Treatment Resistant SchizophreniaPhase 4RAKGEORRECNCT07047651
Τhe Combination of Pharmacotherapy With RECOVERYTRSGR and RECOVERYTRSBDGR.
A Phase 4 study testing Group A: (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol,anxiolytics: clonazepam, stedon, tavor antidepressants: seropram),, Group B (Pharmacotherapy and TAU) (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, antidepressants, and Group C (Pharmacotherapy and Psychotherapy) Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, lithium, depakine in people with Treatment Resistant Schizophrenia and Treatment Resistant Bipolar Disorder, run by Dr. Stavroula Rakitzi at 1 site in Greece.
Trial summary
The effectiveness and efficacy of the combination of pharmacotherapy with the two new recovery-oriented programs, RECOVERYTRSGR for patients with treatment- resistant schizophrenia and RECOVERYTRSBDGR for patients with treatment- resistant bipolar disorder. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Treatment Resistant Schizophrenia, Treatment Resistant Bipolar Disorder
- What is being tested?
- Group A: (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol,anxiolytics: clonazepam, stedon, tavor antidepressants: seropram),, Group B (Pharmacotherapy and TAU) (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, antidepressants, and Group C (Pharmacotherapy and Psychotherapy) Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, lithium, depakine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 84 participants
- Where
- 1 siteGreece
- Study dates
- 4 Jun 2025to 20 Dec 2027
- Phase
- Phase 4
- Are there results?
- Not yet: the study is under way
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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Inclusion Criteria: For patients with treatment resistant schizophrenia:
- age 18-65
- IQ ≥ 80
- Diagnosis TRS.
Inclusion criteria for patients with treatment resistant bipolar disorder:
- age 18-65
- IQ ≥ 80
- Diagnosis TRSBD.
Exclusion Criteria: For patients with treatment resistant schizophrenia:
- Substance abuse and head injury. If substance abuse is successfully treated, the participant will be accepted into our program.
- Relapse and hospitalization.
Exclusion criteria for patients with treatment resistant bipolar diosrder:
- Substance abuse and head injuries. If substance abuse is successfully treated, the participant will be acknowledged into our program.
- Relapse and hospitalization.
Trial locations and contacts
1 site in 1 country.
Greece1 site
Private practice of Dr. S. Rakitzi and Dr. P. Georgila ILISION 34 15771 ATHENS GREECE
Athens, 15771
About this study
Official title: The Effectiveness and Efficacy of the Combination of Pharmacotherapy With the Two New Recovery-oriented Programs, RECOVERYTRSGR (Treatment Resistant Schizophrenia) and RECOVERYTRSBDGR (Treatment Resistant Bipolar Disorder)
The effectiveness and efficacy of the combination of pharmacotherapy with the two new recovery-oriented programs, RECOVERYTRSGR for patients with treatment- resistant schizophrenia and RECOVERYTRSBDGR for patients with treatment- resistant bipolar disorder.
Read the detailed description
RECOVERYTRSGR is a newly developed program for patients with treatment resistant schizophrenia by Dr. S. Rakitzi and Dr. P. Georgila. RECOVERYTRSBDGR is a newly developed program for patients with treatment resistant bipolar disorder by Dr. S. Rakitzi and Dr. P. Georgila. These programs offer a long term combination of pharmacotherapy and cognitive behavioral psychotherapy and rehabilitation and aim to imrove cognition, symptoms, functional outcomes and recovery.
Treatment resistant schizophrenia and treatment resistant bipolar disorder are the most difficult chronic mental health disorders which need long-term treatment.
- Being tested
- Group A: (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol,anxiolytics: clonazepam, stedon, tavor antidepressants: seropram),, Group B (Pharmacotherapy and TAU) (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, antidepressants,, Group C (Pharmacotherapy and Psychotherapy) Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, lithium, depakine, Group D (Pharmacotherapy and TAU)Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, seropram, lithium, depakine)
- Keywords
- RECOVERYTRSGR, RECOVERYTRSBDGR, Treatment resistant schizophrenia, Treatment resistant bipolar disorder, Recovery-oriented therapy
- Medical subject headings
- Schizophrenia, Treatment-Resistant
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Group A: (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol,anxiolytics: clonazepam, stedon, tavor antidepressants: seropram),Combination product
A combination of pharmacotherapy (antipsychotics, anxiolytics, antidepressants) with RECOVERYTRSGR (psychotherapy) for patients with treatment-resistant schizophrenia. 190 sessions. 22 patients
Group B (Pharmacotherapy and TAU) (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, antidepressants,Combination product
The combination of pharmacotherapy (antipsychotics, anxiolytics, antidepressants) and TAU (psychotherapy) for patients with treatment-resistant schizophrenia. 190 sessions. The control group of Group A 20 patients
Group C (Pharmacotherapy and Psychotherapy) Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, lithium, depakineCombination product
A combination of pharmacotherapy with RECOVERYTRSBDGR (antipsychotics, anxiolytics, antidepressants, mood stabilizers) for patients with treatment-resistant bipolar disorder. 140 sessions, 22 people
Group D (Pharmacotherapy and TAU)Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, seropram, lithium, depakine)Combination product
A combination of pharmacotherapy (antipsychotics, anxiolytics, antidepressants, mood stabilizers) and TAU (psychotherapy). A control group to RECOVERYTRSBDGR. 140 sessions. 20 people
| Study group | Role | What they receive |
|---|---|---|
| Group A | Experimental | Pharmacotherapy and RECOVERYTRSGR 22 participants Receives: Combination Product: Group A: (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol,anxiolytics: clonazepam, stedon, tavor antidepressants: seropram), |
| Group B | Active comparator | Pharmacotherapy and TAU. 20 participants Receives: Combination Product: Group B (Pharmacotherapy and TAU) (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, antidepressants, |
| Group C | Experimental | Pharmacotherapy and RECOVERYTRSBDGR. 22 participants Receives: Combination Product: Group C (Pharmacotherapy and Psychotherapy) Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, lithium, depakine |
| Group D | Active comparator | Pharmacotherapy and TAU. 20 participants Receives: Combination Product: Group D (Pharmacotherapy and TAU)Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, seropram, lithium, depakine) |
What is being measured
The primary outcome is the main question the study is designed to answer.
