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NCT Number: NCT06361407

Sensory and Cognitive Predictions, and Their Disruptions in Schizophrenia

Disturbances in the sense of self and time could play an important role in the development of psychotic symptoms. Previous work has shown that patients have difficulty preparing to process information on the scale of a second, but are abnormally disturbed by slightly asynchronous information on the millisecond scale. In both cases, the anomalies could explain the patients' unusual experience of time. The hypothesis in neurotypical patients is that small delays or asynchronies asynchronies are treated as irrelevant information and ignored and ignored, whereas in patients suffering from schizophrenia they would disrupt the flow of time. This hypothesis is tested with a new visual illusion.

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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 Sainte Marguerite, APHM, Marseille, France

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About this study

In the task, two squares move at constant speed in a straight line towards each other. When they collide and disappear neurotypical individuals perceive a gap between the two squares rather than contact. This unexpected effect cannot be explained by a 'cognitive' expectation, since what is consciously expected is collision and contact. It has been shown that it is sensory predictions which explain the illusion of space at the moment of contact. Indeed, a movement trajectory is accompanied by sensory predictions, which help to anticipate the position of the moving object, and of the contrast between the edges of the squares and the background. At the moment of collision, the contrast disappears and is processed as a prediction error. If subjects do not have time to correct the error, they see a gap, as if the figure-ground contrast was still there. Conversely, when a rebound effect is introduced into the task (the squares are moved in the opposite direction after the collision), the illusion diminishes, as if the rebound reinforces the (top-down) expectation of a collision.

Perturbations will be introduced during the trajectory in the illusion task with and without rebound to test this hypothesis (acceleration on a millisecond scale vs. uniform speed). Patients suffering from schizophrenia, whose prediction mechanisms are fragile, are expected to be abnormally sensitive to trajectory changes. The experimental manipulations will help to compare sensory prediction (illusion without rebound) and top-down (conscious) prediction (illusion with rebound).

The protocol will also help to specify which types of prediction (sensory or cognitive) underlie patients' sense patients' sense of self. In short, the protocol is designed to improve the pathophysiological understanding of sense-of-self disorders in schizophrenia

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Male or female;
  • Age between 18 and 60 inclusive;
  • Subject having dated and signed the consent form prior to the start of any trial-related procedure (guardian or curator where applicable);
  • Member of a social security scheme or beneficiary of such a scheme.

Exclusion criteria

  • Psychoactive substance use disorders (as defined by the DSM-V) (Diagnostic and Statistical Manual-V);
  • Use of benzodiazepines, hallucinogens (in the period preceding before inclusion, for a duration equivalent to 5 half-lives of the product) or cannabis (in the 2 months preceding inclusion);
  • Neurological pathology or sequelae;
  • Attention deficit hyperactivity disorder (ADHD);
  • Borderline personality disorder;
  • Disabling sensory disorders (visual acuity <0.8);
  • Person deprived of liberty or under court protection;
  • Pregnant, parturient or breast-feeding women;
  • Subjects in a period of exclusion defined by another clinical study.

Treatment and study plan

Illusion task

Behavioral

The task is the illusion already described in the arm description. All participants will additionally benefit from a short neuropsychological evaluation exploring attention (CPT-AX) and semantic knowledge (fNART) and a clinical evaluation exploring the sense of self (EASE).

Other names: EASE evaluation, fNART, CPT-AX

Primary outcomes

  1. Effect of a millisecond-level trajectory perturbation

    Time frame: Month 4

    Change in the rate of illusion in case of a trajectory perturbation (compared to the rate of illusion in the absence of perturbation)

Secondary outcomes

  1. Baseline rate of illusion

    Time frame: month 4

    Frequency of the illusion perception when there is no trajectory perturbation and no rebound after the collision

  2. Effect of a rebound (top-down, conscious influence)

    Time frame: month 4

    Change in the rate of illusion in case of a rebound (compared to the rate of illusion in the absence of rebound)

Study contacts

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

Anne Giersch, MD PhD

CONTACT

[email protected]

0033 3 88 116471

Naoual MELLOUKI BENDIMRED, PhD

CONTACT

[email protected]

0383925267

Sponsors and collaborators

Lead sponsor

Centre Psychothérapique de Nancy

Other

Collaborators

  • Institut National de la Santé Et de la Recherche Médicale, France

Registry information

Acronym: SensoSchiz

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Apr 11, 2024
Registry last updated
Mar 25, 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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