicalTrials.gov · organism ladder · 2026-09-01

Interpretation Mechanistic effects on biomarker relationships — the recorded outcome words.

Yeast C. elegans mechanism-onlyDrosophila lifespanMouse healthspanRat Dog Non-human primate Human biomarker
Show the evidence
  • C. elegans
    mechanism-only
  • Drosophila
    lifespan
  • mouse
    healthspan
  • human NCT04254627
    biomarker; Mechanistic effects on biomarker relationships; 137

recorded 2026-09-01 · last checked 2026-09-04

27 of Mifepristone's trials stopped: safety, accrual/recruitment, funding/business, sponsor decision unspecified, other?


safety (2), accrual/recruitment (12), funding/business (7), sponsor decision unspecified (1) and other (5): Mifepristone's stop wording, clustered. ClinicalTrials.gov · 2026-09-01

"DRC recommended stopping study as it had missed its primary endpoint"; 27 of 137 registered studies

Show the evidence

Trial

  • NCT00637494
    terminated; "DRC recommended stopping study as it had missed its primary endpoint"
  • NCT00725270
    terminated; "Lack of funding."
  • NCT00832871
    terminated; "Low accrual; 4 patients enrolled between 2008-2015"
  • NCT00867360
    terminated; "Insufficient recruitment."
  • NCT01138553
    terminated; "Inadequate subject accrual"
  • NCT01212588
    terminated; "Funding ended"
14 further recorded trials
  • NCT01224509
    terminated; "Longer than expected recruitment period."
  • NCT01636063
    terminated; "Poor subject enrollment"
  • NCT01925092
    withdrawn; "Lack of enrollment"
  • NCT02099825
    terminated; "COVID and staffing issues"
  • NCT02342002
    terminated; "lack of funding"
  • NCT02620904
    terminated; "unable to recruit. Projected completion was 2018 however, enrollment and recruitment were difficult. The study was terminated due to inability to enroll."
  • NCT02633761
    terminated; "Lack of funding"
  • NCT02642939
    terminated; "Lack of enrollment"
  • NCT02679092
    withdrawn; "Funding changes."
  • NCT02704481
    terminated; "Funding mechanism compromised"
  • NCT03052400
    terminated; "End of Funding"
  • NCT03210324
    terminated; "It is difficult to recruit enough participants"
  • NCT03212352
    terminated; "Advised by DSMB based on interim-analysis, highly significant difference."
  • NCT03225547
    terminated; "side effects (rash)"

recorded 2026-09-01 · last checked 2026-09-04

Human studies of Mifepristone used mifepristone 600 mg — over how long?


studies of Mifepristone used the recorded amount. ClinicalTrials.gov · 2026-09-01

12 recorded entries; human; also "mifepristone 600 mg", "mifepristone 1200 mg", "mifepristone 200 mg"

Show the evidence

human

  • NCT00128479
    mifepristone 600 mg
  • NCT00128479
    mifepristone 1200 mg
  • NCT00986921
    mifepristone 200 mg
  • NCT01294319
    Mifepristone 400 MG
  • NCT01294319
    Mifepristone 400 MG and Spironolactone 200 MG
  • NCT02179749
    Mifepristone 1200 mg daily
6 more recorded rows
  • human NCT03052400
    Mifepristone 600 mg daily
  • human NCT03065660
    Mifepristone, Oral, 200 Mg
  • human NCT03259542
    Mifepristone 300 MG
  • human NCT03714880
    Mifepristone 200 MG
  • human NCT03829696
    Mifeprex® (Mifepristone 200 mg)
  • human NCT06394999
    Mifepristone 50 mg

recorded 2026-09-01 · last checked 2026-09-04

More Mifepristone was worse in human: at what point?


