Status:

COMPLETED

Biomarkers of Conversion Risk and Treatment Response in Early-Stage Schizophrenia

Lead Sponsor:

Weill Medical College of Cornell University

Collaborating Sponsors:

New York State Psychiatric Institute

Columbia University

Conditions:

Schizophrenia Spectrum and Other Psychotic Disorders

Eligibility:

All Genders

18-35 years

Phase:

PHASE4

Brief Summary

Schizophrenia (SZ) is a highly debilitating neuropsychiatric disorder of young adulthood onset and a leading cause of disability worldwide. While treatments delivered at early stages of the disorder m...

Eligibility Criteria

Inclusion

  • Inclusion Criteria (Patients):
  • Male or females between the ages of 18-35
  • less than five years (\<60 months) of active Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnosis of schizophrenia, schizophreniform, or schizoaffective disorder
  • Capacity to provide informed consent
  • No major medical or neurological illness
  • Medication free (3 weeks without antipsychotic medications)
  • Exclusion Criteria (Patients):
  • Current alcohol or drug abuse (\<1 month) or substance dependence (\<6 months) or substances used within one day of the imaging study.
  • Pregnant or lactating women or women of child-bearing potential, who are either not surgically-sterile or, for outpatients, not using appropriate methods of birth control.
  • Intelligence Quotient (IQ) \<70
  • Acute risk for suicide or violence
  • Presence of pacemaker or any metallic objects in the body that would interfere with the MRS or cause MRI safety problems
  • Claustrophobia
  • Any organic brain disorder (including epilepsy, mental retardation, or a medical condition whose pathology or treatment would likely alter the presentation or treatment of SZ
  • Individuals on anti-epileptic medications (e.g., valproate, carbamazepine) that may affect GABA or Glu
  • Unstable medical or neurological condition
  • DSM-V diagnosis of bipolar disorder I
  • DSM-V diagnosis of major depression with psychotic features
  • History of non-response to or non-tolerance of Risperidone
  • Inclusion Criteria (Healthy Controls)
  • Male or females between the ages of 18-35
  • less than five years (\<60 months) of active DSM diagnosis of schizophrenia, schizophreniform, or schizoaffective disorder
  • No major medical or neurological illness
  • Exclusion Criteria (Healthy Controls)
  • Current alcohol or drug abuse (\<1 month) or substance dependence (\<6 months) or substances used within one day of the imaging study.
  • Pregnant or lactating women or women of child-bearing potential, who are either not surgically-sterile or, for outpatients, not using appropriate methods of birth control.
  • IQ\<70
  • Acute risk for suicide or violence
  • Presence of pacemaker or any metallic objects in the body that would interfere with the MRS or cause MRI safety problems
  • Claustrophobia
  • History of psychotropic medication use such as antipsychotics or antidepressants
  • Any first-degree family history of psychotic illness
  • Personal history of any DSM Axis I disorder
  • Individuals on anti-epileptic medications (e.g., valproate, carbamazepine) that may affect GABA or Glu
  • Unstable medical or neurological condition
  • Any organic brain disorder (including epilepsy, mental retardation, or a medical condition whose pathology or treatment would likely alter the presentation or treatment of SZ

Exclusion

    Key Trial Info

    Start Date :

    September 15 2017

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    May 31 2023

    Estimated Enrollment :

    26 Patients enrolled

    Trial Details

    Trial ID

    NCT03323437

    Start Date

    September 15 2017

    End Date

    May 31 2023

    Last Update

    May 6 2024

    Active Locations (1)

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    New York State Psychiatric Institute & Columbia University

    New York, New York, United States, 10032