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SchizophreniaTI-SCZ-InsularNCT07887997

Temporal Interference Stimulation (TI) for Schizophrenia (SCZ)

A study testing Active transcranial temporal interference stimulation in people with Schizophrenia, run by Anhui Medical University at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study will evaluate whether temporal interference (TI) stimulation, added to usual clinical treatment, improves symptoms of schizophrenia and is safe and tolerable. Approximately 100 adults aged 18 to 60 years with schizophrenia will be randomly assigned in equal numbers to active TI or sham TI. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Schizophrenia
What is being tested?
Active transcranial temporal interference stimulation
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
1 siteChina
Study dates
1 Nov 2026to 20 Dec 2027
Phase
Interventional
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 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Age 18 to 60 years.
  • Diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
  • Positive and Negative Syndrome Scale (PANSS) total score of at least 60 at screening.
  • Initiation, dose adjustment, or switching of antipsychotic medication within the preceding 72 hours.
  • The participant or legally authorized representative is able to understand the study procedures and voluntarily provide written informed consent, as applicable.
  • Ability to cooperate with MRI scanning, TI treatment, clinical assessments, and follow-up visits during the study.

Who cannot join

  • History of a suicide attempt, or a score of 3 or higher on item 3 (suicidal ideation) of the 17-item Hamilton Depression Rating Scale at screening.
  • A current DSM-5 diagnosis of another major psychiatric disorder, such as bipolar disorder, major depressive disorder with psychotic features, schizoaffective disorder, or substance/medication-induced psychotic disorder.
  • A major neurological disorder, such as organic brain damage or severe traumatic brain injury.
  • A contraindication to TI or MRI, including an implanted electronic device; MRI-incompatible intracranial or other metallic implants; wounds or active infection of the scalp at electrode contact sites; severe allergy to electrodes or conductive materials; severe claustrophobia; inability to lie supine; or another condition judged by the investigator to make TI or MRI unsuitable.
  • Pregnancy or breastfeeding.
  • Receipt of TI, another form of transcranial electrical stimulation, or electroconvulsive therapy within the preceding 6 months.
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  • Alcohol or another psychoactive substance use disorder within the preceding 6 months, or urine/blood toxicology at screening indicating recent use of illicit psychoactive substances.
  • A history of seizures, a clear familial risk of epilepsy, or use of medication that substantially lowers the seizure threshold and cannot be adjusted.
  • Severe or unstable physical illness, including uncontrolled cardiovascular or cerebrovascular disease, severe hepatic or renal dysfunction, serious systemic infection, malignancy, or severe endocrine/metabolic abnormalities, that may increase study risk or interfere with study completion in the investigator's judgment.
  • Severe aggression or impulsivity, agitation, delirium, impaired consciousness, or another acute condition that prevents safe cooperation with TI, MRI, or clinical assessments.
  • Significant cognitive impairment, intellectual disability, language or hearing impairment, or another condition that prevents understanding of study requirements, completion of assessments, or provision of reliable information.
  • Participation in another interventional clinical study within 3 months before screening, or current participation in another study that may affect evaluation of efficacy or safety in this study.
  • Anticipated poor adherence, difficulty completing follow-up, or any other condition that, in the investigator's judgment, would compromise participant safety or rights, interfere with study completion, or affect interpretation of the study results.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site
  • The First Affiliated Hospital of Anhui Medical University

    Hefei, Anhui, 230032

Other trials in China

About this study

Official title: Efficacy and Safety of Temporal Interference Stimulation for Schizophrenia: A Multicenter, Randomized, Double-Blind, Sham-Controlled Trial

This study will evaluate whether temporal interference (TI) stimulation, added to usual clinical treatment, improves symptoms of schizophrenia and is safe and tolerable. Approximately 100 adults aged 18 to 60 years with schizophrenia will be randomly assigned in equal numbers to active TI or sham TI. Participants and researchers assessing treatment outcomes will not know which treatment has been assigned.

Participants will continue usual clinical treatment and receive two 30-minute stimulation sessions daily for 14 consecutive days, for a total of 28 sessions. Symptoms will be assessed before treatment and on Days 7, 15, and 45. Magnetic resonance imaging (MRI) scans will be obtained before treatment and on Day 15. Side effects will be monitored throughout participation.

The main question is whether active TI produces a greater improvement in overall schizophrenia symptoms from baseline to Day 15 than sham TI. The study will also assess symptom improvement at other time points, changes in other symptoms, treatment completion, safety, and changes in brain imaging measures.

Read the detailed description

This multicenter, randomized, double-blind, parallel-group, sham-controlled trial will evaluate individualized temporal interference (TI) stimulation targeting the left insula as an adjunct to usual clinical treatment for schizophrenia.

