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RecruitingNCT05637879Updated Apr 24, 2025

Glecaprevir/Pibrentasvir for Post-traumatic Stress Disorder

A Phase 2/3 interventional study of Glecaprevir/pibrentasvir and Placebo in PTSD, sponsored by White River Junction Veterans Affairs Medical Center. Recruiting at 1 site in United States. Open to participants aged 19 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-04-24.

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

Phase
Phase 2/3
Study type
Interventional
Enrollment
92
Allocation
Randomized
Ages
19 Years to 70 Years
Sex
All
01

Study summary

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).

Read the detailed description

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.

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. 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 criteria

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
04

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
92 participants (estimated)

Study arms

  • Active comparator
    Active Drug

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

    Drug: Glecaprevir/pibrentasvir

  • Placebo comparator
    Placebo

    Placebo, 3 oral tablets once daily for 8 weeks.

    Other: Placebo

Interventions

  • DrugGlecaprevir/pibrentasvir

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

    Also known as: Mavyret

  • OtherPlacebo

    Compounded, inactive pill equal in appearance to active study drug

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

Secondary outcomes

  1. 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 of 1 sites recruiting
  • White River Junction VAMC
    White River Junction, Vermont 05001, United States
    Recruiting
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
NCT05637879
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
Dec 6, 2022
Start date
Dec 18, 2023
Primary completion
Dec 31, 2025 (estimated)
Completion
Sep 30, 2026 (estimated)
Last update
Apr 24, 2025

Study contacts

Bradley V Watts, MD, MPH
Contact
bradley.watts@va.gov
802-295-9363 ext. 5235
Emily Colon, MS
Contact
emily.colon@va.gov
802-295-9363 ext. 6131
Bradley V Watts, MD, MPH
principal investigator · US Department of Veterans Affairs

Oversight

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

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