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

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)

Status

Completed

Phases

Phase 2

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04951076

Acronym

ATTUNE

Enrollment

212

Registered

2021-07-06

Start date

2021-07-27

Completion date

2023-08-14

Last updated

2025-02-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Post-Traumatic Stress Disorder

Brief summary

The purpose of this study is to assess the effects of BNC210 compared to placebo on Post-Traumatic Stress Disorder (PTSD) symptom severity as measured by the Clinician Administered PTSD scale for The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (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 2-weekly intervals to complete study 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).

Interventions

DRUGBNC210

BNC210 900 mg twice daily (b.i.d.) for 12 weeks

DRUGPlacebo

Placebo twice daily (b.i.d.) for 12 weeks

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 75 Years

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 Montgomery Asberg Depression Rating Scale (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

Design outcomes

Primary

Measure	Time frame	Description
Change From Baseline on the Clinician Administered Post-Traumatic Stress Disorder (PTSD) Scale for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (CAPS-5) Total Symptom Severity Scores After 12 Weeks	Baseline, 4 weeks, 8 weeks,12 weeks	The CAPS-5 is a 30-item structured interview used to diagnose PTSD and assess PTSD symptoms over the past month. Information about the frequency and intensity of each item is combined into a severity rating, and the CAPS-5 total symptom severity score is calculated by adding the severity scores for the 20 PTSD symptoms in the DSM-5. Scores range from 0 to 80, with higher scores indicating greater severity of PTSD symptoms.

Secondary

Measure	Time frame	Description
Change From Baseline on Clinician Administered PTSD Scale for DSM-5 (CAPS-5) Criterion C Symptom Cluster Scores After 12 Weeks	Baseline, 4 weeks, 8 weeks, 12 weeks	Criterion C (Avoidance) is a 2-item sub section of the CAPS-5 scale that assesses avoidance of stimuli associated with the traumatic event(s) of PTSD, with each item rated on a scale from 0 (not present) to 4 (extreme / incapacitating). Scores range from 0 to 8, with higher scores indicating greater severity of avoidance symptoms.
Change From Baseline on Clinician Administered PTSD Scale for DSM-5 (CAPS-5) Criterion D Symptom Cluster Scores After 12 Weeks	Baseline, 4 weeks, 8 weeks, 12 weeks	Criterion D (Negative Alterations in Cognitions and Mood) is a 7-item sub section of the CAPS-5 scale that assesses negative alterations in cognitions and mood associated with the traumatic event(s) of PTSD, with each item rated on a scale from 0 (not present) to 4 (extreme / incapacitating). Scores range from 0 to 28, with higher scores indicating greater severity of negative alterations in cognitions and mood symptoms.
Change From Baseline on Clinician Administered PTSD Scale for DSM-5 (CAPS-5) Criterion E Symptom Cluster Scores After 12 Weeks	Baseline, 4 weeks, 8 weeks, 12 weeks	Criterion E (Arousal and Reactivity) is a 6-item sub section of the CAPS-5 scale that assesses marked alterations in arousal and reactivity associated with the traumatic event(s) of PTSD, with each item rated on a scale from 0 (not present) to 4 (extreme / incapacitating). Scores range from 0 to 24, with higher scores indicating greater severity of arousal and reactivity symptoms.
Change From Baseline on Montgomery Asberg Depression Rating Scale (MADRS) Scores After 12 Weeks	Baseline, 4 weeks, 8 weeks, 12 weeks	The MADRS is a 10-item clinician-rated questionnaire to measure the presence and severity of depressive episodes. Each item is rated on a scale of 0 to 6. The score from each item is combined into a total score ranging from 0 to 60, with higher scores indicating greater severity of depressive episodes.
Change From Baseline on Hamilton Anxiety Rating Scale (HAM-A) Scores After 12 Weeks	Baseline, 4 weeks, 8 weeks, 12 weeks	The HAM-A is an interview questionnaire that measures severity of anxiety symptoms based on 14 parameters, including anxious mood, tension, fears, insomnia, somatic complaints and behavior during the interview. Each parameter is rated on a scale of 0 (not present) to 4 (very severe). The score from each parameter is combined into a total score. Scores range from 0 to 56, with higher scores indicating greater severity of anxiety symptoms.
Change From Baseline on Clinician Administered PTSD Scale for DSM-5 (CAPS-5) Criterion B Symptom Cluster Scores After 12 Weeks	Baseline, 4 weeks, 8 weeks, 12 weeks	Criterion B (Intrusive Thoughts) is a 5-item sub section of the CAPS-5 scale that assesses intrusion symptoms associated with the traumatic event(s) of PTSD, with each item rated on a scale from 0 (not present) to 4 (extreme / incapacitating). Scores range from 0 to 20, with higher scores indicating greater severity of intrusion symptoms.
Change From Baseline on Patient Global Impression - Severity (PGI-S) Scale Scores After 12 Weeks	Baseline, 4 weeks, 8 weeks, 12 weeks	Change from Baseline on patient-reported global functioning The PGI-S is a patient self-reported counterpart of the CGI-S designed to assess the patient's impression of their perceived severity of overall symptoms.Severity is rated on the PGI-S from 1 (normal) to 6 (very severe), with a higher score indicating greater severity of symptoms.
Change From Baseline on Insomnia Severity Index (ISI) Scores After 12 Weeks	Baseline, 4 weeks, 8 weeks, 12 weeks	The ISI is a brief self-report instrument measuring both nocturnal and diurnal symptoms of insomnia. The ISI comprises seven items, each scored from 0 to 4. The scores from each of the 7 questions are added up to get a total score of 0 to 28, with a higher score indicating a higher level of symptom severity.
Change From Baseline on Sheehan Disability Scale (SDS) Scores After 12 Weeks	Baseline, 4 weeks, 8 weeks,12 weeks	The SDS is a rating scale designed to measure impairment in three domains: work/school, social life, and family life/home responsibilities. Each item is rated on a scale of 0 (not at all) to 10 (extremely), for a total score of 0 to 30, with a higher score indicating a higher degree of impairment.
Change From Baseline on PTSD Checklist for DSM-5 (PCL-5) Scores After 12 Weeks	Baseline, 12 weeks	The PCL-5 is a 20-item self-report assessment of the 20 DSM-5 symptoms of PTSD. Each symptom is rated on a scale from 0 (not at all) to 4 (extremely). Scores range from 0 to 80, with higher scores indicating greater severity of PTSD symptoms.
Change From Baseline on Clinician Global Impression - Severity (CGI-S) Scale Scores After 12 Weeks	Baseline, 4 weeks, 8 weeks, 12 weeks	The CGI-S is a rating scale designed to assess the overall severity of the participant's symptoms. Severity is rated on a scale from 1 (normal, not at all ill) to 7 (among the most extremely ill of participants), with a higher score indicating greater severity of symptoms.