Randomization will be stratified by study center with a 1:1 allocation ratio. An independent statistician will generate the randomization sequence, which will be implemented through a central randomization system after eligibility confirmation and baseline assessment. Access to treatment allocation codes will be restricted to authorized unblinded personnel who are not involved in outcome assessment or data analysis.

Baseline high-resolution three-dimensional T1-weighted magnetic resonance imaging (MRI) will be used to construct an individualized finite-element head model. The positions and channel configuration of two pairs of scalp electrodes will be optimized to enhance the modeled modulation field within the predefined left-insula target while reducing electric-field exposure in superficial cortical and other nontarget regions. Active TI will use carrier frequencies of 2000 Hz and 2005 Hz to produce a 5-Hz modulation frequency. Sham TI will use the same electrode setup, session duration, and device interface and simulate brief scalp sensations, without sustained treatment current during the middle of each session.

Both groups will continue usual clinical treatment. Clinically necessary adjustments to antipsychotic medication will be permitted and documented, including medication names, doses, timing and reasons for adjustments, and concomitant medication use. Other neuromodulation interventions that could affect study outcomes will be prohibited during participation.

The primary efficacy analysis will use a mixed model for repeated measures in the modified intention-to-treat population. The model will include treatment group, visit, treatment-by-visit interaction, study center, and prespecified baseline covariates. The primary treatment comparison will be the between-group difference in change from baseline to Day 15 in Positive and Negative Syndrome Scale (PANSS) total score. Per-protocol analyses and analyses addressing missing data and medication adjustments will serve as sensitivity analyses to support interpretation of the primary results.

Exploratory analyses of structural and resting-state functional MRI will examine treatment-related imaging changes, their associations with symptom improvement, and the potential predictive value of baseline imaging and individualized electric-field measures. An independent data and safety monitoring board will oversee participant safety and study conduct.

Conditions
Schizophrenia
Being tested
Active transcranial temporal interference stimulation, Sham transcranial temporal interference stimulation
Keywords
Schizophrenia, Temporal interference stimulation, Left insula
Medical subject headings
Schizophrenia

What participants receive

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

  • Active transcranial temporal interference stimulationDevice

    Two pairs of scalp electrodes will deliver sinusoidal alternating currents at carrier frequencies of 2000 Hz and 2005 Hz, producing a 5-Hz modulation frequency at the modeled left-insula target. Electrode positions, channel configuration, and current amplitudes will be individualized using MRI-based finite-element modeling. The current amplitudes and their ratio will be set according to the individualized electric-field modeling results, allowing unequal amplitudes between channels. Current settings and actual outputs will be recorded for each session.

    Each session will last 30 minutes, with 30-second ramp-up and ramp-down periods at the beginning and end, respectively. Two sessions will be administered daily for 14 consecutive days, with at least 60 minutes between sessions, for a total of 28 sessions.

  • Sham transcranial temporal interference stimulationDevice

    Sham stimulation will use the same individualized electrode locations and channel configuration as active stimulation. The device will provide brief current at the beginning and end of each session, using 30-second ramping procedures to mimic scalp sensations, but will not deliver sustained treatment current during the middle of the session. Session duration, treatment schedule, monitoring, device displays, and communication procedures will match those used in the active arm.

Study groups in NCT07887997
Study groupRoleWhat they receive
Active Temporal Interference StimulationExperimentalParticipants will receive individualized temporal interference stimulation targeting the left insula in addition to usual clinical treatment. Electrode placement will be optimized using a finite-element head model derived from baseline structural MRI. Treatment will consist of two 30-minute sessions per day for 14 consecutive days, for a total of 28 sessions, with at least 60 minutes between sessions.
Receives: Device: Active transcranial temporal interference stimulation
Sham Temporal Interference StimulationSham comparatorParticipants will receive sham temporal interference stimulation in addition to usual clinical treatment. Electrode placement, fixation, device interface, treatment environment, and session duration will match those used for active stimulation. Brief current will be delivered at the beginning and end of each session to simulate scalp sensations, with no sustained treatment current during the middle of the session. Two 30-minute sessions will be administered daily for 14 consecutive days, with at least 60 minutes between sessions, for 28 sessions in total.
Receives: Device: Sham transcranial temporal interference stimulation

What is being measured

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

  1. Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Day 15

    The Positive and Negative Syndrome Scale (PANSS) is a clinician-rated instrument used to assess positive symptoms, negative symptoms, and general psychopathology in schizophrenia. The PANSS total score ranges from 30 to 210, with higher scores indicating greater schizophrenia symptom severity. The primary outcome is the change in PANSS total score from baseline to Day 15, compared between the active TI and sham groups. Change is calculated as the Day 15 total score minus the baseline total score, with negative values indicating improvement.

