Department of Defense PTSD Adaptive Platform Trial - Intervention C - Daridorexant

Purpose

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 C - Daridorexant will assess the safety and efficacy of daridorexant in participants with PTSD. Please see NCT05422612 for information on the S-21-02 Master Protocol.

Condition

  • Post Traumatic Stress Disorder

Eligibility

Eligible Ages
Between 18 Years and 65 Years
Eligible Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

No additional inclusion criteria beyond the inclusion criteria specified in the Master Protocol (NCT05422612).

Exclusion Criteria

The following exclusion criteria are in addition to the exclusion criteria specified in the Master Protocol (NCT05422612). 1. History of narcolepsy. 2. History of any treatment with daridorexant.

Study Design

Phase
Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Daridorexant is one of multiple interventions that will be tested in this adaptive platform trial (NCT05422612).
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description
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, participant 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).

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Intervention C Daridorexant
  • Drug: Intervention C Daridorexant
    Daridorexant will be administered 50 mg once daily at least 2 hours after the last meal and within 30 minutes of going to bed.
Placebo Comparator
Intervention C Placebo
  • Drug: Intervention C Placebo
    A matching placebo will be administered at 50 mg daily in the same regimen as the intervention.

Recruiting Locations

Homestead Associates in Research, Inc.
Miami, Florida 33032
Contact:
Homestead Associates Research Contact
305-246-0873
info@associatesinresearch.com

Advanced Discovery Research
Atlanta, Georgia 30318
Contact:
Advanced Discovery Research Contact
470-777-8839
contact@advdiscovery.com

Tripler Army Medical Center (TAMC)
Tripler AMC, Hawaii 96859
Contact:
Department of Clinical Investigation
808-304-1143
dha.tripler.tripler-amc.mbx.ci-study@health.mil

Cincinnati Veteran's Affairs Medical Center
Fort Thomas, Kentucky 41075
Contact:
Jada Turner
513-485-8934
Jada.Turner@va.gov

Walter Reed National Military Medical Center (WRNMC)
Bethesda, Maryland 20889-5632
Contact:
Amber Hampton, MSN
301-295-2397
amber.hampton.ctr@usuhs.edu

Upstate Clinical Research Associates, LLC
Williamsville, New York 14221
Contact:
Amy Strombach
(716) 626-6320
amy.strombach@outlook.com

Wilford Hall Ambulatory Surgical Center (WHASC)
San Antonio, Texas 78236
Contact:
Laura Liu, Clinical Coordinator II, BS, RN, CCRC
301-295-3790
laura.liu.ctr@usuhs.edu

Alexander T. Augusta Military Medical Center (ATAMMC):
Fort Belvoir, Virginia 22060-5285
Contact:
Wafa Azgugu, Study Coordinator
571-231-1315
wafa.azgugu.ctr@usuhs.edu

Madigan Army Medical Center
Joint Base Lewis McChord, Washington 98433
Contact:
Madigan Army Medical Center Contact
253-968-4263
nathan.t.kearns.civ@health.mil

More Details

NCT ID
NCT05948540
Status
Recruiting
Sponsor
Global Coalition for Adaptive Research

Study Contact

Please visit the website:
ptsdclinicaltrial.org
info@gcaresearch.org

Detailed Description

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 daridorexant 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 daridorexant cohort are then randomly assigned to receive either daridorexant 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 contact partners@gcaresearch.org