Countries

United Kingdom, United States

Participant flow

Participants by arm

Arm	Count
BNC210 900 mg BNC210 900 mg twice daily (b.i.d.) for 12 weeks	105
Placebo Placebo twice daily (b.i.d.) for 12 weeks	104
Total	209

Baseline characteristics

Characteristic	BNC210 900 mg	Placebo	Total
Age, Continuous	42.3 years STANDARD_DEVIATION 12.01	42.4 years STANDARD_DEVIATION 12.23	42.3 years STANDARD_DEVIATION 12.09
CAPS-5 Score	41.9 Total Symptom Severity Score STANDARD_DEVIATION 7.51	41.1 Total Symptom Severity Score STANDARD_DEVIATION 6.49	41.5 Total Symptom Severity Score STANDARD_DEVIATION 7.01
CGI-S score	4.7 units on a scale STANDARD_DEVIATION 0.64	4.7 units on a scale STANDARD_DEVIATION 0.61	4.7 units on a scale STANDARD_DEVIATION 0.62
Race (NIH/OMB) American Indian or Alaska Native	2 Participants	1 Participants	3 Participants
Race (NIH/OMB) Asian	2 Participants	0 Participants	2 Participants
Race (NIH/OMB) Black or African American	26 Participants	24 Participants	50 Participants
Race (NIH/OMB) More than one race	2 Participants	2 Participants	4 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants	0 Participants	0 Participants
Race (NIH/OMB) Unknown or Not Reported	1 Participants	4 Participants	5 Participants
Race (NIH/OMB) White	72 Participants	73 Participants	145 Participants
Region of Enrollment United Kingdom	14 participants	13 participants	27 participants
Region of Enrollment United States	91 participants	91 participants	182 participants
Sex: Female, Male Female	65 Participants	69 Participants	134 Participants
Sex: Female, Male Male	40 Participants	35 Participants	75 Participants
Time Since Index Trauma Event	9.1 years STANDARD_DEVIATION 9.1	7.9 years STANDARD_DEVIATION 8.2	8.5 years STANDARD_DEVIATION 8.7

Adverse events

Event type	EG000 affected / at risk	EG001 affected / at risk
deaths Total, all-cause mortality	0 / 105	0 / 104
other Total, other adverse events	36 / 105	25 / 104
serious Total, serious adverse events	0 / 105	2 / 104

Outcome results

Primary

Change From Baseline on the Clinician Administered Post-Traumatic Stress Disorder (PTSD) Scale for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (CAPS-5) Total Symptom Severity Scores After 12 Weeks

The CAPS-5 is a 30-item structured interview used to diagnose PTSD and assess PTSD symptoms over the past month. Information about the frequency and intensity of each item is combined into a severity rating, and the CAPS-5 total symptom severity score is calculated by adding the severity scores for the 20 PTSD symptoms in the DSM-5. Scores range from 0 to 80, with higher scores indicating greater severity of PTSD symptoms.

Time frame: Baseline, 4 weeks, 8 weeks,12 weeks

Arm	Measure	Value (LEAST_SQUARES_MEAN)	Dispersion
BNC210 900 mg	Change From Baseline on the Clinician Administered Post-Traumatic Stress Disorder (PTSD) Scale for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (CAPS-5) Total Symptom Severity Scores After 12 Weeks	-20.08 score on a scale	Standard Error 1.717
Placebo	Change From Baseline on the Clinician Administered Post-Traumatic Stress Disorder (PTSD) Scale for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (CAPS-5) Total Symptom Severity Scores After 12 Weeks	-16.05 score on a scale	Standard Error 1.469

Secondary

Change From Baseline on Clinician Administered PTSD Scale for DSM-5 (CAPS-5) Criterion B Symptom Cluster Scores After 12 Weeks

Criterion B (Intrusive Thoughts) is a 5-item sub section of the CAPS-5 scale that assesses intrusion symptoms associated with the traumatic event(s) of PTSD, with each item rated on a scale from 0 (not present) to 4 (extreme / incapacitating). Scores range from 0 to 20, with higher scores indicating greater severity of intrusion symptoms.