U-shaped in human: "Mifepristone administration resulted in a U-shaped response in the FST (with 1 mg/Kg, s.c., decreasing the immobility time) without significantly impacting the behavior in the EPM." Europe PMC · dose-response search · 2022-12-07

5 recorded sentences naming Mifepristone; U-shaped, hormetic, dose-response, dose response

Show the evidence
  • U-shaped PMID 36469636
    "Mifepristone administration resulted in a U-shaped response in the FST (with 1 mg/Kg, s.c., decreasing the immobility time) without significantly impacting the behavior in the EPM."
  • hormetic PMID 23262305
    "Also, since C. salmositica responds to both native and synthetic glucocorticoids and to the GR antagonist, RU486, and exhibits a biphasic (hormetic) response to the amount of cortisol in the medium, we propose that the glucocorticoid exerts its effects via an interaction with GR-like proteins in C. salmositica that are functionally similar to those present in vertebrate cells."
  • dose-response PMID 35338548
    "Mifepristone induced preterm birth, and an obvious dose-response was found."

dose response

  • PMID 30325501
    "The effect of dose response and combination treatment with mifepristone and analogs of progesterone- or glucocorticoid-receptors were investigated on BRCA<sup>1-/2-</sup> MSC in vitro using a panel of markers for proliferation (ki67, BrdU, CDK2, p21<sup>CIP</sup> ), apoptosis (BAX, BCL2, CASPASE3), tumor suppression (TP53, PTEN) and cell survival (PI3KCA, MAPK3, mTOR)."
  • PMID 30325501
    "The dose response with mifepristone treatment suggested an optimal effect with 10 μm mifepristone, exhibiting >90% viability and significantly reducing growth signaling markers (TP53 and MAPK3)."

recorded 2022-12-07 · last checked 2026-09-04

Which of adverse events, blood pressure and body weight did Mifepristone's trials measure?


adverse events, blood pressure and body weight lead 40 outcome terms across Mifepristone's trials. ClinicalTrials.gov · 2026-09-01

Interpretation objective tumor response, overall response, body weight, blood pressure, duration of response and cortisol level follow.

Show the evidence
  • hamilton depression rating scale
    1
  • induction to delivery time
    1
  • progression free survival at 6 months
    1
  • objective tumor response
    1
  • overall response
    1
  • body weight
    1
14 more recorded rows
  • blood pressure
    1
  • duration of response
    1
  • cortisol level
    1
  • adverse events
    1
  • insulin sensitivity index
    1
  • complete abortion rate
    1
  • procedure time
    1
  • total procedure time
    1
  • skin conductance response
    1
  • initial cervical dilation at the time of surgical abortion
    1
  • operative time
    1
  • women who have undergone a successful abortion
    1
  • cognition
    1
  • homa ir
    1

recorded 2026-09-01 · last checked 2026-09-04

Which of Mifepristone's 7 ongoing trials reports first?


7 registered trials of Mifepristone are open; earliest completion 2025-11. ClinicalTrials.gov · 2026-09-01

Progression-free Survival (PFS); Measure of women in labour or delivered within 2 days of intervention; latest 2028-06-05

Show the evidence

Trial

  • NCT02788981
    "Abraxane® With or Without Mifepristone for Advanced, Glucocorticoid Receptor-Positive, Triple-Negative Breast Cancer"; n 29; "Progression-free Survival (PFS)"; 2026-08
  • NCT05177510
    "Mifepristone Outpatient Labour Induction"; n 400; "Measure of women in labour or delivered within 2 days of intervention"; 2027-05-31
  • NCT05341817
    "The Use of Letrozole or Mifepristone for Pretreatment of Medical Termination of Pregnancy"; n 144; "Rate of complete abortion by Day 21-28"; 2025-11
  • NCT06099769
    "A Study of Enzalutamide, Enzalutamide in Combination With Mifepristone, or Chemotherapy in People With Metastatic Breast Cancer"; n 201; "progression-free survival (PFS)"; 2027-10
  • NCT06394999
    "Efficacy, Safety, and Acceptability of Mifepristone 50 mg Once-weekly as a Contraceptive"; n 615; "Overall Pearl Index"; 2028-01-01
  • NCT06502158
    "Mifepristone vs Misoprostol"; n 94; "Percentage of participants achieving Intended dilation"; 2027-06
  • 1 further recorded trial NCT06733727
    "Letrozole Versus Mifepristone and Misoprostol in Silent Miscarriage"; n 884; "Gestational sac expulsion"; 2028-06-05

recorded 2026-09-01 · last checked 2026-09-04

Which running trial of Mifepristone could settle lifespan?