MCCB BACS symbol coding (for RECOVERYTRSGR)
It measures speed of processing. Minimum 0, maximum 110, high scores better
Measured: Pre-intervention
MCCB BACS symbol coding (for RECOVERYTRSGR)
It measures speed of processing. Minimum 0, maximum 110, high scores better
Measured: Immediately after the intervention
MCCB BACS symbol coding (for RECOVERYTRSGR)
It measures speed of processing. Minimum 0, maximum 110, high scores better
Measured: Follow-up up to 24 weeks
MCCB Wechsler memory scale-spatial span (for RECOVERYTRSGR)
It measures non-verbal working memory. Minimum 0, maximum 32, high scores better, Summary of forward and backward total score.
Measured: Pre-intervention
MCCB Wechsler memory scale-spatial span (for RECOVERYTRSGR)
It measures non-verbal working memory. Minimum 0, maximum 32, high scores better. Summary of forward and backward total score
Measured: Immediately after the intervention
MCCB Wechsler memory scale-spatial span (for RECOVERYTRSGR)
It measures non-verbal working memory. Minimum 0, maximum 32, high scores better. Summary of forward and backward total score
Measured: Follow-up up to 24 weeks
MCCB Neurospychological Assessment Battery (NAB) (for RECOVERYTRSGR)
It measures reasoning and problem-solving. Minimum 0, maximum 26. high scores better
Measured: Pre-intervention
MCCB Neurospychological Assessment Battery (NAB) (for RECOVERYTRSGR)
It measures reasoning and problem-solving. Minimum 0, maximum 26. high scores better
Measured: Immediately after the intervention
MCCB Neurospychological Assessment Battery (NAB) (for RECOVERYTRSGR)
It measures reasoning and problem-solving. Minimum 0, maximum 26. high scores better
Measured: Follow-up up to 24 weeks
MCCB Brief visuospatial memory test (for RECOVERYTRSGR)
It measures visual memory. Sum of Trial 1, 2, 3. Minimum 0, maximum 12. high scores better.
Measured: Pre-intervention
MCCB Brief visuospatial memory test (for RECOVERYTRSGR)
It measures visual memory. Sum of Trial 1, 2, 3. Minimum 0, maximum 12. high scores better.
Measured: Immediately after the intervention
MCCB Brief visuospatial memory test (for RECOVERYTRSGR)
It measures visual memory. Sum of Trial 1, 2, 3. Minimum 0, maximum 12. high scores better.
Measured: Follow-up up to 24 weeks
Social Perception Scale (SPS) Stimuli (for RECOVERYTRSGR)
It measures social cognition. Minimum 0, maximum 67. high scores better.
Measured: Pre-intervention
Social Perception Scale (SPS) Stimuli (for RECOVERYTRSGR)
It measures social cognition. Minimum 0, maximum 67. high scores better.
Measured: Immediately after the intervention
Social Perception Scale (SPS) Stimuli (for RECOVERYTRSGR)
It measures social cognition. Minimum 0, maximum 67. high scores better.
Measured: Follow-up up to 24 weeks
Social Perception Scale (SPS) Interpretation (for RECOVERYTRSGR)
It measures social cognition. Minimum 0, maximum 12. high scores better.
Measured: Pre-intervention
Social Perception Scale (SPS) Interpretation (for RECOVERYTRSGR)
It measures social cognition. Minimum 0, maximum 12. high scores better.
Measured: Immediately after the intervention
Social Perception Scale (SPS) Interpretation (for RECOVERYTRSGR)
It measures social cognition. Minimum 0, maximum 12. high scores better.
Measured: Follow-up up to 24 weeks
Social Perception Scale (SPS) Title (for RECOVERYTRSGR)
It measures social cognition. Minimum 0, maximum 12. high scores better.
Measured: Pre-intervention
Social Perception Scale (SPS) Title (for RECOVERYTRSGR)
It measures social cognition. Minimum 0, maximum 12. high scores better.
Measured: Immediately after the intervention
Social Perception Scale (SPS) Title (for RECOVERYTRSGR)
It measures social cognition. Minimum 0, maximum 12. high scores better.
