ClinicalTrials.gg
RecruitingNCT06856161LEADING-MHUpdated Mar 5, 2026

A Novel Blood Test as a Biomarker in Mental Health

An observational study in Depression - Major Depressive Disorder, Schizophenia Disorder and Psychosis, sponsored by Fraser Health. Recruiting at 1 site in Canada. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-03-05.

Sponsored by Fraser Health · Observational

From the registry’s dates

  • Started Mar 2025; still recruiting 1 year 7 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500
Ages
19 Years and older
Sex
All
01

Study summary

This longitudinal, observational study aims to assess whether the characteristics of a novel blood peripheral biomarker can serve as indicators for depression and schizophrenia in patients at the Royal Columbian Hospital Psychiatric Clinics. The study will evaluate whether changes in these biomarker characteristics can help distinguish between depressed patients who do or do not respond to treatment and between individuals experiencing a single psychotic episode and those at risk of progressing to schizophrenia. To achieve this, blood samples and standardized mental health assessments will be collected across three study visits from up to 500 participants, grouped into two study arms based on their diagnosis: Depression (DEP) or Psychosis/Schizophrenia (PSY).

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Conditions studied

  • Depression - Major Depressive Disorder
  • Schizophenia Disorder
  • Psychosis
  • Mania (Neurotic)
  • Alcohol Consumption
  • Anxiety Disorder (Panic Disorder or GAD)
  • Substance Use Disorders
  • Alcohol Use Disorder

Keywords

  • mental health
  • biomarker
  • depression
  • schizophrenia
  • psychosis
  • SERT
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In context

Psychotic Disorders

1,587 studies on the registry are indexed under Psychotic Disorders; 281 are open to participants now.

This study's planned enrollment of 500 is above the median of 123 across 221 observational studies indexed under Psychotic Disorders.

Browse Psychotic Disorders studies →

Lead sponsor

Fraser Health is the lead sponsor of 36 studies on the registry; 3 are open to participants now.

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

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Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study will enroll up to 500 adults (19 years and older) with suspected or diagnosed Major Depressive Disorder (MDD) or psychotic disorders, including schizophrenia, who are receiving care at psychiatric clinics at Royal Columbian Hospital (RCH) in New Westminster, Canada. The study population will be diverse in age, gender, ethnicity, and socioeconomic background, reflecting the demographics of RCH patients.

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

I. Age 19+. II. by participant

III. Any of the following situations:

  1. Suspected, new onset or established depression.
  2. First episode of psychosis or suspected/established schizophrenia. IV. In the opinion of the Investigator, the participant will likely be able to complete the standardized mental health questionnaires administered in each study visit.

Exclusion criteria

Exclusion Criteria:

I. Inability to provide . II. Currently enrolled in any other research study involving drugs or devices that may confound mental health treatment outcomes.

III. Currently declared on extended leave Under British Columbia's Mental Health Act.

Terms in these criteria, in plain language(1)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
500 participants (estimated)
Patient registry
No

Groups and cohorts

  • DEP

    Participants with suspected, new-onset, or established depression presenting to the psychiatric outpatient clinic at Royal Columbian Hospital.

  • PSY

    Participants experiencing a first episode of psychosis or established schizophrenia presenting to an outpatient psychosis clinic at Royal Columbian Hospital.

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What researchers measure

Primary outcomes

  1. Relationship between Depression and Biomarker Characteristics

    In the DEP arm, the study will evaluate the relationship between depression diagnosis, antidepressant responsiveness (assessed through changes in a standardized mental health questionnaire over time), and the characteristics of a novel blood peripheral biomarker.

    Time frame: 6 months from enrollment, across three study visits.

  2. Relationship between Psychotic Disorders and Biomarker Characteristics

    In the PSY arm, the study will evaluate the relationship between schizophrenia (defined as chronic, recurrent psychosis) and other psychotic disorders and the characteristics of a novel blood peripheral biomarker. A standardized clinical assessment tool will be used to support the diagnosis of schizophrenia.

    Time frame: 6 months from enrollment, across 3 study visits.

