ClinicalTrials.gg
RecruitingNCT07265180OXYMIND2Updated Aug 21, 2026

Oxytocin-Augmented Group Psychotherapy for Patients With Schizophrenia - an Oxytocin-dose Comparison

An interventional study of Oxytocin and Placebo in Schizophrenia Spectrum Disorders (SSD), sponsored by Charite University, Berlin, Germany. Recruiting at 1 site in Germany. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-08-21.

Sponsored by Charite University, Berlin, Germany · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 2 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 11 studies in Schizophrenia by Charite University, Berlin, Germany — 2 open to participants now, 2 under way, none of them phase 3. Schizophrenia · Charite University, Berlin, Germany.

Started
2025
the only one that year
No phase
8 of 11
2 open now
Registered
10th of 11
by date

Among the 11 studies in Schizophrenia by Charite University, Berlin, Germany, this one is the only one that started in 2025, is one of 8 with no phase, and was the 10th registered.

Schizophrenia

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

Browse Schizophrenia studies →

Open to participants now

2 of the 11 studies in Schizophrenia by Charite University, Berlin, Germany are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

Where they have run

Who these studies take

Of the 331 Schizophrenia studies recruiting now, 63 (19%) set no upper age limit and 257 (78%) stop at 75 or younger; 42 take children under 18; 83 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 11 studies in Schizophrenia by Charite University, Berlin, Germany, or all of them as a file.
02

Study summary

The effectiveness of current treatment options for sociocognitive deficits and negative symptoms (NS) in schizophrenia spectrum disorders (SSD) remains limited. The cause of NS is thought to be an interference between the mesocorticolimbic dopamine system for social reward expectancy and the network for socioemotional processes. Oxytocin (OXT) may enhance functional connectivity between these neuronal networks. Lower plasma OXT levels correlate negatively with NS severity and deficits in social cognition in SSD. It has been shown that intranasal OXT administration improves social cognition in healthy subjects but in SSD results are inconsistent. According to the social salience hypothesis, the effect of OXT varies depending on the social context and individual factors. Also, OXT-mediated effects on psychopathology and NS may depend on genetic variants of OXT receptors (OXTR). In a pilot study, the investigators demonstrated lower NS by OXT administration in a positive social context of mindfulness-based group psychotherapy (MBGT) in SSD. The investigators also demonstrated that symptoms improved after MBGT. A more recent study suggests that, compared to placebo, administering OXT in a positive social context via MBGT leads to significant between-group differences favoring OXT, particularly in NS, affect, and stress. Building on these findings, the present study investigates the stability of these effects, along with psychological and biological markers, in a larger sample of individuals with SSD. The main hypothesis to be tested is that the use of OXT compared to placebo prior to MBGT in patients with SSD will result in a greater reduction in NS with a higher OXT dosage. The research design is based on an experimental, triple-blind, randomized, placebo-controlled trial.

Read the detailed description

Schizophrenia spectrum disorders (SCZ) are severe mental illnesses with a lifetime prevalence of 1-2%. Three core syndromes characterize SCZ: positive and negative syndromes (NS), as well as a cognitive syndrome. The effectiveness of current treatment options for negative symptoms (NS) and sociocognitive deficits in schizophrenia spectrum disorders (SSD) remains limited.

The cause of NS is thought to be an interference between the mesocorticolimbic dopamine system for social reward expectancy and the network for socioemotional processes. Oxytocin (OXT) may enhance functional connectivity between these neuronal networks. Lower plasma OXT levels correlate negatively with NS severity and deficits in social cognition in SSD. It has been shown that intranasal OXT administration improves social cognition in healthy subjects but in SSD results are inconsistent. According to the social salience hypothesis, the effect of OXT varies depending on the social context and individual factors. Also, OXT-mediated effects on psychopathology and NS may depend on genetic variants of OXT receptors (OXTR). In a pilot study, the investigators demonstrated lower NS by OXT administration in a positive social context of mindfulness-based group psychotherapy (MBGT) in SSD. The investigators also demonstrated that NS and other symptoms improved after MBGT. A more recent study suggests that, compared to placebo, administering OXT in a positive social context via MBGT leads to significant between-group differences favoring OXT, particularly in NS, affect, and stress. Building on these findings, the present study investigates the stability of these effects, along with psychological and biological markers, in a larger sample of individuals with SSD. The main hypothesis to be tested is that the use of OXT compared to placebo prior to MBGT in patients with SSD will result in a greater reduction in NS, i.e. the difference in T0-T8 of the total score on the BNSS (Brief Negative Symptom Scale) after 4 weeks. The BNSS as a validated rater-based instrument designed for clinical trials will be collected by a blinded psychiatrist. MBGT-sessions by experienced psychotherapists take place once a week over four weeks in a group of six patients. They serve as a positive social context for OXT administration. Participants receive either synthetic oxytocin or a placebo 30 minutes before MBGT.

