Glecaprevir/Pibrentasvir for Post-traumatic Stress Disorder

NCT ID: NCT05637879

Last Updated: 2025-04-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-18

Study Completion Date

2026-09-30

Brief Summary

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A double-blind randomized placebo-controlled trial to further investigate glecaprevir/pibrentasvir (GLE/PIB), a direct acting antiviral (DAA) that has been associated with posttraumatic stress disorder (PTSD) symptom improvement when prescribed for the treatment of chronic hepatitis C viral infection (HCV).

Detailed Description

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N=92 patients with posttraumatic stress disorder (PTSD) will be enrolled into a double-blind randomized placebo-controlled trial to further investigate glecaprevir/pibrentasvir (GLE/PIB), a direct acting antiviral (DAA) that has been associated with PTSD symptom improvement when prescribed for the treatment of chronic hepatitis C viral infection (HCV). The research is intended to test the efficacy of GLE/PIB for PTSD symptom improvement in the absence of HCV.

Primary Aims:

Aim 1: Determine the efficacy of GLE/PIB for PTSD symptom improvement. Aim 2: Determine the efficacy of GLE/PIB for functioning improvement among patients with PTSD.

Aim 3: Assess the safety and tolerability of GLE/PIB treatment for patients with PTSD in the absence of HCV.

Conditions

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PTSD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinded placebo-controlled randomized trial
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Active Drug

Glecaprevir 100 mg/Pibrentasvir 40 mg, 3 oral tablets once daily for 8 weeks.

Group Type ACTIVE_COMPARATOR

Glecaprevir/pibrentasvir

Intervention Type DRUG

Direct-acting antiviral, Food \& Drug Administration (FDA) approved for the treatment of hepatitis C viral infection

Placebo

Placebo, 3 oral tablets once daily for 8 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Compounded, inactive pill equal in appearance to active study drug

Interventions

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Glecaprevir/pibrentasvir

Direct-acting antiviral, Food \& Drug Administration (FDA) approved for the treatment of hepatitis C viral infection

Intervention Type DRUG

Placebo

Compounded, inactive pill equal in appearance to active study drug

Intervention Type OTHER

Other Intervention Names

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Mavyret

Eligibility Criteria

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Inclusion Criteria

1. Age 19-70 years
2. Weight ≥ 45 kg
3. Diagnosed with PTSD as determined by the CAPS-5 within seven days of enrollment
4. Eligible for Veterans Affairs healthcare
5. If person with childbearing potential, use of acceptable method of birth control (i.e., effective contraceptives, abstinence) is required.
6. Able to read, understand, and sign the informed consent document.

Exclusion (unable to participate) Criteria:

1. Pregnant or lactating person
2. Moderate or severe hepatic impairment (Child-Pugh B or C)
3. History of prior hepatic decompensation
4. Current use of drugs listed as having significant drug interactions on prescribing label
5. Advanced liver disease
6. Current or prior hepatitis B infection
7. Prior clinical use of GLE/PIB or HCV NS5A inhibitor AND NS3/4A protease inhibitor
8. Current HCV infection
9. Current psychosis or mania
10. Significant suicidal ideation
11. Unstable medical conditions
12. Current severe alcohol or substance use disorder (excluding nicotine)
13. Evidence-based PTSD psychotherapy changes in the past two months
14. Evidence-based PTSD medication changes in the past two months
Minimum Eligible Age

19 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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White River Junction Veterans Affairs Medical Center

FED

Sponsor Role lead

Responsible Party

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Bradley Watts

Staff Psychiatrist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bradley V Watts, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

US Department of Veterans Affairs

Locations

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White River Junction VAMC

White River Junction, Vermont, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Bradley V Watts, MD, MPH

Role: CONTACT

802-295-9363 ext. 5235

Emily Colon, MS

Role: CONTACT

802-295-9363 ext. 6131

Facility Contacts

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Bradley V Watts, MD

Role: primary

802-295-9363 ext. 5235

Other Identifiers

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W81XWH22C0147

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

1698661

Identifier Type: -

Identifier Source: org_study_id

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