Can breathing exercises help veterans heal from trauma and addiction?
NCT ID NCT07756723
First seen Aug 11, 2026 · Last updated Aug 12, 2026 · Updated 1 time
Summary
This trial tests whether heart rate variability biofeedback (HRVB) — a technique that uses guided breathing to improve the body's stress response — can help veterans with both PTSD and substance use disorder. Participants will be randomly assigned to receive either HRVB or present-centered therapy, a talk therapy focusing on current life challenges. The study will measure changes in PTSD symptoms, substance use, and physiological markers like heart rate and skin conductance. The goal is to see if HRVB offers a unique benefit for this high-risk population.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Heart rate variability biofeedback (a technique that uses breathing to improve heart rhythm regulation) compared with present-centered therapy (a talk therapy focused on current life issues)
- What this could lead to
- If effective, this could offer veterans with PTSD and substance use disorder a new, drug-free way to reduce symptoms and improve heart health, potentially lowering their risk of early death.
- What could go wrong
- This is a relatively small trial (50 participants) and early-stage, so results may not apply broadly. The biofeedback may not outperform the control therapy, and individual responses can vary.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Aug 2030
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a US federal agency other than the NIH.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * PTSD diagnosis * Enrolled in VA healthcare * Attending residential programming at CVAMC * Current substance use difficulty based on screening questions Exclusion Criteria: * Non-English speaking * Inability to complete study procedures * Lack competency to provide consent * Acute intoxication of a substance * Active psychotic symptoms at the study visit * Suicidal or homicidal ideation with intent and planning * Pacemaker or other cardiovascular implants.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Coatesville VA Medical Center
RECRUITINGCoatesville, Pennsylvania, 19320, United States
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