Clinical trial Recruiting at 1 site Interventional Ages 18 to 60

fMRI-based brain training to help reduce drug-resistant auditory hallucinations

Official title: Treat Refractory Auditory Hallucinations in Schizophrenia Patients With fMRI-guided Neurofeedback: a Randomized-controlled Trial

Run by University Hospital, Lille · NCT04798131 · Data updated 2026-11-12

This study tests whether real-time fMRI neurofeedback can help people with schizophrenia reduce persistent auditory hallucinations by training them to maintain a brain state associated with not hearing them.

Quick facts

Study typeInterventional
Ages18 Years to 60 Years
SexAll
Enrollment84 (estimated)
SponsorUniversity Hospital, Lille
Academic / other
Locations1 site (Lille)
StatusRecruiting
StartedAugust 26, 2022
Main results expectedNovember 2028
Study endsNovember 2028
Registry record updatedOctober 1, 2026
Trial IDNCT04798131 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18-60 with schizophrenia and frequent drug-resistant auditory hallucinations, stable on medication for at least 30 days, and without MRI contraindications.

Probably not a fit

Individuals with due to factors like agitation, severe disorganization, catatonia, or MRI incompatibilities may not benefit from this approach.

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

What this trial studies

The trial will enroll 86 adults with schizophrenia and drug-resistant auditory hallucinations, randomly assigning them to active real-time fMRI neurofeedback or a sham control. Participants undergo 12 neurofeedback sessions aimed at maintaining a brain activity pattern linked to no hallucinations, guided by a validated fMRI decoder. Outcomes will compare changes in hallucination severity between groups in a double-blind, placebo-controlled design. The study uses stable medication status and ensures safety through MRI contraindication screening and monitoring. Primary results will focus on the average change in hallucination-related brain and clinical measures.

Why it matters

Potential benefit: If successful, patients may experience fewer or less intense auditory hallucinations and improved daily functioning through an evidence-based brain-training approach.

How similar studies have gone: Previous work validating real-time fMRI decoding of hallucinatory states supports the feasibility of this approach, though large randomized data in this exact protocol are not yet established.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Right-handed female/male between 18 to 60 y.o.
* Schizophrenia (according to the DSM-5 classification)
* Frequent auditory hallucinations (SAPS item #1 ≥ 4)
* Stable medication for at least 30 days
* Absence of chronic neurological disorder (including seizure)
* Able to provide free written consent to participate in the research

Exclusion Criteria:

* Refusal to participate after clear and honest information about the study has been provided
* Clinical condition incompatible with the study protocol (e.g. agitation, severe disorganization, catatonia)
* Pregnancy
* Contraindication to MRI scan: pacemaker, ferromagnetic vascular clip, ferromagnetic foreign body
* Morphological criteria: weight \>130kg, abdominal cirumference exceeding magnet aperture, shoulder width
* Claustrophobia
* Refusal to be informed of any incidental findings observed during the MRNI
* No social insurance

Where it's running

  • Hop Fontan Chu
    Lille, France
    Recruiting

Study contacts

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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.