Could a blood pressure pill ease PTSD?
NCT ID NCT07499440
First seen Jun 27, 2026 · Last updated Sep 15, 2026 · Updated 4 times
Summary
This Phase 2 trial is testing whether HB-1, a tablet combining two blood pressure medications (telmisartan and verapamil), can safely reduce PTSD symptoms. About 200 adults aged 18-65 with PTSD will receive either HB-1 or a placebo daily for 12 weeks. The main goal is to see if HB-1 improves clinician-rated PTSD symptoms compared to placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- HB-1 (a combination of telmisartan and verapamil in a single tablet)
- What this could lead to
- If successful, HB-1 could offer a new oral treatment option to reduce PTSD symptoms, potentially improving daily functioning for people with this condition.
- What could go wrong
- This is a Phase 2 trial with 200 participants, so results are still early. The drug may not prove more effective than placebo, and side effects from the blood pressure medications (telmisartan/verapamil) are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male or female aged 18 to 65 years old, inclusive, at the time of informed consent. * Meets DSM-V Criteria for PTSD. * Minimum CAPS-5 score of at least 26 (based on the optimal diagnostic correspondence in the definitive CAPS-5 psychometric validation study). * Clinically stable on current medication and/or therapy regimen for at least 2 months, as determined by Investigator. * Willing to remain on current doses of other psychiatric medications throughout the length of the trial. * Willing and able to safely stop any medications that are contraindicated to be taken together with HB-1, as determined by Investigator. * Fluent in English. * Willing to take HB-1. * Willing and able to provide informed consent indicating an understanding of the requirements of the study and a willingness to comply with scheduled visits and all study procedures. * Female subjects must be surgically sterile (or have a monogamous partner who is surgically sterile) or be at least 2 years postmenopausal or agree to commit to use acceptable forms of birth control (defined as the use of an intrauterine device, a barrier method with spermicide, condoms, any form of hormonal contraceptives, or abstinence) for the duration of the study. Investigator shall use discretion and familiarity with subject's preferred and usual lifestyle to understand if reporting of abstinence may be trusted to achieve 100% effectiveness. Male subjects must be sterile (biologically or surgically) or commit to the use of a reliable method of birth control (condoms with spermicide) for the duration of the study and for 4 months following the last dose of study treatment. Individuals who are involved exclusively in same-sex relationships are exempt from the birth control requirements but must agree to abide by the recommendations if they do engage in a heterosexual relationship. * Female subjects who are women of childbearing potential (WOCBP) must have a negative pregnancy test at Screening within 7 days of dosing with study treatment. Exclusion Criteria: * Any ongoing concomitant disease, condition, or treatment that could interfere with the conduct of the study, or that would, in the opinion of the Investigator or Sponsor, pose an unacceptable risk to the participant in the study or interfere with the interpretation of study data. * Ongoing treatment with benzodiazepines (e.g. alprazolam, diazepam, clonazepam, lorazepam) or opiates (e.g., codeine, morphine) as assessed by clinical interview and urine toxicology testing. * Ongoing treatment with any medication that has a clinically significant drug-drug interaction with either telmisartan or verapamil, per the verapamil SR and telmisartan FDA labels and per standard drug interaction compendia. These include but are not limited to: Inhibitors or inducers of cytochrome P450 (CYP)3A4 (including certain β-hydroxy β-methylglutaryl-CoA \[HMG-CoA\] reductase inhibitors), Ivabradine, Antihypertensive Agents (including Beta Blockers), Antiarrhythmic Agents, Lithium, Carbamazepine, Rifampin, Phenobarbital, cyclosporin, theophylline, Inhalation Anesthetics, Neuromuscular Blocking Agents, Telithromycin, mTOR inhibitors as well as strong P-glycoprotein inhibitors (e.g., macrolides, ritonavir, itraconazole, ketoconazole, cyclosporin, ritonavir, and ivermectin). * Diagnosis of Severe Substance Use Disorder, Obsessive-Compulsive Disorder (OCD), Bipolar I, Bipolar II disorder, or Psychotic disorder (per SCID-V) or Borderline Personality Disorder (per Short-Bord). * Active suicidal ideation and behavior (Columbia-Suicide Severity Rating Scale \[C-SSRS\] score ≥ 4 at Screening, or who has made a serious suicide attempt in the last 3 months). * Severe uncontrolled cardiac disease within 6 months of Screening, including but not limited to: severe uncontrolled hypertension, hypotension (below 90/60 mmHg); unstable angina; myocardial infarction (MI) or cerebrovascular accident (CVA). * Any clinically significant electrocardiogram (ECG) abnormalities at screening. * Inadequate hepatic function defined as total bilirubin \> 1.5 × the upper limit of normal (ULN) ranges of each institution, aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \> 3 × the ULN range of each institution. * Inadequate renal function defined as serum creatinine \> 1.5 × the ULN range of each institution and/or estimated glomerular filtration rate (eGFR) \< 60 mL/min. * Any clinically significant abnormalities in clinical laboratory assessments as assessed by the Investigator. * Already on treatment with either telmisartan or verapamil or both. * Documented contraindication to taking telmisartan or verapamil: (eg, prior drug allergy, Duchenne's muscular dystrophy, myasthenia gravis). * Pregnant or breastfeeding. * Participation in another current clinical trial or prior trial within the last three months. * Urinalysis evidence of exposure to substances that may interfere with HB-1 testing (per investigator discretion).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
16 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
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Locations
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East Sydney Doctors
RECRUITINGDarlinghurst, New South Wales, 2010, Australia
Contact Email: •••••@•••••
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Innovate Clinical Research
RECRUITINGWaitara, New South Wales, 2077, Australia
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Mackay Hospital and Health Service
RECRUITINGMackay, Queensland, 4740, Australia
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Monash Alfred Psychiatry Research Centre
RECRUITINGMelbourne, Victoria, 3004, Australia
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NeuroCentrix
RECRUITINGCarlton, Victoria, 3053, Australia
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Novatrials
RECRUITINGCharlestown, New South Wales, 2290, Australia
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Paratus Clinical Research Brisbane
RECRUITINGHerston, Queensland, 4006, Australia
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Paratus Clinical Research Canberra
RECRUITINGDeakin, Australian Capital Territory, 2600, Australia
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Paratus Clinical Research Melbourne
RECRUITINGNorthcote, Victoria, 3070, Australia
Contact Email: •••••@•••••
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Peninsula Therapeutic and Research Group
RECRUITINGFrankston, Victoria, 3199, Australia
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Ramsay Clinic Albert Road
RECRUITINGMelbourne, Victoria, 3004, Australia
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Ramsay Clinic New Farm
RECRUITINGNew Farm, Queensland, 4005, Australia
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South Australian Health and Medical Research Institute
RECRUITINGAdelaide, South Australia, 5000, Australia
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University of the Sunshine Coast Clinical Trials, Morayfield
RECRUITINGMorayfield, Queensland, 4506, Australia
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University of the Sunshine Coast Clinical Trials, Sippy Downs
RECRUITINGSippy Downs, Queensland, 4556, Australia
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WSLHD Mental Health Services, Westmead Hospital
RECRUITINGWestmead, New South Wales, 2145, Australia
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