
Brain Imaging, Cognitive Enhancement and Early Schizophrenia
SchizophreniaSchizoaffective DisorderThe proposed project is designed to examine the effects of cognitive rehabilitation on brain structure and function in a randomized trial of 102 early course schizophrenia patients treated for 18 months with either cognitive enhancement therapy (CET) or an Enriched Supportive Therapy (EST) control, and then followed-up at 1-year post-treatment.

Anti-Inflammatory Treatment of Schizophrenia
SchizophreniaDespite current antipsychotic treatment, the majority of people with schizophrenia continue to exhibit persistent positive and negative symptoms and cognitive impairments. An alternative approach to the use of psychotropic agents for the treatment of persistent symptoms is the use of anti-inflammatory agents to reverse the pro-inflammatory state hypothesized to underlie the symptom and sign manifestations of the illness. The investigators primary hypothesis is that add-on anti-inflammatory combination therapy will have significant beneficial effects on persistent positive symptoms and cognitive impairments. The investigators secondary hypotheses are: add-on anti-inflammatory combination therapy will be associated with improvements in depressive and negative symptoms and a reduction in pro-inflammatory cytokines add-on anti-inflammatory combination therapy compared to placebo will not be associated with elevated adverse risk.

A Study of ALKS 9072 in Subjects With Chronic Stable Schizophrenia
SchizophreniaThis study will determine the pharmacokinetics (PK), safety, and tolerability of ALKS 9072 (also known as ALKS 9070) after 4 monthly doses in adults with chronic stable schizophrenia.

The Effect of Repetitive Transcranial Magnetic Stimulation (rTMS) on Working Memory
SchizophreniaDeficits in working memory (WM) performance are the most significant cognitive impairments in schizophrenia (SCZ). It has also been shown that WM performance is contingent on the cortex synchronization, a process that relies on brain inhibition. Repetitive Transcranial Magnetic Stimulation (rTMS) has been demonstrated as an effective treatment for patients with SCZ and has been shown to increase brain inhibition and improve cognitive performance. In this study the investigators intend to: evaluate rTMS as a treatment for WM deficits in SCZ evaluate rTMS as a method to increase WM performance in healthy individuals determine if improvements in WM performance are related to enhanced synchronization of brain networks determine whether genetic polymorphisms predict cortical function and treatment response evaluate the influence of rTMS treatment on brain structure.

RP5063 in Subjects With Schizophrenia or Schizoaffective Disorder
Acute SchizophreniaSchizoaffective DisorderThe objective of this study is to evaluate the efficacy and safety of RP5063 relative to placebo for the treatment of schizophrenia or schizoaffective disorder.

A Study to Evaluate Flexible Dose of Paliperidone Extended Release (ER) and Clinical Response in...
SchizophreniaThe purpose of this study is to evaluate the effectiveness of paliperidone ER for the treatment of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self) participants.

Optimizing Cognitive Remediation Outcomes in Schizophrenia
SchizophreniaPsychosisThe purpose of this study is to drive an optimal response to neuroplasticity-based cognitive remediation in schizophrenia in order to maximize treatment response. The investigators will investigate factors that have generally been ignored in prior computer-based cognitive remediation programs-those related to social cognition-- and will delineate their relationship to motivation, functional outcome, and the neural substrates of reward anticipation and emotion processing. Current research indicates that, unless the investigators fully understand and harness these factors, the investigators will not achieve meaningful treatment gains for individuals with schizophrenia.

Lurasidone Effects on Tissue Glutamate in Schizophrenia
SchizophreniaSchizoaffective Disorder24 individuals with schizophrenia or schizoaffective disorders, who are currently considered stable, will be recruited, screened for entry criteria into a blinded study with a 4-week randomization to either lurasidone, haloperidol, or perphenazine to examine glutamate-related outcomes with lurasidone as compared to haloperidol and perphenazine.

A Randomized Double-blind Trial With 6 Antipsychotic Drugs for Schizophrenia
SchizophreniaThe purpose of this study is to compare the efficacy and side effects of 6 commonly used antipsychotic drugs in the treatment of schizophrenia in a Chinese population.

Open-label Study of the Efficacy of Intranasal Oxytocin in Schizophrenia
SchizophreniaThe Objective of this study is to investigate the long-term efficacy of intranasal oxytocin in improvement of symptoms in patients with schizophrenia who have residual symptoms dispute being on adequate treatment with antipsychotic medication.