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 type | Interventional |
|---|---|
| Ages | 15 Years to 35 Years |
| Sex | All |
| Enrollment | 416 (estimated) |
| Sponsor | Centre Hospitalier Universitaire de Saint Etienne Academic / other |
| Locations | 6 sites (Bron and 5 other locations) |
| Status | Recruiting |
| Started | June 6, 2023 |
| Main results expected | February 2027 |
| Study ends | April 2027 |
| Registry record updated | November 24, 2025 |
| Trial ID | NCT05813457 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
- Principal investigator: Eric FAKRA, MD PhD — Centre Hospitalier Universitaire de Saint Etienne
- Study coordinator: Eric FAKRA, MD PhD
- Email: eric.fakra@chu-st-etienne.fr
- Phone: (0)477127885
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.