Recruiting at 3 sites Phase 4 Posttraumatic Stress Disorder (PTSD)

Posttraumatic Stress Disorder study: Methylphenidate

Official title Methylphenidate for the Treatment of PTSD With Associated Neurocognitive Complaints

ClinicalTrials.gov ID: NCT05776056

What this study is testing

What is Methylphenidate?

An investigational stimulant medication being studied for treating posttraumatic stress disorder (PTSD) and related cognitive symptoms in veterans.

Also referred to as Ritalin.

Plain-language explanation of the investigational treatment. It is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
This study is testing whether methylphenidate improves PTSD symptoms and brain‑related complaints. It compares the drug to a pretend treatment over time.
Who it's for
You may be able to join if you are a veteran with PTSD and trouble concentrating or remembering things.
What's involved
You will take a small pill at home, sometimes the real drug and sometimes a pretend one, without knowing which. You will have visits every few weeks to check how you feel and do simple tests.
Time commitment
The study lasts about 20 weeks, with visits every 4‑5 weeks to switch between the real drug and the pretend one.
  • Phase 4: studies an already-approved treatment
  • You might receive a placebo (an inactive treatment) instead of the study drug, decided by chance. You may not know which one you got.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 to 65

You may be able to join if

  • Any gender Veteran of the US military
  • Independent decision-making capacity to sign informed consent and Health Insurance Portability and Accountability Act (HIPAA) (i.e., no surrogate...
  • Diagnosis of PTSD defined by DSM-5 symptom count on Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)
  • CAPS-5 past month total score greater than or equal to 26
  • Subjective neurocognitive impairment, defined as a total score of greater than or equal to 25 (1 standard deviation below the mean) on the NeuroQoL...

You likely can't join if

  • Diagnosis of DSM-5-defined bipolar I, schizophrenia spectrum or other psychotic disorders (by MINI)
  • Presence of severe psychotic symptoms such that, based on the clinical judgement of the investigator or treatment provider, treatment with an...
  • Diagnosis of moderate or severe substance use disorder (except for caffeine and nicotine) during the preceding 2 months.
  • History of severe TBI as defined by the Ohio State University TBI Identification Method
  • Diagnosis of dementia or related progressive neurocognitive disorder, based on clinical records
  • Increased risk of suicide that necessitates inpatient treatment or treatment excluded by the protocol
See the full eligibility criteria
Who can join
  • Any gender Veteran of the US military
  • Independent decision-making capacity to sign informed consent and Health Insurance Portability and Accountability Act (HIPAA) (i.e., no surrogate consent)
  • Diagnosis of PTSD defined by DSM-5 symptom count on Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)
  • CAPS-5 past month total score greater than or equal to 26
  • Subjective neurocognitive impairment, defined as a total score of greater than or equal to 25 (1 standard deviation below the mean) on the NeuroQoL Cognitive Function 8-item self-report form
What rules you out
  • Diagnosis of DSM-5-defined bipolar I, schizophrenia spectrum or other psychotic disorders (by MINI)
  • Presence of severe psychotic symptoms such that, based on the clinical judgement of the investigator or treatment provider, treatment with an antipsychotic is required
  • Diagnosis of moderate or severe substance use disorder (except for caffeine and nicotine) during the preceding 2 months.
  • History of severe TBI as defined by the Ohio State University TBI Identification Method
  • Diagnosis of dementia or related progressive neurocognitive disorder, based on clinical records
  • Increased risk of suicide that necessitates inpatient treatment or treatment excluded by the protocol
  • Pregnancy or lactation, or anticipated pregnancy at any point during study participation. Participants of child-bearing potential must have negative pregnancy test at study entry and must agree to adhere to a medically...
  • Use of any investigational drug, MPH formulation, antipsychotics, mood stabilizers, monoamine oxidase inhibitors, stimulants, atomoxetine, or bupropion within 2 weeks of baseline
  • Treatment with evidence-based trauma-focused therapy for PTSD within 2 weeks of baseline (if participant is receiving therapy, he/she must complete treatment prior to entering study).
  • A clinically significant acute or uncontrolled chronic medical/surgical illness that would contraindicate use of MPH, or a known terminal illness
  • Prior allergic reaction to any MPH formulation
  • Litigating for compensation for a psychiatric disorder outside the Veterans benefits compensation and pension process
  • Current enrollment in another treatment trial for PTSD

The study team makes the final eligibility decision.

Where it is enrolling

  • Birmingham, Alabama, United States
  • Tuscaloosa, Alabama, United States
  • Seattle, Washington, United States

Compensation & support

This study's listing mentions compensation or reimbursement.

No amount is published here because ClinicalTrials.gov has no reliable field for payment or travel support. Ask the study team what's actually covered (payment for your time, travel, parking, or other study costs), and never join a trial for the compensation alone.

Questions & answers

Do participants get paid in this trial?

This study's listing includes signals that participants may be compensated or receive a stipend. Amounts vary and are set by the study team, so confirm the details with them.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part, but confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years to 65 years. The study team makes the final eligibility decision.

Where is this trial taking place?

This study is enrolling now at Birmingham, Alabama, United States; Tuscaloosa, Alabama, United States; Seattle, Washington, United States. Enter your location above to see the nearest enrolling site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool that is independent of the study sponsor. Details come from ClinicalTrials.gov. The study team decides eligibility, and your own doctor gives medical advice.