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RecruitingNCT04798131INTRUDEUpdated Oct 1, 2026

fMRI-based Neurofeedback to Relieve Drug-resistant Auditory Hallucinations

An interventional study of Active neurofeedback procedure and Sham neurofeedback procedure in Schizophrenia, Hallucinations, Auditory and Hallucinations, Visual, sponsored by University Hospital, Lille. Recruiting at 1 site in France. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-10-01.

Sponsored by University Hospital, Lille · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2022; still recruiting 4 years 2 months later.
Updated Oct 1, 2026Primary completion movedStudy completion moved+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The INTRUDE trial aims at assessing the efficacy of an fMRI-based neurofeedback procedure on drug-resistant auditory hallucinations. Hallucinations are complex and transient mental states associated with subtle and brain-wide patterns of activity for which we were recently able to validate an fMRI multivariate decoder. Based on this progress, we can track patients' hallucinatory status using real-time fMRI. We will test whether schizophrenia patients with drug-resistant hallucinations can be trained to maintain the brain state associated with a no-hallucination condition using appropriate strategies and thus reduce overall severity. We will refer to a double-blind randomized placebo-controlled design. A total of 86 patients will be enrolled and equally split in an active neurofeedback group (n=43) and a sham group (n=43), matched for sex, age and PANSS scores. Each patient will benefit from 12 runs of either active or sham neurofeedback. The primary outcome measure will be the mean decrease of AHRS scores relative to baseline, and at 1 month post-treatment and re-evaluated at 2 months post-treatment. We expect significant clinical benefits from fMRI-based neurofeedback on drug-resistant hallucinations compared with the sham group.

02

Conditions studied

  • Schizophrenia
  • Hallucinations, Auditory
  • Hallucinations, Visual

Keywords

  • Schizophrenia
  • Hallucinations
  • Drug-resistance
  • functional MRI
  • Neurofeedback
  • Machine-Learning.
03

In context

Schizophrenia

3,563 studies on the registry are indexed under Schizophrenia; 491 are open to participants now.

This study's planned enrollment of 84 is above the median of 71 across 2,944 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

University Hospital, Lille is the lead sponsor of 631 studies on the registry; 142 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Oct 1, 2026. See what changed

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Right-handed female/male between 18 to 60 y.o.
  • Schizophrenia (according to the 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

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
  • 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
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
84 participants (estimated)

Study arms

  • Experimental
    Active

    The visual feedback will correspond to instructions, adapted to the current hallucinatory state and decoded online from the fMRI signal.

    Other: Active neurofeedback procedure

  • Sham comparator
    Sham

    The visual feedback will correspond to random instructions independently of the fMRI signal.

    Other: Sham neurofeedback procedure

Interventions

  • OtherActive neurofeedback procedure

    Patients will perform 3 fMRI sessions. After one baseline fMRI run, two consecutive fMRI sessions (1/ day) during which they will continuously receive visual feedback (12 runs in total) computed from the fMRI signal analyzed with the hallucinations decoder. Patients will be trained to maintain the brain state associated with the no-hallucination state using appropriate coping strategies. Two post-treatment visits are scheduled at 1 and 2 months to assess hallucinations severity.

  • OtherSham neurofeedback procedure

    Patients will perform 3 fMRI sessions. After one baseline fMRI run, two consecutive fMRI sessions (1/ day) during which they will receive a random feedback (12 runs in total). Two post-treatment visits are scheduled at 1 and 2 months with the same clinical assessment than the active group.

06

What researchers measure

Primary outcomes

  1. Change from baseline in the Auditory Hallucination Rating Scale (AHRS) measure of hallucinations severity

    AHRS will be measured at t0 (randomization) and at 1 month after treatment Minimum score is 2, maximum score is 41, higher score indicates more severe symptoms.

    Time frame: 1 month after treatment

Secondary outcomes

  1. Change from baseline in Auditory Hallucinations Rating Scale (AHRS) measure

    AHRS will be measured at t0 (randomization) and at 1 month after treatment The PANSS contains 7 positive symptom scales, 7 negative system scales, and 16 general psychopathology symptom scales. rate from 1 to 7 on each symptom scale. The total score is the sum of all scales with a minimum score of 30 and a maximum score of 210

    Time frame: 1 month and 2 months after treatment

  2. Changes in global functioning relative to baseline

    Global Assessment of Functioning (GAF) is a numeric scale be measured at t0 (randomization) and at 1 month after treatment Scores range from 100 (extremely high functioning) to 1 (severely impaired).

