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CompletedNCT06734858Updated Aug 5, 2025

Pivotal Trial of SAT-014 for Trauma and Stressor-Related Disorder Symptoms

An interventional study of SAT014 and Control in Post-traumatic Stress Disorder and Adjustment Disorders, sponsored by S-Alpha Therapeutics, Inc.. Completed at 5 sites in South Korea. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2025-08-05.

Sponsored by S-Alpha Therapeutics, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
110
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

The aim of this study is to evaluate the efficacy of SAt-014, a software as a medical device (SaMD), in alleviating symptoms of trauma and stressor-related disorders in patients with post-traumatic stress disorder (PTSD) or adjustment disorder (AD), compared to standard treatment, and to assess its safety for regulatory approval by the Ministry of Food and Drug Safety (MFDS).

Read the detailed description

Stress-related mental disorders, including Post-Traumatic Stress Disorder (PTSD) and Adjustment Disorder (AD), are caused by traumatic experiences or significant stressors. These conditions can lead to social dysfunction, decreased quality of life, and increased suicide risk if untreated. With high global prevalence and rising patient numbers, existing treatments such as psychotherapy and pharmacotherapy have limitations. Digital therapeutics (DTx) offer a more accessible, cost-effective solution with less external exposure. Based on studies showing the effectiveness of therapies like EMDR and MBCT, SAT-014, a cognitive therapy software, was developed. An exploratory clinical trial was conducted to assess its initial safety and efficacy for alleviating symptoms of PTSD and AD. This trial, involving 110 participants over 19 years old, aims to evaluate SAT-014's efficacy in comparison with conventional treatments and assess its safety. The primary efficacy endpoint is the change in PCL-5 score at Week 6 (Visit 7) compared to baseline, while secondary endpoints include changes in PCL-5, IES-R, BAI, PHQ-9, HAM-A, CGI, and SF-12 scores at various time points.

02

Conditions studied

  • Post-traumatic Stress Disorder
  • Adjustment Disorders

Keywords

  • post-traumatic stress disorder (PTSD)
  • adjustment disorder (AD)
  • SaMD
03

In context

Stress Disorders, Post-Traumatic

2,682 studies on the registry are indexed under Stress Disorders, Post-Traumatic; 601 are open to participants now.

This study's enrollment of 110 is above the median of 69 across 2,196 interventional studies indexed under Stress Disorders, Post-Traumatic.

Browse Stress Disorders, Post-Traumatic studies →

Lead sponsor

S-Alpha Therapeutics, Inc. is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults aged 19 years or older
  • Diagnosed with Post-Traumatic Stress Disorder (PTSD) or Adjustment Disorder (AD) according to the -5 (DSM-5)
  • A score of 3 to 4 on the Clinical Global Impression-Severity (CGI-S) scale
  • Able to access the internet and respond to app activity instructions
  • Voluntarily decided to participate in this clinical trial and provided written consent by signing the participant information sheet and consent form

Exclusion criteria

Exclusion Criteria:

  • Those diagnosed with schizophrenia, bipolar disorder type 1, or psychotic disorders
  • Those diagnosed with neurodevelopmental disorders, neurocognitive disorders, or organic mental disorders
  • Those with severe depression (Patient Health Questionnaire-9 (PHQ-9) ≥ 20)
  • Those with severe personality disorders
  • Those diagnosed with substance use disorders (excluding nicotine and caffeine) or severe alcohol use disordes
  • Those exhibiting active suicidal tendencies (suicidal thoughts, suicide attempts, or suicidal behavior)
  • Those who have had a change in the type, dosage, or regimen of anxiolytics or antidepressants within 4 weeks of baseline
  • Those currently participating in another clinical trial or who have participated in a clinical trial within 90 days prior to the screening visit
  • Those deemed unsuitable for participation in the trial at the discretion of the investigator
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
110 participants (actual)

Study arms

  • Experimental
    SAT014 study group

    SAT-0014 + Conventional treatment\* \*Conventional treatment: Pharmacological treatment received at baseline for the indication or simple counseling (excluding cognitive behavioral therapy and psychoanalytic counseling therapy)

    Device: SAT014

  • Other
    Control group

    Conventional treatment\* \*Conventional treatment: Pharmacological treatment received at baseline for the indication or simple counseling (excluding cognitive behavioral therapy and psychoanalytic counseling therapy)

    Other: Control

Interventions

  • DeviceSAT014

    SAT-014 in Combination with Baseline Conventional Treatment Participants in this arm will use the SAT-014 application for 6 weeks in combination with their baseline conventional treatment, which may include pharmacological therapy or simple counseling (excluding cognitive behavioral therapy and psychoanalytic counseling therapy). The aim of this study is to assess the efficacy and safety of SAT-014 for alleviating symptoms of trauma and stressor-related disorders, such as PTSD and adjustment disorder.

  • OtherControl

    Baseline Conventional Treatment Participants in this arm will receive only conventional treatment, which includes the medication they were taking at baseline for the indication or the basic counseling therapy they were receiving at baseline.

