Healthy Controls Clinical Trial
— REVIPSYOfficial title:
REtinal and VIsual Cortical Response in Early PSYchosis
The purpose of the REVIPSY study is to measure retinal and the visual cortical electrophysiological responses in situations at risk of psychosis in patients who have experienced a first psychotic episode. A perspective of this project will be to create new electrophysiological biomarkers predictive of the risk of conversion to psychosis
Status | Recruiting |
Enrollment | 90 |
Est. completion date | January 26, 2026 |
Est. primary completion date | January 26, 2025 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 40 Years |
Eligibility | 1. Inclusion Criteria: 1. All groups Age and gender matching Age between 18 and 40 Enrolled in a social security plan Normal or corrected-to-normal visual acuity verified by Monoyer test In women of childbearing age: negative urine pregnancy test at the inclusion visit Person who has received and understood prior information about the study Person who has given free and informed written consent prior to any participation in the study 2. Healthy control group (HC; n=30) Met "all groups" criteria No current disorders as assessed by the MINI global assessment No lifetime (hypo)manic episodes or psychotic disorders and current No current or past disorders by CAARMS assessment No current disorders according to ICD-10 criteria No positive family history (parents/first degree) for affective affective, non-affective psychoses or major affective disorders No regular use (more than 3 psychotropic medications: benzodiazepines, hypnotics,antidepressants, antipsychotics or mood regulators or psychostimulants) during the past last 12 months 3. High clinical risk group for psychosis (CHRP; n=30) Met "all groups" criteria, Assessment at CAARMS: - Attenuated positive symptoms (APS) - OR Brief Intermittent Psychotic Symptoms (BIPS) - OR Attenuated psychosis of sub-laminar frequency - OR sub-laminar attenuated psychosis Antipsychotic treatment with a cumulative dose of equivalent chlorpromazine <2500mg lifetime (1) 4. First Episode Psychosis (FEP; n=30) All-group criteria met CAARMS assessment: Psychosis/antipsychotic treatment threshold treatment threshold achieved at CAARMS Antipsychotic treatment with a cumulative dose of equivalent chlorpromazine <2500mg lifetime (1) 2. Exclusion Criteria (all groups): Impairment of the subject that makes it difficult or impossible to participate in the or comprehension of the information provided to him/her Dyslexia Substance use disorder according to CIM-10 Neurological history including progressive neurological pathology Progressive retinal disease Chronic glaucoma Ophthalmologic pathology affecting visual acuity Current ocular infection Major under guardianship, curatorship or safeguard of justice Pregnant or breastfeeding women Persons in a life-threatening emergency situation Result of the preliminary medical examination incompatible with the research Patient presenting a suicidal risk. Criteria incompatible with the use of the Retinaute: - Allergy to silver - Known or suspected allergy to any of the following components: polyamide, polyester, elastane, latex, rubber, silicone, or any synthetic material as well as to cotton in case the device is used without the device is used without a protective head covering - Sensory disorders making the patient insensitive to pain on the skin. - Behavioral problems making the patient extremely agitation or aggression. - Mental disorders incompatible with the use of the device. - Seizure disorder. - Open wound in an area covered or wrapped by the device. - User at high risk of contagion. - Wearing an implantable medical device (e.g. pacemaker) - Pregnant women, women in labor or nursing mothers. - Allergy or skin sensitivity to one of the components of the cream Elefix or equivalent on the market: coconut oil, egg oil, propylene glycol egg oil, propylene glycol, glycerin, lanolin... - Allergy or skin sensitivity to one of the components of the cream NuPrep or market equivalent Participation in another interventional study (exclusion period included) |
Country | Name | City | State |
---|---|---|---|
France | Centre Psychothérapeutique de Nancy | Laxou |
Lead Sponsor | Collaborator |
---|---|
Centre Psychothérapique de Nancy | BioSerenity, Institut National de la Santé Et de la Recherche Médicale, France |
France,
Butler PD, Martinez A, Foxe JJ, Kim D, Zemon V, Silipo G, Mahoney J, Shpaner M, Jalbrzikowski M, Javitt DC. Subcortical visual dysfunction in schizophrenia drives secondary cortical impairments. Brain. 2007 Feb;130(Pt 2):417-30. doi: 10.1093/brain/awl233. Epub 2006 Sep 19. — View Citation
Demmin DL, Davis Q, Roche M, Silverstein SM. Electroretinographic anomalies in schizophrenia. J Abnorm Psychol. 2018 May;127(4):417-428. doi: 10.1037/abn0000347. — View Citation
Kim DW, Shim M, Song MJ, Im CH, Lee SH. Early visual processing deficits in patients with schizophrenia during spatial frequency-dependent facial affect processing. Schizophr Res. 2015 Feb;161(2-3):314-21. doi: 10.1016/j.schres.2014.12.020. Epub 2014 Dec 29. — View Citation
Knebel JF, Javitt DC, Murray MM. Impaired early visual response modulations to spatial information in chronic schizophrenia. Psychiatry Res. 2011 Sep 30;193(3):168-76. doi: 10.1016/j.pscychresns.2011.02.006. Epub 2011 Jul 20. — View Citation
Laprevote V, Heitz U, Di Patrizio P, Studerus E, Ligier F, Schwitzer T, Schwan R, Riecher-Rossler A. [Why and how to treat psychosis earlier?]. Presse Med. 2016 Nov;45(11):992-1000. doi: 10.1016/j.lpm.2016.07.011. Epub 2016 Aug 21. French. — View Citation
Moghimi P, Torres Jimenez N, McLoon LK, Netoff TI, Lee MS, MacDonald A 3rd, Miller RF. Electoretinographic evidence of retinal ganglion cell-dependent function in schizophrenia. Schizophr Res. 2020 May;219:34-46. doi: 10.1016/j.schres.2019.09.005. Epub 2019 Oct 12. — View Citation
Tan A, Schwitzer T, Conart JB, Angioi-Duprez K. [Retinal investigations in patients with major depressive disorder, bipolar disorder or schizophrenia: A review of the literature]. J Fr Ophtalmol. 2020 Sep;43(7):586-597. doi: 10.1016/j.jfo.2019.10.029. Epub 2020 Jul 4. French. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | N95 wave | Amplitude | Day1 | |
Primary | a wave | Amplitude | Day1 | |
Primary | b wave | Amplitude | Day1 | |
Primary | P100 wave | Amplitude | Day1 | |
Secondary | Visual Object and Space Perception (VOSP) | Score | Day1 | |
Secondary | Verbal Fluency | Score | Day1 | |
Secondary | Working Memory | Score | Day1 | |
Secondary | Betarythm (EEG oscillatory responses) | Amplitude | Day1 | |
Secondary | Contingent Negative Variation (CNV) | Amplitude reaction time between a warning and a go signal as measured by electroencephalography (EEG) | Day1 | |
Secondary | CPT-AX (Continuous Performance Task version AX) | Score | Day1 | |
Secondary | fNART (French adaptation of National Adult Reading Test) | Score | Day1 | |
Secondary | TAP (Test of Attentional Performance) | Score | Day1 |
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