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Efficacy and Mechanisms of Low-intensity Focused Ultrasound on Negative Symptoms in Patients With Schizophrenia

Not Applicable
Conditions
Negative Symptoms of Schizophrenia
Interventions
Device: Low-intensity Focused Ultrasound(LIFUS)
Registration Number
NCT04620460
Lead Sponsor
Shanghai Mental Health Center
Brief Summary

Based on our research background, we hypothesize that LIFUS has neuromodulation effects on brain cortex and the active LIFUS on left-DLPFC would improve negative symptoms in schizophrenia patients. It would firstly verify the safety of LIFUS on human as well. The multimodal MRI will be contributed to investigate the possible mechanism of negative symptoms.

Detailed Description

Firstly, we plan to explore the short-term effects of LIFUS on cortical excitability by detecting the MEP amplitude. 40 patients and relatively well matched healthy-control would be enrolled. After MEP detection and baseline evaluations, the two groups will be treated with one-single intervention on the primary motor cortex. The cognitive function and MEP amplitude will be assessed respectively at the moment, after 15 minutes and 30 minutes. Then, it is a randomized double-blind sham-controlled LIFUS intervention trial in schizophrenia patients. After screening and baseline evaluations, the 40 patients with schizophrenia will be treated with active LIFUS or sham stimulation for 3 weeks on the left DLPFC. The multimodal MRI will be acquired. Clinical symptoms and cognitive function will be assessed respectively at baseline, at the end of fifth treatments and after the end of the treatment.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
LIFUS-left DLPFCLow-intensity Focused Ultrasound(LIFUS)20 patients will be treated with active LIFUS for 3 weeks on the left DLPFC.
LIFUS-SHAMLow-intensity Focused Ultrasound(LIFUS)20 patients will be treated with sham LIFUS for 3 weeks on the left DLPFC.
Primary Outcome Measures
NameTimeMethod
Clinical Symptoms-SANSbaseline and 15 days

Change from baseline in the Scale for the Assessment of Negative Symptoms(SANS)

Clinical Symptoms-PANSSbaseline and 15 days

Change from baseline in Positive and Negative Syndrome Scale(PANSS)

Secondary Outcome Measures
NameTimeMethod
Cognitive Functionbaseline, after the fifth treatment and 15 days

Change from baseline in the Brief Cognition Test (C-BCT)

Cortex Excitabilitybaseline,the moment after the intervention, after 15 minutes and 30 minutes

MEP amplitude

Change of brain neuroimagingbaseline, fifth treatment and 15th treatment

Brain structure, Resting-state fMRI data, Arterial Spin Labeling(ASL), 1H-MRS in DLPFC are acquired.

Trial Locations

Locations (1)

Shanghai Mental Health Center

🇨🇳

Shanghai, Shanghai, China

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