NCT02788981 measures Progression-free Survival (PFS), reading out 2026-08.

2 open trials; n 29; "Abraxane® With or Without Mifepristone for Advanced, Glucocorticoid Receptor-Positive, Triple-Negative Breast Cancer"

Show the evidence

Trial

  • NCT02788981
    "Abraxane® With or Without Mifepristone for Advanced, Glucocorticoid Receptor-Positive, Triple-Negative Breast Cancer"; n 29; "Progression-free Survival (PFS)"; 2026-08
  • NCT06099769
    "A Study of Enzalutamide, Enzalutamide in Combination With Mifepristone, or Chemotherapy in People With Metastatic Breast Cancer"; n 201; "progression-free survival (PFS)"; 2027-10

Which 46 trials of Mifepristone posted no result?


Posted no result
46 of 46 completed trials
Registrations
NCT00046553, NCT00945997, NCT00099645, NCT00130676, NCT00383032 and NCT00146523, and 40 more
Completion dates
oldest 2004-10; newest 2023-05-08
Show the evidence

Trial

  • NCT00046553
    2004-10
  • NCT00945997
    2005-03
  • NCT00099645
    2005-08
  • NCT00130676
    2006-06
  • NCT00383032
    2006-06
  • NCT00146523
    2006-07
14 further recorded trials
  • NCT00128505
    2006-11
  • NCT00208156
    2006-11
  • NCT00128479
    2007-01
  • NCT00579475
    2007-06
  • NCT00043654
    2007-06-25
  • NCT00455442
    2007-07
  • NCT00140478
    2008-01
  • NCT00410345
    2008-05
  • NCT00505739
    2008-05
  • NCT00680394
    2008-05
  • NCT00712595
    2009-03
  • NCT00886873
    2009-05
  • NCT00721201
    2010-03
  • NCT00994734
    2011-02

At the median, Mifepristone's trials enrolled 59 people — anything larger?


Median enrolment
59
Largest enrolment
884
Registered trials counted
136

What do 1406 spontaneous reports say about Mifepristone — and not say?


These are reports people sent to a regulator. They do not show the medicine caused the reaction. Nobody counted how many people took the medicine and reported nothing. The same event can be reported more than once, and many reports are incomplete. News coverage, lawsuits and new warnings change how often people report. A count is not a rate and not a risk.

Mifepristone appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 1406 reaction mentions were counted: abortion incomplete 373; haemorrhage 357; pregnancy 125; anaemia 109. open-targets-adr · CHEMBL1276308 · 2026-06-24

Show the evidence
  • abortion incomplete
    373
  • haemorrhage
    357
  • pregnancy
    125
  • anaemia
    109
  • pain
    97
  • muscle spasms
    81
4 more recorded rows
  • vomiting
    73
  • dizziness
    72
  • pyrexia
    62
  • vaginal haemorrhage
    57

recorded 2026-06-24 · last checked 2026-09-04

Mifepristone and CYP3A4, BCRP and CYP1A2: shared by which compounds?


CYP3A4, BCRP and CYP1A2 appear in Mifepristone's recorded interaction sentences, 9 in all. openfda-label+europepmc · 2026-08-30