Measured: Follow-up up to 24 weeks
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
It measures oral verbal memory. Semantic. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
Measured: Pre-intervention
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
It measures oral verbal memory. Semantic. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
Measured: Pre-intervention
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
It measures oral verbal memory. Semantic. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
Measured: Immediately after the intervention
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
It measures oral verbal memory. Semantic. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
Measured: Immediately after the intervention
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
It measures oral verbal memory. Semantic. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
Measured: Follow-up up to 24 weeks
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
It measures oral verbal memory. Semantic. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
Measured: Follow-up up to 24 weeks
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
It measures oral verbal memory. Phonological. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
Measured: Pre-intervention
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
It measures oral verbal memory. Phonological. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
Measured: Pre-intervention
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
It measures oral verbal memory. Phonological. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
Measured: Immediately after the intervention
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
It measures oral verbal memory. Phonological. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
Measured: Immediately after the intervention
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
It measures oral verbal memory. Phonological. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
Measured: Follow-up up to 24 weeks
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
It measures oral verbal memory. Phonological. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
Measured: Follow-up up to 24 weeks
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
It measures written verbal memory. Sum of the 2 tasks. Minimum 0, maximum as much as possible. high scores better.
Measured: Pre-intervention
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
It measures written verbal memory. Sum of the 2 tasks. Minimum 0, maximum as much as possible. high scores better.
Measured: Pre-intervention
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
It measures written verbal memory. Sum of the 2 tasks. Minimum 0, maximum as much as possible. high scores better.
Measured: Immediately after the intervention
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
It measures written verbal memory. Sum of the 2 tasks. Minimum 0, maximum as much as possible. high scores better.
Measured: Immediately after the intervention
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
It measures written verbal memory. Sum of the 2 tasks. Minimum 0, maximum as much as possible. high scores better.
Measured: Follow-up up to 24 weeks
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
It measures written verbal memory. Sum of the 2 tasks. Minimum 0, maximum as much as possible. high scores better.
Measured: Follow-up up to 24 weeks
PANNS total (for RECOVERYTRSGR)
It measures positive, negative symptoms and general psychopathology. Minimum 31, maximum 210. Low scores better
Measured: Pre-intervention
PANNS total (for RECOVERYTRSGR)
It measures positive, negative symptoms and general psychopathology. Minimum 31, maximum 210. Low scores better
Measured: Immediately after the intervention
PANNS total (for RECOVERYTRSGR)
It measures positive, negative symptoms and general psychopathology. Minimum 31, maximum 210. Low scores better
Measured: Follow-up up to 24 weeks
WHODAS total (for RECOVERYTRSGR)
It measures functional outcome. Minimum 0, maximum 100. low scores better.
Measured: Pre-intervention
WHODAS total (for RECOVERYTRSGR)
It measures functional outcome. Minimum 0, maximum 100. low scores better.
Measured: Immediately after the intervention
WHODAS total (for RECOVERYTRSGR)
It measures functional outcome. Minimum 0, maximum 100. low scores better.
Measured: Follow-up up to 24 weeks
RAS-DS total (for RECOVERYTRSGR)
It measures recovery. Minimum 0, maximum 152. High scores better.
Measured: Pre-intervention
RAS-DS total (for RECOVERYTRSGR)
It measures recovery. Minimum 0, maximum 152. High scores better.
Measured: Immediately after the intervention
RAS-DS total (for RECOVERYTRSGR)
It measures recovery. Minimum 0, maximum 152. High scores better.
Measured: Follow-up up to 24 weeks
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSGR)
It measures severity of illness. Minimum 0, Maximum 7, low scores better.
Measured: Pre-intervention
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSGR)
It. measures severity of illness. Minimum 0, Maximum 7, low scores better.
Measured: Immediately after the intervention
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSGR)
It. measures severity of illness. Minimum 0, Maximum 7, low scores better.
Measured: Follow-up up to 24 weeks
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSGR)
It measures global improvement. Minimum 0, Maximum 7, low scores better.
Measured: Pre-intervention
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSGR)
It measures global improvement. Minimum 0, Maximum 7, low scores better.
Measured: Immediately after the intervention
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSGR)
It measures global improvement. Minimum 0, Maximum 7, low scores better.
Measured: Follow-up up to 24 weeks
SRSDA (for RECOVERYTRSBDGR)
It measures Depression. Minimum 0, maximum 14 or higher. Low scores better
Measured: Pre-intervention
SRSDA (for RECOVERYTRSBDGR)
It measures Depression. Minimum 0, maximum 14 or higher. Low scores better
Measured: Immediately after the intervention
SRSDA (for RECOVERYTRSBDGR)
It measures Depression. Minimum 0, maximum 14 or higher. Low scores better
Measured: Follow-up up to 24 weeks
SRSDA (for RECOVERYTRSBDGR)
It measures Anxiety. Minimum 0, maximum 10 or higher. Low scores better
Measured: Pre-intervention
SRSDA (for RECOVERYTRSBDGR)
It measures Anxiety. Minimum 0, maximum 10 or higher. Low scores better
Measured: Immediately after the intervention
SRSDA (for RECOVERYTRSBDGR)
It measures Anxiety. Minimum 0, maximum 10 or higher. Low scores better
Measured: Follow-up up to 24 weeks
Hamilton Depression Scale (for RECOVERYTRSBDGR)
It measures depression. Minimum 0, maximum 23. Low scores better.
Measured: Pre-intervention
Hamilton Depression Scale (for RECOVERYTRSBDGR)
It meaasures depression. Minimum 0, maximum 23. Low scores better.
Measured: Immediately after the intervention
Hamilton Depression Scale (for RECOVERYTRSBDGR)
It meaasures depression. Minimum 0, maximum 23. Low scores better.
Measured: Follow-up up to 24 weeks
Montgomery and Asperg depression scale (for RECOVERYTRSBDGR)
It measures depression. Minimum 0, maximum 60. Low scores better.
