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Energetics and Glutamate in Schizophrenia

Sponsor: King's College London

NCT ID: NCT06236048

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Health checks and monitoring — no treatment given
Type of study
Observational (no treatment given)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
MRI scan (procedure), PET-MR scan (procedure)
How long the study runs
Study runs about 57 months (dates as stated)
About the drug or intervention
MRI scan — procedure: 7 Tesla MRI scan · PET-MR scan — procedure: 18F-fluorodeoxyglucose PET-MR scan
Patient visit burden
Not specified by the sponsor
Type of study
Observing health over time
Ages
18 Years to 65 Years
Who
All
Number of participants
75
Started
2024-03-04
Last checked
2025-03

Plain English Summary

What is this study?

  • • Testing a new treatment for schizophrenia
  • • Clinical study - 75 participants
  • • The goal of this case-control study is to compare brain glutamate, glucose utilisation, lactate production and brain activity in healthy volunteers and people with a diagnosis of schizophrenia

Who can take part?

  • • Ages 18 Years to 65 Years
  • • Diagnosed with schizophrenia

Where?

  • • London - South London and the Maudsley NHS Foundation Trust

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The goal of this case-control study is to compare brain glutamate, glucose utilisation, lactate production and brain activity in healthy volunteers and people with a diagnosis of schizophrenia. It investigates the following main questions: Whether, compared to healthy volunteers, participants with schizophrenia show: 1. reduction in brain glucose utilisation 2. increased brain lactate 3. greater variability in brain glutamate Participants will be asked to have a screening visit, a MRI brain scan and a PET-MRI brain scan.

Schizophrenia

How this trial compares with your answers

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What we know so far

Condition· Matched your search
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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years - 65 Years
  • Who can join: All genders

What the study is looking for

  • ✓Healthy volunteer group:
  • ✓1\. No history of psychiatric illness, as assessed on the Mini neuropsychiatric Interview (MINI).
  • ✓Treatment responsive schizophrenia group:
  • ✓Meeting ICD-11 criteria for schizophrenia (F20)
  • ✓Currently receiving one or more of the following antipsychotic medications: Olanzapine; Risperidone; Quetiapine;...

Who cannot take part

  • ✗All participants:
  • ✗Pregnancy or breastfeeding
  • ✗Lacking in mental capacity to provide agreement to take part to study participation.
  • ✗2\. Diabetes or history of taking an antidiabetic medication 3. Presence of safety concern to MRI at 7 Tesla,...
See the full criteria
Inclusion Criteria: Healthy volunteer group: 1\. No history of psychiatric illness, as assessed on the Mini neuropsychiatric Interview (MINI). Treatment responsive schizophrenia group: 1. Meeting ICD-11 criteria for schizophrenia (F20) 2. Meeting symptomatic consensus criteria for remission, defined as scores of mild or less on items P1, P2, P3, N1, N4, N6, G5 and G9 of the PANSS and no history of symptomatic relapse in the past 6 months. 3. Currently receiving one or more of the following antipsychotic medications: Olanzapine; Risperidone; Quetiapine; Amisulpride; Aripiprazole; Paliperidone. 4. Antipsychotic adherent, defined as having a score of \>=moderate adherence on the Kemp scale. Treatment-resistant schizophrenia group: 1. Meeting ICD-11 criteria for schizophrenia (F20) 2. Meeting modified consensus criteria for treatment resistance, including history of at least two antipsychotic treatment trials each lasting ≥6 weeks at a dose of ≥400mg chlorpromazine equivalents. 3. Total PANSS total score \> 70 4. Moderate functional impairment (\<60 on the SOFAS) 5. Currently receiving one or more of the following antipsychotic medications: Clozapine; Olanzapine; Risperidone; Quetiapine; Amisulpride; Aripiprazole; Paliperidone. 6. Antipsychotic adherent, defined as having a score of \>=moderate adherence on the Kemp scale. Exclusion Criteria: All participants: 1. Pregnancy or breastfeeding 2. Lacking in mental capacity to provide informed consent to study participation. 2\. Diabetes or history of taking an antidiabetic medication 3. Presence of contraindication to MRI at 7 Tesla, including metallic or electronic implants and dental wires. 4\. Severe claustrophobia prohibiting participation on PET or MRI 5. Body size above the comfortable limits for the MRI scanner. 6. Previous participation in research or clinical procedure/s involving ionising radiation, which, including the current study, would result in total radiation exposure \>=10mSv within 12 months 7. History of head injury resulting in loss of consciousness for \> 5 minutes 8. Meeting ICD-11 criteria for organic mental disorder (F00-F09) 9. Meeting ICD-11 criteria for mental and behavioural disorders due to psychoactive substance use (F10-F19) 10. With exclusion of nicotine or cannabis, meeting ICD-11 criteria for psychoactive substance dependence 11. Participation in clinical trial investigating any pharmacological agent other than a licensed antipsychotic compound in the last month.

Where Is This Study? (1 UK site)

South London and the Maudsley NHS Foundation Trust

London, United Kingdom

Recruiting
Hospital R&D contact (matched)

Dale Batham

slam-ioppn.research@kcl.ac.uk0207 848 0790

How to Get in Touch

Alice Egerton, PhD

Sponsor contact

CONTACT

+442078480721 EAGLES_study@kcl.ac.uk
Data sourced from ClinicalTrials.gov · Last verified: 2025-03