Clinical trial Recruiting at 6 sites Interventional Ages 18 and up

Prolonged Exposure Therapy for PTSD in Veterans with Substance Use Issues

Official title: Clinical Effectiveness and Implementation of Massed Prolonged Exposure for PTSD Among Veterans in Intensive Outpatient Substance Use Treatment (MPE)

Run by Veterans Medical Research Foundation · NCT06296186 · Data updated 2026-11-12

This study is testing if more frequent therapy sessions can help veterans with PTSD and substance use problems feel better compared to regular weekly sessions.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorVeterans Medical Research Foundation
Academic / other
Locations6 sites (San Diego, California and 5 other locations)
StatusRecruiting
StartedSeptember 1, 2024
Main results expectedJuly 2028
Study endsAugust 2028
Registry record updatedAugust 27, 2026
Trial IDNCT06296186 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include veterans aged 18 and older who have served since September 2001 and are enrolled in a substance use intensive outpatient program.

Probably not a fit

Patients with severe cognitive impairment or those currently experiencing suicidal or homicidal intent may not benefit from this study.

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

What this trial studies

This clinical trial aims to evaluate the effectiveness of Massed Prolonged Exposure Therapy (M-PE) for veterans suffering from PTSD and substance use disorders. Participants will receive either multiple therapy sessions per week or weekly sessions while enrolled in intensive outpatient substance use treatment. The study seeks to determine if the massed format improves PTSD symptoms and reduces substance use compared to traditional weekly sessions. By focusing on veterans who have served since September 2001, the trial addresses a critical need for effective treatment strategies in this population.

Why it matters

Potential benefit: If successful, this approach could significantly improve PTSD treatment outcomes and reduce substance use among veterans.

How similar studies have gone: Previous studies have shown that massed formats of therapy can enhance treatment outcomes in military and veteran populations, indicating a promising approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Veterans
* age 18+
* who have served since September 2001
* who are enrolled in a SUD IOP at a participating VA
* meet DSM-5 criteria for a current SUD (Tobacco Use Disorder alone not sufficient for inclusion)
* meet DSM-5 criteria for PTSD
* report substance use at least 20 of the last 90 days
* are able to give informed consent.

Exclusion Criteria:

* severe cognitive impairment
* current suicidal or homicidal intent requiring immediate treatment
* current unstable psychotic or manic symptoms not attributable to SUD

Where it's running

  • VA San Diego Healthcare System
    San Diego, California, United States
    Recruiting
  • VA Tampa Healthcare System
    Tampa, Florida, United States
    Recruiting
  • VA Atlanta Healthcare System
    Atlanta, Georgia, United States
    Recruiting
  • Hines VA Healthcare System
    Chicago, Illinois, United States
    Recruiting
  • New Orleans VA Medical Center
    New Orleans, Louisiana, United States
    Recruiting
  • Cleveland VA
    Cleveland, Ohio, United States
    Recruiting

Study contacts

  • Principal investigator: Shannon Kehle-Forbes, PhD — University of Minnesota
  • Study coordinator: Sonya Norman, PhD
  • Email: snorman@ucsd.edu
  • Phone: 858-518-8266

Similar studies

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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.