Measured: Pre-intervention
Montgomery and Asperg depression scale (for RECOVERYTRSBDGR)
It measures depression. Minimum 0, maximum 60. Low scores better.
Measured: Immediately after the intervention
Montgomery and Asperg depression scale (for RECOVERYTRSBDGR)
It measures depression. Minimum 0, maximum 60. Low scores better.
Measured: Follow-up up to 24 weeks
The Altman self-rating scale (for RECOVERYTRSBDGR)
It measures mania. Minimum 0, maximum 6 or higher. Low scores better.
Measured: Pre-intervention
The Altman self-rating scale (for RECOVERYTRSBDGR)
It measures mania. Minimum 0, maximum 6 or higher. Low scores better.
Measured: Immediately after the intervention
The Altman self-rating scale (for RECOVERYTRSBDGR)
It measures mania. Minimum 0, maximum 6 or higher. Low scores better.
Measured: Follow-up up to 24 weeks
PSYRAT (for RECOVERYTRSBDGR)
It measures psychotic symptoms. Hallucinations. Minimum 0, maximum 44. Low scores better.
Measured: Pre-intervention
PSYRAT (for RECOVERYTRSBDGR)
It measures psychotic symptoms. Hallucinations. Minimum 0, maximum 24. Low scores better.
Measured: Immediately after the intervention
PSYRAT (for RECOVERYTRSBDGR)
It measures psychotic symptoms. Hallucinations. Minimum 0, maximum 24. Low scores better.
Measured: Follow-up up to 24 weeks
PSYRAT (for RECOVERYTRSBDGR)
It measures psychotic symptoms. Delusions. Minimum 0, maximum 44. Low scores better.
Measured: Pre-intervention
PSYRAT (for RECOVERYTRSBDGR)
It measures psychotic symptoms. Delusions. Minimum 0, maximum 44. Low scores better.
Measured: Immediately after the intervention
PSYRAT (for RECOVERYTRSBDGR)
It measures psychotic symptoms. Delusions. Minimum 0, maximum 24. Low scores better.
Measured: Follow-up up to 24 weeks
WHODAS total (for RECOVERYTRSBDGR)
It measures functional outcome. Minimum 0, maximum 100. Low scores better.
Measured: Pre-intervention
WHODAS total (for RECOVERYTRSBDGR)
It measures functional outcome. Minimum 0, maximum 100. Low scores better.
Measured: Immediately after the intervention
WHODAS total (for RECOVERYTRSBDGR)
It measures functional outcome. Minimum 0, maximum 100. Low scores better.
Measured: Follow-up up to 24 weeks
RAS-DS Total (for RECOVERYTRSBDGR)
It measures recovery. Minimum 0, maximum 152. High scores better
Measured: Pre-intervention
RAS-DS Total (for RECOVERYTRSBDGR)
It measures recovery. Minimum 0, maximum 152. High scores better
Measured: Immediately after the intervention
RAS-DS Total (for RECOVERYTRSBDGR)
It measures recovery. Minimum 0, maximum 152. High scores better
Measured: Follow-up up to 24 weeks
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSBDGR)
It measures severity of illness. Minimum 0, Maximum 7, low scores better.
Measured: Pre-intervention
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSBDGR)
It measures severity of illness. Minimum 0, Maximum 7, low scores better.
Measured: Immediately after the intervention
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSBDGR)
It measures severity of illness. Minimum 0, Maximum 7, low scores better.
Measured: Follow-up up to 24 weeks
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSBDGR)
It measures global improvement. Minimum 0, Maximum 7, low scores better.
Measured: Pre-intervention
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSBDGR)
It measures global improvement. Minimum 0, Maximum 7, low scores better.
Measured: Immediately after the intervention
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSBDGR)
It measures global improvement. Minimum 0, Maximum 7, low scores better.
Measured: Follow-up up to 24 weeks
The Young mania rating scale (for RECOVERYTRSBDGR)
It measures mania. Minimum 0, maximum 60. Low scores better
Measured: Pre-intervention
The Young mania rating scale (for RECOVERYTRSBDGR)
It measures mania. Minimum 0, maximum 60. Low scores better
Measured: Immediately after the intervention
The Young mania rating scale (for RECOVERYTRSBDGR)
It measures mania. Minimum 0, maximum 60. Low scores better
Measured: Follow-up up to 24 weeks
Secondary outcomes (2)
WAIS (for RECOVERYTRSGR)
It measures the Intelligenz-quotient
Measured: Pre-intervention
WAIS (for RECOVERYTRSBDGR)
It measures the Intelligenz-quotient
Measured: Pre-intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Jul 2025
- Study start4 Jun 2025
- Primary completion20 Dec 2027 (estimated)
- Study completion20 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (21)Papers the sponsor has linked to this study.
- Other trials for Treatment Resistant SchizophreniaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Pharmacotherapy and RECOVERYTRSGR (190 sessions) will be compared to treatment as usual (TAU) and pharmacotherapy (190 sessions) and Pharmacotherapy and RECOVERYTRSBDGR (140 sessions) will be compared also to TAU and pharmacotherapy (140 sessions).