    Measured: Baseline (Day 0) and Day 15

Secondary outcomes (17)
  1. Change From Baseline in PANSS Total Score at Days 7 and 45

    The PANSS total score ranges from 30 to 210, with higher scores indicating greater schizophrenia symptom severity. Change at each visit will be calculated as the visit total score minus the baseline total score. Negative changes indicate improvement. Day 7 and Day 45 will be evaluated separately.

    Measured: Baseline (Day 0), Day 7, and Day 45

  2. Change From Baseline in PANSS Positive Subscale Score

    The PANSS positive subscale comprises 7 items, each scored from 1 to 7, yielding a total score from 7 to 49. Higher scores indicate more severe positive symptoms. Change at each visit will be calculated as the visit score minus the baseline score; a negative value indicates improvement.

    Measured: Baseline (Day 0), Day 7, Day 15, and Day 45

  3. Change From Baseline in PANSS Negative Subscale Score

    The PANSS negative subscale comprises 7 items, each scored from 1 to 7, yielding a total score from 7 to 49. Higher scores indicate more severe negative symptoms. Change at each visit will be calculated as the visit score minus the baseline score; a negative value indicates improvement.

    Measured: Baseline (Day 0), Day 7, Day 15, and Day 45

  4. Change From Baseline in PANSS General Psychopathology Subscale Score

    The PANSS general psychopathology subscale comprises 16 items, each scored from 1 to 7, yielding a total score from 16 to 112. Higher scores indicate more severe general psychopathology. Change at each visit will be calculated as the visit score minus the baseline score; a negative value indicates improvement.

    Measured: Baseline (Day 0), Day 7, Day 15, and Day 45

  5. Change From Baseline in Auditory Hallucination Rating Scale (AHRS) Total Score

    The AHRS assesses the severity of auditory hallucinations across seven dimensions. As specified in the protocol, the total score ranges from 0 to 41, with higher scores indicating more severe auditory hallucinations. Change at each visit will be calculated as the visit total score minus the baseline total score; a negative value indicates improvement.

    Measured: Baseline (Day 0), Day 7, Day 15, and Day 45

  6. Change From Baseline in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score

    The HAMD-17 is a 17-item clinician-rated measure of depressive symptom severity. Total scores range from 0 to 52, with higher scores indicating more severe depressive symptoms. Changes from baseline to Days 7, 15, and 45 will be compared between the active TI and sham groups. Change is calculated as the total score at each follow-up visit minus the baseline total score, with negative values indicating improvement.

    Measured: Baseline (Day 0), Day 7, Day 15, and Day 45

  7. Change From Baseline in 14-Item Hamilton Anxiety Rating Scale (HAMA-14) Total Score

    The HAMA-14 is a 14-item clinician-rated measure of anxiety symptom severity. Total scores range from 0 to 56, with higher scores indicating more severe anxiety symptoms. Changes from baseline to Days 7, 15, and 45 will be compared between the active TI and sham groups. Change is calculated as the total score at each follow-up visit minus the baseline total score, with negative values indicating improvement.

    Measured: Baseline (Day 0), Day 7, Day 15, and Day 45

  8. Change From Baseline in Insomnia Severity Index (ISI) Total Score

    The ISI is a seven-item self-report measure of insomnia severity. Total scores range from 0 to 28, with higher scores indicating more severe insomnia. Changes from baseline to Days 7, 15, and 45 will be compared between the active TI and sham groups. Change is calculated as the total score at each follow-up visit minus the baseline total score, with negative values indicating improvement.

    Measured: Baseline (Day 0), Day 7, Day 15, and Day 45

  9. Change From Baseline in Patient Health Questionnaire-15 (PHQ-15) Total Score

    The PHQ-15 is a 15-item self-report measure of somatic symptom burden. Total scores range from 0 to 30, with higher scores indicating greater somatic symptom burden. Changes from baseline to Days 7, 15, and 45 will be compared between the active TI and sham groups. Change is calculated as the total score at each follow-up visit minus the baseline total score, with negative values indicating improvement.

    Measured: Baseline (Day 0), Day 7, Day 15, and Day 45

  10. Percentage of Participants With a Treatment Response Based on PANSS Total Score

    Treatment response is defined as a reduction of at least 30% in PANSS total score from baseline after correction for the scale minimum of 30 points. Percentage reduction is calculated as 100 × (baseline total score - follow-up total score) / (baseline total score - 30). Response rates at Days 7, 15, and 45 will be compared between the active TI and sham groups. Percentages will be based on all randomized participants in each group, with missing assessments classified as nonresponse in the main responder analysis. Observed-case and multiple-imputation analyses will assess the sensitivity of the results.

    Measured: Baseline (Day 0), Day 7, Day 15, and Day 45

  11. Percentage of Participants Completing the Full Treatment Course

    Treatment completion is defined as completion of all 28 scheduled stimulation sessions during the 14-day treatment period. Each completed session must include the full programmed 30-minute stimulation procedure, as documented in the device log. Completion rates will be compared between the active TI and sham groups using all randomized participants in each group as the denominator. Participants who complete fewer than 28 sessions, including those who do not initiate treatment, will be classified as not completing the treatment course.

