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NCT Number: NCT07003529

Role of Inferior Colliculi in Auditory Hallucinations

The neural basis of auditory hallucinations (AH) in patients with schizophrenia is poorly characterized. Functional imaging studies investigate either the "state" dimension (i.e., the measurement of changes in brain area activation at the precise moment of AH onset) or the "trait" dimension (i.e., the neural correlates of the propensity to hallucinate). A corollary of AH (particularly acoustic-verbal) is the activation of brain regions involved in the auditory perception of speech (auditory cortex). One theory is that patients with schizophrenia with AH may have a deficit in processing their internal speech (i.e., external attribution to internal verbal content). However, there is little clinical data on the specific role of the mesencephalic region of the inferior colliculi (IC) in the formation of these symptoms. Preliminary research has shown intense expression of dopamine D2 receptors, particularly on glutamatergic neurons in mouse ICs. Thus, ICs receive numerous inhibitory dopaminergic inputs, likely involved in signal optimization and modulation. The study authors hypothesize that AHs are the result of a defect in signal inhibition by the IC, which lose their function as perceptual filters.

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Key information

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

CHU de Nîmes, Hôpital Universitaire Carémeau

Nîmes, 30029, France

Location status: Recruiting

Location contact

Anissa Megzari

CONTACT

[email protected]

04.66.68.42.36

Aurélie SCHANDRIN

SUB_INVESTIGATOR

Fabricio PEREIRA

SUB_INVESTIGATOR

Ismaël Conejero

SUB_INVESTIGATOR

Martin Pastre

PRINCIPAL_INVESTIGATOR

Mocrane ABBAR

SUB_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • The patient must have given their free and informed consent and signed the consent form
  • The patient must be a member or beneficiary of a health insurance plan
  • DSM-5 diagnosis of schizophrenic disorder (based on clinical assessment and confirmed by the MINI 7.0 interview)
  • Patient with a schizophrenic disorder lasting ≤ 20 years
  • Patient treated in a psychiatric unit as an inpatient (in non-specialized care) or outpatient or under a mandatory ambulatory psychiatric care programme
  • Clinical condition compatible with imaging based on clinical judgment
  • Ability to understand, write, and read French

Specific inclusion criteria for the group (SCZ+/HA+) • Patient with a PANSS score (question P3 regarding hallucinations) ≥ 4 (corresponds to PANSS (P3) 4, 5, 6, and 7 patients) AND having experienced hallucinations in the past 15 days.

Specific inclusion criteria for the control group

  • Patient with a PANSS score (question P3 regarding hallucinations) = 1) AND having not experienced any hallucinations in the past 15 days.

Exclusion criteria

  • The patient is under safeguard of justice or state guardianship
  • Contraindications to magnetic resonance imaging, including severe claustrophobia, based on clinical judgment.
  • Congenital or acquired deafness
  • Suicide risk, based on clinical judgment
  • Patient with moderate to severe intellectual disability, based on medical records
  • Patient with moderate to severe neurocognitive disorders, based on medical records
  • Patient receiving anticholinergic therapy (biperiden-Akineton, trihexyphenidyl-Artane, tropatepine-Lepticur)
  • Patient participating in an interventional study involving a drug or medical device, or a Category 1 RIPH within 3 months prior to inclusion
  • Person under judicial protection
  • Pregnant, parturient, or breastfeeding woman
  • Person unable to express consent

Treatment and study plan

Unenhanced brain MRI

Other

Unenhanced brain MRI in five sequences: 1) T1-weighted anatomical sequences 2) Resting-state functional sequences 3) Task-based functional sequence 4) Structural sequence using Diffusion Tensor Imaging (DTI) 5) Routine magnetic resonance spectroscopy sequence

Primary outcomes

  1. Resting state of functional connectivity of the inferior colliculi region with other regions of the auditory network between groups

    Time frame: Day 0

    Measured by MRI

  2. Default mode network patterns between groups

    Time frame: Day 0

    Measured by MRI

Secondary outcomes

  1. Neuronal activation in the ICs during exposure to auditory stimuli between groups

    Time frame: Day 0

    Difference in the blood-oxygen level dependent (BOLD) signal measured by functional MRI during an auditory stimulus exposure paradigm in the IC region

  2. Per-auditory activation in other brain areas between groups

    Time frame: Day 0

    Difference in the BOLD signal measured by functional MRI in other brain areas

  3. IC metabolite composition between the groups

    Time frame: Day 0

    Difference in the peak magnetic resonance spectrometry (sMRI) signal

  4. Structural connectivity via white matter between ICs and other auditory network structures between groups

    Time frame: Day 0

    Difference in structural connectivity using DTI (diffusion tensor imaging, anisotropy fraction calculation, mean diffusivity, and tractography) from the ICs

  5. Correlation between BOLD signal and psychopathological symptoms

    Time frame: Day 0

    Measured by Positive and Negative Syndrome Scale (PANSS), providing a negative symptomatology score ranging from 7 to 49, and a general psychopathology score ranging from 16 to 112, with a total score ranging from 30 to 210.

  6. Correlation between BOLD signal and severity of delusions and hallucinations

    Time frame: Day 0

    Measured by Psychotic Symptom Rating Scale (PSYRATS), an 11-item scale where each symptom is rated from 0 to 4 depending on the intensity

  7. Correlation between BOLD signal and doses of antipsychotic treatment

    Time frame: Day 0

    Antipsychotic doses calculated by olanzapine equivalent method

  8. Difference in perauditory activation and functional connectivity (resting-state) in SCZ+ HA+ patients who hallucinated during the procedure and those who did not

    Time frame: Day 0

    Measured via post-hoc task-based, BOLD signal state hallucination analysis

  9. Correlation between BOLD signal and dissociation symptoms

    Time frame: Day 0

    Measured by Dissociative Experience Scale (DES)

  10. Correlation between BOLD signal and severity of somatoform manifestations of dissociation

    Time frame: Day 0

    Measured by Somatoform Dissociation Questionnaire (SDQ)

  11. Correlation between BOLD signal and clinically assessed states of dissociation

    Time frame: Day 0

    Measured by Clinician Administered Dissociative States Scale (CADSS), a 5-point Likert scale

Study contacts

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

Martin Pastre

CONTACT

[email protected]

06 95 55 68 80

Sponsors and collaborators

Lead sponsor

Centre Hospitalier Universitaire de Nīmes

Other

Registry information

Official study title

Rôle Des Colliculi inférieurs Dans Les Hallucinations Auditives : étude Pilote Par Neuroimagerie

Acronym: SchizoHIC

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jun 4, 2025
Registry last updated
Dec 9, 2025

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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