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PTSDPhase 2NCT07499440

Safety and Efficacy of HB-1 for Post-Traumatic Stress Disorder

A Phase 2 study testing HB-1 in people with PTSD and Mental Illness, run by HB BioTech, LLC at 16 sites in Australia.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to determine the safety and efficacy of HB-1, versus placebo in male and female adult patients aged 18 to 65 years, inclusive, with Post-Traumatic Stress Disorder (PTSD). Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
PTSD, Mental Illness
What is being tested?
HB-1
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
200 participants
Where
16 sitesAustralia
Study dates
3 Jun 2026to Oct 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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.
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  • 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.

Who cannot join

  • 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).
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  • 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).

Trial locations and contacts

16 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Alon Seifan contact

alon.seifan@hbbio.com

16 sites in 1 country

Australia16 sites, 16 recruiting
  • South Australian Health and Medical Research Institute

    Adelaide, South Australia, 5000

    Gemma Barker, gemma.barker@sahmri.com.au

    Emma Heath, +61 8 8128 4358, emma.heath@sahmri.com

    Recruiting
  • NeuroCentrix

    Carlton, Victoria, 3053

    Nicola Valcanis, +61 3 9546 0009, nicola@neurocentrix.com.au

    David Barton, david@neurocentrix.com.au

    Recruiting
  • Novatrials

    Charlestown, New South Wales, 2290

    Karen Brenan, +61 2 4089 3744, karen@novatrials.com.au

    Dr Vidushi Khatri

    Recruiting
  • East Sydney Doctors

    Darlinghurst, New South Wales, 2010

    Chloe Williamson, +61 2 9332 2531, trials@eastsydneydoctors.com.au

    Dr David Baker

    Recruiting
  • Paratus Clinical Research Canberra

    Deakin, Australian Capital Territory, 2600

    Sarojini Pandit, +61 1300 742 326, sarojini.pandit@paratusclinical.com

    Dr Amber Leah

    Recruiting
  • Peninsula Therapeutic and Research Group

    Frankston, Victoria, 3199

    Xenia Jung, +61 3 9770 1579, xjung@ptrg.com.au

    Jennifer Grunfeld

    Recruiting
  • Paratus Clinical Research Brisbane

    Herston, Queensland, 4006

    Steve Turner, +61 1300 742 326, steve.turner@paratusclinical.com

    Lauren Marshall, lauren.marshall@paratusclinical.com

    Recruiting
  • Mackay Hospital and Health Service

    Mackay, Queensland, 4740

    Joshua Paterson, +61 7 4885 6000, Mackay-Clinical-Trials@health.qld.gov.au

    Alok Rana

    Recruiting
  • Monash Alfred Psychiatry Research Centre

    Melbourne, Victoria, 3004

    Marta Malicka, +61 3 9076 6924, marta.malicka@monash.edu

    Dr Rebecca Ho

    Recruiting
  • Ramsay Clinic Albert Road

    Melbourne, Victoria, 3004

    Melanie Hurley, +61 3 9279 3569, research.arc@ramsayhealth.com.au

    Malcolm Hopwood

    Recruiting
  • University of the Sunshine Coast Clinical Trials, Morayfield

    Morayfield, Queensland, 4506

    Alistair Mallard, +61 7 5409 8644, amallard@usc.edu.au

    Chris Moller

    Recruiting
  • Ramsay Clinic New Farm

    New Farm, Queensland, 4005

    Leticia Goncalves, +61 7 3254 9232, CardosoGoncalvesL@ramsayhealth.com.au

    François Windels, WindelsF@ramsayhealth.com.au

    Recruiting
  • Paratus Clinical Research Melbourne

    Northcote, Victoria, 3070

    Jesse Alderson, +61 1300 742 326, recruitment@paratusclinical.com

    A/Prof Bernadette Fitzgibbon

    Recruiting
  • University of the Sunshine Coast Clinical Trials, Sippy Downs

    Sippy Downs, Queensland, 4556

    Ryan Stewart, +61 7 5409 8644, rstewart2@usc.edu.au

    +61 7 5409 8644, amallard@usc.edu.au

    Recruiting
  • Innovate Clinical Research

    Waitara, New South Wales, 2077

    Regina Cruz, +61 2 9159 3838, rcruz@innovateclinical.com.au

    Rachel Graham

    Recruiting
  • WSLHD Mental Health Services, Westmead Hospital

    Westmead, New South Wales, 2145

    Taiba Shafaie-Eshaq, +61 2 8890 6688, taiba.shafaieeshaq@health.nsw.gov.au

    Prof. Valsios Brakoulias

    Recruiting

Other trials in Australia

About this study

Official title: Safety and Efficacy of HB-1 for PTSD: A Multi-center, Randomized, Double-Blind, Placebo-Controlled Study

The purpose of this study is to determine the safety and efficacy of HB-1, versus placebo in male and female adult patients aged 18 to 65 years, inclusive, with Post-Traumatic Stress Disorder (PTSD).

Read the detailed description

This is a flexible-dose, multi-centre, double-blind, placebo-controlled trial for adults with Post Traumatic Stress Disorder (PTSD).

This study will enrol approximately 200 (up to 500) adults patients diagnosed with PTSD, without severe neuropsychiatric or medical co-morbidities.

Participants will be recruited from multiple sites in Australia and/or the United States.

Patients will be treated for 12 weeks followed by a safety follow up visit one week after their last dose of study treatment. Safety will be assessed by monitoring of treatment emergent adverse events (TEAEs), vital signs, questionnaires, ECG and clinical labs.

Conditions
PTSD, Mental Illness
Being tested
HB-1, Placebo
Medical subject headings
Stress Disorders, Post-Traumatic, Mental Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HB-1Drug

    HB-1 will be supplied as a dual active pharmaceutical ingredient tablet. The two HB-1 doses for this study include 64/192 and 86/258 telmisartan/verapamil extended release, using unique bi-layer tablets.

