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Prodromal SchizophreniaREVIPSYNCT05167396

REtinal and VIsual Cortical Response in Early PSYchosis

A study testing Retinaute (BioSerenity), EEG Headset 64 electrodes (BioSemi) and MonPackOne (Metrovision) in people with Prodromal Schizophrenia and Psychotic Episode, run by Centre Psychothérapique de Nancy at 1 site in France.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of the REVIPSY study is to measure retinal and the visual cortical electrophysiological responses in situations at risk of psychosis in patients who have experienced a first psychotic episode. Read more about this study

Who is it for?
Ages 18 to 40 yearsHealthy volunteers can take part
What is being tested?
Retinaute (BioSerenity), EEG Headset 64 electrodes (BioSemi) and MonPackOne (Metrovision)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
1 siteFrance
Study dates
26 Jan 2022to 20 Jul 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult
  1. Inclusion Criteria:
  2. All groups Age and gender matching Age between 18 and 40 Enrolled in a social security plan Normal or corrected-to-normal visual acuity verified by Monoyer test In women of childbearing age: negative urine pregnancy test at the inclusion visit Person who has received and understood prior information about the study Person who has given free and informed written consent prior to any participation in the study
  3. Healthy control group (HC; n=30) Met "all groups" criteria No current disorders as assessed by the MINI global assessment No lifetime (hypo)manic episodes or psychotic disorders and current No current or past disorders by CAARMS assessment No current disorders according to ICD-10 criteria No positive family history (parents/first degree) for affective affective, non-affective psychoses or major affective disorders No regular use (more than 3 psychotropic medications: benzodiazepines, hypnotics,antidepressants, antipsychotics or mood regulators or psychostimulants) during the past last 12 months
  4. High clinical risk group for psychosis (CHRP; n=30) Met "all groups" criteria, Assessment at CAARMS:
  • Attenuated positive symptoms (APS)
  • OR Brief Intermittent Psychotic Symptoms (BIPS)
  • OR Attenuated psychosis of sub-laminar frequency
  • OR sub-laminar attenuated psychosis Antipsychotic treatment with a cumulative dose of equivalent chlorpromazine <2500mg lifetime (1)
  1. First Episode Psychosis (FEP; n=30) All-group criteria met CAARMS assessment: Psychosis/antipsychotic treatment threshold treatment threshold achieved at CAARMS Antipsychotic treatment with a cumulative dose of equivalent chlorpromazine <2500mg lifetime (1)
  2. Exclusion Criteria (all groups):

Impairment of the subject that makes it difficult or impossible to participate in the or comprehension of the information provided to him/her

Dyslexia

Substance use disorder according to CIM-10

Neurological history including progressive neurological pathology

Progressive retinal disease

Chronic glaucoma

Ophthalmologic pathology affecting visual acuity

Current ocular infection

Major under guardianship, curatorship or safeguard of justice

Pregnant or breastfeeding women

Persons in a life-threatening emergency situation

Result of the preliminary medical examination incompatible with the research

Patient presenting a suicidal risk.

Criteria incompatible with the use of the Retinaute:

  • Allergy to silver
  • Known or suspected allergy to any of the following components: polyamide, polyester, elastane, latex, rubber, silicone, or any synthetic material as well as to cotton in case the device is used without the device is used without a protective head covering
  • Sensory disorders making the patient insensitive to pain on the skin.
  • Behavioral problems making the patient extremely agitation or aggression.
  • Mental disorders incompatible with the use of the device.
  • Seizure disorder.
  • Open wound in an area covered or wrapped by the device.
  • User at high risk of contagion.
  • Wearing an implantable medical device (e.g. pacemaker)
  • Pregnant women, women in labor or nursing mothers.
  • Allergy or skin sensitivity to one of the components of the cream Elefix or equivalent on the market: coconut oil, egg oil, propylene glycol egg oil, propylene glycol, glycerin, lanolin...
  • Allergy or skin sensitivity to one of the components of the cream NuPrep or market equivalent

Participation in another interventional study (exclusion period included)

Trial locations and contacts

1 site in 1 country.

