Exploring the Genetics of Schizophrenia in Manitoba

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity of Manitoba

About this trial

Schizophrenia is a serious mental illness that affects about 1 in 100 Canadians, shortens life expectancy, and places a large burden on individuals, families, and the healthcare system. Genetics are known to play a major role, but current research explains only part of the inherited risk because most studies have looked at only a small portion of the genome and have mainly focused on people outside Canada. This project will create the first large-scale Manitoba-based schizophrenia whole-genome sequencing database by studying 1,500 Manitobans with and without schizophrenia using both short-read and advanced long-read genome sequencing technologies. Researchers will combine genetic data with lifelong provincial health records to better understand rare genetic variants linked to schizophrenia and how genetic differences influence medication response, side effects, hospitalizations, and treatment outcomes. The study aims to fill important gaps in schizophrenia research in Canada, improve understanding of the disorder's biology, and support the development of more personalized and effective treatments for people living with schizophrenia.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Individuals aged 18 years and older,

Reside in Manitoba,

Involved in the EPPIS, STEP, PACT, ACT/FACTT clinics,

Clinical diagnosis of schizophrenia using standard DSM-5 criteria,

Disqualifiers

There are no specific exclusion criteria beyond meeting the inclusion criteria or not providing informed consent.

Trial population

The schizophrenia study population will consist of Manitoba residents aged 18 years and older with a clinical diagnosis of schizophrenia according to DSM-5 criteria. Participants will be recruited from the MPR, including individuals receiving care through the Early Psychosis Prevention and Intervention Service (EPPIS), Schizophrenia Treatment and Education Program (STEP), Program of Assertive Community Treatment (PACT), and Assertive Community Treatment/Flexible Assertive Community Treatment (ACT/FACT) teams. Eligible participants must be enrolled in the MPR and provide informed consent to participate in the genetic sub-study. Participants will provide saliva samples for DNA extraction and whole genome sequencing, and their genetic data will be linked with clinical, questionnaire, and provincial administrative health data to support research on the genetic basis of schizophrenia and related health outcomes.

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

1,500 Participants
are grouped into 3 trial groups
Group A: Schizophrenia (cases)
Group B: Control (screened)
Group C: Control (unscreened)

Trial outcomes

Primary outcomes

1

Genetic variation associated with schizophrenia

Identification of rare and common genetic variants through short-read and long-read whole genome sequencing. Comparison of genetic variant burden between schizophrenia cases and controls.

Time frame
through study completion, an average of 1 year
2

Rare variant burden in schizophrenia

Evaluation of the frequency and distribution of rare genetic variants in individuals with schizophrenia compared with controls.

Time frame
through study completion, an average of 1 year
3

Pharmacogenetic associations

Identification of genetic variants associated with antipsychotic treatment response and adverse drug reactions.

Time frame
through study completion, an average of 1 year

Secondary outcomes

Other outcomes

Sponsors and contacts

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University of Manitoba

Lead sponsor

Canadian Institutes of Health Research (CIHR)

Collaborator

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