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 84 participants (actual)
Sponsor and investigators
- Lead sponsor
- Dr. Stavroula Rakitzi
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Dr. Stavroula Rakitzi, Rakitzi, Stavroula
- Investigators
- Dr. Stavroula Rakitzi, PhD, Study director, Private PracticeDr. Polyxeni Georgila, M. D., Study director, Private Practice
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07047651
- Sponsor's protocol ID
- RAKITZI & GEORGILA RECOVERY
- Acronym
- RAKGEORREC
- Status last verified
- Apr 2026
- First submitted
- 11 Apr 2025
- Last updated
- 1 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: This is the first study regarding the efficacy and effectiveness of RECOVERYTRSGR, and RECOVERYTRSBDGR, which are developed by us.
Publications
Altman EG, Hedeker D, Peterson JL, Davis JM. The Altman Self-Rating Mania Scale. Biol Psychiatry. 1997 Nov 15;42(10):948-55. doi: 10.1016/S0006-3223(96)00548-3.
PubMed 93599822. Aster, M., Neubauer, M., & Horn R. (2006) Wechsler-Intelligenztest für Erwachsene WIE. Frankfurt: Harcourt Test Services.
3. Bech, P. (1993). Rating scales for Psychopathology, Health Status and Quality of Life. Berlin, Heidelberg, New York: Springer-Verlag.
Busner J, Targum SD. The clinical global impressions scale: applying a research tool in clinical practice. Psychiatry (Edgmont). 2007 Jul;4(7):28-37.
PubMed 205264055. Donias, S., Karastergiou, A., & Manos N. (1991). Standardization of the symptom checklist-90-R rating scale in a Greek population. Psychiatriki, 2(1), 42-48.
Fountoulakis KN, Iacovides A, Kleanthous S, Samolis S, Gougoulias K, St Kaprinis G, Bech P. The Greek translation of the symptoms rating scale for depression and anxiety: preliminary results of the validation study. BMC Psychiatry. 2003 Dec 10;3:21. doi: 10.1186/1471-244X-3-21.
PubMed 146672497. Guy, W. (ed). (1976). ECDEU Assessment. Manual for Psychopharmacology. Rockville, MD: US Department of Heath, Education, and Welfare Public Health Service Alcohol, Drug Abuse, and Mental Health Administration, 1976.
Haddock G, McCarron J, Tarrier N, Faragher EB. Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS). Psychol Med. 1999 Jul;29(4):879-89. doi: 10.1017/s0033291799008661.
PubMed 104733159. Hancock, N., Scanlan, J.N., Bundy, A.C., Honey, A. (2019). Recovery Assessment Scale -Domains & Stages (RAS-DS) Manual- Version 3. Sydney: University of Sydney.
10. Hancock, N., & the University of Sydney (2023). Rakitzi S. Katoudi S. Recovery Assessment Scale-Domains & Stages (RAS-DS). The Greek version.
Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull. 1987;13(2):261-76. doi: 10.1093/schbul/13.2.261.
PubMed 361651812. Kosmidou, M., & Vlahou, Ch. (2010). The Greek verbal memory test. Athens: Parisianos.
13. Koumpouros, Y., Papageorgiou, E., & Sakellari E. et al. (2018). Adaptation and psychometric properties evaluation of the Greek version of WHODAS 2.0. Pilot application in Greek elderly population. Health Services and Outcomes Research Methodology, 18(1), 63-74. https://doi.org/10.1007/s10742-017-0176-x
14. Lykouras, L., Botsis, A., & Oulis P. (2005). The PANSS Scale. Athens: Scientific Publications.
Montgomery SA, Asberg M. A new depression scale designed to be sensitive to change. Br J Psychiatry. 1979 Apr;134:382-9. doi: 10.1192/bjp.134.4.382.
PubMed 444788
Study at a glance
From the registry record, last updated by the sponsor on 1 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effectiveness and Efficacy of the Combination of Pharmacotherapy With the Two New Recovery-oriented Programs, RECOVERYTRSGR (Treatment Resistant Schizophrenia) and RECOVERYTRSBDGR (Treatment Resistant Bipolar Disorder)
- ClinicalTrials.gov ID
- NCT07047651
- Acronym / sponsor ID
- RAKGEORREC / RAKITZI & GEORGILA RECOVERY
- Keywords
- RECOVERYTRSGR, RECOVERYTRSBDGR, Treatment resistant schizophrenia, Treatment resistant bipolar disorder, Recovery-oriented therapy
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 84 participants (actual)
- Lead sponsor
- Dr. Stavroula RakitziUniversity, hospital or other
- Study start
- 4 Jun 2025 (actual)
- Primary completion
- 20 Dec 2027 (estimated)
- Study completion
- 20 Dec 2027 (estimated)
- First posted
- 2 Jul 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The effectiveness and efficacy of the combination of pharmacotherapy with the two new recovery-oriented programs, RECOVERYTRSGR for patients with treatment- resistant schizophrenia and RECOVERYTRSBDGR for patients with treatment- resistant bipolar disorder.
Detailed description
RECOVERYTRSGR is a newly developed program for patients with treatment resistant schizophrenia by Dr. S. Rakitzi and Dr. P. Georgila. RECOVERYTRSBDGR is a newly developed program for patients with treatment resistant bipolar disorder by Dr. S. Rakitzi and Dr. P. Georgila. These programs offer a long term combination of pharmacotherapy and cognitive behavioral psychotherapy and rehabilitation and aim to imrove cognition, symptoms, functional outcomes and recovery.