The role of genetic variations (OXTR genes) for the treatment effect on NS will be explored too as well as the effect on various stress markers including cortisol levels and the endocannabinoid system, affect, group cohesion and mindfulness.

The research design is based on an experimental, triple-blind, randomized, placebo-controlled trial.

03

Conditions studied

  • Schizophrenia Spectrum Disorders (SSD)

Browse trials for

04

Who can participate

Ages eligible
18 Years to 75 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

  • Declaration of consent
  • Psychiatric diagnosis of schizophrenia (ICD-10: F2x.x spectrum) for group of patients
  • Mild to moderate positive symptoms (5 ≤ Positive symptoms on individual items using P-PANSS)
  • German should either be the native language or spoken at a native level
  • No change in systematically recorded psychopharmacological medication in the last 2 weeks before study inclusion

Exclusion criteria

Exclusion Criteria:

  • Acute psychotic episode with severe positive symptoms (ICD-10: F2 spectrum, 6 ≥ positive symptoms on individual items using P-PANSS)
  • Acute suicidality
  • Acute consumption phase of a substance dependence, except nicotine
  • No severe physical impairments, neurological diseases and e.g. severe craniocerebral trauma e.g. early childhood brain damage
  • Pregnancy and breastfeeding
  • Current acute electroconvulsive therapy

If one of the following criteria applies to the participants, we will conduct an individual consultation in advance to determine whether participation in the study is possible:

  • Overweight or underweight ( (BMI) \< 17.5 or > 30)
  • Disease of the endocrine system
  • Impaired kidney or liver function
  • Metabolic diseases
  • Asthma
  • Change in blood potassium or sodium levels
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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

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

Study arms

  • Active comparator
    Oxytocin (24 I.U. Syntocinon®)

    The patients received a spray of synthetic oxytocin (24 I.U. Syntocinon®) in combination with mindfulness-based group therapy (MBGT) over 4 weeks once a week. Due to an effect latency of 30-80 min after intranasal administration of oxytocin on social behavior, the dose was administered 30 min before the 50 min session.

    Other: Oxytocin

  • Active comparator
    Oxytocin (48 I.U. Syntocinon®)

    The patients received a spray of synthetic oxytocin (48 I.U. Syntocinon®) in combination with mindfulness-based group therapy (MBGT) over 4 weeks once a week. Due to an effect latency of 30-80 min after intranasal administration of oxytocin on social behavior, the dose was administered 30 min before the 50 min session.

    Other: Oxytocin

  • Placebo comparator
    Placebo

    The patients received a placebo nasal spray in combination with mindfulness-based group therapy (MBGT) over 4 weeks once a week. The dose was administered 30 min before the 50 min session for blinding reasons.

    Other: Placebo

Interventions

  • OtherOxytocin

    Oxytocin nasal spray in combination with mindfulness based group therapy (MBGT).

  • OtherPlacebo

    Placebo nasal spray in combination with mindfulness based group therapy (MBGT).

06

What researchers measure

Primary outcomes

  1. Change in BNSS Brief Negative Symptom Scale

    The Brief Negative Symptom Scale (BNSS) is a 13-item rater-based instrument designed for clinical trials and other studies that measures 5 domains: blunted affect, alogia, asociality, anhedonia, and avolition. The interrater, test-retest, and internal consistency of the instrument were strong, with respective intraclass correlation coefficients of 0.93 for the BNSS total score and values of 0.89-0.95 for individual subscales. The minimal score is 0 and the maximal score is 78. Higher scores indicate a worse outcome.

    Time frame: Baseline rating (T0), post-intervention rating at week 4 (T8), follow-up 1 (week 8, T9) and follow-up 2 (week 16, T10)

Secondary outcomes

  1. Change and group differences in PANSS Positive and Negative Syndrome Scale

    The Positive and Negative Syndrome Scale (PANSS) is one of the most widely used rater instruments for the assessment of the presence and severity of psychotic symptoms. Each scale comprises seven statements which are rated by the interviewer using a seven-point Likert format (from 1= absent to 7= extreme). The minimal score is 30 and the maximal score is 210. Higher scores indicate a worse outcome. The PANSS is reported to have satisfactory internal consistency, good interrater reliability and construct validity.

