ADEPP
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Antidepressant for the prevention of DEPression following first episode Psychosis trial (ADEPP)
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- Diagnosis of first episode psychosis (FEP) Within 12 months of initial treatment for FEP
- Positive and Negative Syndrome Scale (PANSS) individual positive item scores all ≤4
- Sufficiently recovered from acute psychotic episode with capacity to consent
- Male and females aged 18-65 years
- Currently prescribed antipsychotic medication at a stable dose
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- Current moderate or severe depression as indicated by a Calgary Depression for Schizophrenia Scale (CDSS) score >7
- Currently prescribed antidepressant medication (or within 2 weeks of stopping if previously prescribed a monoamine oxidase inhibitor)
- Previous history of mania
- Contraindications to SSRI antidepressant treatment.
- Serious medical or neurological illness
- Concomitant treatment with irreversible monoamine oxidase inhibitors (MAOIs)
- Patient with any other systemic dysfunction
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MH
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STRATA
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A multicentre double-blind placebo-controlled randomised trial of SerTRaline for AnxieTy in adults with a diagnosis of Autism (STRATA)
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- Adults (≥18-years)
- A diagnosis of autism made by a specialist including those with a co-occurring mild intellectual disability
- A diagnosis of anxiety as measured by GAD-7 score ≥10 at screening
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- Prescribed a serotonergic antidepressant/anxiolytic in preceding 8-weeks.
- Prescribed an irreversible monoamine oxidase inhibitor or Pimozide in the preceding 8-weeks.
- Inability to provide informed consent and complete study assessments / questionnaires.
- History of bipolar disorder, manic or hypomanic episodes, or psychosis
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LD&A
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ASSURED
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Improving outcomes in patients who self-harm - Adapting and evaluating a brief pSychological inteRvention in Emergency Departments (ASsuRED).
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- ≥16 years of age
- presenting to the ED
- Presenting with self-harm
- on presenting to the ED, can be admitted for a brief admission to the acute hospital or a brief crisis admission
- provide informed consent to take part
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- A current or previous participant of the Assured study
- Patients with cognitive (e.g. dementia) or other psychiatric difficulties interfering with ability to participate
- Experiencing a psychotic episode
- No capacity to provide written informed consent
- Needing an interpreter
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MH
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Trauma Aid
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Eye movement desensitisation and reprocessing for
symptoms of post-traumatic stress disorder in adults
with intellectual disabilities
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Service Users
- Aged ≥ 18 to ≤ 65
- Meeting criteria for a diagnosis of ID
- Meeting ICD-11 diagnostic criteria for PTSD
- Major identified trauma at least a year earlier
- Able to communicate in English
- Able to provide informed consent
Carers
- Aged ≥ 18 and over
- A family member or carer of a person with ID who has
- Consented to participate in the trial
- Able to communicate in English
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- Assessed by the clinical team as at high risk and/or requiring urgent treatment
- Currently in therapy and unwilling to intermit
- Previously completed a course of EMDR
- Psychosis not well controlled by medication
- Change of psychotropic medication or dosage within the last month
- Unable to complete the assessments
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LD&A
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GLAD
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NIHR Mental Health BioResource for Depression and Anxiety /
Genetic Links to Anxiety and Depression (GLAD)
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- Participants who have been diagnosed with and/or treated for depression or anxiety.
- Participants who are aged 16 or over.
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MH
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TOPHAT
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Trial of Ondansetron as a Parkinson’s HAllucinations Treatment
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- Adults aged over 18 years
- Meet MDS criteria for PD or Revised Criteria for DLB.
- Score of 3 or more on the SAPS-H visual hallucinations item, indicating the presence of visual hallucinations at least weekly in the previous month.
- Score of 3 or more on SAPS-H global rating, indicating moderate symptom severity.
- Score of 4 or more on CGI-S, indicating moderate symptom severity.
- On a stable dose of anti-Parkinson’s medication, cholinesterase inhibitor or memantine for at least 28 days.
- Capacity to give informed consent or, if lacking, legal representative able to give consent.
- If treated with an antipsychotic drug at the time of enrolment, can still participate, provided the drug is stopped the day before trial medication is commenced
- Women of childbearing potential have a negative urine pregnancy test within 7 days prior to being registered/randomised.