    Measured: Day 1 through Day 14

  12. Percentage of Correct Treatment-Allocation Guesses by Participants and Outcome Assessors

    Blinding will be assessed on Day 15. Participants and independent clinical outcome assessors will separately indicate whether they believe the assigned treatment was active TI, sham TI, or do not know. Treatment allocation will not be disclosed as part of this assessment, and masking will be maintained through the Day 45 follow-up and until protocol-specified unblinding, except when emergency unblinding is necessary for participant safety. The percentage of correct guesses will be calculated separately for participants and assessors in each treatment group, using completed questionnaires as the denominator. Do not know responses will remain in the denominator and will not count as correct. Missing questionnaires will be reported separately. Confidence in the guesses and reasons for the responses will be summarized descriptively.

    Measured: Day 15, after completion of the 14-day treatment course

  13. Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score

    The Clinical Global Impression-Severity (CGI-S) scale is a clinician-rated measure of overall illness severity, scored from 1 (normal, not at all ill) to 7 (among the most extremely ill). Higher scores indicate greater illness severity. Changes from baseline to Days 7, 15, and 45 will be compared between the active TI and sham groups. Change is calculated as the score at each follow-up visit minus the baseline score, with negative values indicating improvement.

    Measured: Baseline (Day 0), Day 7, Day 15, and Day 45

  14. Clinical Global Impression-Improvement (CGI-I) Score

    The Clinical Global Impression-Improvement (CGI-I) scale is a clinician-rated assessment of overall clinical change relative to baseline. Scores range from 1 (very much improved) to 7 (very much worse), with 4 indicating no change. Lower scores indicate greater improvement. CGI-I scores at Days 7, 15, and 45 will be compared between the active TI and sham groups. Because each rating already reflects change relative to baseline, no baseline CGI-I score or change-from-baseline score will be calculated.

    Measured: Day 7, Day 15, and Day 45

  15. Percentage of Participants Experiencing Adverse Events

    The percentage of participants experiencing at least one treatment-emergent adverse event will be summarized for the active TI and sham groups. Treatment-emergent adverse events are defined as new events or worsening of pre-existing conditions occurring from the first stimulation session through Day 45, regardless of their relationship to study procedures. Events will be characterized by severity, seriousness, relatedness, management, and outcome. Percentages will be calculated using participants who receive at least one stimulation session as the denominator, according to treatment received.

    Measured: From the first stimulation session on Day 1 through the Day 45 follow-up visit

  16. Percentage of Participants Experiencing Serious Adverse Events

    The percentage of participants experiencing at least one treatment-emergent serious adverse event from the first stimulation session through Day 45 will be summarized for the active TI and sham groups. Serious adverse events will be identified according to the protocol-defined criteria, including death, life-threatening events, hospitalization or prolonged hospitalization, and persistent or significant disability. Events will be recorded regardless of their relationship to study procedures. Percentages will be calculated using participants who receive at least one stimulation session as the denominator, according to treatment received.

    Measured: From the first stimulation session on Day 1 through the Day 45 follow-up visit

  17. Changes From Baseline in Left Insular Gray Matter Volume and Related Functional Connectivity

    Structural and resting-state functional MRI data will be acquired at baseline and Day 15 to assess changes in left insular gray matter volume and related functional connectivity. Differences between the active TI and sham groups will be examined, along with associations between imaging changes and symptom improvement and the potential predictive value of baseline imaging and individualized electric-field measures.

    Measured: Baseline (Day 0) and Day 15

Timeline

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

  1. First posted22 Oct 2026
  2. Study start1 Nov 2026 (estimated)
  3. Primary completion31 Oct 2027 (estimated)
  4. Study completion20 Dec 2027 (estimated)

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomized in a 1:1 ratio to active temporal interference stimulation or sham stimulation, with 50 participants planned in each arm. Randomization will be stratified by study center. Both groups will continue usual clinical treatment.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07887997
Sponsor's protocol ID
AHMU-TI-SCZ
Acronym
TI-SCZ-Insular
Status last verified
Oct 2026
First submitted
15 Oct 2026
Last updated
22 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Active transcranial temporal interference stimulation in people with Schizophrenia, run by Anhui Medical University at 1 site in China.

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

Who may be eligible to take part?

The sponsor lists 6 inclusion and 13 exclusion criteria. 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: opening soon, as of the sponsor's last update on 22 Oct 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 China. 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. Some participants in this study may receive a placebo. 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?

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?

Contact Qiang Hua, PhD (+8618326067076, huaqiang0107@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Day 15 (time frame: Baseline (Day 0) and Day 15). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Oct 2026.

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