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CompletedNCT07427485IVR SCZUpdated Jun 15, 2026

Cognitive Rehabilitation With Immersive Virtual Reality (IVR) in Schizophrenia: a Pilot Randomized Waiting List Controlled Feasibility Study

An interventional study of CEREBRUM VR and Waiting List in SCHIZOPHRENIA 1 (Disorder) and Schizoaffective Disorder, sponsored by Azienda Sanitaria Locale Napoli 3 Sud, UOCSM Torre del Greco. Completed at 1 site in Italy. Open to participants aged 18 Years to 67 Years. Per ClinicalTrials.gov, last updated 2026-06-15.

Sponsored by Azienda Sanitaria Locale Napoli 3 Sud, UOCSM Torre del Greco · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 11 months after the study started (first participant enrolled Mar 2025, registered Feb 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 67 Years
Sex
All
01

Study summary

Virtual reality-based rehabilitation has recently gained increasing attention in the field of cognitive rehabilitation, allowing patients to engage in simulated real-life scenarios within a safe and controlled setting. The feasibility and safety of immersive VR-based cognitive rehabilitation in individuals with schizophrenia is currently insufficiently explored. This study seeks to evaluate whether immersive immersive virtual reality-based rehabilitation can be safely and practically implemented in a community psychiatric setting. The study also aims to explore preliminary effects on negative symptoms, cognitive performance, and global functioning compared with treatment as usual in a waiting-list control group.

02

Conditions studied

  • SCHIZOPHRENIA 1 (Disorder)
  • Schizoaffective Disorder

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Keywords

  • rehabilitation
  • cognitive remediation
  • community mental health
03

In context

Psychotic Disorders

1,626 studies on the registry are indexed under Psychotic Disorders; 293 are open to participants now.

This study's enrollment of 40 is below the median of 70 across 1,333 interventional studies indexed under Psychotic Disorders.

Browse Psychotic Disorders studies →

Lead sponsor

This is the only study on the registry with Azienda Sanitaria Locale Napoli 3 Sud, UOCSM Torre del Greco as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 67 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Individuals with Schizophrenia/Schizoaffective Disorder (DSM-5-TR)
  • Age 18-67 years
  • Chronic phase of illness
  • Able to provide a valid informed consent

Exclusion criteria

Exclusion Criteria:

  • Recent substance use (less than six months)
  • Concomitant intellectual disability or neurological disorders (e.g., neurodegenerative disorders, Parkison's disease, brain cancer) that may impair the ability to undergo cognitive rehabilitation
  • With a recent (less than six weeks from the enrolling date) symptom exacerbation, hospitalization or change in pharmacotherapy
  • Acute phase of illness
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Immersive Virtual Reality-Based Cognitive Rehabilitation

    patients will undergo IVR-based cognitive rehabilitation sessions (about 45minutes) for 12 weeks as an adjunct to the Therapy as Usual (TAU)

    Device: CEREBRUM VR

  • Other
    Waiting List

    The patients randomized to the waiting list arm will not undergo IVR rehabilitation, but rather continue with TAU

    Other: Waiting List

Interventions

  • DeviceCEREBRUM VR

    The Oculus Quest 3 Virtual Reality Headset, two joysticks, and the CEREBRUM - Virtual Cognitive Rehabilitation add-on tool are employed for the immersive virtual reality cognitive rehabilitation. The headset allows for an IVR 360° experience with spatial tracking and ability to free-roam in the virtual reality space. The aforementioned tool simulates real-life everyday scenarios, engaging different domains including memory and learning, cognitive estimates, metacognition and social interaction, attention and working memory, and planning. The Cerebrum protocol also allows for a personalized and adaptive difficulty based on each individual's abilities. Each session consists in a welcoming and 4-5 exercises from different domains. Each session is supervised by a Psychiatric Rehabilitation Professional.

  • OtherWaiting List

    Participants will to not receive the IVR-based rehabilitation, but rather will be offered after the study ends. They will continue with their therapy as usual.

