Department of Defense PTSD Adaptive Platform Trial - Intervention A - Fluoxetine

NCT ID: NCT05948553

Last Updated: 2025-09-08

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

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-02

Study Completion Date

2026-09-30

Brief Summary

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This is a Phase 2 randomized, double-blinded, placebo-controlled study that will evaluate multiple potential pharmacotherapeutic interventions for PTSD utilizing an adaptive platform trial design.

Intervention A - Fluoxetine will assess the safety and efficacy of fluoxetine in participants with PTSD.

Please see NCT05422612 for information on the S-21-02 Master Protocol.

Detailed Description

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The general structure of this Adaptive Platform Trial (APT) consists of a 30-day Screening Period, a 12-week Platform Treatment Period, and a 4-week Safety Follow-up. The S-21-02 Platform Trial will evaluate the safety and efficacy of multiple investigational products for the treatment of PTSD (see NCT05422612 for Master Protocol information). Participants are randomized among the multiple cohorts in the study and the resulting randomization enables sharing/pooling of control subjects, where all interventions may be compared to a common control (placebo). This record only includes information relevant to the fluoxetine cohort.

Once a participant meets all eligibility criteria for the Master Protocol, eligibility for each currently enrolling intervention cohort is assessed. Eligible participants will be randomized with equal probability into a cohort. Participants randomized to the fluoxetine cohort are then randomly assigned to receive either fluoxetine or placebo (in a ratio of 5:3; intervention:placebo), for the duration of the 12-week treatment period.

Parties interested in having their intervention considered for testing within the M-PACT should complete a request for information form using this webpage https://citeline.qualtrics.com/jfe/form/SV\_8eTQKw6TNug4z42..

Conditions

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Post Traumatic Stress Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Fluoxetine is one of multiple interventions that will be tested in this adaptive platform trial (NCT05422612).
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
The overall 2-stage randomization scheme will be implemented by an unblinded statistician who is otherwise uninvolved in study operations. Participants will be assigned a study number at Screening (Subject ID). In the first stage of randomization, eligible participants who complete screening will be randomly assigned to an open platform cohort for which they are eligible (both site PIs and participants are aware of the cohort assignment) and, within that cohort, the second stage of randomization is to intervention vs placebo (double-blind) using Interactive Response Technology (IRT).

For this APT, participants assignment to a cohort will not be blinded. The tablets/capsules used in the cohorts may not be visually similar between cohorts and blinding to cohort assignment is not necessary to avoid bias. However, within each cohort, participants, site personnel, contract research personnel and the sponsor will be blind to treatment assignment (intervention vs. placebo).

Study Groups

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Intervention A: Fluoxetine HCl

Group Type EXPERIMENTAL

Intervention A Fluoxetine Hydrochloride (HCl)

Intervention Type DRUG

Fluoxetine will be administered at 10 to 60 mg daily. The initial dose for all participants will be 10 mg daily for 1 week, then increased to 20 mg daily for 2 weeks, then increased to 40 mg daily for 2 weeks, then increased to 60 mg daily for the remainder of the trial. One reduction in dose due to tolerability will be allowed. When a participant's dose is decreased due to tolerability, the dose will not be increased.

Intervention A Placebo

Group Type PLACEBO_COMPARATOR

Intervention A Placebo

Intervention Type DRUG

A matching placebo will be administered at 10 to 60 mg daily in the same regimen as the intervention.

Interventions

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Intervention A Fluoxetine Hydrochloride (HCl)

Fluoxetine will be administered at 10 to 60 mg daily. The initial dose for all participants will be 10 mg daily for 1 week, then increased to 20 mg daily for 2 weeks, then increased to 40 mg daily for 2 weeks, then increased to 60 mg daily for the remainder of the trial. One reduction in dose due to tolerability will be allowed. When a participant's dose is decreased due to tolerability, the dose will not be increased.

Intervention Type DRUG

Intervention A Placebo

A matching placebo will be administered at 10 to 60 mg daily in the same regimen as the intervention.

Intervention Type DRUG

Eligibility Criteria

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Exclusion Criteria

1\. Recent history of treatment for PTSD with fluoxetine at doses of 20 mg daily, for at least 4 weeks. A remote history of treatment with fluoxetine for non-PTSD symptoms will be discussed on a case-by-case basis with the contract research organization (CRO) Medical Monitor.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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U.S. Army Medical Research and Development Command

FED

Sponsor Role collaborator

PPD Development, LP

INDUSTRY

Sponsor Role collaborator

Berry Consultants

OTHER

Sponsor Role collaborator

Idorsia Pharmaceuticals Ltd.

INDUSTRY

Sponsor Role collaborator

Cambridge Cognition Ltd

INDUSTRY

Sponsor Role collaborator

Citeline

INDUSTRY

Sponsor Role collaborator

Global Coalition for Adaptive Research

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Phoenix VA Healthcare System

Phoenix, Arizona, United States

Site Status RECRUITING

Homestead Associates in Research, Inc.

Miami, Florida, United States

Site Status RECRUITING

Advanced Discovery Research

Atlanta, Georgia, United States

Site Status RECRUITING

Tripler Army Medical Center (TAMC)

Tripler AMC, Hawaii, United States

Site Status RECRUITING

Cincinnati Veteran's Affairs Medical Center

Fort Thomas, Kentucky, United States

Site Status RECRUITING

Walter Reed National Military Medical Center (WRNMC)

Bethesda, Maryland, United States

Site Status RECRUITING

Upstate Clinical Research Associates, LLC

Williamsville, New York, United States

Site Status RECRUITING

Wilford Hall Ambulatory Surgical Center (WHASC)

San Antonio, Texas, United States

Site Status RECRUITING

Alexander T. Augusta Military Medical Center (ATAMMC):

Fort Belvoir, Virginia, United States

Site Status RECRUITING

Madigan Army Medical Center

Joint Base Lewis McChord, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Please visit the website:

Role: CONTACT

ptsdclinicaltrial.org

Facility Contacts

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Dr. Shabnam Thompson

Role: primary

602-277-5551 ext. 7768

Connie Houser

Role: backup

602-277-5551 ext. 7768

Homestead Associates Research Contact

Role: primary

305-246-0873

Advanced Discovery Research Contact

Role: primary

470-777-8839

Department of Clinical Investigation

Role: primary

808-304-1143

Jada Turner

Role: primary

513-485-8934

Amber Hampton, MSN

Role: primary

301-295-2397

Payton Flores, MPH

Role: backup

301-295-9144

Amy Strombach

Role: primary

716-626-6320

Laura Liu, Clinical Coordinator II, BS, RN, CCRC

Role: primary

301-295-3790

Wafa Azgugu, Study Coordinator

Role: primary

571-231-1315

Aamina Khattak, Research Assistant

Role: backup

571-231-1314

Madigan Army Medical Center Contact

Role: primary

253-968-4263

References

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Viele K. Allocation in platform trials to maintain comparability across time and eligibility. Stat Med. 2023 Jul 20;42(16):2811-2818. doi: 10.1002/sim.9750. Epub 2023 Apr 23.

Reference Type BACKGROUND
PMID: 37088912 (View on PubMed)

Other Identifiers

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S-21-02 (Fluoxetine)

Identifier Type: -

Identifier Source: org_study_id

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