    Time frame: 1 month and 2 months after treatment

  3. Changes in quality of life relative to baseline

    SQLS score will be measured at t0 (randomization) and at 1 month after treatment

    Time frame: 1 month and 2 months after treatment

  4. Changes in structural MRI markers relative to baseline

    Cortical thickness will be measured at t0 (randomization) and at 1 month after treatment

    Time frame: 1 month and 2 months after treatment

  5. Changes in structural MRI markers relative to baseline

    Gyrification Index will be measured at t0 (randomization) and at 1 month after treatment

    Time frame: 1 month and 2 months after treatment

  6. Changes in functional MRI markers relative to baseline

    Brain activity at rest and connectivity metrics will be measured at t0 (randomization) and at 1 month after treatment

    Time frame: 1 month after treatment

07

Study locations

1 of 1 sites recruiting
08

Updates

1 registry update since Sep 25, 2026
Primary completion
Jul 2026→Nov 2028
Oct 1, 2026
Study completion
Jul 2026→Nov 2028
Oct 1, 2026
Eligibility
1 inclusion criterion added; 5 exclusion criteria added, 1 removed
What changed in the criteria
Inclusion criteria
  • AddedRight-handed female/male between 18 to 60 y.o.
Exclusion criteria
  • AddedRefusal to participate after clear and honest information about the study has been provided
  • AddedClinical condition incompatible with the study protocol (e.g. agitation, severe disorganization, catatonia)
  • RemovedContraindication to MRI scan
  • AddedContraindication to MRI scan: pacemaker, ferromagnetic vascular clip, ferromagnetic foreign body
  • AddedMorphological criteria: weight >130kg, abdominal cirumference exceeding magnet aperture, shoulder width
  • AddedRefusal to be informed of any incidental findings observed during the MRNI
Oct 1, 2026
Secondary outcomes
1 edited, 4 time frame changed, 3 removed
What changed in the outcomes
  • EditedChange from baseline in Positive and Negative SyndromeAuditory Hallucinations Rating Scale (PANSSAHRS) measure of hallucinations severityTime frame: 1 month after treatment → 1 month and 2 months after treatment
  • RemovedChange from baseline Questionnaire for Psychotic Experiences (QPE) measure for severity of hallucinationsTime frame: 1 month after treatment
  • RemovedChange from baseline Simplified Acute Physiology Score (SAPS) measure for severity of hallucinationsTime frame: 1 month after treatment
  • RemovedChange from baseline Visual analogue scale (VAS) measure for severity of hallucinationsTime frame: 1 month after treatment
  • Time frameChanges in global functioning relative to baseline1 month after treatment → 1 month and 2 months after treatment
  • Time frameChanges in quality of life relative to baseline1 month after treatment → 1 month and 2 months after treatment
  • Time frameChanges in structural MRI markers relative to baseline1 month after treatment → 1 month and 2 months after treatment
  • Time frameChanges in structural MRI markers relative to baseline#21 month after treatment → 1 month and 2 months after treatment
Oct 1, 2026
Show all 1 update
  1. Oct 1, 2026
    Primary completion Jul 2026→Nov 2028
    Study completion Jul 2026→Nov 2028
    Eligibility 1 inclusion criterion added; 5 exclusion criteria added, 1 removed
    What changed in the criteria
    Inclusion criteria
    • AddedRight-handed female/male between 18 to 60 y.o.
    Exclusion criteria
    • AddedRefusal to participate after clear and honest information about the study has been provided
    • AddedClinical condition incompatible with the study protocol (e.g. agitation, severe disorganization, catatonia)
    • RemovedContraindication to MRI scan
    • AddedContraindication to MRI scan: pacemaker, ferromagnetic vascular clip, ferromagnetic foreign body
    • AddedMorphological criteria: weight >130kg, abdominal cirumference exceeding magnet aperture, shoulder width
    • AddedRefusal to be informed of any incidental findings observed during the MRNI
    Secondary outcomes 1 edited, 4 time frame changed, 3 removed
    What changed in the outcomes
    • EditedChange from baseline in Positive and Negative SyndromeAuditory Hallucinations Rating Scale (PANSSAHRS) measure of hallucinations severityTime frame: 1 month after treatment → 1 month and 2 months after treatment
    • RemovedChange from baseline Questionnaire for Psychotic Experiences (QPE) measure for severity of hallucinationsTime frame: 1 month after treatment
    • RemovedChange from baseline Simplified Acute Physiology Score (SAPS) measure for severity of hallucinationsTime frame: 1 month after treatment
    • RemovedChange from baseline Visual analogue scale (VAS) measure for severity of hallucinationsTime frame: 1 month after treatment
    • Time frameChanges in global functioning relative to baseline1 month after treatment → 1 month and 2 months after treatment
    • Time frameChanges in quality of life relative to baseline1 month after treatment → 1 month and 2 months after treatment
    • Time frameChanges in structural MRI markers relative to baseline1 month after treatment → 1 month and 2 months after treatment
    • Time frameChanges in structural MRI markers relative to baseline#21 month after treatment → 1 month and 2 months after treatment
    + 4 other changes: identifiers, verification date, description and arm descriptions

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT04798131
Collaborators
National Research Agency, France
Responsible party
Sponsor
First posted
Mar 15, 2021
Start date
Aug 26, 2022
Primary completion
Nov 2028 (estimated)
Completion
Nov 2028 (estimated)
Last update
Oct 1, 2026

Study contacts

Renaud JARDRI, MD,PhD
Contact
renaud.jardri@chru-lille.fr
0320445962 ext. +33
Renaud JARDRI, MD,PhD
principal investigator · University Hospital, Lille

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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