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Schizophrenia clinical trials

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NCT ID: NCT05322031 Recruiting - Schizophrenia Clinical Trials

The Impact of Aripiprazole Long-acting on Myelin and Cognition in the Onset of Schizophrenia

Start date: January 1, 2022
Phase: Phase 4
Study type: Interventional

The general objective of this interventional study is to explore the impact of long-acting arpiprazole on brain structure, in particular potential neurotrophic effects, neurogenetic and neuroprotective that could counteract the progressive neuronal degeneration inherent in the schizophrenic pathology itself. Each subject will undergo a structured clinical interview to assess the presence/absence of Axis I psychiatric disorders (SCID-5 CV). This evaluation is carried out in common clinical practice as a tool to support diagnosis in patients with suspected schizophrenia. In all subjects, the cognitive profile will be evaluated through the Brief Assessment of Cognition in schizophrenia (BAC-S). The degree of psychotic symptomatology reported through the administration of specific psychopathological scales such as the Brief Psychiatric Rating Scale (BPRS) and the Positive and Negative Syndrome Scale (PANSS) will also be measured. Further clinical data will be extrapolated from medical records and interviews with psychiatrists, if available. In patients diagnosed with schizophrenia at the first psychotic episode, the administration of pharmacological therapy with long-acting aripiprazole will take place following the indications of the relevant data sheet. At the U.O.C. of Neuroradiology of the Fondazione, all enrolled subjects will undergo a 3-Tesla multimodal neuroimaging session that includes: - T1-weighted sequences: to study the volumetric differences of white and grey matter between subjects before and after treatment; - Acquisition of myelin sequences: to assess the differences in myelin between subjects before and after treatment; - DTI sequences: to assess differences in white matter bundles between subjects before and after treatment. The degree of psychotic symptomatology reported will be evaluated by the repetition of psychopathological scales (BPRS, PANSS). Three months after the start of therapy all patients who have joined the study will carry out a 3T NMR of extra standard care control.

NCT ID: NCT05316883 Recruiting - Schizophrenia Clinical Trials

Biomarkers in Clozapine-responding Schizophrenia

BiCS
Start date: February 28, 2021
Phase: Phase 4
Study type: Interventional

The outline of the current project is to establish a cohort of patients with treatment refractory schizophrenia eligible for clozapine, to identify clinical and biological characteristics of clozapine responding patients. Patients will be offered treatment with clozapine according to national clinical guidelines. Before clozapine is initiated, patients will be offered a thoroughly neurobiological examination, and re-examination will be carried out after 12 weeks of treatment. The primary focus of the examinations will be immunological markers and autoantibodies in the blood and cerebrospinal fluid, permeability of the blood-brain barrier and magnetic resonance imaging of structural, neurochemical and functional brain changes.

NCT ID: NCT05310955 Recruiting - Schizophrenia Clinical Trials

Intervention Effect of Shen-based Qigong Exercise on Residual Symptoms of Schizophrenia

Start date: August 16, 2022
Phase: N/A
Study type: Interventional

The purpose of this study is to observe the intervention effect of shen-based Qigong exercise on residual symptoms of schizophrenia.

NCT ID: NCT05303064 Recruiting - Schizophrenia Clinical Trials

Study to Evaluate Weight Gain as Assessed by Change in BMI Z-score in Pediatric Subjects With Schizophrenia or Bipolar I Disorder

Start date: June 30, 2022
Phase: Phase 3
Study type: Interventional

To compare changes in body mass index (BMI) Z-score following treatment with OLZ/SAM vs olanzapine

NCT ID: NCT05299749 Recruiting - Schizophrenia Clinical Trials

Real-time fMRI Neurofeedback in Patients With Schizophrenia and Auditory Hallucinations

Start date: March 1, 2022
Phase: N/A
Study type: Interventional

Neurofeedback intervention aimed to regulate the superior temporal gyrus (STG) activation and default mode network (DMN) connectivity as well as to reduce the auditory hallucinations (AH) schizophrenia patients with medication resistant AH.

NCT ID: NCT05296720 Recruiting - Schizophrenia Clinical Trials

EEG and Behavioral Correlates of Temporal Prediction in the Tactile Modality in Schizophrenia

SchizPredicT
Start date: April 13, 2023
Phase: N/A
Study type: Interventional

Patients with schizophrenia have disturbances in their sense of self, particularly their bodily self. Disorders of the sense of self are central to schizophrenia and are of interest because they are thought to be present prior to the development of the disorder, when only a few attenuated symptoms signal a risk of developing psychosis. Finding markers related to the sense of self would make it possible to predict which subjects, among those with minimal psychotic symptoms, will develop psychosis, and thus to better adapt management. Disturbances in the experience of the passage of time that accompany disturbances in the sense of self have been described particularly in subjects at risk of developing psychosis, and would predict the onset of the pathology. However, as with alterations in the sense of self, it can be difficult to get patients to describe their disturbances in the experience of time, and objective measures are required to facilitate detection of these disturbances. In the present protocol an objective measure of temporal perception mechanisms will be tested in relation to the sense of self. The tests used in the protocol assess subjects' abilities to benefit from the passage of time and to use these abilities to predict and prepare for the occurrence of an event. The investigators have previously shown that patients with impaired bodily sense of self do not benefit from the passage of time to prepare themselves to process information in the future. The present protocol is aimed at developing a measure more sensitive to the patients' disorders by adding tactile measures.

NCT ID: NCT05282186 Recruiting - Schizophrenia Clinical Trials

What the Nose Knows: Hedonic Capacity, Psychosocial Interventions and Outcomes in Schizophrenia

Start date: September 2, 2022
Phase: N/A
Study type: Interventional

This project proposes to conduct the first study of the predictive utility of olfactory hedonic measurement for targeted psychosocial rehabilitation in schizophrenia. The information gathered from the project is of considerable public health relevance, in that, through simple, reliable olfactory assessment, it will provide knowledge about which individuals are most likely to benefit from these psychosocial interventions. Such information is crucial for tailoring existing interventions and developing new approaches to optimize outcomes in schizophrenia.

NCT ID: NCT05278156 Recruiting - Schizophrenia Clinical Trials

Efficacy, Safety and Pharmacokinetics Study of CPL500036 (PDE10A Inhibitor) in Patients With Schizophrenia

Start date: May 19, 2021
Phase: Phase 2
Study type: Interventional

The purpose of this study is to determine the efficacy, safety, tolerability and pharmacokinetics (PK) properties of CPL500036 compound (PDE10a inhibitor) in patients with an acute exacerbation of schizophrenia after 28 days of administration..

NCT ID: NCT05276050 Recruiting - Schizophrenia Clinical Trials

Circuitry-Guided Smoking Cessation in Schizophrenia (UH3)

Start date: June 1, 2022
Phase: N/A
Study type: Interventional

Patients with schizophrenia spectrum disorder (SSD) will be exposed to active repetitive transcranial magnetic stimulation (rTMS) from F8 coil or active rTMS from H coil for smoking cessation. Smoking and brain functional connectivity changes will be assessed at baseline, different stages of rTMS and/or follow-ups.

NCT ID: NCT05273164 Recruiting - Schizophrenia Clinical Trials

State Representation in Early Psychosis

STEP
Start date: December 1, 2021
Phase: N/A
Study type: Interventional

The purpose of this study is to examine state representation in individuals aged 15-45 who have been diagnosed with a psychotic illness, as well as young adults who do not have a psychiatric diagnosis. State Representation is our ability to process information about our surroundings. The investigators will complete some observational tests as well as a cognitive training clinical trial.