France1 site
  • Centre Psychothérapeutique de Nancy

    Laxou, 54520

Other trials in France

About this study

The purpose of the REVIPSY study is to measure retinal and the visual cortical electrophysiological responses in situations at risk of psychosis in patients who have experienced a first psychotic episode. A perspective of this project will be to create new electrophysiological biomarkers predictive of the risk of conversion to psychosis

Read the detailed description

The severity of psychotic disorders and their disabling potential in young patients represent a major public health problem. These populations are affected by high-level cognitive disorders associated with highly integrative functions. However, there is increasing evidence of lower-level impairments, including vision. Indeed, the literature reports electrophysiological abnormalities at the retinal level, reflected by an alteration of the signal transmission in the retinal ganglion cells (RGC), photoreceptors and bipolar cells. At the cortical level, numerous studies report electrophysiological abnormalities associated with the activity of the primary visual areas. These both electrophysiological measurements have the advantage of being objective, reliable and reproducible, thus leading to new research perspectives concerning the link between retinal and cortical measures in psychosis. These measures could also be interesting for the detection of the risk of conversion to psychosis, before it develops.

The transition to a state of psychosis is in fact marked by the appearance of symptoms, which can occur several years before the diagnosis and impact the duration of the untreated psychosis. Thus, the notion of a clinical state at high risk of psychosis (CHRP) defines a population of patients said to be at risk of psychosis. These symptoms precede the occurrence of the first psychotic episode (FEP), indicating the clear transition to psychotic illness. The questions that arise at the present time concerned the early detection and intervention of psychosis during this prodromal phase. This detection could be done via electrophysiological measures associated to the visual processing, but also via measures of neuropsychological evaluations and behavioral measures.

That is why, a study on retinal and visual cortical alterations coupled with neuropsychological assessments and behavioral measures in populations at risk of populations at risk of CHRP psychosis and in FEP would potentially reveal predictive biomarkers of the pathology. Such a project could lead to the development of retino-cortical biomarkers in mental health and will eventually lead to to create ultra-portable, reliable and routinely usable measurement devices for the early detection of psychosis in clinic.

Main objective: To measure retinal and visual cortical electrophysiological responses in clinical subjects at high risk of psychosis (CHRP) in comparison with first-episode psychotic patients (FEP) and healthy controls (CS)

Secondary objective(s) :

Compare ERG traces obtained from the "Retinaute" portable ERG device produced by the company BioSerenity with ERG traces obtained from a standard device ERG measurement device "MyPackOne" produced by the company Metrovision among healthy controls

To measure performance on neuropsychological tests in clinical subjects at high risk of psychosis (CHRP) compared to patients with a first episode of psychosis (FEP)

Measuring temporal prediction in tactile modality (unimodal) with a motor task, in clinical subjects at high risk of psychosis (CHRP) in comparison with first-episode patients (FEP) and healthy controls (CS)

Measuring temporal prediction in visual and tactile (multimodal) modalities/Measuring temporal prediction in visual modality (unimodal) with a classical perceptual task in clinical subjects at high risk of psychosis (CHRP) in comparison with patients with a first psychotic episode with a first episode of psychosis (FEP) and healthy controls (CS)

To compare the sensitivity of behavioural and EEG measures to the prediction of tactile vs. visual stimuli, and multimodal vs. unimodal

Being tested
Retinaute (BioSerenity), EEG Headset 64 electrodes (BioSemi), MonPackOne (Metrovision)
Keywords
Electrophysiology, Vision, Retina, Visual Cortex, Early psychosis, ERG, EEG
Medical subject headings
Schizotypal Personality Disorder, Prodromal Symptoms, Psychotic Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Retinaute (BioSerenity)Device

    Wearable device in the form of a virtual reality headset for the recording of electrophysiological measurements such as electroretinogram (ERG) and electrocenphalogram (EEG), ISCEV standards

  • EEG Headset 64 electrodes (BioSemi)Device

    EEG headset with 64 electrodes for the recording of visual cortical electrophysiological signals

  • MonPackOne (Metrovision)Device

    Standard device for the recording of electroretinography (ERG) measurements, ISCEV standards

    WARNING : Device used only in 3 healthy controls to address the secondary objective

Study groups in NCT05167396
Study groupRoleWhat they receive
Healthy Controls (HC)Experimentaln=90
Receives: Device: Retinaute (BioSerenity); Device: EEG Headset 64 electrodes (BioSemi); Device: MonPackOne (Metrovision)
Clinical High Risk of Psychosis (CHRP)Experimentaln=30
Receives: Device: Retinaute (BioSerenity); Device: EEG Headset 64 electrodes (BioSemi)
First Episode Psychosis (FEP)Experimentaln=30
Receives: Device: Retinaute (BioSerenity); Device: EEG Headset 64 electrodes (BioSemi)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. N95 wave

    Amplitude

    Measured: Day1

  2. a wave

    Amplitude

    Measured: Day1

  3. b wave

    Amplitude

    Measured: Day1

  4. P100 wave

    Amplitude

    Measured: Day1

Secondary outcomes (8)
  1. Visual Object and Space Perception (VOSP)