Secondary outcomes

  1. Association between Clinical-Demographic Factors and Biomarker Characteristics.

    In the DEP arm, the study will evaluate the relationship between a novel blood peripheral biomarker and various clinical and demographic factors. These factors include time, age, sex assigned at birth, and symptom severity related to suicidality, anxiety, substance use, and inflammation. Standardized mental health and clinical assessment tools will be used to quantify these variables.

    Time frame: 6 months from enrollment, across 3 study visits.

  2. Relationship between PSY arm Clinical-Demographic Factors and Biomarker Characteristics.

    In the PSY arm, the study will evaluate the relationship between the characteristics of a novel blood peripheral biomarker and various clinical and demographic factors. These factors include time, age, sex assigned at birth, and symptom severity related to psychosis, suicidality, anxiety, substance use, and inflammation. Standardized mental health and clinical assessment tools will be used to quantify these variables.

    Time frame: 6 months from enrollment, across 3 study visits.

  3. Association between Psychotic Disorders Pharmacological Treatment and Biomarker Characteristics

    In the PSY arm, the study will evaluate the relationship between changes over time in the characteristics of a novel blood peripheral biomarker and exposure to antipsychotics and other non-SSRI medications.

    Time frame: 6 months from enrollment, across 3 study visits.

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Study locations

1 of 1 sites recruiting
  • Royal Columbian Hospital
    New Westminster, British Columbia V3L 3M2, Canada
    Recruiting
    • Jessica Wittmann · ContactLeadingMH@fraserhealth.ca
    • Steven Reynolds, MD, FRCPC · Principal investigator
    • Elizabeth Rohrs, PhD, RRT · Sub investigator
    • Siri Reinbold, MD, FRCPC · Sub investigator
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References and documents