Interpretation pharmacokinetics

Show the evidence
  • CYP1A2 pharmacokinetics
    Drug-Drug Interactions In Vitro Assessment of Drug Interactions In vitro studies indicate a potential for CYP-mediated drug interactions by mifepristone and/or its metabolites with substrates of CYP2A6, CYP2C8/2C9, CYP2C19, CYP3A4, CYP1A2, CYP2B6, CYP2D6, and CYP2E1.
  • CYP2A6 pharmacokinetics
    Drug-Drug Interactions In Vitro Assessment of Drug Interactions In vitro studies indicate a potential for CYP-mediated drug interactions by mifepristone and/or its metabolites with substrates of CYP2A6, CYP2C8/2C9, CYP2C19, CYP3A4, CYP1A2, CYP2B6, CYP2D6, and CYP2E1.
  • CYP2B6 pharmacokinetics
    Drug-Drug Interactions In Vitro Assessment of Drug Interactions In vitro studies indicate a potential for CYP-mediated drug interactions by mifepristone and/or its metabolites with substrates of CYP2A6, CYP2C8/2C9, CYP2C19, CYP3A4, CYP1A2, CYP2B6, CYP2D6, and CYP2E1.
  • CYP2C19 pharmacokinetics
    Drug-Drug Interactions In Vitro Assessment of Drug Interactions In vitro studies indicate a potential for CYP-mediated drug interactions by mifepristone and/or its metabolites with substrates of CYP2A6, CYP2C8/2C9, CYP2C19, CYP3A4, CYP1A2, CYP2B6, CYP2D6, and CYP2E1.
  • CYP2C8 pharmacokinetics
    Drug-Drug Interactions In Vitro Assessment of Drug Interactions In vitro studies indicate a potential for CYP-mediated drug interactions by mifepristone and/or its metabolites with substrates of CYP2A6, CYP2C8/2C9, CYP2C19, CYP3A4, CYP1A2, CYP2B6, CYP2D6, and CYP2E1.
  • CYP2D6 pharmacokinetics
    Drug-Drug Interactions In Vitro Assessment of Drug Interactions In vitro studies indicate a potential for CYP-mediated drug interactions by mifepristone and/or its metabolites with substrates of CYP2A6, CYP2C8/2C9, CYP2C19, CYP3A4, CYP1A2, CYP2B6, CYP2D6, and CYP2E1.
1 more recorded row
  • CYP2E1 pharmacokinetics
    Drug-Drug Interactions In Vitro Assessment of Drug Interactions In vitro studies indicate a potential for CYP-mediated drug interactions by mifepristone and/or its metabolites with substrates of CYP2A6, CYP2C8/2C9, CYP2C19, CYP3A4, CYP1A2, CYP2B6, CYP2D6, and CYP2E1.

CYP3A4

  • pharmacokinetics
    Metabolism Cytochrome P450 3A4 (CYP3A4) has been shown to be involved in mifepristone metabolism in human liver microsomes.
  • pharmacokinetics
    Drug-Drug Interactions In Vitro Assessment of Drug Interactions In vitro studies indicate a potential for CYP-mediated drug interactions by mifepristone and/or its metabolites with substrates of CYP2A6, CYP2C8/2C9, CYP2C19, CYP3A4, CYP1A2, CYP2B6, CYP2D6, and CYP2E1.

recorded 2026-08-30 · last checked 2026-09-04

Was Mifepristone studied with fasting and exercise?


fasting and exercise are named in Mifepristone's label sentences: "Each subject was randomized at the beginning to receive a 25-mg tablet of the test or the reference mifepristone under fasting conditions during the first period, then received the alternate formulation during the second period following a 2-week washout period." openfda-label+europepmc · 2026-08-30

2 recorded statements; fasting, exercise

Show the evidence
  • fasting
    Each subject was randomized at the beginning to receive a 25-mg tablet of the test or the reference mifepristone under fasting conditions during the first period, then received the alternate formulation during the second period following a 2-week washout period.
  • exercise
    After reviewing the published and ongoing registered clinical trials for cognitive-behavioral therapy, exercise therapy, acupuncture, coenzyme Q10, mifepristone, and carnosine in GWI patients, we identified only four treatments (cognitive-behavioral therapy, exercise therapy, CoQ10, and mifepristone) that have progressed beyond a phase II trial.We conclude that progress in the scientific study of…

recorded 2026-08-30 · last checked 2026-09-04

What is recorded about Mifepristone and autophagy?


"GR inhibitor RU486 prevented light-induced up-regulation of RORα and the activation of autophagy." — where Mifepristone and autophagy appear together. Europe PMC · pathway abstract search · 2019-09-03

autophagy, IGF-1, AMPK, mTOR; PMID 30923260, 31564832, 28943275, 30390418

Show the evidence
  • autophagy PMID 30923260
    "GR inhibitor RU486 prevented light-induced up-regulation of RORα and the activation of autophagy."

