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A Phase 2b Study of BNC210 Tablet Formulation in Adults With Post-Traumatic Stress Disorder (PTSD) (ATTUNE)

Primary Purpose

Post-Traumatic Stress Disorder

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
BNC210
Placebo
Sponsored by
Bionomics Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Post-Traumatic Stress Disorder

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participants with a current diagnosis of PTSD as defined by the CAPS-5 for DSM-5, with a CAPS-5 Total Symptom Severity Score of ≥30 at Screening and Baseline and no >25% decrease in Score from Screening to Baseline
  • The index trauma event must have occurred in adulthood, i.e., when the participant was ≥18 years of age
  • Suitable contraception use in line with protocol requirements
  • Ability to swallow tablets

Exclusion Criteria:

  • A period of less than 6 months since the index trauma event
  • Current and ongoing exposure to the trauma that caused the PTSD
  • Complex PTSD
  • Severe depression as measured by a score of ≥ 35 on the MADRS
  • Borderline personality disorder, bipolar disorder and other psychotic disorders
  • Use of antidepressant medications within 30 days (fluoxetine within 90 days) of Screening. The use of alprazolam, flunitrazepam and chronic daily use of other benzodiazepines within 90 day of Screening.
  • Failed more than three trials of antidepressant medication(s) prescribed for the treatment of PTSD.
  • Concurrent trauma-based psychotherapy such as Cognitive Behavior Therapy, Prolonged Exposure Therapy, Eye Movement Desensitization and Reprocessing Therapy. Participants may however continue to receive supportive counseling that has been in place for a minimum of three months prior to Screening.
  • Any moderate or severe substance use disorder in the past 12 months
  • Any clinically significant medical history or findings as determined by the Investigator that could interfere with the objectives of the study or put the participant at risk

Sites / Locations

  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site
  • ATTUNE Study Clinical Trial Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

BNC210

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Clinician Administered PTSD Scale for DSM-5 (CAPS-5)
Change from Baseline on Investigator-rated symptoms of PTSD (total symptom severity scores)

Secondary Outcome Measures

Clinician Administered PTSD Scale for DSM-5 (CAPS-5)
Change from Baseline on Investigator-rated symptom clusters of PTSD (symptom cluster scores)
Clinician Administered PTSD Scale for DSM-5 (CAPS-5)
Response rate and remission rate using Investigator-rated symptoms of PTSD (total symptom severity scores)
PTSD Checklist for DSM-5 (PCL-5)
Change from Baseline on patient-reported symptoms of PTSD
Montgomery Asberg Depression Rating Scale (MADRS)
Change from Baseline on Investigator-rated symptoms of depression
Hamilton Anxiety Rating Scale (HAM-A)
Change from Baseline on Investigator-rated symptoms of anxiety
Clinician Global Impression (CGI)
Change from Baseline on Investigator-rated global functioning
Patient Global Impression (PGI)
Change from Baseline on patient-reported global functioning
Insomnia Severity Index (ISI)
Change from Baseline on patient-reported sleep quality
Sheehan Disability Scale (SDS)
Change from Baseline on patient-reported social functioning

Full Information

First Posted
June 27, 2021
Last Updated
August 17, 2023
Sponsor
Bionomics Limited
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1. Study Identification

Unique Protocol Identification Number
NCT04951076
Brief Title
A Phase 2b Study of BNC210 Tablet Formulation in Adults With Post-Traumatic Stress Disorder (PTSD)
Acronym
ATTUNE
Official Title
A Phase 2b, Randomized, Double Blind, Two Arm Study to Investigate the Effects of BNC210 Tablet Formulation Compared to Placebo in Adults With Post-Traumatic Stress Disorder (PTSD)
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
July 27, 2021 (Actual)
Primary Completion Date
July 25, 2023 (Actual)
Study Completion Date
August 14, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bionomics Limited

