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Deep Brain Stimulation Guided by Brain Recordings for Treatment-Resistant Schizophrenia

Tests brain stimulation, placed using brain recordings, in adults with treatment-resistant schizophrenia.

Plain-language title generated from the registry record
Registry title: SEEG-Guided DBS for Schizophrenia

Key facts

Where
Shanghai, ChinaSee the site

AI summary: who the study is looking for

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults aged 18 to 55 with schizophrenia whose symptoms did not improve with at least two antipsychotic medicines. It tests deep brain stimulation guided by brain recordings.

Age
18 to 55 years
Sex
All sexes can join.
Disease stage
Schizophrenia (ICD-10) with prominent psychotic symptoms and impaired social functioning, both rated moderate or severe.
Earlier treatment
At least two antipsychotics of different chemical structures, each at an adequate dose for more than 6 weeks with good adherence. A stable antipsychotic regimen for at least one month before enrollment.

Main reasons for not taking part

  • Any other psychiatric disorder besides schizophrenia
  • Severe personality disorder
  • Severe neurological disease, such as seizures or hemorrhagic stroke
  • Structural brain abnormalities
  • Previous stereotactic neurosurgery

Read by machine on 13 November 2026.

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 55 years old?

Source: NCT07671261, who can take part

Where in China

  • Ruijin Hospital Shanghai Jiaotong University School of MedicineShanghai, ChinaContact: Shuo Ma, PhDTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Trial details

Who runs it
Ruijin Hospital
Trial code
NCT07671261
Record updated
26 June 2026
Original description
This is a prospective, randomized, interventional study designed to evaluate the efficacy and safety of SEEG-guided deep brain stimulation (DBS) for symptom improvement in patients with treatment-resistant schizophrenia. Using stereo-electroencephalography (SEEG) to record brain activity, we will identify specific abnormal electrophysiological targets and signal features associated with clinical symptoms, followed by a 12-month open-label stimulation period. The study is conducted in three stages: Stage 1 consists of SEEG brain mapping, screening of intervention targets, and optimization of stimulation parameters; Stage 2 consists of DBS implantation surgery and further optimization of stimulation parameters; Stage 3 is a randomized crossover treatment phase, followed by an open-label treatment period.Read full original descriptionShow less

Deep Brain Stimulation for Treatment-Refractory Schizophrenia: Individualized Target Selection and Efficacy

This is a prospective, randomized, interventional study designed to evaluate the efficacy and safety of SEEG-guided deep brain stimulation (DBS) for symptom improvement in patients with treatment-resistant schizophrenia. Using stereo-electroencephalography (SEEG) to record brain activity, we will identify specific abnormal electrophysiological targets and signal features associated with clinical symptoms, followed by a 12-month open-label stimulation period. The study is conducted in three stages: Stage 1 consists of SEEG brain mapping, screening of intervention targets, and optimization of stimulation parameters; Stage 2 consists of DBS implantation surgery and further optimization of stimulation parameters; Stage 3 is a randomized crossover treatment phase, followed by an open-label treatment period.

Inclusion: Meets the International Classification of Diseases, 10th Revision (ICD-10) diagnostic criteria for schizophrenia; Male or female, aged 18 to 55 years, with stable vital signs; Currently presents with prominent psychotic symptoms, assessed as moderate or severe by the Positive and Negative Syndrome Scale (PANSS) or other equivalent scales; Exhibits impaired social functioning, assessed as moderate or severe impairment by the Social and Occupational Functioning Assessment Scale (SOFAS) or other equivalent scales; Has a history of sequential treatment with at least two antipsychotic medications of different chemical structures known for strong efficacy against positive symptoms. Treatment must have been at an adequate dose and for an adequate duration (continuous treatment at a therapeutic dose for more than 6 weeks per medication), with good treatment adherence; Has been on a stable antipsychotic medication regimen for at least one month prior to enrollment; Capable and willing to provide written informed consent; Demonstrates good compliance and is able to cooperate with all follow-up procedures.

Exclusion: Previous history of stereotactic neurosurgery; Diagnosed with any psychiatric disorder other than schizophrenia; Presence of a severe personality disorder; History of severe neurological diseases, such as seizures or hemorrhagic stroke; Any current or anticipated condition-including medical, psychological, social, familial support, or geographical factors-that might compromise patient safety or interfere with successful participation in the study; Presence of structural brain abnormalities; Contraindications to general anesthesia or stereotactic neurosurgery.

ClinicalTrials.gov NCT07671261