Clinical trial Recruiting at 6 sites Interventional Ages 15 to 35

Early identification program for first-episode psychosis

Official title: Impact of an Early Identification Program for First-Episode Psychosis on the Duration of Untreated Psychosis. Multicenter, Randomized Stepped-wedge Study

Run by Centre Hospitalier Universitaire de Saint Etienne · NCT05813457 · Data updated 2026-11-12

This study tests a program that helps people with early signs of psychosis get the care they need faster to improve their chances of recovery.

Quick facts

Study typeInterventional
Ages15 Years to 35 Years
SexAll
Enrollment416 (estimated)
SponsorCentre Hospitalier Universitaire de Saint Etienne
Academic / other
Locations6 sites (Bron and 5 other locations)
StatusRecruiting
StartedJune 6, 2023
Main results expectedFebruary 2027
Study endsApril 2027
Registry record updatedNovember 24, 2025
Trial IDNCT05813457 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include individuals diagnosed with schizophrenia or related disorders who have not received prior neuroleptic treatment for more than six months.

Probably not a fit

Patients already receiving treatment for first-episode psychosis or those with brief psychotic states not requiring specific management may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the effectiveness of the PRESTO program, which facilitates early identification and access to specialized care for patients experiencing first-episode psychosis (FPE). By focusing on reducing the duration of untreated psychosis (DUP), the study seeks to improve the prognosis for individuals diagnosed with schizophrenia and related disorders. The intervention addresses barriers such as stigma and lack of awareness in the primary care network, which contribute to prolonged DUP. The study will also analyze factors influencing the implementation of this intervention for potential broader application.

Why it matters

Potential benefit: If successful, this program could significantly reduce the duration of untreated psychosis, leading to better long-term outcomes for patients.

How similar studies have gone: Other studies have shown that early intervention programs can effectively reduce the duration of untreated psychosis, suggesting a promising approach for this intervention.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients with a diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder, or brief psychotic disorder established according to DMS 5
* Never having taken neuroleptic treatment for antipsychotic purposes, except for the current episode and for a duration of \< 6 month
* Oral consent of the patient or, for minors, of his/her parents to participate in the study

Exclusion Criteria:

* Patients already treated and followed for FPE
* Brief psychotic state not requiring specific management

Where it's running

  • Hospices Civils de Lyon
    Bron, France
    Recruiting
  • Chu Clermont-Ferrand
    Clermont-Ferrand, France
    Recruiting
  • Chu Grenoble
    Grenoble, France
    Recruiting
  • CHU de Montpellier
    Montpellier, France
    Recruiting
  • CHU de Nîmes
    Nîmes, France
    Recruiting
  • Chu Saint Etienne
    Saint-Etienne, France
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.