PACE Versus PE for CPTSD (PACE Trial)
PACE
Patient-centred Modular Cognitive Behavioural Therapy Versus Prolonged Exposure Therapy for Complex Post-traumatic Stress Disorder: a Randomised Trial
2 other identifiers
interventional
228
1 country
10
Brief Summary
The objective of this pragmatic trial is to evaluate the beneficial and harmful effects of Patient-centred Modular Cognitive Behavioural Therapy (PACE) compared with the standard post-traumatic stress disorder (PTSD) treatment, Prolonged Exposure (PE), for adults with an ICD-11 diagnosis of Complex post-traumatic stress disorder (CPTSD).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2026
Longer than P75 for not_applicable
10 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 19, 2026
CompletedFirst Posted
Study publicly available on registry
January 27, 2026
CompletedStudy Start
First participant enrolled
February 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2029
January 27, 2026
January 1, 2026
3.2 years
January 19, 2026
January 19, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
ITI
CPTSD symptom severity assessed with the International Trauma Interview (ITI), (scale ranging from 0-48, higher scores indicate higher severity)
End of intervention, 9 months after randomisation (and assessed as an exploratory outcome at 18 months after randomisation)
Secondary Outcomes (7)
SAE
End of intervention, 9 months after randomisation (and assessed as an exploratory outcome at 18 months after randomisation)
Suicides and suicide attempts
End of intervention, 9 months after randomisation (and assessed as an exploratory outcome at 18 months after randomisation)
DASS-21, depression
End of intervention, 9 months after randomisation (and assessed as an exploratory outcome at 18 months after randomisation)
DASS-21, anxiety
End of intervention, 9 months after randomisation (and assessed as an exploratory outcome at 18 months after randomisation)
AUDIT
End of intervention, 9 months after randomisation (and assessed as an exploratory outcome at 18 months after randomisation)
- +2 more secondary outcomes
Other Outcomes (10)
ITQ
3, 6, and 9 months after randomisation (and assessed as an exploratory outcome at 18 months after randomisation)
TIQ
3, 6, and 9 months after randomisation (and assessed as an exploratory outcome at 18 months after randomisation)
ETMQ
3, 6, and 9 months after randomisation (and assessed as an exploratory outcome at 18 months after randomisation)
- +7 more other outcomes
Study Arms (2)
PACE
EXPERIMENTALPatient-centred Modular Cognitive Behavioural Therapy
PE
ACTIVE COMPARATORProlonged Exposure therapy
Interventions
Eligibility Criteria
You may qualify if:
- Age: ≥18 years.
- Referred to PTSD treatment (which requires absence of severe psychiatric comorbidity dominating the clinical presentation, hindering trauma-focused psychotherapy, assessed by the referring clinician at point of referral (e.g. major depressive disorder, ADHD, autism spectrum disorders, personality disorders, psychotic disorders, alcohol- or substance use, and aggressive behaviours)).
- Diagnosis of CPTSD according to ICD-11, assessed by the interviewing investigator using the ITI interview.
- Written informed consent.
You may not qualify if:
- Current self-harm or severe suicidality defined as at least one self-harm episode or one suicide-attempt the last three months, as assessed by the interviewing investigator.
- Any other condition that markedly compromises the participant's ability to adhere to the treatment programme or follow-up, such IQ \< 70 based on clinical judgement.
- Currently involved in legal proceedings concerning work accident compensation related to PTSD, or trial regarding child custody.
- Does not understand Danish or needs an interpreter.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sofie Folkelead
- Danish Veterans Centrecollaborator
- Aarhus University Hospitalcollaborator
- Copenhagen Trial Unit, Center for Clinical Intervention Researchcollaborator
- Mental Health Centre Copenhagen, Bispebjerg and Frederiksberg Hospitalcollaborator
Study Sites (10)
The Outpatient Clinic for PTSD, Department of Affective Disorders, Aarhus University Hospital Psychiatry
Aarhus, 8200, Denmark
The Outpatient Clinic for PTSD at Ballerup, Mental Health Centre Ballerup, Capital Region of Denmark
Ballerup Municipality, 2750, Denmark
Danish Veterans Centre - Høvelte: Livgardens Kaserne, Høveltevej 117
Birkerød, 3460, Denmark
Danish Veterans Centre - Svanemøllen: Svanemøllens Kaserne, Ryvangs Allé 1-3
Copenhagen, 2100, Denmark
Danish Veterans Centre - Fredericia: Ryes Kaserne, Treldevej 110
Fredericia, 7000, Denmark
Danish Veterans Centre - Holstebro: Jydske Dragonregiment, Dragonkasernen 1
Holstebro, 7500, Denmark
Danish Veterans Centre - Karup: Flyvestation Karup, Herningvej 30
Karup, 7470, Denmark
Danish Veterans Centre - Aalborg: Aalborg Kaserner, Gl. Høvej 34
Nørresundby, 9400, Denmark
Danish Veterans Centre - Ringsted: Ringsted Kaserne, Garnisonen 1
Ringsted, 4100, Denmark
Danish Veterans Centre - Slagelse: Antvorskov Kaserne, Charlottedal Allé 4
Slagelse, 4200, Denmark
Study Officials
- PRINCIPAL INVESTIGATOR
Sofie Folke
Military Psychology Department, Danish Veterans Centre, part of Defence Command Denmark
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- Outcome assessors, data managers, statisticians, and conclusion drawers will be blinded to group allocation.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- PhD, Psychologist, Senior Researcher
Study Record Dates
First Submitted
January 19, 2026
First Posted
January 27, 2026
Study Start
February 1, 2026
Primary Completion (Estimated)
March 31, 2029
Study Completion (Estimated)
December 31, 2029
Last Updated
January 27, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
- Time Frame
- When the results have been published.
- Access Criteria
- Researchers with a protocol for their planned study.
After the results have been published, we aim to make a depersonalised dataset publicly available on e.g. ClinicalTrials.gov and/or the European Union (EU) Zenodo database (https://zenodo.org/). The final choice will reflect which platform(s) that are compliant with current legislation at that time.