Refractory Schizophrenia Clinical Trial
Official title:
Deep Brain Stimulation in Treatment Resistant Schizophrenia: Randomized, Controlled, Crossover Pilot Study
This study aims at assessing efficacy and safety of Deep Brain Stimulation (DBS) for treatment of patients with treatment resistant schizophrenia, by means of a random, controlled and crossed study.
The first phase of the study will consist of implanting electrodes. Recruited patients will
be random to 2 targets: (1) medial prefrontal cortex (mPFC); (2) nucleus accumbens (NAcc).
Continuous stimulation will be applied until the patients stabilise clinically. This period
is anticipated between 6 and 9 months.
After this stage, the next phase will consist of the crossover study. Those patients who
respond to DBS will be randomly distributed in two groups, for a period of 3 months: on
stimulation group and off stimulation group. Patients will then be crossed over to the other
group for a further 3 months.
Weekly visits during first month after, and fortnightly visits will be made during the entire
study to evaluate treatment efficacy and patient tolerance.
Patients who complete the study and respond to treatment with DBS will be provided continuing
with treatment, and keeping control visits to assess the long-term effectiveness.
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