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NCT05453162

Circadian Influence on Prolonged Exposure Therapy for PTSD

Active, enrolled NA Last updated 22 December 2025
What this trial tests

NA trial testing Prolonged Exposure Therapy for Posttraumatic Stress Disorder in PTSD in 52 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
1 July 2022
Primary endpoint
1 August 2025
1 April 2026

Quick facts

Lead sponsorMassachusetts General Hospital
PhaseNA
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment52
Start date1 July 2022
Primary completion1 August 2025
Estimated completion1 April 2026
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Massachusetts General Hospital

Who can join

Adults 18 to 70, any sex, with PTSD. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Proposed research will examine time-of-day effects on trauma-related fear extinction using Prolonged Exposure Therapy (PE) telemedicine for Posttraumatic Stress Disorder (PTSD) in the National Center for PTSD (NCPTSD). The primary mechanistic outcome measure will be change in psychophysiological reactivity to script-driven imagery (SDI-PR) measured, in person, at pre-treatment, after 5 PE sessions (mid-treatment), and after all 10 PE sessions (post-treatment). A secondary mechanistic outcome will be session-to-session reduction in peak subjective units of distress (SUDS) ratings to imaginal exposures. The primary clinical outcome will be change in Clinican Administered PTSD Scale (CAPS-5) severity score; a secondary clinical outcome will be session-to-session reduction in self-reported PTSD symptoms using the PTSD checklist (PCL-5). Participants meeting inclusion criteria (described below) will be randomized to either PE sessions that begin from 07:00 to a time no later than 2 hours past a participant's customary rise time, or to the last treatment session of the day beginning at 16:00 or later (26 per arm). Participants will complete daily at-home imaginal-exposure homework within the same time frame as their PE sessions are scheduled, i.e., within 2 hours of awakening for morning (AM) group and between 16:00 and 2 hours before bedtime for late afternoon (PM) group.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other trials of Prolonged Exposure Therapy for Posttraumatic Stress Disorder

Trials testing the same drug.

Other recruiting trials for PTSD

Currently open trials in the same condition.

Other Massachusetts General Hospital trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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