About this trial
KaSP is a multimodal observational study with the goal of clarifying underlying mechanisms that cause psychotic disorders, such as schizophrenia. Participants with psychotic symptoms are recruited early after first contact with health care, within 4 weeks of starting anti-psychotic medication, and are compared to controls without psychiatric diagnoses on several measures.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Diagnosis as assessed using DSM-IV of one of the following: schizophrenia, schizophreniform psychosis, psychosis not otherwise specified (NOS), brief psychosis, schizoaffective syndrome, delusional disorder
First exposure to anti-psychotic medication less than 4 weeks prior to inclusion
Disqualifiers
A history of diagnosis of a major psychiatric disorder, including substance use disorders.
Family history of psychotic disorders in first degree relatives.
Evidence based on medical history, clinical signs, MRI or laboratory tests of clinically significant somatic disorder, or previous disorder with brain engagement (e.g. tumour, neuroinflammatory disease, epilepsy) or significant brain trauma.
Exposure to an effective radiation dose of 25 mSv during the past year.
Trial population
FEP are recruited from psychiatry clinics in the greater Stockholm area. HC are recruited by advertisement.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Kynurenic acid (KYNA) in FEP compared to HC
KYNA are measured in CSF and blood samples
Cytokines in FEP compared to HC
Cytokines are measured in CSF and blood samples
Microglial activation in FEP compared to HC
Group comparison of binding of the PET ligand \[11C\]PBR-28
Dopamine receptors in FEP compared to HC
Group comparison of binding of the PET-ligand \[11C\]FLB457
Sponsors and contacts
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Karolinska Institutet
Lead sponsor
Region Stockholm
Collaborator