06

What researchers measure

Primary outcomes

  1. Change in Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) score

    The PTSD Checklist for DSM-5 (PCL-5) consist of 20 items, with a scale ranging from 0 to 4. Each item evaluates the frequency or intensity of specific symptoms over the past month. The scores are summed to produce a total severity score that ranges from 0 (minimum score) to 80 (maximum score). A higher scores indicate greater distress due to symptoms to past stressful experiences and a worse outcome.

    Time frame: baseline, 6 weeks

Secondary outcomes

  1. Change in Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) score

    PCL-5 consists of 20 items, with a scale ranging from 0 to 4. The scores range from 0 to 80, with higher scores indicating greater frequency and severity of PTSD symptoms.

    Time frame: Baseline, 2 weeks, 4 weeks, 6 weeks

  2. Change in Beck Anxiety Inventory (BAI) score

    The Beck Anxiety Inventory (BAI) consists of 21 items, each assessing the intensity of anxiety symptoms experienced over the past week. Each item is rated on a 4-point scale, ranging from 0 (not at all) to 3 (severely-I could barely stand it). The total score can range from 0 to 63. Scores between 0 and 7 indicate minimal anxiety, while scores from 8 to 15 reflect mild anxiety. A score between 16 and 25 suggests moderate anxiety, and scores from 26 to 63 indicate severe anxiety. A higher score correlates with more severe anxiety.

    Time frame: Baseline, 2 weeks, 4 weeks, 6 weeks

  3. Change in (Patient Health Questionnaire-9 (PHQ-9) score

    Change in PHQ-9 (Patient Health Questionnaire-9) score at each time point compared to baseline. The PHQ-9 (Patient Health Questionnaire-9) consists of 9 questions. Each question is scored on a 4-point scale, ranging from 0 (not at all) to 3 (nearly every day), resulting in a total score ranging from 0 to 27. The PHQ-9 score quantitatively reflects the severity of depressive symptoms, with higher scores indicating more severe depression.

    Time frame: Baseline, 2 weeks, 4 weeks, 6 weeks

  4. Change in Hamilton Anxiety Scale (HAM-A) score

    The HAM-A (Hamilton Anxiety Rating Scale) consists of 14 items, with each item scored on a scale from 0 (not present) to 4 (extremely severe). The total score can range from 0 to 56. The HAM-A score reflects the severity of a patient's anxiety symptoms, with higher scores indicating more severe anxiety.

    Time frame: Baseline, 2 weeks, 4 weeks, 6 weeks

  5. Change in Clinical Global Impression-Severity (CGI-S) score

    The CGI-S scale ranges from 1 to 7, with each score representing a different level of illness. Higher scores reflect more serious illness.

    Time frame: Baseline, 2 weeks, 4 weeks, 6 weeks

  6. Clinical Global Impression-Improvement (CGI-I) score

    The CGI-I scale uses a 7-point rating system to assess improvement in a patient's condition. The CGI-I score ranges from 1 point (very much improved) to 7 points (very much worse). A higher score indicates that the symptoms have worsened.

    Time frame: Baseline, 2 weeks, 4 weeks, 6 weeks

  7. Change in Impact of Event Scale - Revised (IES-R) score

    The Impact of Event Scale - Revised (IES-R) consists of 22 items, with each item rated on a 5-point scale, ranging from 0 (not at all) to 4 (extremely). The total score can range from 0 to 88. The IES-R total score reflects the severity of PTSD symptoms, with higher scores indicating a greater level of psychological distress and more intense post-traumatic stress responses.

    Time frame: Baseline, 2 weeks, 4 weeks, 6 weeks

  8. Percentage of participants with a ≥10 point reduction in PTSD Checklist for DSM-5 (PCL-5) score

    The percentage of participants showing a greater than or equal to a 10-point reduction in their PTSD Checklist for DSM-5 (PCL-5) score will be measured at Week 6 (Visit 7) compared to baseline. PCL-5 consists of 20 items, each rated on a scale from 0 to 4. The total score ranges from 0 to 80, with higher scores indicating a worse outcome.

    Time frame: Baseline, 6 weeks

07

Study locations

5 sites
  • Kyung Hee University Hospital
    Seoul, South Korea
  • Samsung Medical Center
    Seoul, South Korea
  • Severance Hospital
    Seoul, South Korea
  • SMG-SNU Boramae Medical Center
    Seoul, South Korea
  • Wonju Severance Christian Hospital
    Wŏnju, South Korea
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06734858
Lead sponsor
S-Alpha Therapeutics, Inc.
Responsible party
Sponsor
First posted
Dec 16, 2024
Start date
Dec 9, 2024
Primary completion
May 29, 2025
Completion
May 29, 2025
Last update
Aug 5, 2025

Study contacts

Hong, MD
principal investigator · Samsumg Medical Center
Kang, MD
principal investigator · Severance Hospital
Seo, MD
principal investigator · Wonju Severance Christian Hospital
Lee, MD
principal investigator · Kyung Hee University Hospital
Yoo, MD
principal investigator · SMG-SNU Boramae Medical Center

Oversight

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

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

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