MicroRNAs as Biomarkers in First Episode Schizophrenia
Part of paid clinical trials in Glen Oaks, New York.
- Sponsor
- Northwell Health
- Study ID
- NCT07703670
- Status
- Recruiting
Conditions
- Psychosis Not Otherwise Specified (NOS)
- Schizoaffective Disorder
- Schizophrenia Disorder
- Schizophreniform Disorder
Eligibility Criteria
- Sex
- ALL
- Age
- 15 Years - 40 Years
- Healthy Volunteers
- Accepted
Interventions
- Plasma NDE miRNA Sequencing — DIAGNOSTIC_TESTBlood samples collected at baseline and week 12 for isolation of neural-derived extracellular vesicles (NDEs) from plasma using L1/NCAM antibody immunoprecipitation, followed by small RNA sequencing on Illumina NovaSeq6000 to identify differentially expressed miRNAs.
- Whole Genome Sequencing — GENETICSingle baseline blood sample collected for DNA extraction and whole genome sequencing to analyze genetic variation associated with psychosis and treatment response.
Study Details
This study investigates whether tiny molecules called microRNAs (miRNAs), found in special brain-derived "packages" (neural-derived extracellular vesicles, or NDEs) that travel from the brain into the blood, can serve as helpful indicators (biomarkers) for schizophrenia. Currently, doctors diagnose schizophrenia and monitor treatment primarily through clinical interviews, which can be slow and imprecise. This study will work with 80 individuals recently diagnosed with first-episode schizophrenia who are beginning treatment with either aripiprazole or risperidone, along with 80 healthy volunteers. Blood samples will be collected from all participants. For individuals with schizophrenia, blood will be drawn at the beginning of treatment and again after 12 weeks. By comparing patterns of brain-derived miRNAs in the blood of patients versus healthy volunteers, and by observing changes in these miRNAs during treatment, the researchers hope to discover whether these molecules can help diagnose schizophrenia more quickly and predict how well a treatment will work. If successful, this study will provide initial evidence that these miRNAs could become valuable new tools leading to earlier, more accurate diagnoses and more personalized treatment selection.
Key Dates
- First listed
- Jul 14, 2026
- Start date
- Jul 1, 2026
- Status verified
- Jul 2026
- Primary completion
- May 31, 2031
- Completion
- May 1, 2031
Study Design
- Enrollment
- 160 participants (estimated)
- Allocation
- NON_RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- DIAGNOSTIC
Arms
- Experimental: First-Episode Schizophrenia - Aripiprazole/RisperidoneFES participants receiving naturalistic treatment with aripiprazole or risperidone as prescribed by their treating psychiatrist. Blood samples collected at baseline and week 12 for NDE miRNA analysis.
- Active Comparator: Healthy volunteersHealthy volunteers providing a single baseline blood sample for NDE miRNA analysis comparison.
Primary Outcome Measure
Diagnostic performance of plasma NDE miRNA panel [ Time Frame: Baseline (Week 0) ]
Central Contacts
- Nicole Montgomery, MD949-486-9390
- Juan Gallego, MD, MS718-470-4588
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Zucker Hillside Hospital | Glen Oaks | New York | 11004 |
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