Treatment resistant schizophrenia and treatment resistant bipolar disorder are the most difficult chronic mental health disorders which need long-term treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 4
- Model description
- Pharmacotherapy and RECOVERYTRSGR (190 sessions) will be compared to treatment as usual (TAU) and pharmacotherapy (190 sessions) and Pharmacotherapy and RECOVERYTRSBDGR (140 sessions) will be compared also to TAU and pharmacotherapy (140 sessions).
| Arm | Type | Receives |
|---|---|---|
| Group A | Experimental | Combination Product: Group A: (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol,anxiolytics: clonazepam, stedon, tavor antidepressants: seropram),Pharmacotherapy and RECOVERYTRSGR 22 participants |
| Group B | Active comparator | Combination Product: Group B (Pharmacotherapy and TAU) (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, antidepressants,Pharmacotherapy and TAU. 20 participants |
| Group C | Experimental | Combination Product: Group C (Pharmacotherapy and Psychotherapy) Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, lithium, depakinePharmacotherapy and RECOVERYTRSBDGR. 22 participants |
| Group D | Active comparator | Combination Product: Group D (Pharmacotherapy and TAU)Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, seropram, lithium, depakine)Pharmacotherapy and TAU. 20 participants |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Group A: (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol,anxiolytics: clonazepam, stedon, tavor antidepressants: seropram),A combination of pharmacotherapy (antipsychotics, anxiolytics, antidepressants) with RECOVERYTRSGR (psychotherapy) for patients with treatment-resistant schizophrenia. 190 sessions. 22 patients | Combination product | Group A |
| Group B (Pharmacotherapy and TAU) (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, antidepressants,The combination of pharmacotherapy (antipsychotics, anxiolytics, antidepressants) and TAU (psychotherapy) for patients with treatment-resistant schizophrenia. 190 sessions. The control group of Group A 20 patients | Combination product | Group B |
| Group C (Pharmacotherapy and Psychotherapy) Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, lithium, depakineA combination of pharmacotherapy with RECOVERYTRSBDGR (antipsychotics, anxiolytics, antidepressants, mood stabilizers) for patients with treatment-resistant bipolar disorder. 140 sessions, 22 people | Combination product | Group C |
| Group D (Pharmacotherapy and TAU)Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, seropram, lithium, depakine)A combination of pharmacotherapy (antipsychotics, anxiolytics, antidepressants, mood stabilizers) and TAU (psychotherapy). A control group to RECOVERYTRSBDGR. 140 sessions. 20 people | Combination product | Group D |
Primary outcome
MCCB BACS symbol coding (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures speed of processing. Minimum 0, maximum 110, high scores better
MCCB BACS symbol coding (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures speed of processing. Minimum 0, maximum 110, high scores better
MCCB BACS symbol coding (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures speed of processing. Minimum 0, maximum 110, high scores better
MCCB Wechsler memory scale-spatial span (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures non-verbal working memory. Minimum 0, maximum 32, high scores better, Summary of forward and backward total score.
MCCB Wechsler memory scale-spatial span (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures non-verbal working memory. Minimum 0, maximum 32, high scores better. Summary of forward and backward total score
MCCB Wechsler memory scale-spatial span (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures non-verbal working memory. Minimum 0, maximum 32, high scores better. Summary of forward and backward total score
MCCB Neurospychological Assessment Battery (NAB) (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures reasoning and problem-solving. Minimum 0, maximum 26. high scores better
MCCB Neurospychological Assessment Battery (NAB) (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures reasoning and problem-solving. Minimum 0, maximum 26. high scores better
MCCB Neurospychological Assessment Battery (NAB) (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures reasoning and problem-solving. Minimum 0, maximum 26. high scores better
MCCB Brief visuospatial memory test (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures visual memory. Sum of Trial 1, 2, 3. Minimum 0, maximum 12. high scores better.
MCCB Brief visuospatial memory test (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures visual memory. Sum of Trial 1, 2, 3. Minimum 0, maximum 12. high scores better.
MCCB Brief visuospatial memory test (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures visual memory. Sum of Trial 1, 2, 3. Minimum 0, maximum 12. high scores better.
Social Perception Scale (SPS) Stimuli (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures social cognition. Minimum 0, maximum 67. high scores better.
Social Perception Scale (SPS) Stimuli (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures social cognition. Minimum 0, maximum 67. high scores better.
Social Perception Scale (SPS) Stimuli (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures social cognition. Minimum 0, maximum 67. high scores better.
Social Perception Scale (SPS) Interpretation (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures social cognition. Minimum 0, maximum 12. high scores better.
Social Perception Scale (SPS) Interpretation (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures social cognition. Minimum 0, maximum 12. high scores better.
Social Perception Scale (SPS) Interpretation (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures social cognition. Minimum 0, maximum 12. high scores better.
Social Perception Scale (SPS) Title (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures social cognition. Minimum 0, maximum 12. high scores better.
Social Perception Scale (SPS) Title (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures social cognition. Minimum 0, maximum 12. high scores better.
