Propranolol and Memory Reactivation for Stress Disorders

This study is testing a new way to help people with stress disorders, specifically post-traumatic stress. It combines a medication called propranolol with memory reactivation procedures. Propranolol is given an hour before each of six weekly sessions where you'll recall a traumatic memory. There are two groups: one where the memory recall is slightly changed (mismatch condition) and one where it's the same each time (standard condition). Researchers want to see if adding the 'mismatch' helps reduce your body's physical reactions (like heart rate) to traumatic memories more effectively. You may be able to join if you are 18-65 years old and have experienced a traumatic event that meets specific criteria for post-traumatic stress.

Study design
This interventional study plans to enroll 80 participants. Participants will be randomly assigned to one of two treatment groups: either the 'mismatch' memory reactivation with propranolol or the 'standard' memory reactivation with propranolol.
What's involved
You would have six weekly memory reactivation sessions, each lasting 10-20 minutes, with propranolol given 60 minutes beforehand. Your physical reactions will be measured at the start, after treatment, and at a follow-up.
Compensation
Not stated in the trial record.
Follow-up
Your physical reactions will be measured again at week 11, which is four weeks after the treatment ends.

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NCT05853627

Mismatch vs. Standard Intervention During Memory Reconsolidation Blockade With Propranolol: Effect on Psychophysiological Reactivity During Traumatic Imagery

Recruiting
PHASE4Ages 18–65Interventional
Massachusetts General Hospital
~80 participants
Updated 2026-05-06 on ClinicalTrials.gov
What's tested:Memory reactivation proceduresPropranolol

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Composite score of psychophysiological reactivity (comprising heart rate, skin conductance, and electromyography of the left corrugator muscle) using the Biopac system.
Measured over Baseline (week 0)
+2 more outcomes measured
Stress Disorders, Post-Traumatic
1 sites across 1 states
Massachusetts1

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Eligibility criteria

Inclusion

Initial participants will be males or females 18-65 years old who have experienced a traumatic event that meets the DSM-5 PTSD A criterion, and whose PCL-5 score is \>33 (to maximize the likelihood that they will meet our psychophysiological inclusion criterion). In order to be randomized, participants must further meet this psychophysiological inclusion criterion during baseline script-driven imagery testing Although we do not require a diagnosis of PTSD, because we have set a minimum psychophysiological inclusion criterion and a valid Criterion A traumatic event, our sample will include a substantial number, likely a majority, of PTSD participants.
  • Composite score of psychophysiological reactivity (comprising heart rate, skin conductance, and electromyography of the left corrugator muscle) using the Biopac system.Baseline (week 0)

    psychophysiological responding during script-driven traumatic imagery compared to no imagery.

  • Composite score of psychophysiological reactivity (comprising heart rate, skin conductance, and electromyography of the left corrugator muscle) using the Biopac system.Post-treatment (week 7)

    psychophysiological responding during script-driven traumatic imagery compared to no imagery.

  • Composite score of psychophysiological reactivity (comprising heart rate, skin conductance, and electromyography of the left corrugator muscle) using the Biopac system.Follow up (week 11)

    psychophysiological responding during script-driven traumatic imagery compared to no imagery.