Understanding early psychosis and its biological markers
Official title: Biomarkers/Biotypes, Course of Early Psychosis and Specialty Services
Run by Beth Israel Deaconess Medical Center · NCT06740383 · Data updated 2026-11-12
This study is trying to find out more about early signs of psychotic disorders like schizophrenia and bipolar disorder by looking at brain scans and other health data from around 320 participants over a year.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 40 Years |
| Sex | All |
| Enrollment | 320 (estimated) |
| Sponsor | Beth Israel Deaconess Medical Center Academic / other |
| Locations | 6 sites (Hartford, Connecticut and 5 other locations) |
| Status | Recruiting |
| Started | January 1, 2023 |
| Main results expected | June 30, 2027 |
| Study ends | June 30, 2027 |
| Registry record updated | March 10, 2026 |
| Trial ID | NCT06740383 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals aged 18-35 who have experienced the onset of a psychotic disorder within the last three years.
✕Probably not a fit
Patients with significant neurological disorders or those with recent substance use disorders 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
The BICEPS study aims to explore the early stages of psychotic disorders such as Schizophrenia and Bipolar I Disorder by collecting mental health data, brain scans, eye movement patterns, and EEG data from participants. Over the course of a year, individuals will attend four visits where they will undergo various assessments, including clinical interviews and neuropsychological tests. The study seeks to identify clinical and biological predictors of outcomes in early psychosis, which could enhance treatment planning and intervention strategies. This multi-site study will involve approximately 320 participants across several institutions, coordinated by Boston's Beth Israel Deaconess Medical Center.
Why it matters
Potential benefit: If successful, this study could lead to improved treatment strategies tailored to individual patients with early psychosis.
How similar studies have gone: Other studies have shown promise in using biomarkers to predict outcomes in psychotic disorders, but this approach is still evolving.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Males and females, all races and ethnicities * 18-40 y/o * Meet DSM-5 criteria for a psychotic disorder, i.e. schizophrenia, schizophreniform, schizoaffective disorder, or bipolar I disorder or major depression with psychotic features, delusional disorder or psychosis N.O.S. * Able to read, speak, and understand English * Able and willing to provide written informed consent, and willing to commit to the study protocol * Illness duration from psychosis onset less than or equal to 4 years * At baseline only: receiving both psychopharmacology and psychotherapy Exclusion Criteria: * Estimated premorbid intellectual ability \<70 (WRAT-4, Word Reading subtest, age-corrected standardized score) * Neurological or medical disorder that may affect brain function (seizure disorder, traumatic brain injury with a loss of consciousness greater than or equal to 30 min, history of stroke, AIDS, etc.) * Psychoses secondary to substance use i.e., Comorbid DSM-5 diagnosis of alcohol or substance use disorders that may explain the diagnosis of psychotic disorders (individuals with cannabis use disorders unrelated to psychosis onset will be allowed. Participants encouraged to abstain from substances for 24 hours prior to lab visits) MRI-Specific Exclusion Criteria: * Pregnant women * Presence of ferromagnetic objects in body * Weight or body size exceeding scanner capacity (\>300 lbs) * Claustrophobia
Where it's running
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Hartford Hospital
Hartford, Connecticut, United States Recruiting -
University of Georgia
Athens, Georgia, United States Recruiting -
University of Chicago Medical Center
Chicago, Illinois, United States Recruiting -
McLean Hospital
Belmont, Massachusetts, United States Recruiting -
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States Recruiting -
University of Texas Southwestern Medical Center
Dallas, Texas, United States Recruiting
Study contacts
- Principal investigator: Matcheri S. Keshavan, MD — Beth Israel Deaconess Medical Center
- Study coordinator: Matcheri S. Keshavan, MD
- Email: mkeshava@bidmc.harvard.edu
- Phone: 617-754-1256
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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State Representation in Early Psychosis 2
This observational study tests how people with early psychosis and healthy individuals use state information during tasks and how brain activity supports it.
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This study is testing whether a group program that teaches metacognitive skills can help people with psychotic disorders improve their thinking and social skills.
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Evaluating clozapine's effectiveness in specific psychosis patients
This study is testing if clozapine works better than risperidone for people with schizophrenia, schizoaffective disorder, and bipolar I disorder who have a specific brain activity pattern.
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Theta-Burst Transcranial Magnetic Stimulation for Treatment-Resistant Auditory Hallucinations
This study tests whether theta-burst transcranial magnetic stimulation can lessen persistent auditory verbal hallucinations in adults with schizophrenia-spectrum or psychotic disorders who have not responded to antipsychotic meds.
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Trying the Kiso Mind smartphone app for people with schizophrenia spectrum disorders
This study tests whether the Kiso Mind smartphone app is acceptable, practical, and helpful for adults with schizophrenia or schizoaffective disorder alongside their usual care.
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.