Social Perception Scale (SPS) Title (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures social cognition. Minimum 0, maximum 12. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures oral verbal memory. Semantic. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures oral verbal memory. Semantic. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures oral verbal memory. Semantic. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures oral verbal memory. Semantic. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures oral verbal memory. Semantic. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures oral verbal memory. Semantic. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures oral verbal memory. Phonological. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures oral verbal memory. Phonological. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures oral verbal memory. Phonological. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures oral verbal memory. Phonological. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures oral verbal memory. Phonological. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures oral verbal memory. Phonological. Sum of the 3 categories divided to 3. Minimum 0, maximum 40. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures written verbal memory. Sum of the 2 tasks. Minimum 0, maximum as much as possible. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures written verbal memory. Sum of the 2 tasks. Minimum 0, maximum as much as possible. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures written verbal memory. Sum of the 2 tasks. Minimum 0, maximum as much as possible. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures written verbal memory. Sum of the 2 tasks. Minimum 0, maximum as much as possible. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures written verbal memory. Sum of the 2 tasks. Minimum 0, maximum as much as possible. high scores better.
The Greek verbal memory test (Kosmidou & Vlahou, 2010) (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures written verbal memory. Sum of the 2 tasks. Minimum 0, maximum as much as possible. high scores better.
PANNS total (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures positive, negative symptoms and general psychopathology. Minimum 31, maximum 210. Low scores better
PANNS total (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures positive, negative symptoms and general psychopathology. Minimum 31, maximum 210. Low scores better
PANNS total (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures positive, negative symptoms and general psychopathology. Minimum 31, maximum 210. Low scores better
WHODAS total (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures functional outcome. Minimum 0, maximum 100. low scores better.
WHODAS total (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures functional outcome. Minimum 0, maximum 100. low scores better.
WHODAS total (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures functional outcome. Minimum 0, maximum 100. low scores better.
RAS-DS total (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures recovery. Minimum 0, maximum 152. High scores better.
RAS-DS total (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures recovery. Minimum 0, maximum 152. High scores better.
RAS-DS total (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures recovery. Minimum 0, maximum 152. High scores better.
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures severity of illness. Minimum 0, Maximum 7, low scores better.
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It. measures severity of illness. Minimum 0, Maximum 7, low scores better.
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It. measures severity of illness. Minimum 0, Maximum 7, low scores better.
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSGR)
Time frame: Pre-intervention
It measures global improvement. Minimum 0, Maximum 7, low scores better.
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSGR)
Time frame: Immediately after the intervention
It measures global improvement. Minimum 0, Maximum 7, low scores better.
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSGR)
Time frame: Follow-up up to 24 weeks
It measures global improvement. Minimum 0, Maximum 7, low scores better.
SRSDA (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures Depression. Minimum 0, maximum 14 or higher. Low scores better
SRSDA (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures Depression. Minimum 0, maximum 14 or higher. Low scores better
SRSDA (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures Depression. Minimum 0, maximum 14 or higher. Low scores better
SRSDA (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures Anxiety. Minimum 0, maximum 10 or higher. Low scores better
SRSDA (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures Anxiety. Minimum 0, maximum 10 or higher. Low scores better
SRSDA (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures Anxiety. Minimum 0, maximum 10 or higher. Low scores better
Hamilton Depression Scale (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures depression. Minimum 0, maximum 23. Low scores better.
Hamilton Depression Scale (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It meaasures depression. Minimum 0, maximum 23. Low scores better.
Hamilton Depression Scale (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It meaasures depression. Minimum 0, maximum 23. Low scores better.
Montgomery and Asperg depression scale (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures depression. Minimum 0, maximum 60. Low scores better.
Montgomery and Asperg depression scale (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures depression. Minimum 0, maximum 60. Low scores better.
Montgomery and Asperg depression scale (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures depression. Minimum 0, maximum 60. Low scores better.
The Altman self-rating scale (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures mania. Minimum 0, maximum 6 or higher. Low scores better.
The Altman self-rating scale (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures mania. Minimum 0, maximum 6 or higher. Low scores better.
The Altman self-rating scale (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures mania. Minimum 0, maximum 6 or higher. Low scores better.
PSYRAT (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures psychotic symptoms. Hallucinations. Minimum 0, maximum 44. Low scores better.
PSYRAT (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures psychotic symptoms. Hallucinations. Minimum 0, maximum 24. Low scores better.
PSYRAT (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures psychotic symptoms. Hallucinations. Minimum 0, maximum 24. Low scores better.
PSYRAT (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures psychotic symptoms. Delusions. Minimum 0, maximum 44. Low scores better.
PSYRAT (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures psychotic symptoms. Delusions. Minimum 0, maximum 44. Low scores better.
PSYRAT (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures psychotic symptoms. Delusions. Minimum 0, maximum 24. Low scores better.
WHODAS total (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures functional outcome. Minimum 0, maximum 100. Low scores better.
WHODAS total (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures functional outcome. Minimum 0, maximum 100. Low scores better.
WHODAS total (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures functional outcome. Minimum 0, maximum 100. Low scores better.
RAS-DS Total (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures recovery. Minimum 0, maximum 152. High scores better
RAS-DS Total (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures recovery. Minimum 0, maximum 152. High scores better
RAS-DS Total (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures recovery. Minimum 0, maximum 152. High scores better
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures severity of illness. Minimum 0, Maximum 7, low scores better.
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures severity of illness. Minimum 0, Maximum 7, low scores better.
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures severity of illness. Minimum 0, Maximum 7, low scores better.
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures global improvement. Minimum 0, Maximum 7, low scores better.
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures global improvement. Minimum 0, Maximum 7, low scores better.
