CClinicalTrials.gg
RecruitingNCT05316883BiCSUpdated Jan 20, 2026

Biomarkers in Clozapine-responding Schizophrenia

A Phase 4 interventional study of Clozapine in Schizophrenia and Psychosis, sponsored by Jimmi Nielsen. Recruiting at 1 site in Denmark. Open to participants aged 18 Years to 64 Years. Per ClinicalTrials.gov, last updated 2026-01-20.

Sponsored by Jimmi Nielsen · Phase 4, Interventional, and Basic science

From the registry’s dates

  • Started Feb 2021; still recruiting 5 years 7 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
200
Allocation
Not applicable
Ages
18 Years to 64 Years
Sex
All
01

Study summary

The outline of the current project is to establish a cohort of patients with treatment refractory schizophrenia eligible for clozapine, to identify clinical and biological characteristics of clozapine responding patients. Patients will be offered treatment with clozapine according to national clinical guidelines. Before clozapine is initiated, patients will be offered a thoroughly neurobiological examination, and re-examination will be carried out after 12 weeks of treatment. The primary focus of the examinations will be immunological markers and autoantibodies in the blood and cerebrospinal fluid, permeability of the blood-brain barrier and magnetic resonance imaging of structural, neurochemical and functional brain changes.

Read the detailed description

Patients will be examined before and after 12 weeks of treatment with clozapine

Examinations at baseline and follow up will be:

  • Clinical ratings
  • Blood inflammatory markers
  • Inflammatory markers in cerebro spinal fluid
  • MRI : examination of grey \& white matter, glutamate and GABA in Anterior Cingulate cortex and glutamate in thalamus,
  • selected cognitive measures
02

Conditions studied

  • Schizophrenia
  • Psychosis
03

In context

Schizophrenia

3,471 studies on the registry are indexed under Schizophrenia; 472 are open to participants now.

This study's planned enrollment of 200 is above the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Jimmi Nielsen is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • According to ICD-10 fulfill diagnostic criteria for schizophrenia (F20.x), chronical paranoid psychoses (F22), Schizoaffective psychoses (F25) or other non-organic psychoses (F28/F29);
  • Age 18-65 years;
  • Legally competent;
  • Stabil antipsychotic treatment during last month
  • Being treatment refractory according to TRIPP-guidelines (Howes et al. 2017) defined as having tried at least two antipsychotic drugs in sufficient dosage (≥600 mg chlorpromazine equivalent) for a sufficient time (≥ 6 weeks) without sufficient symptom improvement (still a moderate level of positive symptoms).
  • Recreational use of substances is allowed as long as it does not interfere with compliance
  • Fertile females must use safe contraception (spiral or any hormonal contraception).

Exclusion criteria

Exclusion Criteria:

  • Involuntarily psychiatric admittance during the study
  • Substance abuse that interfere with compliance
  • Pregnancy (will be verified by urine-HCG-test in fertile females)
  • Toxic or idiosyncratic agranulocytosis in the past
  • Reduced bone marrow function according to blood samples
  • According to information from patient and available files, noUncontrolled

    • Current uncontrolled epilepsy
    • Current circulatory collapse and / or CNS depression for any cause
    • Current severe kidney, heart or liver disease
    • Current paralytic ileus
05

Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Other
    clozapine treatment

    Open label clozapine will be given to all participants in clinical doses adjusted to sideeffects and clinical effect

    Drug: Clozapine

Interventions

  • DrugClozapine

    clinical doses adjusted to sideeffects and clinical effect

06

What researchers measure

Primary outcomes

  1. Qalb

    Quotient albumin (Qabl) in cerebrospinal fluid (CSF) compared to plasma

    Time frame: Baseline

  2. Change in Qalb

    Change in quotient albumin in cerebrospinal fluid compared to plasma

    Time frame: Baseline and after 12 weeks

  3. Change in IL-6 and TGF-beta

    Change in interleukin 6 (IL-6) and transcription growth factor beta (TGF-beta)

    Time frame: Baseline and after 12 weeks

Secondary outcomes

  1. Change in FA, MD, AD and RD

    Change in fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD) and radial diffusivity (RD)

    Time frame: Baseline and after 12 weeks

  2. Change in cortical thickness as measured with FreeSurfer

    Change in cortical thickness as measured with FreeSurfer

    Time frame: Baseline and after 12 weeks

  3. Change in glutamate in ACC and thalamus measured with MTI

    Change in glutamate in anterior cingulate cortex (ACC) and thalamus measured with magnetic transfer imaging (MTI)

    Time frame: Baseline and after 12 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05316883
Lead sponsor
Jimmi Nielsen
Responsible party
Jimmi Nielsen (Professor, Copenhagen University Hospital, Hvidovre) — Sponsor-investigator
First posted
Apr 7, 2022
Start date
Feb 28, 2021
Primary completion
Dec 31, 2029 (estimated)
Completion
Dec 31, 2029 (estimated)
Last update
Jan 20, 2026

Study contacts

Jimmi Nielsen, PhD
Contact
jimmi.nielsen@regionh.dk
4538640885
Mette Nielsen, PhD
Contact
mette.oedegaard.nielsen@regionh.dk
Jimmi Nielsen, PhD
principal investigator · Mental health Service, Glostrup

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion