Status:

COMPLETED

Investigating the Role of Diazepam on Brain Function and Chemistry in Psychosis Risk

Lead Sponsor:

King's College London

Collaborating Sponsors:

Wellcome Trust

The Royal Society

Conditions:

Prodromal Schizophrenia

Eligibility:

All Genders

18-40 years

Phase:

NA

Brief Summary

This study will investigate whether a single dose of diazepam (5mg) compared to placebo can modulate brain chemistry (GABA/glutamate levels) and function (blood flow, neural response and connectivity ...

Detailed Description

The pathophysiology of psychosis involves elevated subcortical dopamine function, but the factors driving this are still unclear. Evidence from a neurodevelopmental animal model of psychosis suggests ...

Eligibility Criteria

Inclusion

  • Age range 18-40 years
  • Capacity to consent to participation in the study
  • Inclusion into one of three groups as assessed by the CAARMS: i) genetic vulnerability group, ii) attenuated psychosis group, iii) brief intermittent psychosis symptoms group. This instrument has been modified to additionally allow the scoring of the SIPS v.520. The scoring of the SIPS v.5 is included for comparative purposes and does not constitute inclusion criteria.
  • Inclusion based on meeting criteria for "basic symptoms" which are assessed using the Schizophrenia Proneness Instrument (SPI-A)21

Exclusion

  • History of neurological disorders
  • Current exposure to any drug with potential GABAergic or glutamatergic effects other than antipsychotics, mood stabilisers, antidepressants. This includes opiates, psychostimulants, benzodiazepines, atomoxetine, memantine, ketamine, cough medication containing dextromethorphan
  • Current or past exposure to any antipsychotic medication
  • Pregnancy/breastfeeding
  • Contra-indication to MRI scanning (e.g., metal in body, such as pacemakers or implants, claustrophobia)
  • IQ \< 70 as determined with the shortened version of the Wechsler Adult Intelligence Scale III (WAIS-III)22

Key Trial Info

Start Date :

July 24 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 24 2023

Estimated Enrollment :

24 Patients enrolled

Trial Details

Trial ID

NCT06190483

Start Date

July 24 2019

End Date

March 24 2023

Last Update

January 5 2024

Active Locations (1)

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Institute of Psychiatry, Psychology and Neuroscience

London, United Kingdom, SE8 5AF