IGF-1

  • PMID 31564832
    "IGF-1 significantly promoted cell growth, while IGF-1 knockdown and mifepristone showed synergistic inhibition effects on cell growth."
  • PMID 31564832
    "Our study for the first time demonstrated that IGF-1 signaling via ERK1/2 appears to be an important target of mifepristone in the treatment of uterine leiomyomas, which may provide a new approach to avoid leiomyoma re-growth after cessation of mifepristone."
  • AMPK PMID 28943275
    "Mifepristone enhanced insulin-stimulated glucose uptake through a mechanism that involves a decrease in mitochondrial function and AMPK activation in skeletal muscle cells."
  • autophagy PMID 30390418
    "This progesterone-induced increase in apoptosis was reversed by the inhibition of autophagy induction using either mifepristone (progesterone receptor modulator) or PTEN inhibitor."
  • mTOR PMID 22154800
    "Both the increase in LC3-II levels and activation of Akt and mTOR by neurosteroids were all mediated by PG receptors, as the effects were blocked by the addition of RU-486, a PG receptor antagonist."
  • AMPK PMID 24693963
    "To determine whether any cross talk occurs among hypothalamic GC receptors (GRs), AMP-activated protein kinase (AMPK), and GCs in the regulation of appetite, we performed an intracerebroventricular injection of mifepristone (a GR inhibitor) and compound C (an AMPK inhibitor) on GC-treated male chicks."
  • autophagy PMID 26993765
    "BAY 11-7085-induced cell death was significantly decreased with glucocorticoid inhibitor mifepristone and with inhibitors of autophagy."
  • AMPK PMID 22848740
    "Induction of FOXO3 transcription by GR-binding steroids was reversed by concomitant treatment with the GR antagonist RU-486, but further enhanced by stimuli that activate the AMP-activated protein kinase (AMPK)."

recorded 2019-09-03 · last checked 2026-09-04

Where it is registered
Identifiers, relations and other names

The exact record

ChEMBL id
CHEMBL1276308
PubChem CID
55245
CAS number
84371-65-3
RxCUI
6964
InChIKey
VKHAHZOOUSRJNA-GCNJZUOMSA-N
Trade name
Korlym, Mifegyne, Mifeprex, Korlym / Mifeprex
Also called
Mifepristona, c-1073, corlux, vgx-410, MIFEPRISTONE [HSDB], MIFEPRISTONE [JAN], MIFEPRISTONE [MART.], MIFEPRISTONE [MI], MIFEPRISTONE [ORANGE BOOK], MIFEPRISTONE [USAN], MIFEPRISTONE [USP-RS], MIFEPRISTONE [VANDF]
Development code
NSC-759862, RU 38486, RU 486, RU486
Sources (10)

Sources

4 more sources
  • open-targets-adr CHEMBL1276308 ·
  • openfda-label b63fad9b-7f12-4400-9019-b0586054e534 ·
  • openfda-label+europepmc K1:320T6RNW1F ·
  • national registers US ·

ChEMBL ATC CC BY-SA · ClinicalTrials.gov — US Government work · Europe PMC — metadata only, under the recorded legal gate · Open Targets 26.06 — CC0 · derived from this page's own recorded fields; no external licence · mixed register set; per-register licences in docs/specs/corpus-20k-sources.md · openFDA / DailyMed — US Government work

How these records are assembled · Which registers were checked

Index-quality checks
  • identity passed: no open identity hold
  • required summary fields resolved: 5 required field(s) not terminal: Why people use it, Best-supported result, Most important common problem, Biggest unanswered question, Human evidence
  • public claims reviewed: 0 reviewed claim(s); drafts are never rendered
  • source coverage passed: 10 source rows
  • no critical contamination: no quarantine open
  • canonical metadata passed: slug and display name present
  • no raw internal fields: enforced by the copy-contract test over the rendered page

This is a record of evidence. It is not medical advice, and it does not say this substance suits you. Nothing here says any substance on RNAWiki is appropriate for a child.