    Score

    Measured: Day1

  2. Verbal Fluency

    Score

    Measured: Day1

  3. Working Memory

    Score

    Measured: Day1

  4. Betarythm (EEG oscillatory responses)

    Amplitude

    Measured: Day1

  5. Contingent Negative Variation (CNV)

    Amplitude reaction time between a warning and a go signal as measured by electroencephalography (EEG)

    Measured: Day1

  6. CPT-AX (Continuous Performance Task version AX)

    Score

    Measured: Day1

  7. fNART (French adaptation of National Adult Reading Test)

    Score

    Measured: Day1

  8. TAP (Test of Attentional Performance)

    Score

    Measured: Day1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Dec 2021
  2. Study start26 Jan 2022
  3. Primary completion20 Jul 2023
  4. Study completion20 Jul 2023

Why it stopped: Malfunctions of the Retinaute® but no adverse effects on participants. Study interrupted for BioSerenity to make technical corrections. Long immobilization of the device and conditions for reusing it not adapted to the continuation of the study.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
This is a cross-sectional, open, monocentric, non-randomized study applied in psychiatry and neuroscience. This study will include three groups of adults subject (\>18 years) * Patients with clinical high risk of psychosis (CHRP ; n=30) * Patients having experienced a first psychotic episode (FEP ; n=30) * Healthy Controls (HC ; n=30)
Masking
None (open label)
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05167396
Sponsor's protocol ID
RIPH 2021-04
Other IDs
n° IDRCB 2021-A01700-41
Acronym
REVIPSY
Status last verified
Aug 2024
First submitted
4 Oct 2021
Last updated
22 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Laprevote V, Heitz U, Di Patrizio P, Studerus E, Ligier F, Schwitzer T, Schwan R, Riecher-Rossler A. [Why and how to treat psychosis earlier?]. Presse Med. 2016 Nov;45(11):992-1000. doi: 10.1016/j.lpm.2016.07.011. Epub 2016 Aug 21. French.

    PubMed 27554461
  • Demmin DL, Davis Q, Roche M, Silverstein SM. Electroretinographic anomalies in schizophrenia. J Abnorm Psychol. 2018 May;127(4):417-428. doi: 10.1037/abn0000347.

    PubMed 29745706
  • Moghimi P, Torres Jimenez N, McLoon LK, Netoff TI, Lee MS, MacDonald A 3rd, Miller RF. Electoretinographic evidence of retinal ganglion cell-dependent function in schizophrenia. Schizophr Res. 2020 May;219:34-46. doi: 10.1016/j.schres.2019.09.005. Epub 2019 Oct 12.

    PubMed 31615740
  • Tan A, Schwitzer T, Conart JB, Angioi-Duprez K. [Retinal investigations in patients with major depressive disorder, bipolar disorder or schizophrenia: A review of the literature]. J Fr Ophtalmol. 2020 Sep;43(7):586-597. doi: 10.1016/j.jfo.2019.10.029. Epub 2020 Jul 4. French.

    PubMed 32631695
  • Butler PD, Martinez A, Foxe JJ, Kim D, Zemon V, Silipo G, Mahoney J, Shpaner M, Jalbrzikowski M, Javitt DC. Subcortical visual dysfunction in schizophrenia drives secondary cortical impairments. Brain. 2007 Feb;130(Pt 2):417-30. doi: 10.1093/brain/awl233. Epub 2006 Sep 19.

    PubMed 16984902
  • Knebel JF, Javitt DC, Murray MM. Impaired early visual response modulations to spatial information in chronic schizophrenia. Psychiatry Res. 2011 Sep 30;193(3):168-76. doi: 10.1016/j.pscychresns.2011.02.006. Epub 2011 Jul 20.

    PubMed 21764264
  • Kim DW, Shim M, Song MJ, Im CH, Lee SH. Early visual processing deficits in patients with schizophrenia during spatial frequency-dependent facial affect processing. Schizophr Res. 2015 Feb;161(2-3):314-21. doi: 10.1016/j.schres.2014.12.020. Epub 2014 Dec 29.

    PubMed 25553978

Questions about this trial

What is this clinical trial studying?

A study testing Retinaute (BioSerenity), EEG Headset 64 electrodes (BioSemi) and MonPackOne (Metrovision) in people with Prodromal Schizophrenia and Psychotic Episode, run by Centre Psychothérapique de Nancy at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 22 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: Malfunctions of the Retinaute® but no adverse effects on participants. Study interrupted for BioSerenity to make technical corrections. Long immobilization of the device and conditions for reusing it not adapted to the continuation of the study.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

N95 wave (time frame: Day1). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05167396, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Aug 2024.

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