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Intervention A Fluoxetine

Phase 2

Post Traumatic Stress Disorder | Small molecule | Other |Adaptive Biotechnologies Corporation|Last Updated: Sep 8, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment800
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05422612Department of Defense PTSD Adaptive Platform Trial - Master ProtocolPHASE2 RECRUITING 800Nov 2, 2023Sep 1, 2026Sep 8, 202510 United States
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Study Endpoints
Primary Endpoints
Absolute change in the Clinician-Administered PTSD Scale-5-Revised (CAPS-5-R) Past Month total score at Week 12 (Final/Early termination Visit).
12 Weeks

A change in PTSD symptom severity from baseline as measured by CAPS-5-R Past Month. The range of the scale is 0-200. The higher the score at baseline, the worse the PTSD severity. The larger the decrease in score from baseline, the better the outcome.

Incidence of new or worsening suicidal thoughts or behaviors as measured by change in Columbia Suicide Severity Rating Scale (C-SSRS) score from baseline.
12 Weeks

The C-SSRS is an assessment of suicidal ideation and behavior in clinical and research settings. The C-SSRS consists of 16 questions that ask about suicidal ideation and behaviors (the first 10 questions comprise the ideation subscale and the last 6 comprise the behavior subscale). This 5-item subscale ranges from a minimum of 0 (corresponding to no suicidal ideation) to a maximum of 5 (representing active suicidal ideation with plan and intent).

Secondary Endpoints
Frequency of treatment-emergent adverse events (TEAEs).
12 Weeks
Severity of treatment-emergent adverse events (TEAEs).
12 Weeks
Frequency of serious adverse events (SAEs)
12 Weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Intervention A: Fluoxetine HClEXPERIMENTAL -
Intervention A PlaceboPLACEBO_COMPARATOR -
Intervention B VilazodoneEXPERIMENTAL -
Intervention B PlaceboPLACEBO_COMPARATOR -
Intervention C DaridorexantEXPERIMENTAL -
Intervention C PlaceboPLACEBO_COMPARATOR -
Intervention D SLS-002EXPERIMENTAL -
Intervention D PlaceboPLACEBO_COMPARATOR -
Interventions
NameTypeDescription
Intervention A Fluoxetine Hydrochloride (HCl)DRUGFluoxetine will be administered at 10 to 60 mg daily. The initial dose for all participants will be 10 mg daily for 1 week, then increased to 20 mg daily for 2 weeks, then increased to 40 mg daily for 2 weeks, then increased to 60 mg daily for the remainder of the trial. One reduction in dose due to tolerability will be allowed. When a participant's dose is decreased due to tolerability, the dose will not be increased.
Intervention A PlaceboDRUGA matching placebo will be administered at 10 to 60 mg daily in the same regimen as the intervention.
Intervention B Vilazodone Hydrochloride (HCl)DRUGVilazodone HCl will be administered at 10 mg once daily for 7 days, followed by 20 mg for 7 days, followed by 40 mg for the remainder of the trial. There must be a minimum of 7 days between dosage increases. One reduction in dose due to tolerability will be allowed. After Week 8, dose reduction for tolerability is allowed, but dose increase is not allowed.
Intervention B PlaceboDRUGA matching placebo will be administered at 10 to 40 mg daily in the same regimen as the intervention.
Intervention C DaridorexantDRUGDaridorexant will be administered 50 mg once daily.
Intervention C PlaceboDRUGA matching placebo will be administered at 50 mg daily in the same regimen as the intervention.
Intervention D SLS-002DRUG• SLS-002 will be administered via intranasal administration (one spray per nostril, per device) at 78 mg two times per week for the first eight weeks and then once a week for the last four weeks.
Intervention D PlaceboDRUGA matching placebo will be administered via intranasal administration (one spray per nostril, per device) two times per week for the first eight weeks and then once a week for the last four weeks.
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersYes
Study Sites10

Inclusion Criteria: A participant must meet all the following criteria to be eligible to participate in this study: 1. Is willing and able to provide written informed consent. 2. ≥18 and \<65 years of age at Screening. 3. Meets Diagnostic and Statistical Manual for Mental Disorders, 5th edition (DS...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05422612primaryCompletionDate: changed
LOWMay 24, 2026NCT05422612studyFirstPostDate: changed