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CompletedNCT05446857Updated Aug 29, 2024

Glecaprevir/Pibrentasvir for the Treatment of PTSD

A Phase 2/3 interventional study of Glecaprevir / Pibrentasvir Pill in PTSD, sponsored by White River Junction Veterans Affairs Medical Center. Completed at 1 site in United States. Open to participants aged 19 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-08-29.

Sponsored by White River Junction Veterans Affairs Medical Center · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
19 Years to 70 Years
Sex
All
01

Study summary

An open-label pilot study 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).

Read the detailed description

To perform an open-label pilot study (N=10) 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). The specific research described in this proposal is intended to pilot GLE/PIB for N=10 patients with PTSD in the absence of HCV.

Primary Aims:

Aim 1: Determine the feasibility of testing GLE/PIB for PTSD symptoms. Aim 2: Determine the feasibility of testing GLE/PIB for functioning among patients with PTSD.

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

Exploratory Aim: Investigate the possible biological mechanism of GLE/PIB for PTSD via blood bio-marker analyses.

02

Conditions studied

  • PTSD

Keywords

  • PTSD
  • Antiviral
  • Hepatitis C
03

Who can participate

Ages eligible
19 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age 19-70 years
  2. Weight ≥ 45 kg
  3. PTSD as determined by the CAPS within seven days of enrollment.
  4. Eligible for Veterans Affairs healthcare.
  5. If of 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 criteria

Exclusion 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
04

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Active Drug

    All enrolled participants will receive Glecaprevir/Pibrentasvir

    Drug: Glecaprevir / Pibrentasvir Pill

Interventions

  • DrugGlecaprevir / Pibrentasvir Pill

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

    Also known as: Mavyret

05

What researchers measure

Primary outcomes

  1. Clinical Administered Post-Traumatic Stress Disorder Scale version 5 (CAPS-5)

    Queries the frequency and intensity of symptoms of Post-traumatic Stress Disorder (PTSD). The score ranges from 0-80 with a higher score indicating worse symptoms. It is considered the gold standard for diagnosis and symptoms assessment in PTSD clinical studies.

    Time frame: Change from Baseline CAPS score at 8 weeks

  2. World Health Organization Disability Assessment Schedule, version 2.0 (WHODAS)

    A 36 item self-report instrument that assesses disability and function across six domains: communicating, getting around, self-care, getting along with people, life activities, and participation in society. The WHODAS has been used as an outcome of function and disability across many disorders and is commonly used in mental health treatment trials. The total score ranges from 0-180 with a higher score indicating worse functioning.

    Time frame: Change from Baseline WHODAS score at 8 weeks

06

Study locations

1 site
  • White River Junction VAMC
    White River Junction, Vermont 05009, United States
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT05446857
Lead sponsor
White River Junction Veterans Affairs Medical Center
Responsible party
Bradley Watts (Staff Psychiatrist, White River Junction Veterans Affairs Medical Center) — Principal investigator
First posted
Jul 7, 2022
Start date
Apr 1, 2023
Primary completion
Apr 15, 2024
Completion
Apr 15, 2024
Last update
Aug 29, 2024

Study contacts

Bradley V Watts, MD, MPH
principal investigator · White River Junction Veterans Affairs Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.

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