    All subjects randomized to receive HB-1 will begin with the 64/192mg dose taken as one tablet once per day.

    At each monthly visit, treatment tolerance and response will be adjudicated using objective, dose-escalation criteria. At both Week 4 and Week 8, all subjects will be evaluated for dose escalation. Subjects who are demonstrating a reduction of 50% or more in CAPS-5 total score will remain in treatment with HB-1 (or Placebo) at same dose. Subjects with less than a 50% reduction in CAPS-5, who have experienced no treatment-emergent Grade 3 or higher adverse event related to study drug since the prior visit, will be dose-escalated to the 86/258mg telmisartan/verapamil extended dose. After escalation, subjects will remain on higher dose throughout the remainder of the study.

  • PlaceboDrug

    Matching Placebo will be dispensed to analogous subjects in Placebo group.

Study groups in NCT07499440
Study groupRoleWhat they receive
HB-1ExperimentalHB-1 will be supplied as a dual active pharmaceutical ingredient tablet.
Receives: Drug: HB-1
PlaceboPlacebo comparatorMatched Placebo will be supplied as a tablet.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To measure the efficacy of HB-1 on clinician-rated symptoms of Post-Traumatic Stress Disorder in male and female adults (age 18 to 65 years) with Post-Traumatic Stress Disorder.

    Change from Baseline to Week 12 in Clinician-Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (CAPS-5), Past Month Version.

    The 5 point Clinician-Administered PTSD Scale-5 symptom severity scale is used for all Post-Traumatic Stress Disorder symptoms.

    The scale has a minimum score of zero (Absent), One (Mild), Two (Moderate), Three (Severe) and Four (Extreme) (the maximum score is 4). Higher score indicates a worse outcome.

    Measured: Baseline, Week 4, Week 8 and Week 12.

Secondary outcomes (5)
  1. To measure the efficacy of HB-1 on clinical global impression (CGI) and other clinically accepted, Post-Traumatic Stress Disorder (PTSD)-related outcome measures in male and female adults (age 18 to 65 years) with PTSD.

    Change from Baseline to Week 12 in Clinical Global Impression-Severity Scale (CGI-S).

    The 8 point Clinical Global Impression-Severity Scale (CGI-S) has a minimum score of Zero (Not assessed), One (Normal, not ill at all), Two (Borderline ill), Three (Mildly ill), Four (Moderately ill), Five (Markedly ill), Six (Severely ill) and Seven (Among the most extremely ill patients) (the maximum score is 7). Higher score indicates a worse outcome.

    Measured: From enrolment to the end of treatment at 12 weeks. Baseline, Week 4, Week 8 and Week 12.

  2. To measure the efficacy of HB-1 on clinically accepted Perceived Stress Scale (PSS), Post-Traumatic Stress Disorder (PTSD)-related outcome measures in male and female adults (age 18 to 65 years) with PTSD.

    Change from baseline to Week 12 in Perceived Stress Scale (PSS). The 5 point Perceived Stress Scale (PSS) has a minimum score of Zero (Never), One (Almost never), Two (Sometimes), Three (Fairly often) and Four (Very often) (the maximum score is 4). Higher score indicates a worse outcome.

    Measured: Baseline, Week 4, Week 8 and Week 12.

  3. To measure the efficacy of HB-1 on clinically accepted Brief Symptom Inventory (BSI), PTSD-related outcome measures in male and female adults (age 18 to 65 years) with PTSD.

    Change from baseline to Week 12 in Brief Symptom Inventory (BSI). The scale has a minimum score of Zero (Not at all), plus other scores including One (A little bit), Two (Moderately), Three (Quite a bit) and 4 (Extremely) (the maximum score is 4). Higher score indicates a worse outcome.

    Measured: Baseline, Week 4, Week 8 and Week 12.

  4. To measure the efficacy of HB-1 on clinically accepted Patient Global Impression-Severity Scale, Post-Traumatic Stress Disorder (PTSD)-related outcome measures in male and female adults (age 18 to 65 years) with PTSD.

    Change from baseline to Week 12 in Patient Global Impression-Severity Scale (PGI-S). Scale ranges from None, Mild, Moderate, Severe and Very Severe.

    Measured: Baseline, Week 4, Week 8 and Week 12.

  5. To measure the efficacy of HB-1 on clinically accepted Sheehan Disability Scale (SDS), PTSD-related outcome measures in male and female adults (age 18 to 65 years) with PTSD.

    Change from baseline to Week 12 in Sheehan Disability Scale (SDS). The 10 point scale has a minimum score of Zero (Not at all) and a maximum score of Ten (Extremely). Higher score indicates a worse outcome.

    Measured: Baseline, Week 4, Week 8 and Week 12.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Mar 2026
  2. Study start3 Jun 2026
  3. Primary completionSep 2027 (estimated)
  4. Study completionOct 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
A sample size of 200 patients (up to a maximum of 500) is planned for the study to be randomized in a 1:1 ratio of active to placebo control.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07499440
Sponsor's protocol ID
HB-PTSD-001
Status last verified
Sep 2026
First submitted
24 Mar 2026
Last updated
24 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing HB-1 in people with PTSD and Mental Illness, run by HB BioTech, LLC at 16 sites in Australia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 24 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Karen Smith (+1-650-722-9813, karen.smith@hbbio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To measure the efficacy of HB-1 on clinician-rated symptoms of Post-Traumatic Stress Disorder in male and female adults (age 18 to 65 years) with Post-Traumatic Stress Disorder. (time frame: Baseline, Week 4, Week 8 and Week 12.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Sep 2026.

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