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NCT04961190 · ClinicalTrials.gov registry record · Phase 4

A Comparison of Prolonged Exposure Therapy, Pharmacotherapy, and Their Combination for PTSD

A Phase 4 study of Posttraumatic Stress Disorder, sponsored by University of Pennsylvania.

Active
Registry status
Phase 4
Development phase
302
Enrollment target
7
Study locations

NCT04961190 is a Phase 4 study of Posttraumatic Stress Disorder that is active but no longer recruiting, run by University of Pennsylvania. The registered enrollment target is 302 participants, above the 109-participant average among 117 other Posttraumatic Stress Disorder trials with a reported enrollment target (177% higher). The trial reports 7 study locations across 5 states.

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The verdict

NCT04961190, a Phase 4 study of Posttraumatic Stress Disorder, is active but no longer recruiting, sponsored by University of Pennsylvania.

ACTIVE NOT RECRUITING
Registry status
Phase 4
Development phase
302 participants
Enrollment target
7
Study locations

Study Summary

Posttraumatic Stress Disorder (PTSD) remains a salient and debilitating problem, in the general population and for military veterans in particular. Several psychological and pharmacological treatments for PTSD have evidence to support their efficacy. However, the lack of comparative effectiveness data for PTSD treatments remains a major gap in the literature, which limits conclusions that can be drawn about which of these treatments work best. The current study will compare the effectiveness of PTSD treatments with the strongest evidentiary support - Prolonged Exposure (PE) therapy and pharmacotherapy with paroxetine or venlafaxine - as well as the combination of these two treatments. A randomized trial will be conducted with a large, diverse sample of veterans with PTSD (N = 300) recruited from 6 VA Medical Centers throughout the US. Participants will complete baseline assessments, followed by an active treatment phase (involving up to 14 sessions of PE and/or medication management) with mid (7 week) and posttreatment (14 week) assessments, and follow-up assessments at 27 and 40 weeks. Study outcomes will include PTSD severity, depression, quality of life and functioning, assessed via clinical ratings and self-report measures. Further, a range of demographic and clinically relevant variables (e.g., trauma type/number, resilience) will be collected at baseline and examined as potential predictors or moderators of treatment response, addressing another gap in the PTSD treatment literature. These data will be used to develop algorithms from predicting the optimal treatment for individual patients (i.e., "personalized advantage indices"; PAIs). Effectiveness of the treatments will be compared using multilevel modeling. PAIs will be developed by conducting bootstrapped analyses to select variables that predict or moderate outcomes (clinician rated PTSD severity at Week 14), followed by jacknife analyses to determine the magnitude of the predicted difference (representin

Interventions

  • BEHAVIORAL Prolonged Exposure Therapy
  • DRUG Pharmacotherapy with paroxetine or venlafaxine XR

Study Locations (7)

California

  • VA Palo Alto Healthcare System - Menlo Park
  • VA San Diego Healthcare System - San Diego

Pennsylvania

  • Coatesville VA Medicial Center - Coatesville
  • Corporal Michael J. Crescenz VA Medical Center - Philadelphia

Alabama

  • Birmingham VA Healthcare System - Birmingham

Texas

  • VA North Texas Healthcare System - Dallas

Wisconsin

  • Milwaukee VA Medical Center - Milwaukee

Trial Details

FieldValue
Enrollment Target 302 participants
Start Date 2022-05-25
Est. Completion 2026-07-15
Phase Phase 4

Sponsor

University of Pennsylvania

1,423 total trials

What the Registry Record Tells You About NCT04961190

The ClinicalTrials.gov registry entry for NCT04961190 describes a study currently listed as active not recruiting, categorized as Phase 4. The registered enrollment target is 302 participants, a figure that helps gauge the scale of data the investigators plan to collect, above the 109-participant average among 117 other Posttraumatic Stress Disorder trials with a reported enrollment target (177% higher). The listed sponsor is University of Pennsylvania, which has 1,423 total studies on file at ClinicalTrials.gov.

The record links to 1 condition, with Posttraumatic Stress Disorder appearing as the primary indexed condition, and to 2 interventions - of which Prolonged Exposure Therapy is the first listed.

NCT04961190 reports 7 study locations spanning 5 distinct geographic areas - top geographies include California, Pennsylvania, Alabama.

Frequently Asked Questions

What is clinical trial NCT04961190 about?

NCT04961190 is a clinical study titled "A Comparison of Prolonged Exposure Therapy, Pharmacotherapy, and Their Combination for PTSD". Posttraumatic Stress Disorder (PTSD) remains a salient and debilitating problem, in the general population and for military veterans in particular. Several psychological and pharmacological treatments for PTSD have evidence to support their efficacy. However, the lack of comparative effectiveness da...

What is the current status of trial NCT04961190?

This trial is currently active not recruiting. It is a Phase 4 study. The enrollment target is 302 participants. The study started on 2022-05-25. Estimated completion is 2026-07-15.

What conditions does trial NCT04961190 study?

This clinical trial studies the following conditions: Posttraumatic Stress Disorder.

What interventions are being tested in trial NCT04961190?

The interventions under investigation include: Prolonged Exposure Therapy (BEHAVIORAL), Pharmacotherapy with paroxetine or venlafaxine XR (DRUG).

Who is sponsoring clinical trial NCT04961190?

This trial is sponsored by University of Pennsylvania, which has 1,423 total clinical trials registered on ClinicalTrials.gov.

Where is trial NCT04961190 being conducted?

This trial has 7 study locations across Alabama, California, Pennsylvania, Texas, Wisconsin. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.

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