A Study to Evaluate Effects on Sleep and Safety of RE03 in PTSD Patients With Sleep Disturbances

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-64
SponsorReconnect Labs

About this trial

Post-traumatic stress disorder (PTSD) affects many people who have experienced traumatic events. A common issue with PTSD is severe sleep disturbances, such as nightmares. Current treatments often do not provide sufficient relief, especially for sleep problems. This study aims to determine whether dexmedetomidine - a medication already used in intensive care - can improve sleep quality in PTSD patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female, aged ≥18 and ≤64 years (inclusive)

Diagnosis of PTSD according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) for more than 6 months

PTSD diagnosis assessed with CAPS-5 (life-time) severity ≥ 2

Sleep disturbance, e.g., difficulty falling or staying asleep, or restless sleep (Criterion E6 of the DSM-5 criteria for PTSD) is present for at least a month prior to screening and causes clinically significant distress or impairment in social, occupational, or other important areas of functioning

Disqualifiers

Inability to comply with sleep-wake schedule related study requirements, e.g. due to crossing of time zones (≥ 2), extreme chronotypes, shift working within 2 weeks prior to the screening visit, or planned shift work during the study, self-reported usual daytime napping ≥1 hour per day, and ≥3 days per week

Inability to follow the procedures of the study, e.g. due to insufficient understanding of the German language used in the study as evaluated by the investigator or anticipated problems with overnight stays at the sleep laboratory

Participation in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days prior to the first dose; administration of a biological product (e.g. vaccines, blood components, gene therapies, tissues, etc.) in the context of a clinical research study within 90 days prior to the first dose; or concomitant participation in an investigational study involving drug or device administration

Post-menopausal (status defined as an absence of menses for at least 12 months prior to the first study drug administration); or

Trial design

Design model

Crossover

Treatments tested in this trial

  • RE03

    Drug

    Buccal Dexmedetomidine

  • Placebo

    Drug

    Matching Placebo

Treatment groups

24 Participants
are divided into 3 treatment groups
Group A: Low doseExperimental treatment 1 intervention
Group B: High doseExperimental treatment 1 intervention
Group C: Placebo controlPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Time spent in sleep stages N2 + N3

The total duration (in minutes) of sleep stages N2+N3, as measured by polysomnography (PSG) on the night following administration of each treatment \[minutes spent in N2 + N3\].

Time frame
0.5 hours after each substance administration for 9 hours or until terminal morning awakening

Secondary outcomes

1

REM fragmentation index

The rapid eye movement (REM) fragmentation index as measured by polysomnography (PSG) on the night following administration of each treatment \[# of entries from REM sleep into stage N1 or wake divided by total sleep time\].

Time frame
0.5 hours after each substance administration for 9 hours or until terminal morning awakening

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Reconnect Labs

Lead sponsor

University of Zurich

Collaborator