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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Veterans Medical Research Foundation Academic / other |
| Locations | 6 sites (San Diego, California and 5 other locations) |
| Status | Recruiting |
| Started | September 1, 2024 |
| Main results expected | July 2028 |
| Study ends | August 2028 |
| Registry record updated | August 27, 2026 |
| Trial ID | NCT06296186 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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.