PT150 · program
PT150 (Org 34517) for Post-traumatic stress disorder
Indications for PT150: Post-traumatic stress disorder · Phase 2 Major depressive disorder · Discontinued Alcohol use disorder · Phase 1
PT150, an oral glucocorticoid receptor antagonist, for post-traumatic stress disorder in U.S. veterans. On 2026-02-19 Pop Test Oncology (dba Palisades Therapeutics) announced that the FDA had granted permission to proceed with a Phase 2a trial, 'Efficacy and Safety of PT150 in U.S. Veterans with Post Traumatic Stress Disorder (PTSD)': a dual-site, double-blind, placebo-controlled study funded by the Department of Defense Congressionally Directed Medical Research Programs, enrolling 120 veterans at VA medical centers in San Diego and Houston, with a primary endpoint of change in PTSD symptoms from baseline to 4 weeks post-treatment. The registered study (NCT07187011, sponsored by San Diego Veterans Healthcare System) titrates PT150 150-900 mg over 7 days against placebo. As of its last registry update (2025-12-23) it was not yet recruiting, with an estimated start of April 2026 and estimated primary completion in March 2029. This is PT150's most advanced active indication.
Development timeline
- UpcomingClinicalTrials.gov estimated primary completion of the Phase 2 PT150 PTSD trial in veterans (NCT07187011): March 2029.
- Company announced FDA permission to proceed with the Phase 2a PTSD trial in U.S. veterans (DoD-funded, 120 veterans, San Diego and Houston VA medical centers).↗
- Phase 2 PTSD trial NCT07187011 first posted on ClinicalTrials.gov (submitted 2025-09-15), status not yet recruiting.
- Trial registeredPhase 2 trial of PT150 in veterans with PTSD registered on ClinicalTrials.gov
Readouts
- March 2029AnticipatedRegistry resultsNCT07187011
ClinicalTrials.gov estimated primary completion of the Phase 2 PT150 PTSD trial in veterans (NCT07187011): March 2029.
Clinical trials in Post-traumatic stress disorder
NCT07187011H250195Phase 2Activen=120
Initial Study Testing Efficacy and Tolerability of PT150 for PTSD in Veterans
Formulations
| Formulation | Route | Regimen | Pharmacokinetics |
|---|---|---|---|
| PT150 oral (150 mg capsules) Organon Phase 2 (Protocol 28130): 150 mg capsules, 300 mg or 900 mg once daily in the evening with dinner for 2 weeks (900 mg arm titrated 300 -> 600 -> 900 mg over Days 1-3). Ethanol-interaction Phase 1: 900 mg/day. AUD human laboratory study NCT06712602: 225 mg then 450 mg twice daily for 5 days before each session. PTSD Phase 2 NCT07187011: 150-900 mg titrated over 7 days, 900 mg target dose. | Oral | — | — |
Mechanism of action
Competitive antagonist of the glucocorticoid receptor (GR, NR3C1), a ligand-activated nuclear receptor. In AtT20 pituitary cells Org 34517 blocked corticosterone-induced GR nuclear translocation without inducing translocation itself (unlike mifepristone), and was described as a true competitive GR antagonist without partial agonist activity. In rats it occupied GR in the anterior pituitary and brain without occupying the mineralocorticoid receptor, and did not cause episodic HPA-axis activation on chronic dosing. The current sponsor describes PT150 as a modulator of both GR and the androgen receptor (AR): predominantly systemic GR antagonism in vivo, with direct AR down-regulation and minor GR agonism at the cellular level. In patients with psychotic depression it produced a dose-dependent rise in salivary cortisol, consistent with central GR blockade. The clinical hypothesis in PTSD and alcohol use disorder is that blocking GR signalling normalizes stress (HPA-axis) responses that drive symptoms, craving and stress-induced drinking.
| Target | Action | Affinity |
|---|---|---|
| Glucocorticoid receptorprimaryNR3C1 | Antagonist | —ⓘ |
| Androgen receptorAR | Modulator | —ⓘ |
← Full PT150 compound page (identity, identifiers, all indications)
Sources
- Differential effects of the new glucocorticoid receptor antagonist ORG 34517 and RU486 (mifepristone) on glucocorticoid receptor nuclear translocation in the AtT20 cell line. Ann N Y Acad Sci. 2008. doi:10.1196/annals.1410.072 — Annals of the New York Academy of Sciences / PubMed
- NCT07187011 (H250195) — Initial Study Testing Efficacy and Tolerability of PT150 for PTSD in Veterans (Phase 2, not yet recruiting) — ClinicalTrials.gov (U.S. National Library of Medicine)
- Organon N.V. Clinical Trial Report synopsis, Protocol 28130 — dose-finding study of Org 34517 (300 mg / 900 mg) as adjunctive therapy in psychotic major depression (EudraCT results attachment; copyright Merck Sharp & Dohme) — EU Clinical Trials Register (EMA) / Merck Sharp & Dohme
- Palisades Therapeutics Receives FDA Clearance to PROCEED with Phase 2a PTSD Trial of PT150 in U.S. Veterans (2026-02-19) — Pop Test Oncology LLC dba Palisades Therapeutics (via EIN Presswire)
- Theise ND, Arment AR, Chakravarty D, et al. Clinical stage molecule PT150 is a modulator of glucocorticoid and androgen receptors with antiviral activity against SARS-CoV-2. Cell Cycle. 2020. doi:10.1080/15384101.2020.1859752 — Cell Cycle (Taylor & Francis) / PubMed