    Time frame: Baseline rating (T0), post-intervention rating at week 4 (T8), follow-up 1 (week 8, T9) and follow-up 2 (week 16, T10)

  2. Change and group differences in SNS Self-Evaluation of Negative Symptoms

    The Self-Evaluation of Negative Symptoms (SNS) is a 20-item self-reported questionnaire with five subscales, namely alogia, avolition, anhedonia, social withdrawal and diminished emotional range. These subscales cluster on two factors, the apathy and emotional components. Participants can estimate the answer to each question on a scale from 0 (strongly disagree) to 2 (strongly agree). The minimal score is 0 and the maximal score is 40. Higher scores indicate a worse outcome. The scale was shown to have good internal consistency with Cronbach's alpha = .87.

    Time frame: Baseline rating (T0), post-intervention rating at week 4 (T8), follow-up 1 (week 8, T9) and follow-up 2 (week 16, T10)

  3. Change and group differences in CDSS Calgary Depression Scale of Schizophrenia

    The Calgary Depression Scale for Schizophrenia (CDSS) is a nine item clinician rated outcome measure that assesses the level of depression in people with schizophrenia. It is the only depression scale designed to assess depression in people with a schizophrenia spectrum disorder. It distinguishes depressive symptoms from negative symptoms and is sensitive to change. The minimal score is 0 and the maximal score is 27. Higher scores indicate a worse outcome.

    Time frame: Baseline rating (T0), post-intervention rating at week 4 (T8), follow-up 1 (week 8, T9) and follow-up 2 (week 16, T10)

  4. Change and group differences in PSS Perceived Stress Scale

    The Perceived Stress Scale (PSS) is a well-established, reliable, and valid 10-item self-report scale that measures perceived stress on a 5-point response scale (0 = "never", 1 = "almost never", 2 = "sometimes", 3 = "fairly often", 4 = "very often"). The German version of the PSS has demonstrated good internal consistency (Cronbach's α = 0.84). The minimal score is 10 and the maximal score is 50. Higher scores indicate a worse outcome.

    Time frame: Baseline rating (T0), post-intervention rating at week 4 (T8), follow-up 1 (week 8, T9) and follow-up 2 (week 16, T10)

  5. Change and group differences in SMQ Southampton Mindfulness Questionnaire

    The Southampton Mindfulness Questionnaire (SMQ) comprises 16 items that are rated on a seven-point Likert-scale ranging from (6) "agree totally" to (0) "disagree totally". Consequently, the total score ranges from 0 to 96, with a higher score indicating higher mindfulness. The internal consistency of the German version of the SMQ was Cronbach's α = 0.89.

    Time frame: Baseline rating (T0), post-intervention rating at week 4 (T8), follow-up 1 (week 8, T9) and follow-up 2 (week 16, T10)

  6. Change and group differences in PANAS Positive and Negative Affect Scale

    The Positive and Negative Affect Scale (PANAS) contains 20 items, each consisting of an adjective describing an emotion. The participants have to select how applicable this adjective is to their current state from 1 (not at all) to 5 (extremely). The minimal score is 20 and the maximal score is 100. Higher scores indicate a worse outcome. Ten items are assigned to the positive (e.g. "Excited") as well as the negative scale (e.g. "Fearful"). The reliability of the PANAS ranges from .86 to .93.

    Time frame: Pre- and post-intervention in week 1-4 (T0-T7)

  7. Change and group differences in stress via visual analogue scale (Bubbles)

    Stress via visual analogue scale. Self-rating instrument to measure stress through four items on a seven-point Likert-scale ranging from "not at all" (0) to "extreme" (6) visualized through bubbles increasing in size. The minimal score is 0 and the maximal score is 24. Higher scores indicate a worse outcome.

    Time frame: Pre- and post-intervention in week 1-4 (T0-T7)

  8. Change and group differences in GCQ-S Group Climate Questionnaire (Short Version)

    The Group Climate Questionnaire \[Short Version\] (GCQ-S) is a 12 item questionnaire designed to assess individual group members' perceptions of the group's therapeutic environment. It consists of three domains: Engaged, conflict and avoiding and will be used as a self-report, such as a rater-based instrument. The minimal score is 0 and the maximal score is 72. Higher scores indicate a worse outcome.

    Time frame: Post-intervention in week 1-4 (T1, T3, T5, T7)

  9. Change and group differences in PSP Personal and Social Performance scale

    The Personal and Social Performance Scale (PSP) is a rater-based questionnaire used to assess social functioning in patients with SSD. The minimal score is 1 and the maximal score is 100. Higher scores indicate a better outcome. The PSP showed good test-retest reliability (ICC = 0.79) in patients with schizophrenia.

