CClinicalTrials.gg
TerminatedNCT06140420NPGDUpdated May 18, 2026

Naltrexone for Prolonged Grief Disorder

A Phase 4 interventional study of Naltrexone Oral Product and Placebo in Naltrexone HCl 50 MG Oral Tablet and Placebo, sponsored by Texas Tech University. Terminated at 1 site in United States. Open to participants aged 18 Years to 120 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-18.

Sponsored by Texas Tech University · Phase 4, Interventional, and Treatment

Why this study was terminated
Funding unexpectedly withdrawn

From the registry’s dates

  • Primary completion was Feb 2025, 1 year 8 months ago, and no results have been posted to the registry.
  • Registered 3 months after the study started (first participant enrolled Aug 2023, registered Nov 2023).
Phase
Phase 4
Study type
Interventional
Enrollment
7
Allocation
Randomized
Ages
18 Years to 120 Years
Sex
All
01

Study summary

This is a study to see how effective oral naltrexone is as treatment for prolonged grief disorder (PGD). Participants will take their assigned medication for 8 weeks, with monthly visits to assess symptom severity, social connectedness, and adverse reactions.

02

Conditions studied

  • Naltrexone HCl 50 MG Oral Tablet
  • Placebo
03

In context

Lead sponsor

Texas Tech University is the lead sponsor of 82 studies on the registry; 11 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 18 years of age or older.
  • Lives within a reasonable distance from NYPH for convenient clinic visits.
  • Can speak, read, and write English proficiently.
  • Meet diagnostic criteria for PGD based on the DSM guidelines
  • If a female patient, must agree to use a method of contraception and be willing and able to continue contraception during the first 8 weeks of the study while she is taking the study drug. Female patients who are planning to use oral hormonal contraception during this time must have initiated it at least 2 months prior to the baseline visit.
  • If a male patient, must agree to use a method of contraception and be willing and able to continue contraception during the first 8 weeks of the study while he is taking the study drug.

Exclusion criteria

Exclusion Criteria:

  • Having recently started taking/prescribed medications for any psychiatric illness (e.g.

SSRIs for MDD) within the past 3 months; participants who have been taking this medication for longer than 3 months can be included.

  • Having recently started psychotherapy for any psychiatric illness within the past 3 months; participants who have been receiving psychotherapy for longer than 3 months can be included.
  • Prior history of recently active (e.g. within the past 3 months) opioid dependence.
  • Current prescription, non-prescription, or illicit opioid use, (i.e., acute use within the past 14 days or chronic use within the last 30 days), including opioid antagonists for alcohol or opioid dependence, all opioid analgesics, certain cough and cold remedies (e.g., codeine), and certain anti-diarrheal preparations (e.g., loperamide).
  • Possible future use of opioids during the study (e.g. for surgery).
  • Current use of leflunomide (Arava), droperidol (Droleptan), diazepam (Valium), thioridazine (Mellaril, Novoridazine, Thioril), or any other clinically relevant medication that has potential to cause liver injury with concurrent use of naltrexone.
  • Currently pregnant, lactating, or planning to become pregnant during the study.
  • Active hepatitis or liver disease.
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels more than one standard deviation (SD) above the upper limit of normal on initial laboratory examination. Screen positive for active suicidal thoughts or behaviors.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
7 participants (actual)

Study arms

  • Placebo comparator
    Placebo Comparator: Placebo

    24 randomized patients will take placebo daily for 8 weeks.

    Drug: Placebo

  • Active comparator
    Active Comparator: Naltrexone

    24 randomized patients will take naltrexone daily for 8 weeks

    Drug: Naltrexone Oral Product

Interventions

  • DrugNaltrexone Oral Product

    Generic, oral tablet.

  • DrugPlacebo

    Oral Placebo

06

What researchers measure

Primary outcomes

  1. Change in Prolonged Grief Disorder symptom severity as assessed by the PGD-12

    Change in PGD symptom severity will be measured by using Prolonged Grief-13 (PGD-12), a self-rated scale consisting of 12 items. For this study, we have added an additional item inquiring about loneliness to be congruent with DSM-5-TR criteria and SCIP. This 5-point Likert-type of measurement tool evaluates the intensity and severity of the PGD. The validity and reliability of the PGD-12 was tested and validated in previous studies.

    Time frame: Weekly for 12 weeks

  2. Change in Prolonged Grief Disorder severity as assessed by Structured Clinical Interview for PGD

    The IOS is a self-reported pictorial tool use to measure the subjectively perceived closeness of a relationship. The tool asks respondents to select one of seven pairs of increasingly overlapping circles that best represents their relationship with another, with more overlap signifying a closer relationship. This scale possesses good reliability, with (α = .93) for the entire sample, (α = .87) for family, (α = .92) for friendship, and (α = .95) for romantic relationships. Test-retest reliability shows similar findings, with (α = .83) for the entire sample, (α = .85) for family, (α = .86) for friendship, and (α = .85) for romantic relationships.

    Time frame: Every 4 weeks for 8 weeks

Secondary outcomes

  1. Change in strength of subjectively perceived closeness of a social relationship as measured by the Inclusion of the other in the Self (IOS) Scale

    The IOS is a self-reported pictorial tool use to measure the subjectively perceived closeness of a relationship. The tool asks respondents to select one of seven pairs of increasingly overlapping circles that best represents their relationship with another, with more overlap signifying a closer relationship. This scale possesses good reliability, with (α = .93) for the entire sample, (α = .87) for family, (α = .92) for friendship, and (α = .95) for romantic relationships. Test-retest reliability shows similar findings, with (α = .83) for the entire sample, (α = .85) for family, (α = .86) for friendship, and (α = .85) for romantic relationships.

    Time frame: Every 4 weeks for 12 weeks

07

Study locations

1 site
  • Texas Tech Health Science Center
    Lubbock, Texas 79409, United States
08

References and documents

Publications

  • Gang J, Kocsis J, Avery J, Maciejewski PK, Prigerson HG. Naltrexone treatment for prolonged grief disorder: study protocol for a randomized, triple-blinded, placebo-controlled trial. Trials. 2021 Feb 1;22(1):110. doi: 10.1186/s13063-021-05044-8. PubMed 33522931 ↗
  • Kakarala SE, Roberts KE, Rogers M, Coats T, Falzarano F, Gang J, Chilov M, Avery J, Maciejewski PK, Lichtenthal WG, Prigerson HG. The neurobiological reward system in Prolonged Grief Disorder (PGD): A systematic review. Psychiatry Res Neuroimaging. 2020 Sep 30;303:111135. doi: 10.1016/j.pscychresns.2020.111135. Epub 2020 Jul 3. PubMed 32629197 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06140420
Lead sponsor
Texas Tech University
Collaborators
Texas Tech University Health Sciences Center
Responsible party
Jonathan Singer (Assistant Professor, Texas Tech University) — Principal investigator
First posted
Nov 20, 2023
Start date
Aug 1, 2023
Primary completion
Feb 1, 2025
Completion
Feb 1, 2025
Last update
May 18, 2026

Oversight

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

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