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NCT Number: NCT06856161

A Novel Blood Test as a Biomarker in Mental Health

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).

Recruiting

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

I. Age 19+. II. Informed consent by participant

III. Any of the following situations:

  • Suspected, new onset or established depression.
  • 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

I. Inability to provide informed consent. 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.

Treatment and study plan

Primary outcomes

  1. Relationship between Depression and Biomarker Characteristics

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

    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.

  2. Relationship between Psychotic Disorders and Biomarker Characteristics

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

    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.

Secondary outcomes

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

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

    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.

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

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

    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.

  3. Association between Psychotic Disorders Pharmacological Treatment and Biomarker Characteristics

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

    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.

Study contacts

Contact information is provided by the study sponsor or research team.

Jessica Wittmann

CONTACT

[email protected]

+1 (236) 332-6575

Marlena Ornowska

CONTACT

[email protected]

+1 (236) 332-6575

Sponsors and collaborators

Lead sponsor

Fraser Health

Other

Collaborators

  • Royal Columbian Hospital Foundation

Registry information

Official study title

A Novel Blood Test as a Differential Diagnosis and Drug Efficacy Biomarker in Mental Health

Acronym: LEADING-MH

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Mar 4, 2025
Registry last updated
Mar 5, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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