06

What researchers measure

Primary outcomes

  1. Positive and Negative Syndrome Scale (PANSS)

    Total score, positive and negative symptoms, general psychopathology. 30-item clinician-rated tool used to measure symptom severity in schizophrenia that ranges from 30pts. to 210pts (Total score). Higher values indicate higher severity. It includes three subscales: Positive, Negative (both range 7-49pts), and General Psychopathology (range 16-112pts.)

    Time frame: From enrollment to the end of treatment at 12 weeks

Secondary outcomes

  1. Digit Symbol Substitution Test (DSST)

    It measures processing speed. The score reflects the total number of correctly substituted symbols for corresponding single digit numbers during a 90-second timeframe. The score ranges from 0 upwards, with no theoretical limit. Higher score indicate better performance.

    Time frame: From enrollment to the end of treatment at 12 weeks

  2. Animal Naming Test (ANT)

    1-minute verbal fluency assessment requiring participants to name as many animals as possible in a 60 sec timeframe. Score can range from 0 to a theoretically unlimited maximum. Greater scores indicate better performance.

    Time frame: From enrollment to the end of treatment at 12 weeks

  3. Trail Making Test - A (TMT)

    Neuropsychological test to measure cognitive processing speed, visual scanning, and attention. It involves connecting 25 numbered circles in the least amount of time, evaluated in seconds. Score can range from 0 to a theoretically unlimited maximum. Lower time scores indicate better performance.

    Time frame: From enrollment to the end of treatment at 12 weeks

  4. Simple Reaction Time (SRT)

    It measures the psychomotor speed and is the minimal time required for an individual to detect a predictable sensory stimulus (an X on the screen) and initiate a motor response (i.e., pressing a button on the keyboard). Scores range from 0 to a theoretically unlimited maximum. It is evaluated in milliseconds (ms) and lower scores indicate a better performance.

    Time frame: From enrollment to the end of treatment at 12 weeks

  5. Choice Reaction Time (CRT)

    It is the interval between the presentation of one of several different stimuli and the initiation of a specific response (i.e., pressing the correct corresponding button on the keyboard). It measures cognitive processing speed, and score ranges from 0 to a theoretically unlimited maximum. Lower scores indicate better performance.

    Time frame: From enrollment to the end of treatment at 12 weeks

  6. Global Assessment of Functioning (GAF)

    It is a numeric scale (0-100) used to rate a person's overall psychological, social, and occupational functioning. Higher scores indicate a better performance.

    Time frame: From enrollment to the end of treatment at 12 weeks

07

Study locations

1 site
  • Azienda Sanitaria Locale Napoli 3 Sud Unità Operativa Complessa Salute Mentale Torre del Greco/Ercolano
    Torre del Greco, Naples 80059, Italy
08

References and documents

Publications

  • Angelov V, Petkov E, Shipkovenski G, Kalushkov T, editors. Modern virtual reality headsets. 2020 International congress on human-computer interaction, optimization and robotic applications (HORA); 2020: IEEE.
  • Primavera D, Migliaccio GM, Garau V, Orru G, Scano A, Perra A, Pinna S, Tusconi M, Carta MG, Sancassiani F. Improving Quality of Life in Bipolar Disorders with an Immersive Virtual Reality Remediation Training Randomized Controlled Trial (RCT). J Clin Med. 2024 Jul 2;13(13):3886. doi: 10.3390/jcm13133886. PubMed 38999451 ↗

Individual participant data

Plan to share: Undecided — The decision regarding the possibility of sharing of individual participant data (IPD) will be made in accordance with institutional policies, applicable data protection regulations (including GDPR), and ethical approvals governing the study. Given the pilot nature of the trial and the collection of sensitive health-related data, any potential data sharing will require careful evaluation to ensure adequate anonymization and protection of participant confidentiality.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 15, 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
NCT07427485
Lead sponsor
Azienda Sanitaria Locale Napoli 3 Sud, UOCSM Torre del Greco
Responsible party
Sponsor
First posted
Feb 23, 2026
Start date
Mar 11, 2025
Primary completion
Mar 11, 2026
Completion
Mar 11, 2026
Last update
Jun 15, 2026

Oversight

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

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This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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