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Not yet recruitingNCT07927192POTESTAUpdated Nov 10, 2026

Medical Nitrous Oxide Combined With Personalized Traumatic Script Exposure for the Treatment of Post-Traumatic Stress Disorder

A Phase 3 interventional study of MEOPA (Nitrous Oxide/Oxygen Premix) and Medical Air in Oxygen in PTSD - Post Traumatic Stress Disorder, sponsored by University Hospital, Tours. Not yet recruiting at 3 sites in France. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by University Hospital, Tours · Phase 3, Interventional, and Treatment

Updated Nov 10, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
96
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The goal of this double-blind randomized controlled superiority clinical trial is to evaluate whether medical nitrous oxide/oxygen premix (MEOPA), combined with exposure to a personalized traumatic script, can improve symptoms of posttraumatic stress disorder (PTSD) in adults with treatment-resistant PTSD related to interpersonal violence.

The main questions it aims to answer are:

  1. Does MEOPA combined with traumatic script exposure reduce PTSD symptom severity, as measured by the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5), compared with medical air combined with traumatic script exposure?
  2. Does MEOPA improve associated symptoms and functioning, including depression, anxiety, dissociation, and functional impairment, while maintaining an acceptable safety profile?

Researchers will compare participants receiving MEOPA plus traumatic script exposure with participants receiving medical air plus traumatic script exposure to determine whether MEOPA enhances the therapeutic effects of trauma-focused re-exposure.

Participants will:

  • Attend a screening and baseline assessment visit.
  • Complete clinician-administered and self-reported questionnaires assessing PTSD symptoms, depression, anxiety, dissociation, suicidality, and functional impairment.
  • Write a personalized traumatic script based on their traumatic experience.
  • Be randomized to receive either MEOPA or medical air.
  • Undergo four weekly treatment sessions consisting of inhalation of the assigned gas combined with exposure to their personalized traumatic script.
  • Attend follow-up visits at 1, 3, 6, and 9 months after treatment for evaluation of efficacy and safety outcomes.
02

Conditions studied

  • PTSD - Post Traumatic Stress Disorder

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03

In context

Combat Disorders

200 studies on the registry are indexed under Combat Disorders; 90 are open to participants now.

This study's planned enrollment of 96 is above the median of 72 across 167 interventional studies indexed under Combat Disorders.

Browse Combat Disorders studies →

Lead sponsor

University Hospital, Tours is the lead sponsor of 307 studies on the registry; 79 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
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

  • Age 18 - 65
  • Patient with PTSD who has failed to respond to at least one therapeutic approach, psychotherapy or treatment with an SSRI
  • Nature of the traumatic event: interpersonal violence, including sexual, physical and psychological abuse
  • PTSD as defined by the , with symptoms present for more than 6 months
  • CAPS-5 score ≥35
  • Participant who can receive MEOPA or medical oxygen through a face mask
  • French-speaking
  • Social security affiliation
  • Signed consent
  • A suitable method of for women of childbearing age

Exclusion criteria

Exclusion Criteria:

  • Current substance use disorders or history of substance use disorder.
  • Psychotic, bipolar, dissociative identity, or eating disorders.

    * suicidal risque with C-SSR score ≥4

  • Pregnancy and/or breastfeeding.
  • Patients subject to legal guardianship and/or other circumstances rendering the patient unable to understand the nature, purpose or consequences of the study.
  • to the use of MEOPA and any condition where air is trapped inside the body and where its expansion could be dangerous: pneumothorax, emphysema, intestinal obstruction, intracranial hypertension, known and untreated deficiency of vitamin B12 or B9 (based on a test result less than 1 month old), Patients requiring ventilation with pure oxygen; any impairment of consciousness preventing patient cooperation; head injury; Gas embolism; Diving accident; Abdominal gas distension; Patient who has recently received an ophthalmic gas (SF6, C3F8, C2F6) used in eye surgery (as long as a gas bubble persists inside the eye and for a minimum period of 3 months), neurological abnormalities of recent or non-recent onset.
  • Sub-physiological plasma concentration of vitamin B12 or B9 (below the lower limit of the laboratory's reference range).
  • Supraphysiological plasma concentration of homocysteine (above the upper limit of the laboratory's reference range).
Terms in these criteria, in plain language(3)

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.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
96 participants (estimated)

Study arms

  • Experimental
    MEOPA + Personalized Traumatic Script Exposure

    Participants receive inhaled medical nitrous oxide/oxygen premix (MEOPA) combined with exposure to a personalized traumatic script. Four treatment sessions are administered at weekly intervals. During each session, participants undergo 45 minutes of inhalation following the reading of their personalized traumatic script.