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The purpose of this study is to assess the effects of BNC210 compared to placebo on PTSD symptom severity as measured by CAPS-5 Total Symptom Severity Scores.
Detailed Description
This is a randomized, double-blind, placebo-controlled, parallel group, multi-center study with a 12 week, 2-arm treatment period. Participants will attend a Screening visit within 3 weeks before randomization to confirm eligibility. Approximately 200 participants will be randomized using a 1:1 ratio to receive either BNC210 900 mg twice daily (b.i.d.) or matched placebo. Participants will then complete 12 weeks of treatment with their allocated study intervention. Participants will return to their study site at 4-weekly intervals to receive study intervention and complete safety and efficacy assessments. Participants are then requested to attend a Follow-up visit at Week 15 (i.e., 3 weeks after their last study intervention is administered).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Post-Traumatic Stress Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
212 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BNC210
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
BNC210
Intervention Description
BNC210 900 mg twice daily (b.i.d.) for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo twice daily (b.i.d.) for 12 weeks
Primary Outcome Measure Information:
Title
Clinician Administered PTSD Scale for DSM-5 (CAPS-5)
Description
Change from Baseline on Investigator-rated symptoms of PTSD (total symptom severity scores)
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Clinician Administered PTSD Scale for DSM-5 (CAPS-5)
Description
Change from Baseline on Investigator-rated symptom clusters of PTSD (symptom cluster scores)
Time Frame
12 Weeks
Title
Clinician Administered PTSD Scale for DSM-5 (CAPS-5)
Description
Response rate and remission rate using Investigator-rated symptoms of PTSD (total symptom severity scores)
Time Frame
12 weeks
Title
PTSD Checklist for DSM-5 (PCL-5)
Description
Change from Baseline on patient-reported symptoms of PTSD
Time Frame
12 weeks
Title
Montgomery Asberg Depression Rating Scale (MADRS)
Description
Change from Baseline on Investigator-rated symptoms of depression
Time Frame
12 Weeks
Title
Hamilton Anxiety Rating Scale (HAM-A)
Description
Change from Baseline on Investigator-rated symptoms of anxiety
Time Frame
12 Weeks
Title
Clinician Global Impression (CGI)
Description
Change from Baseline on Investigator-rated global functioning
Time Frame
12 weeks
Title
Patient Global Impression (PGI)
Description
Change from Baseline on patient-reported global functioning
Time Frame
12 weeks
Title
Insomnia Severity Index (ISI)
Description
Change from Baseline on patient-reported sleep quality
Time Frame
12 weeks
Title
Sheehan Disability Scale (SDS)
Description
Change from Baseline on patient-reported social functioning
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants with a current diagnosis of PTSD as defined by the CAPS-5 for DSM-5, with a CAPS-5 Total Symptom Severity Score of ≥30 at Screening and Baseline and no >25% decrease in Score from Screening to Baseline The index trauma event must have occurred in adulthood, i.e., when the participant was ≥18 years of age Suitable contraception use in line with protocol requirements Ability to swallow tablets Exclusion Criteria: A period of less than 6 months since the index trauma event Current and ongoing exposure to the trauma that caused the PTSD Complex PTSD Severe depression as measured by a score of ≥ 35 on the MADRS Borderline personality disorder, bipolar disorder and other psychotic disorders Use of antidepressant medications within 30 days (fluoxetine within 90 days) of Screening. The use of alprazolam, flunitrazepam and chronic daily use of other benzodiazepines within 90 day of Screening. Failed more than three trials of antidepressant medication(s) prescribed for the treatment of PTSD. Concurrent trauma-based psychotherapy such as Cognitive Behavior Therapy, Prolonged Exposure Therapy, Eye Movement Desensitization and Reprocessing Therapy. Participants may however continue to receive supportive counseling that has been in place for a minimum of three months prior to Screening. Any moderate or severe substance use disorder in the past 12 months Any clinically significant medical history or findings as determined by the Investigator that could interfere with the objectives of the study or put the participant at risk
Facility Information:
Facility Name
ATTUNE Study Clinical Trial Site
City
Bellflower
State/Province
California
ZIP/Postal Code
90706
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90210
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Colton
State/Province
California
ZIP/Postal Code
92324
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Oceanside
State/Province
California
ZIP/Postal Code
92056
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Temecula
State/Province
California
ZIP/Postal Code
92591
Country
United States
Facility Name
ATTTUNE Study Clinical Trial Site
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32256
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Lauderhill
State/Province
Florida
ZIP/Postal Code
33319
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32801
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66221
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Prairie Village
State/Province
Kansas
ZIP/Postal Code
66208
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
New Bedford
State/Province
Massachusetts
ZIP/Postal Code
02740
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89102
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Berlin
State/Province
New Jersey
ZIP/Postal Code
08009
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Cherry Hill
State/Province
New Jersey
ZIP/Postal Code
08002
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Cedarhurst
State/Province
New York
ZIP/Postal Code
11516
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Staten Island
State/Province
New York
ZIP/Postal Code
10312
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
North Canton
State/Province
Ohio
ZIP/Postal Code
44720
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73106
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
West Chester
State/Province
Pennsylvania
ZIP/Postal Code
19380
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38119
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78737
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Draper
State/Province
Utah
ZIP/Postal Code
84020
Country
United States
Facility Name
ATTUNE Study Clinical Trial Site
City
Barnsley
ZIP/Postal Code
S75 3DL
Country
United Kingdom
Facility Name
ATTUNE Study Clinical Trial Site
City
Blackpool
ZIP/Postal Code
FY2 0JH
Country
United Kingdom
Facility Name
ATTUNE Study Clinical Trial Site
City
Cannock
ZIP/Postal Code
WS11 0BN
Country
United Kingdom
Facility Name
ATTUNE Study Clinical Trial Site
City
Leeds
ZIP/Postal Code
LS10 1DU
Country
United Kingdom
Facility Name
ATTUNE Study Clinical Trial Site
City
Liverpool
ZIP/Postal Code
L34 1BH
Country
United Kingdom
Facility Name
ATTUNE Study Clinical Trial Site
City
Manchester
ZIP/Postal Code
M13 9NQ
Country
United Kingdom
Facility Name
ATTUNE Study Clinical Trial Site
City
Stockton-on-Tees
ZIP/Postal Code
TS17 6EW
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Phase 2b Study of BNC210 Tablet Formulation in Adults With Post-Traumatic Stress Disorder (PTSD)

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