    Time frame: Baseline rating (T0) and post-intervention rating at week 4 (T8)

  10. Change and group differences in endocannabinoid levels

    Venous blood samples will be taken to determine the endocannabinoid levels to obtain an individual baseline and comparison level.

    Time frame: Pre- and post-intervention in week 1 (T0, T1), post-intervention in week 4 (T7) and follow-up 1 (week 8, T9)

  11. Change and group differences in interleukin levels

    Venous blood samples will be taken to determine the interleukin levels to obtain an individual baseline and comparison level.

    Time frame: Pre-intervention in week 1 (T0) and post-intervention in week 4 (T7)

  12. Change and group differences in oxytocin levels

    Venous blood samples will be taken to determine the oxytocin levels to obtain an individual baseline and comparison level.

    Time frame: Pre- and post-intervention in week 1 (T0, T1) and post-intervention in week 4 (T7)

  13. Change and group differences in PBMC levels

    Venous blood samples will be taken to determine the PBMC levels to obtain an individual baseline and comparison level.

    Time frame: Pre-intervention in week 1 (T0) and post-intervention in week 4 (T7)

  14. Change and group differences in cortisol saliva levels

    Saliva samples will be taken before and after each MBGT session to determine Cortisol saliva levels

    Time frame: Pre- and post-intervention in week 1-4 (T0-T7)

07

Study locations

1 of 1 sites recruiting
  • Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Campus Charité Mitte
    Berlin, State of Berlin 12203, Germany
    Recruiting
08

References and documents

Publications

  • Boge K, Bergmann N, Zierhut M, Hahne I, Braun A, Kraft J, Conell I, Ta TMT, Thomas N, Chadwick P, Ripke S, Hahn E. The relationship between mindfulness and empathy with the oxytocinergic system in persons with schizophrenia spectrum disorders - A proof-of-concept randomized controlled trial (OXYGEN). Int J Clin Health Psychol. 2024 Jul-Sep;24(3):100503. doi: 10.1016/j.ijchp.2024.100503. Epub 2024 Sep 10. PubMed 39308779 ↗
  • Zierhut M, Bergmann N, Hahne I, Wohlthan J, Kraft J, Braun A, Tam Ta TM, Hellmann-Regen J, Ripke S, Bajbouj M, Hahn E, Boge K. The combination of oxytocin and mindfulness-based group therapy for empathy and negative symptoms in schizophrenia spectrum disorders - A double-blinded, randomized, placebo-controlled pilot study. J Psychiatr Res. 2024 Mar;171:222-229. doi: 10.1016/j.jpsychires.2024.01.014. Epub 2024 Jan 9. PubMed 38309212 ↗
  • Boge K, Hahne I, Bergmann N, Wingenfeld K, Zierhut M, Thomas N, Ta TMT, Bajbouj M, Hahn E. Mindfulness-based group therapy for in-patients with schizophrenia spectrum disorders - Feasibility, acceptability, and preliminary outcomes of a rater-blinded randomized controlled trial. Schizophr Res. 2021 Feb;228:134-144. doi: 10.1016/j.schres.2020.12.008. Epub 2021 Jan 9. PubMed 33434727 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2025 (actual). Primary completion is estimated for Nov 2026, 14 months after the start.

Of 753 non-industry interventional studies with no phase under Schizophrenia, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 56. This study's planned 14 months is below that.

Counting every sponsor, half of 766 studies reached it within 32 months; a quarter within 16 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 24, 2025
First posted
Dec 4, 2025
StartActual
Sep 8, 2025
Primary completionEst.
Nov 30, 2026
CompletionEst.
Nov 30, 2026
Last update
Aug 21, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07265180
Responsible party
Kerem Böge (Prof. Dr. Dr., Charite University, Berlin, Germany) — Principal investigator
First posted
Dec 4, 2025
Start date
Sep 8, 2025
Primary completion
Nov 30, 2026 (estimated)
Completion
Nov 30, 2026 (estimated)
Last update
Aug 21, 2026

Study contacts

Marco Zierhut, MD
Contact
marco.zierhut@charite.de
004930450517547
Kerem Böge, Prof.
Contact
kerem.boege@charite.de
004930450517789
Marco Zierhut, MD
principal investigator · Charite University, Berlin, Germany
Kerem Böge, Prof.
principal investigator · Charite University, Berlin, Germany
Eric Hahn, PD
principal investigator · Charite University, Berlin, Germany

Oversight

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

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