    Drug: MEOPA (Nitrous Oxide/Oxygen Premix) · Behavioral: Personalized Traumatic Script Exposure

  • Placebo comparator
    Medical Air + Personalized Traumatic Script Exposure

    Participants receive inhaled medical air combined with exposure to a personalized traumatic script. Four treatment sessions are administered at weekly intervals. During each session, participants undergo 45 minutes of inhalation following the reading of their personalized traumatic script.

    Other: Medical Air in Oxygen · Behavioral: Personalized Traumatic Script Exposure

Interventions

  • DrugMEOPA (Nitrous Oxide/Oxygen Premix)

    Inhalation of a premixed medicinal gas containing nitrous oxide and oxygen (MEOPA), administered via face mask during four weekly sessions in combination with exposure to a personalized traumatic script.

  • OtherMedical Air in Oxygen

    Inhalation of medical air administered via face mask during four weekly sessions in combination with exposure to a personalized traumatic script.

  • BehavioralPersonalized Traumatic Script Exposure

    Exposure to an individualized traumatic script written by the participant and read during each treatment session as part of a trauma-focused memory re-exposure procedure. The intervention is administered in combination with either MEOPA or medical air.

06

What researchers measure

Primary outcomes

  1. Change in PTSD symptom severity measured using the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) until 3 months

    The primary endpoint is the change in PTSD symptom severity, as assessed by the CAPS-5 scale, between baseline (Day 0, prior to treatment initiation) and the 3-month follow-up assessment.

    Time frame: Day 0 and 3 months

Secondary outcomes

  1. Change in PTSD symptom severity using the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) until 9 months

    The secondary endpoint is the change in PTSD symptom severity, as assessed by the CAPS-5 scale, between baseline (Day 0, prior to treatment initiation), 3 months and the 9-month follow-up assessment.

    Time frame: Day 0, 3 months and 9 months

  2. Change in depression severity using the Patient Health Questionnaire-9 (PHQ-9) until 9 months

    The secondary endpoint is the change in depression severity, as assessed by the PHQ-9 scale, between baseline (Day 0, prior to treatment initiation), 3 months, 6 months and the 9-month follow-up assessment.

    Time frame: Day 0, 3 months, 6 months and 9 months

  3. Change in anxiety symptoms using the State-Trait Anxiety Inventory (STAI) until 9 months

    The secondary endpoint is the change in anxiety symptom severity, as assessed by the STAI scale, between baseline (Day 0, prior to treatment initiation), 3 months, 6 months and the 9-month follow-up assessment.

    Time frame: Day 0, 3 months, 6 months and 9 months

  4. Change in PTSD symptom severity using the PTSD Checklist for DSM-5 (PCL-5) until 9 months

    The secondary endpoint is the change in PTSD symptom severity, as assessed by the PCL-5 scale, between baseline (Day 0, prior to treatment initiation), 3 months, 6 months and the 9-month follow-up assessment.

    Time frame: Day 0, 3 months, 6 months and 9 months

  5. Change in dissociative symptoms using the Dissociative Experience Scale (DES-28) until 9 months

    The secondary endpoint is the change in dissociative symptoms, as assessed by the DES-28 scale, between baseline (Day 0, prior to treatment initiation), 3 months, 6 months and the 9-month follow-up assessment.

    Time frame: Day 0, 3 months, 6 months and 9 months

  6. Change in functional impairment using the Functioning Assessment Short Test (FAST) until 9 months

    The secondary endpoint is the change in fuctional impairment, as assessed by the FAST scale, between baseline (Day 0, prior to treatment initiation), 3 months, 6 months and the 9-month follow-up assessment.

    Time frame: Day 0, 3 months, 6 months and 9 months

07

Study locations

3 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07927192
Responsible party
Sponsor
First posted
Nov 10, 2026
Start date
Jan 2027 (estimated)
Primary completion
Sep 2027 (estimated)
Completion
Jan 2031 (estimated)
Last update
Nov 10, 2026

Study contacts

Lyna CHAMI, MD
Contact
l.chami@chu-tours.fr
+332 47 47 38 21
Coralie TAILLEBUIS
Contact
c.taillebuis@chu-tours.fr

Oversight

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

Not currently enrolling

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