The Clinical Global Impression Scale (CGI) (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures global improvement. Minimum 0, Maximum 7, low scores better.
The Young mania rating scale (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
It measures mania. Minimum 0, maximum 60. Low scores better
The Young mania rating scale (for RECOVERYTRSBDGR)
Time frame: Immediately after the intervention
It measures mania. Minimum 0, maximum 60. Low scores better
The Young mania rating scale (for RECOVERYTRSBDGR)
Time frame: Follow-up up to 24 weeks
It measures mania. Minimum 0, maximum 60. Low scores better
2 secondary outcomes
WAIS (for RECOVERYTRSGR)
Time frame: Pre-intervention
WAIS (for RECOVERYTRSBDGR)
Time frame: Pre-intervention
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 May 2026.
- Background: PubMed 9359982Altman EG, Hedeker D, Peterson JL, Davis JM. The Altman Self-Rating Mania Scale. Biol Psychiatry. 1997 Nov 15;42(10):948-55. doi: 10.1016/S0006-3223(96)00548-3.
- Background2. Aster, M., Neubauer, M., & Horn R. (2006) Wechsler-Intelligenztest für Erwachsene WIE. Frankfurt: Harcourt Test Services.
- Background3. Bech, P. (1993). Rating scales for Psychopathology, Health Status and Quality of Life. Berlin, Heidelberg, New York: Springer-Verlag.
- Background: PubMed 20526405Busner J, Targum SD. The clinical global impressions scale: applying a research tool in clinical practice. Psychiatry (Edgmont). 2007 Jul;4(7):28-37.
- Background5. Donias, S., Karastergiou, A., & Manos N. (1991). Standardization of the symptom checklist-90-R rating scale in a Greek population. Psychiatriki, 2(1), 42-48.
- Background: PubMed 14667249Fountoulakis KN, Iacovides A, Kleanthous S, Samolis S, Gougoulias K, St Kaprinis G, Bech P. The Greek translation of the symptoms rating scale for depression and anxiety: preliminary results of the validation study. BMC Psychiatry. 2003 Dec 10;3:21. doi: 10.1186/1471-244X-3-21.
- Background7. Guy, W. (ed). (1976). ECDEU Assessment. Manual for Psychopharmacology. Rockville, MD: US Department of Heath, Education, and Welfare Public Health Service Alcohol, Drug Abuse, and Mental Health Administration, 1976.
- Background: PubMed 10473315Haddock G, McCarron J, Tarrier N, Faragher EB. Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS). Psychol Med. 1999 Jul;29(4):879-89. doi: 10.1017/s0033291799008661.
- Background9. Hancock, N., Scanlan, J.N., Bundy, A.C., Honey, A. (2019). Recovery Assessment Scale -Domains & Stages (RAS-DS) Manual- Version 3. Sydney: University of Sydney.
- Background10. Hancock, N., & the University of Sydney (2023). Rakitzi S. Katoudi S. Recovery Assessment Scale-Domains & Stages (RAS-DS). The Greek version.
- Background: PubMed 3616518Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull. 1987;13(2):261-76. doi: 10.1093/schbul/13.2.261.
- Background12. Kosmidou, M., & Vlahou, Ch. (2010). The Greek verbal memory test. Athens: Parisianos.
- Individual participant dataSharing planned: No. This is the first study regarding the efficacy and effectiveness of RECOVERYTRSGR, and RECOVERYTRSBDGR, which are developed by us.
Related trials for Treatment Resistant Schizophrenia
RecruitingPhase 3
Sequential Treatment Approaches for Treatment-Resistant Schizophrenia
Treatment-resistant Schizophrenia
Recruiting
Magnetic Seizure Therapy for Schizophrenia - Trial
Treatment Resistant Schizophrenia, Schizophrenia
Recruiting
French Minds Cohort: a French Longitudinal and Multimodal Cohort of Patients With Major Mood Disorders, Psychotic Disorders, Autism Spectrum Disorders, and Healthy Controls
Schizophrenia / Schizoaffective Disorder, First Episode Psychosis (FEP)
Recruiting
Reduction of Auditory-Verbal Hallucinations in Schizophrenia Through Cortical Neuromodulation
Treatment Resistant Schizophrenia
Recruiting
Treatment Resistance in Psychiatric Disorders: the Search for Biological Markers Predictive of Response to Treatment
Schizophrenia, Treatment Resistant Depression (TRD)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Dr. Stavroula Rakitzi, PhD study director
Private Practice
Dr. Polyxeni Georgila, M. D. study director
Private Practice
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Group A: (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol,anxiolytics: clonazepam, stedon, tavor antidepressants: seropram),, Group B (Pharmacotherapy and TAU) (Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, antidepressants, and Group C (Pharmacotherapy and Psychotherapy) Clozapine, quietiapine, olanzapine, aripiprazole, zyprasidone, risperidone, asenapine, paliperidone, clopixol, clonazepam, stedon, tavor, lithium, depakine in people with Treatment Resistant Schizophrenia and Treatment Resistant Bipolar Disorder, run by Dr. Stavroula Rakitzi at 1 site in Greece.
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: under way, not looking for participants, as of the sponsor's last update on 1 May 2026. 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 Greece. 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.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
MCCB BACS symbol coding (for RECOVERYTRSGR) (time frame: Pre-intervention). The study lists 90 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 NCT07047651, which also lists 21 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 1 May 2026; AzTrials last refreshed its copy on 8 Nov 2026.