Could an arthritis drug help treat schizophrenia?
NCT ID NCT05622201
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tests whether rituximab, an anti-inflammatory drug used for conditions like multiple sclerosis, can improve symptoms in adults with schizophrenia spectrum disorders. About 123 participants aged 18-55 will receive rituximab or a placebo added to their usual treatment. The study also looks at blood markers and brain scans to understand who might benefit.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- rituximab
- What this could lead to
- If it works, this could point toward a new treatment option for some people with schizophrenia by targeting inflammation.
- What could go wrong
- This is a small, early-phase trial. Rituximab is not proven for psychosis, and results may not apply to everyone. Side effects from immune suppression are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
123 people
The number who actually took part.
- Started
-
Mar 2023
- Expected to finish
-
Dec 2026
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 55 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. ages 18 to 55 years 2. duration of illness exceeding 1 year 3. diagnosed with Schizophrenia spectrum disorder (SSD) according to The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). 4. if female and with any risk for pregnancy, willing to use contraceptives or abstinence if normal and preferred lifestyle. 5. participants should be judged by the investigator to be lucid and oriented to person, place, time, and situation when giving the informed consent. 6. insufficiently recovered from previous antipsychotic treatments. 7. a minimum score of 4 (moderately ill) in Clinical global impression - severity (CGI-S) at baseline. Exclusion Criteria: 1. pregnancy or breast-feeding 2. weight below 40 kg 3. clinically relevant ongoing infection at the discretion of the physician 4. chronic infections 5. positive test for hepatitis B, hepatitis C, HIV, or tuberculosis 6. malignancy currently or within 2 years prior to inclusion 7. current severe heart failure (NYHA grade IV) or any other severe heart disease (e.g. or history of cardiac arrhythmia or myocardial infarction) 8. any change of antipsychotic medication within the previous 4 weeks 9. unable to make an informed decision to consent to the trial 10. ongoing clozapine treatment 11. ongoing immunomodulatory treatment 12. treatments with monoclonal antibodies within 1 year before the inclusion
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Örebro university hospital
Örebro, Örebro County, 701 85, Sweden
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Spotting psychosis early could change lives — a major study tests whether faster treatment leads to better recovery
- Immune clues in schizophrenia: could inflammation subtypes guide treatment?
- Brain training from home: could a smartphone app sharpen thinking in early psychosis?
- Can a smartphone help silence distressing voices? online self-help program tested for psychosis
- Virtual reality therapy could help psychosis patients tame overwhelming emotions
- Brain zaps show promise for silencing hallucinations