Publications

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  • Rivera-Baltanas T, Olivares JM, Martinez-Villamarin JR, Fenton EY, Kalynchuk LE, Caruncho HJ. Serotonin 2A receptor clustering in peripheral lymphocytes is altered in major depression and may be a biomarker of therapeutic efficacy. J Affect Disord. 2014 Jul;163:47-55. doi: 10.1016/j.jad.2014.03.011. Epub 2014 Apr 3. PubMed 24836087 ↗
  • Rivera-Baltanas T, Olivares JM, Calado-Otero M, Kalynchuk LE, Martinez-Villamarin JR, Caruncho HJ. Serotonin transporter clustering in blood lymphocytes as a putative biomarker of therapeutic efficacy in major depressive disorder. J Affect Disord. 2012 Mar;137(1-3):46-55. doi: 10.1016/j.jad.2011.12.041. Epub 2012 Jan 16. PubMed 22257570 ↗
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  • Matson TE, Hallgren KA, Lapham GT, Oliver M, Wang X, Williams EC, Bradley KA. Psychometric Performance of a Substance Use Symptom Checklist to Help Clinicians Assess Substance Use Disorder in Primary Care. JAMA Netw Open. 2023 May 1;6(5):e2316283. doi: 10.1001/jamanetworkopen.2023.16283. PubMed 37234003 ↗
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  • Maslej MM, Furukawa TA, Cipriani A, Andrews PW, Sanches M, Tomlinson A, Volkmann C, McCutcheon RA, Howes O, Guo X, Mulsant BH. Individual Differences in Response to Antidepressants: A Meta-analysis of Placebo-Controlled Randomized Clinical Trials. JAMA Psychiatry. 2021 May 1;78(5):490-497. doi: 10.1001/jamapsychiatry.2020.4564. PubMed 33595620 ↗
  • Kesby JP, Eyles DW, McGrath JJ, Scott JG. Dopamine, psychosis and schizophrenia: the widening gap between basic and clinical neuroscience. Transl Psychiatry. 2018 Jan 31;8(1):30. doi: 10.1038/s41398-017-0071-9. PubMed 29382821 ↗
  • Lappin JM, Heslin M, Lomas B, Jones PB, Doody GA, Reininghaus UA, Croudace T, Craig T, Fearon P, Murray RM, Dazzan P, Morgan C. Early sustained recovery following first episode psychosis: Evidence from the AESOP10 follow-up study. Schizophr Res. 2018 Sep;199:341-345. doi: 10.1016/j.schres.2018.03.014. Epub 2018 Mar 20. PubMed 29571751 ↗
  • Leichsenring F, Steinert C, Rabung S, Ioannidis JPA. The efficacy of psychotherapies and pharmacotherapies for mental disorders in adults: an umbrella review and meta-analytic evaluation of recent meta-analyses. World Psychiatry. 2022 Feb;21(1):133-145. doi: 10.1002/wps.20941. PubMed 35015359 ↗
  • Leighton SP, Nerurkar L, Krishnadas R, Johnman C, Graham GJ, Cavanagh J. Chemokines in depression in health and in inflammatory illness: a systematic review and meta-analysis. Mol Psychiatry. 2018 Jan;23(1):48-58. doi: 10.1038/mp.2017.205. Epub 2017 Nov 14. PubMed 29133955 ↗
  • Lenze EJ, Rodebaugh TL, Nicol GE. A Framework for Advancing Precision Medicine in Clinical Trials for Mental Disorders. JAMA Psychiatry. 2020 Jul 1;77(7):663-664. doi: 10.1001/jamapsychiatry.2020.0114. No abstract available. PubMed 32211837 ↗
  • Marasine NR, Sankhi S, Lamichhane R, Marasini NR, Dangi NB. Use of Antidepressants among Patients Diagnosed with Depression: A Scoping Review. Biomed Res Int. 2021 Mar 15;2021:6699028. doi: 10.1155/2021/6699028. eCollection 2021. PubMed 33791379 ↗
  • Kang HJ, Kim JW, Choi W, Lee JY, Kim SW, Shin IS, Kim JM. Use of Serum Biomarkers to Aid Antidepressant Selection in Depressive Patients. Clin Psychopharmacol Neurosci. 2024 Feb 29;22(1):182-187. doi: 10.9758/cpn.23.1071. Epub 2023 Jun 29. PubMed 38247424 ↗
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  • Gutsmiedl K, Krause M, Bighelli I, Schneider-Thoma J, Leucht S. How well do elderly patients with major depressive disorder respond to antidepressants: a systematic review and single-group meta-analysis. BMC Psychiatry. 2020 Mar 4;20(1):102. doi: 10.1186/s12888-020-02514-2. PubMed 32131786 ↗
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  • Guloksuz S, van Os J. The slow death of the concept of schizophrenia and the painful birth of the psychosis spectrum. Psychol Med. 2018 Jan;48(2):229-244. doi: 10.1017/S0033291717001775. Epub 2017 Jul 10. PubMed 28689498 ↗
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  • FDA-NIH Biomarker Working Group. BEST (Biomarkers, EndpointS, and other Tools) Resource [Internet]. Silver Spring (MD): Food and Drug Administration (US); 2016-. Available from http://www.ncbi.nlm.nih.gov/books/NBK326791/ PubMed 27010052 ↗
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  • Biomarkers Definitions Working Group.. Biomarkers and surrogate endpoints: preferred definitions and conceptual framework. Clin Pharmacol Ther. 2001 Mar;69(3):89-95. doi: 10.1067/mcp.2001.113989. No abstract available. PubMed 11240971 ↗
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Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06856161
Lead sponsor
Fraser Health
Collaborators
Royal Columbian Hospital Foundation
Responsible party
Steve Reynolds (Intensivist, MD, FRCPC, Fraser Health) — Principal investigator
First posted
Mar 4, 2025
Start date
Mar 25, 2025
Primary completion
Mar 15, 2027 (estimated)
Completion
Aug 31, 2027 (estimated)
Last update
Mar 5, 2026

Study contacts

Jessica Wittmann
Contact
LeadingMH@fraserhealth.ca
+1 (236) 332-6575
Marlena Ornowska
Contact
LeadingMH@fraserhealth.ca
+1 (236) 332-6575
Steven Reynolds, MD, FRCPC
principal investigator · Royal Columbian Hospital Foundation

Oversight

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

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