Deep Brain Stimulation Recovery in Treatment-Resistant Schizophrenia

NCT ID: NCT05337904

Last Updated: 2025-07-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-01

Study Completion Date

2026-07-31

Brief Summary

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The purpose of this project is to improve the clinical response and personal recovery of patients with treatment-resistant schizophrenia (TRS).

Detailed Description

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The Project aims to improve the efficacy of the first worldwide study of Deep Brain Stimulation (DBS) carried out in our hospital -PI12 / 00042: Deep Brain Stimulation in the treatment of refractory schizophrenia- through the implementation of a white matter tractography approach, which have demonstrated to improve efficacy in other DBS studies .

Moreover, and in line with the National Strategy of Mental Health of the National Health System, this project aims to promote integrated and comprehensive care for patients with mental illness by multidisciplinary teams which includes family care, as we consider it is important to add to the DBS treatment program, a psychological intervention module based on the recovery model. Therefore, the main objectives of the present project are:

i) to optimizethe efficacy and tolerability of DBS in TRS;

ii) investigate whether the REFOCUS intervention improves the recovery of patients who are being treated with DBS. To this end, a double-blind, randomized, crossover clinical trial of DBS will be performed for 6 patients with TRS. Patients will be randomized to receive tractography-based target guidance DBS in the anterior cingulate cortex (ACC) or the nucleus accumbens (Nac). The 21 patient previously intervened with DBS (Affective disorders and TRS) and the ones included in this project, will enter into a psychological intervention phase, based on the REFOCUS model

Conditions

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Treatment-resistant Schizophrenia Deep Brain Stimulation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

A clinical trial with four periods will be performed: pre-treatment, Intervention and follow-up, Cross-over period, and Recoveryoriented intervention.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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On-Stimulation

Disease condition is assessed with stimulation turned "on"

Group Type ACTIVE_COMPARATOR

On-Stimulation

Intervention Type DEVICE

The surgical electrode implanted in target 1 (ACC) or target 2 (NAcc) by a pulse generating device is "on".

Off-Stimulation

Disease condition is assessed with stimulation turned "off"

Group Type PLACEBO_COMPARATOR

Off-Stimulation

Intervention Type DEVICE

The surgical electrode implanted in target 1 (ACC) or target 2 (NAcc) by a pulse generating device is "off".

Interventions

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On-Stimulation

The surgical electrode implanted in target 1 (ACC) or target 2 (NAcc) by a pulse generating device is "on".

Intervention Type DEVICE

Off-Stimulation

The surgical electrode implanted in target 1 (ACC) or target 2 (NAcc) by a pulse generating device is "off".

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Individuals aged 18-50 years
* Meet DSM-5 criteria for schizophrenia, with a duration of illness \< than 15 years.
* Meet updated TRS criteria.
* Non-sustained response to electroconvulsive therapy.

Exclusion Criteria

* Contraindications to neurosurgery or DBS
* Epilepsy or seizures clozapine-induced
* Suicidal or self-harming behaviour in the last 6 months
* Other psychiatric disorders (including personality disorders)
* Significant cognitive impairment (Vocabulary test WAIS IV-TR, IQ \<70, and SCIP\<55)
* Severe medical non-controlled diseases
* Pregnancy or breastfeeding
* Substance use disorders (except nicotine)
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Iluminada Corripio, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Psychiatry. Hospital Santa Creu i Sant Pau

Locations

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Department of Psychiatry. Hospital Santa Creu i Sant Pau

Barcelona, Barcelona, Spain

Site Status

Countries

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Spain

Other Identifiers

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IIBSP-ECP-2019-98

Identifier Type: -

Identifier Source: org_study_id

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