ClinicalTrials.gg
RecruitingNCT05851859COCO-Long'RunUpdated Sep 14, 2026

Evaluation of the Effectiveness of Breathing Control Technique on Long COVID Symptoms at the Reunion University Hospital

An interventional study of Cardiac coherence in Long COVID, sponsored by Centre Hospitalier Universitaire de la Réunion. Recruiting at 2 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-14.

Sponsored by Centre Hospitalier Universitaire de la Réunion · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started May 2025; still recruiting 1 year 6 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 16 studies in Post-Acute COVID-19 Syndrome with a site in France — 5 open to participants now, 5 under way, none of them phase 3. Post-Acute COVID-19 Syndrome · France.

Started
2025
with 2 others
No phase
6 of 16
3 open now
Registered
10th of 16
by date
Lead sponsor
1 of 16
Centre Hospitalier Universitaire de la Réunion

Among the 16 studies in Post-Acute COVID-19 Syndrome with a site in France, this one is one of 3 that started in 2025, is one of 6 with no phase, and was the 10th registered.

Post-Acute COVID-19 Syndrome

605 studies on the registry are indexed under Post-Acute COVID-19 Syndrome; 201 are open to participants now.

Browse Post-Acute COVID-19 Syndrome studies →

Open to participants now

5 of the 16 studies in Post-Acute COVID-19 Syndrome with a site in France are open now. Recruiting first, the newest first:

All 5 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 145 Post-Acute COVID-19 Syndrome studies recruiting now, 70 (48%) set no upper age limit and 53 (37%) stop at 75 or younger; 15 take children under 18; 39 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Despite the controversy, on October 6, 2021, the World Health Organization (WHO) recognized Long Coronavirus disease (COVID) by officially defining it: " symptoms appeared 3 months after the onset of the primary infection by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), persisting for at least 2 months and which cannot be explained by any other condition ". Long COVID can affects any type of patient and has polymorphic and fluctuating symptoms over time.

The Reunion Island is a French overseas department located in the Indian Ocean accounting more than 860,000 inhabitants. It has recorded since March 11, 2020, nearly 491,825 cases of COVID-19 and 961 deaths of hospitalized patients. Reunion's population is multi-ethnic and younger than the metropolitan France's one. It also has a higher prevalence of obesity and type 2 diabetes, two serious form factors of COVID-19. This specific context makes this island a particular study site for Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) and Long COVID.

In addition, some studies have confirmed the involvement of the autonomic nervous system (ANS) in the symptomatology of Long COVID and demonstrated that patients with a Long COVID present a dysfunction of their ANS which is objectified by a reduced Heart Rate Variability (HRV). The regulation of heart rate by the ANS is strongly favored by respiration. A regular slow and deep breathing training helps to adjust the baroreflex, which connect heart rate, breathing and blood pressure. The result of this training is an induced state called "cardiac coherence" (CC).

The investigator therefore hypothesize that respiratory training to CC could "re-educate" the ANS and durably improve the symptomatology of patients with Long COVID.

03

Conditions studied

  • Long COVID
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients over the age of 18,
  • living in Reunion and
  • having a diagnosis of Long COVID according to the World Health Organization (WHO) definition will be included in this study.
  • These patients must attest to their primary infection with Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) and present a negative antigen test at the time of inclusion.

Exclusion criteria

Exclusion Criteria:

Patients:

  • with a chronic or disabling respiratory pathology preventing respiratory training (asthma, (COPD), active tuberculosis, pulmonary sequelae of COVID-19, etc.) practicing or having practiced a regular respiratory control technique (yoga, Cardiac coherence training, etc.) in the last 6 months
  • taking a beta-blocker, betamimetic, anti-arrhythmic, morphine, antidepressant treatment (Escitalopram)
  • having a pacemaker or severe heart disease
  • Current and known pregnancy or breastfeeding woman
  • with a cognitive deficit
  • under guardianship/curators or under judicial protection
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Complementary respiratory training to cardiac coherence (CC)

    The " intervention " group will benefit from a complementary respiratory training to CC during 6 months in addition to the usual care procedure.

    Other: Cardiac coherence

  • No intervention
    Usual care procedure in the event of Long COVID

    The " control " group will follow a usual care procedure in the event of Long COVID

Interventions

  • OtherCardiac coherence

    Use of Cardiac coherence (complementary respiratory training) during 6 month

06

What researchers measure

Primary outcomes

  1. Evaluation of the effectiveness of a respiratory training to cardiac coherence on the reduction in the symptomatology of patients with Long COVID.

    mean score on the Long COVID Symptom Tool (ST) scale Score 0 to 53 / Higher score mean worse outcome

    Time frame: 6 months

Secondary outcomes

  1. Evaluation of the effectiveness of a respiratory training to cardiac coherence on the decrease of overall symptoms over time

    Long COVID Symptom Tool (ST) scale Score 0 to 53 / Higher score mean worse outcome

    Time frame: T0, 1 month, 2 months, 3 months, 6 months

  2. Evaluation of the effectiveness of a respiratory training to cardiac coherence on the decrease of specifics symptoms : fatigue

    The 11-item Chalder Fatigue Scale (CFS-11) score 0 to 11 / Higher score mean worse outcome

    Time frame: 3 months, 6 months

  3. Evaluation of the effectiveness of a respiratory training to cardiac coherence on the decrease of specifics symptoms : dyspnoea

    Modified Medical Research Council (MMRC) dyspnoea scale score 0 to 5 / Higher score mean worse outcome

    Time frame: 3 months, 6 months

  4. Evaluation of the effectiveness of a respiratory training to cardiac coherence on the decrease of specifics symptoms : Anxiety and Depression

    Hospital Anxiety and Depression scale (HADS) Score 0 to 42 / Higher score mean worse outcome

    Time frame: 3 months, 6 months

  5. Evaluation of the effectiveness of a respiratory training to cardiac coherence on the decrease of specifics symptoms : cognitive disorders

    Montreal Cognitive Assessment (MoCA) Score 0 to 30 / Higher score mean better outcome

    Time frame: 3 months, 6 months

  6. Evaluation of the effectiveness of a respiratory training to cardiac coherence on the decrease of specifics symptoms : Post Traumatic Stress Disorder

    Posttraumatic Stress Disorder Checklist for Diagnostic and statistical manual of mental disorders, version 5 (PCL-5) Score 0 to 80 / Higher score mean worse outcome

    Time frame: 3 months, 6 months

  7. Evaluation of the effectiveness of a respiratory training to CC on the impact of the disease on daily life

    Long COVID Impact Tool (IT) scale Score 0 to 60 / Higher score mean worse outcome

    Time frame: T0, 1 month, 2 months, 3 months, 6 months

07

Study locations

1 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2025 (actual). Primary completion is estimated for Nov 2026, 18 months after the start.

Of 233 non-industry interventional studies with no phase under Post-Acute COVID-19 Syndrome, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 28. This study's planned 18 months is above that.

Counting every sponsor, half of 244 studies reached it within 16 months; a quarter within 7 and three quarters within 27.

How these figures are worked out, and which studies are left out of them.

Registered
May 4, 2023
First posted
May 10, 2023
StartActual
May 5, 2025
Primary completionEst.
Nov 2026
CompletionEst.
Apr 2027
Last update
Sep 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05851859
Responsible party
Sponsor
First posted
May 10, 2023
Start date
May 5, 2025
Primary completion
Nov 2026 (estimated)
Completion
Apr 2027 (estimated)
Last update
Sep 14, 2026

Study contacts

Léa BRUNEAU
Contact
lea.bruneau@chu-reunion.fr
02 62 90 68 83 ext. +262

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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