Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 65

PTSD, stress signals, and blood pressure: can losartan help high adrenaline in PTSD

Official title: Post-Traumatic Stress Disorder and Cardiovascular Disease Risk: Role of Sympathetic Overactivity and Angiotensin II

Run by Emory University · NCT02560805 · Data updated 2026-11-12

In people with PTSD, the study tests whether losartan can lower high adrenaline responses and reduce heart-risk factors.

More Stress Disorders, Post-Traumatic trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment134 (estimated)
SponsorEmory University
Academic / other
Locations1 site (Decatur, Georgia)
StatusRecruiting
StartedOctober 2015
Main results expectedMarch 30, 2027
Study endsMarch 30, 2027
Registry record updatedMay 18, 2026
Trial IDNCT02560805 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Veterans and other adults aged 18-65 with PTSD, and matched controls without PTSD.

Probably not a fit

Individuals with uncontrolled hypertension, cardiovascular disease, or on certain medications may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 2 interventional trial explores the link between sympathetic overactivity, angiotensin II, and PTSD-related cardiovascular risk. It compares adrenaline-related responses and vascular factors between PTSD patients and matched controls. The study uses microneurography and several stress tests to understand neural and vascular mechanisms, and to see if losartan may normalize these responses. Enrollment targets active-duty-associated veterans and age-matched controls who meet strict medical criteria.

Why it matters

Potential benefit: If successful, losartan could reduce abnormal adrenaline surges and lower cardiovascular risk in PTSD patients.

How similar studies have gone: Prior research in PTSD and SNS activation supports a mechanistic basis; this study explores a specific ARB-related approach in a targeted population.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* veterans ages 18-65 years old with PTSD and without PTSD (controls) matched for age, gender, and race.

Exclusion Criteria:

* pregnancy
* hypertension
* diabetes
* heart or vascular disease
* illicit drug use
* excessive alcohol use (\>2 drinks per day)
* hyperlipidemia
* autonomic dysfunction
* current treatment with clonidine, beta blockers, angiotensin-converting-enzyme (ACE) inhibitors, or angiotensin II receptor blockers (ARBs)
* treatment with monoamine oxidase (MAO) inhibitors within the last 14 days
* any serious systemic disease
* chronic kidney disease defined as estimated glomerular filtration rate (GFR) \< 60 cc/min
* hyperkalemia (serum potassium \> 5 meq/dL)
* systolic blood pressure \< 100 mm Hg
* diastolic blood pressure \< 60 mm Hg
* heart rate \< 50 beats/min
* known hypersensitivity to ARBs or beta blockers

Where it's running

  • Atlanta VA Medical Center
    Decatur, Georgia, United States
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.