- Pre-menopausal women, and men whose partners are of child-bearing potential will agree to use effective contraception.
- Sufficient knowledge of the English language to be able understand the participant information sheet and trial materials including outcome assessments.
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- Bradycardia (<50 bpm) (rescreen if reversible).
- Congenital long QTc syndrome or presence of clinically significant prolongation of QTc (>460 ms for men or >470 ms for women) on ECG screening.
- Hepatic failure (bilirubin > 26umol/l (1.5x upper limit of normal), and/or ALT or AST > 2.5 upper limit of normal
- Prescribed apomorphine (if apomorphine is discontinued, rescreen once stable on an alternative anti-Parkinson’s treatment).
- Currently prescribed ondansetron or other setrons (tropisetron, granisetron, dolasetron)
- History of hypersensitivity to ondansetron or its excipients (or those of placebo) or other setrons listed in 5).
- Participation in another Clinical Trial of an Investigational Medicinal Product (IMP) in the previous 28 days
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D&ND
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LISTEN
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Long COVID Personalised self-management support evaluation
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Participants will be eligible if they experience persistent illness (at least one long Covid symptom for 12 weeks or longer) AND meet any one of the following criteria:
- Positive SARS-CoV-2 PCR or antigen test (positive Covid-19 test) during the acute phase of illness
- Positive SARS-CoV-2 antibody test (positive Covid-19 antibody test) at any time point in the absence of SARS-CoV-2 (Covid-19) vaccination history
- Loss of sense of smell or taste during the acute phase in the absence of any other identified cause
- Symptoms consistent with SARS-CoV-2 (Covid-19) infection during the acute phase and high prevalence of Covid-19 at time and location of onset
- At least one symptom consistent with SARS-CoV-2 (Covid-19) infection during the acute phase AND close contact of a confirmed case of Covid-19 around the time of onset
- They will be aged 18 years or above and be an English or Welsh speaker or have access to someone who can act as a translator.
- They must have consulted with their GP to rule out serious complications or the need for further investigation in relation to persistent symptoms following Covid-19 infection.
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- Participants will not be eligible if they have any co-morbidities which are progressive or requiring palliative treatment or have been hospitalised for treatment of Covid-19 symptoms, during the acute phase of Covid illness, or are currently participating in any Covid intervention trial (including contributing to the LISTEN co-design activities).
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CHWB
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ADEPT-2
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A multicentre randomised controlled trial of guided self-help versus treatment as usual for depression for autistic adults
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- Adults aged ≥18-years.
- A clinical diagnosis of Autism Spectrum Disorder (ASD)
- Current depression measured by the PHQ-9 with a score of ≥ 10 at screening
- Can be on medication but dose should be stable for 6 weeks prior to randomisation
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- Risk of suicide
- Have attended > 6 sessions of individual psychological treatment within a CBT framework over the past 6 months
- A history of psychosis
- Current alcohol/substance dependence
- Untreated epilepsy
- English, non-English & Welsh literacy levels such that the treatment materials are inaccessible without reasonable adjustments and a supporting person is not available
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LD&A
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RECOLLECT2
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Recovery Colleges Characterisation and Testing 2 (RECOLLECT 2): Exploring the impact of Recovery Colleges on Student Outcomes and factors which affect these (Studies 1-3)
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All Recovery Colleges
- A focus on supporting personal recovery
- An aspiration to use co-production, defined as individuals with lived experience working with staff or subject experts to design and deliver all aspects of the Recovery College
- An aspiration to use adult learning approaches, in which students and trainers collaborate and learn from each other by sharing experiences, knowledge, and skills
- Location in England
- Agree to participate
Student participants
- Aged 18 or over
- Capacity to give informed consent
- Currently using the local secondary NHS mental health service
- Newly enrolled at a participating Recovery College (i.e., has done a maximum of 1 class or workshop)
Staff participants
- Aged 18 or over
- Capacity to give informed consent
- Recovery College staff whether on substantive, sessional, casual and voluntary contracts (e.g., peer trainers, non-peer trainers, college manager)
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All Recovery Colleges
- Do not meet the inclusion criteria
Student participants
- Not currently using the local secondary NHS mental health service
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MH
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