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Estradiol for Post-Traumatic Stress Disorder

Phase 3
Recruiting
Led By Mohammed R Milad, PhD
Research Sponsored by NYU Langone Health
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Female, 18-45 years of age
Be between 18 and 65 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up visit 13 -15 (1, 3, and 6 months follow up)
Awards & highlights

Study Summary

This trial is determining whether adding a pill of estradiol to prolonged exposure therapy can improve treatment outcome for women with PTSD.

Who is the study for?
This trial is for women aged 18-45 with PTSD, who have experienced a traumatic event and show chronic symptoms. They must score above a certain threshold on the CAPS-5 scale, be on stable medications (except benzodiazepines), and use specific oral contraceptives or hormonal birth control methods.Check my eligibility
What is being tested?
The study tests if estradiol pills can enhance prolonged exposure therapy for PTSD in women. Participants will either receive estradiol or a placebo alongside their therapy sessions over six weeks, with follow-up visits included.See study design
What are the potential side effects?
While not explicitly listed here, potential side effects of estradiol may include nausea, headache, mood changes, breast tenderness, and menstrual changes. Placebos typically have no active ingredients but can cause perceived side effects.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am a woman aged between 18 and 45.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~visit 13 -15 (1, 3, and 6 months follow up)
This trial's timeline: 3 weeks for screening, Varies for treatment, and visit 13 -15 (1, 3, and 6 months follow up) for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change from Baseline on extinction-induced functional MRI responses.
Secondary outcome measures
Change from Baseline on PTSD symptom severity
Changes from Baseline in PTSD symptoms correlations with Bold and SCR changes

Side effects data

From 2018 Phase 4 trial • 64 Patients • NCT02255175
18%
Breast Tenderness
15%
Cramps
15%
Itchiness at patch site
12%
Headaches
9%
Nausea
6%
Acne
6%
Lower Back Pain
6%
Hot Flashes
6%
Menstrual Bleeding
6%
Bloating
3%
Dizziness
100%
80%
60%
40%
20%
0%
Study treatment Arm
Perimenopausal Women, Depressed
Perimenopausal Women, Non-depressed

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Prolonged Exposure (PE) therapy with estradiolExperimental Treatment1 Intervention
A 2.0 mg pill of estradiol (a form of estrogen) together with prolonged exposure (PE) therapy can improve this treatment outcome in women diagnosed with Post-Traumatic Stress Disorder (PTSD). Prolonged Exposure (PE) therapy is a validated treatment for PTSD. A single dose of estradiol 2mg or placebo will be taken at home by the study participant 5-6 hours before each of 5 PE treatment sessions (sessions 2 to 6)
Group II: Prolonged Exposure (PE) therapy with placeboPlacebo Group1 Intervention
A 2.0 mg placebo pill will be given with prolonged exposure (PE) therapy can improve this treatment outcome in women diagnosed with Post-Traumatic Stress Disorder (PTSD). Prolonged Exposure (PE) therapy is a validated treatment for PTSD.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Estradiol
2008
Completed Phase 4
~3960

Find a Location

Who is running the clinical trial?

NYU Langone HealthLead Sponsor
1,369 Previous Clinical Trials
840,518 Total Patients Enrolled
Mohammed R Milad, PhDPrincipal InvestigatorNYU Langone Health
1 Previous Clinical Trials
85 Total Patients Enrolled

Media Library

Prolonged Exposure Therapy Clinical Trial Eligibility Overview. Trial Name: NCT04192266 — Phase 3
Post-Traumatic Stress Disorder Research Study Groups: Prolonged Exposure (PE) therapy with estradiol, Prolonged Exposure (PE) therapy with placebo
Post-Traumatic Stress Disorder Clinical Trial 2023: Prolonged Exposure Therapy Highlights & Side Effects. Trial Name: NCT04192266 — Phase 3
Prolonged Exposure Therapy 2023 Treatment Timeline for Medical Study. Trial Name: NCT04192266 — Phase 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Can currently enrolled patients discontinue their participation in the trial at any time?

"This trial, which was initially posted on June 24th 2020 according to clinicaltrials.gov, is still looking for participants. The most recent update was on June 2nd 2022."

Answered by AI

For this research, are elderly patients ineligible?

"This trial focuses on a young demographic, only enrolling patients between 18-45 years old. By comparison, there are 42 similar studies for minors and 270 for adults over the age of 65."

Answered by AI

What is the Estradiol risk profile for patients?

"Estradiol is classified as a level 3 medication on Power's safety scale. This means that while there is still some testing to be done in phase 3 trials, the drug has shown efficacy and multiple rounds of data support its safety."

Answered by AI

How many people are being signed up for this experiment?

"That is correct. The listing on clinicaltrials.gov says that the research team is still looking for enrollees and 80 people are needed in total. This project was first announced on June 24th, 2020 with the most recent update being published on June 2nd, 2022. There will be just 1 study location."

Answered by AI

Are there specific prerequisites to enrolling in this clinical trial?

"As this is a clinical trial for PTSD sufferers, only patients that have been diagnosed with PTSD and are between 18-45 years old can be accepted. A total of 80 people will be participating in the trial."

Answered by AI

Which medical conditions respond best to Estradiol?

"Estradiol is most commonly given to women who have not had a period in the last 6 months. However, it can also alleviate hypoestrogenism, menopause-related hot flashes, and breast pain."

Answered by AI

Who else is applying?

What state do they live in?
New Jersey
How old are they?
18 - 65
What site did they apply to?
University of Pennsylvania Perelman School of Medicine
What portion of applicants met pre-screening criteria?
Met criteria
Did not meet criteria
~5 spots leftby Jul 2024