NCT05523414

Brief Summary

The goal of this pilot SKY (Sudarshan Kriya Yoga) Breath Meditation study is to establish feasibility and acceptability of the intervention; and investigate preliminary effectiveness of the intervention at the DNA methylation, RNA and protein levels in blood samples collected from participants before and after the 8 week SKY intervention. Primary outcomes also include preliminary effectiveness at the physiological level using a wearable device used for continuous monitoring. Secondary outcome measures include behavioral inventories.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
45

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Apr 2023

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 19, 2022

Completed
12 days until next milestone

First Posted

Study publicly available on registry

August 31, 2022

Completed
7 months until next milestone

Study Start

First participant enrolled

April 1, 2023

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 19, 2024

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 12, 2024

Completed
Last Updated

March 2, 2026

Status Verified

February 1, 2026

Enrollment Period

1.1 years

First QC Date

August 19, 2022

Last Update Submit

February 26, 2026

Conditions

Keywords

mindfulnessbreathingmeditationstress reductionanxietydepressionDNA methylationepigeneticwearable devicesheart rate variability

Outcome Measures

Primary Outcomes (6)

  • Recruitment rate

    Descriptive statistics will be used to compute the proportion of screen-eligible participants enrolled by consent. Proportions will be computed, along with 95% confidence intervals, to indicate the precision of the point estimate.

    Up to 1 year

  • Refusal rate

    Descriptive statistics will be used to compute the proportion of screen-eligible individuals who refused to participate. Proportions will be computed, along with 95% confidence intervals, to indicate the precision of the point estimate.

    Up to 1 year

  • Retention rate

    Among the participants who originally attended the 3-day workshop, descriptive statistics will be used to compute proportion of participants that complete all 8 SKY follow-up study visits. Proportions will be computed, along with 95% confidence intervals, to indicate the precision of the point estimate.

    Week to week during 8 weeks

  • Adherence rate

    Descriptive statistics will be used to compute the frequency of home practice completion, weekly, by the intervention participants. Proportions will be computed, along with 95% confidence intervals, to indicate the precision of the point estimate.

    8 weeks during intervention period

  • Heart rate variability

    Heart rate variability will be collected using the Garmin vivosmart5 watch

    Continuous monitoring over 8-week intervention

  • Respiration rate

    Respiration rate will be measured using the Garmin vivosmart5 watch

    Continuous monitoring over 8-week intervention

Secondary Outcomes (9)

  • Perceived Stress Scale

    Pre/post 8-week intervention

  • Brief-COPE

    Pre/post 8-week intervention

  • Pittsburgh Sleep Quality Assessment

    Pre/post 8-week intervention

  • Mini-Mood and Anxiety Symptom Questionnaire

    Pre/post 8-week intervention

  • SF-12v2

    Pre/post 8-week intervention

  • +4 more secondary outcomes

Other Outcomes (3)

  • Cytokine changes in serum samples

    Pre/post 8-week intervention

  • Assessment of changes in mitochondrial DNA damage-associated molecular patterns (mtDNA DAMPs) from blood serum.

    Pre/post 8-week intervention

  • Serum biomarkers

    Pre/post 8-week intervention

Study Arms (2)

SKY

EXPERIMENTAL

In-person SKY sessions will be 3 hours long on each of 3 consecutive days, and participants must be willing to attend all 3 sessions. Each session comprises a combination of breathwork, emotional resilience training, yoga, and leadership skills. The SKY technique includes a unique set of standardized breathing techniques to rapidly reduce neuroendocrine stress responses and the autonomic imbalance due to sympathetic overdrive. 8 weeks of online and/or in-person sessions will be delivered to participants in the follow-up period after the initial in-person intervention. They will receive intermittent reminders about their daily practice during the 8-week follow-up period. The participants will be asked to engage in daily 30 minute SKY sessions remotely, that is led by an instructor. Each participant will be required to log in the number of times a week they practice. In addition, weekly 60-minute reinforcement sessions will be conducted, in-person.

Behavioral: SKY

Control

NO INTERVENTION

Waitlist control participants will not be provided any intervention. However, they will have the same schedule for data and biological specimen collection as the SKY intervention participants. They will be provided an opportunity to take the SKY retreat free of charge at the end of the follow up period.

Interventions

SKYBEHAVIORAL

The SKY intervention will be administered in-person over three sessions spread over three consecutive days by qualified instructors. Participants will then be followed up over eight weeks' time, where they will be given the option to attend daily 35 minute breathwork sessions, again, guided by experienced instructors. Participants will be required to log whether or not they practiced for each day in the eight-week period. They will also receive intermittent reminders about their daily practice during the 8-week follow-up period.

Also known as: Sudarshan Kriya Yoga, SKY Breath Meditation
SKY

Eligibility Criteria

Age21 Years - 99 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Healthy volunteers over 21 years of age who are willing to meet the standards of the study.
  • Minimum 5th grade equivalent competency in English
  • Agree to complete all follow up sessions per week of SKY Breath practice.

You may not qualify if:

  • Diagnosis of any major medical condition including, but not limited to: dementia, severe hypertension, cancer, diabetes, rheumatoid arthritis, asthma or respiratory illnesses, history of seizure disorder, Crohn's disease, lupus, colitis, dermatitis, fibromyalgia, HIV, hepatitis B or C.
  • Diagnosis of any psychiatric condition including, but not limited to: severe clinical depression, bipolar disorder, schizophrenia/schizoaffective disorder, suicidal ideation, ADHD
  • Recent history of major psychotic episode within the last 12 months
  • Recent history of consistent substance dependence or abuse either by history or self-report within the last 3 months
  • Major surgery within last 12 weeks
  • On hormone-replacement therapy
  • Taking lithium or lithium-based medication
  • Currently pregnant/breastfeeding or actively trying to become pregnant
  • BMI greater than 35
  • Exhibiting symptoms like prolonged cognitive fog or difficulty breathing.
  • Smokes any tobacco products (including cigarettes, vapes, hookah)
  • Heavy alcohol drinker (per CDC definition, 8 or more drinks per week for women, 15 or more drinks per week for men)
  • Concurrently participating in another pilot study/clinical trial of a mind/body intervention
  • Regularly practices (3+ times a week) a formal meditation or breath-based technique

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Study Site: Confidential

San Diego, California, 92129, United States

Location

MeSH Terms

Conditions

Stress, PsychologicalAnxiety DisordersPsychological Well-BeingRespiratory AspirationDepression

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehaviorMental DisordersPersonal SatisfactionRespiration DisordersRespiratory Tract DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Masking Details
Only the Principal investigator and study coordinator will have access to identifying information. They will de-identify the data and then send this de-identified data (sequencing data and the other clinical, demographic and behavioral data) into an easily accessible set of files for further analysis by the remaining team members. They will also make sure there are no medical record numbers, intervention type, or other identifying information in this dataset, and that the data is blinded in this respect. The files will be stored behind a secure firewall, so that it can only be accessed with permission by the members of the study group. The data will denote the SKY and control groups as Arm 1 \& Arm 2 without indicating whether they refer to SKY or the control groups.
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: Participants are assigned to either the SKY arm or the control arm, that practices the HEP.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor and Associate Dean for Research & Innovation

Study Record Dates

First Submitted

August 19, 2022

First Posted

August 31, 2022

Study Start

April 1, 2023

Primary Completion

April 19, 2024

Study Completion

September 12, 2024

Last Updated

March 2, 2026

Record last verified: 2026-02

Locations