Riccardo De Giorgi
MD, DPhil, MRCPsych
Senior Clinical Researcher
- Senior Clinical Researcher
- Honorary Consultant in General Adult Psychiatry
Repurposing immuno-metabolic drugs in cognitive and mental disorders
I am a Senior Clinical Researcher at the University of Oxford Department of Psychiatry, and Honorary Consultant in General Adult Psychiatry at Oxford Health NHS Foundation Trust. In Oxford, I am a tutor in psychiatry and regularly teach medical students and trainees about the topics of research methodology and critical appraisal, psychopharmacology, and mood disorders. I am also Adjunct Professor at the University of Salento, Italy. I serve as Elected Council Member for the British Association of Psychopharmacology, EDI Ambassador at the NIHR Oxford Health Biomedical Research Centre, and BJPsych Journal Club Co-Coordinator for The BJPsych. I am Editor-in-Chief for BMJ Connections Mental Health, and Section/Associate Editor for the BJPsych, BJPsych Adv, and BMJ Mental Health.
I am interested in neuropsychopharmacology and the evidence-based treatment of severe mental illness, especially mood disorders. There is increasing evidence that immunological and metabolic factors play a role in the pathophysiology of cognitive and mental disorders. Repurposing commonly used medical treatments (e.g., anti-inflammatory or metabolic interventions) may therefore benefit those patients who respond poorly to conventional treatments and who might be identifiable a priori through measurement of immunological and metabolic markers.
Currently, I am working on experimental medicine studies for the repurposing of drugs with immuno-metabolic activity (e.g., statins, GLP-1 therapies) in mental disorders. This work is informed by collaborative projects in evidence synthesis and pharmacoepidemiology with several other research teams at the department. I look at early markers of response, such as neuropsychological changes, as well as immuno-metabolic peripheral markers, to validate the use of these drugs in further clinical trials.
Key publications
Applying immunity and metabolism to psychiatry: lost, or in translation?
Journal article
De Giorgi R. et al, (2026), Br J Psychiatry, 1 - 6
Glucagon-like peptide-1 receptor agonists for major neurocognitive disorders.
Journal article
De Giorgi R. et al, (2025), J Neurol Neurosurg Psychiatry, 96, 870 - 883
An analysis on the role of glucagon-like peptide 1 receptor agonists in cognitive and mental health disorders.
Journal article
De Giorgi R. et al, (2025), Nat Ment Health, 3, 354 - 373
12-month neurological and psychiatric outcomes of semaglutide use for type 2 diabetes: a propensity-score matched cohort study.
Journal article
De Giorgi R. et al, (2024), EClinicalMedicine, 74
Recent publications
Determinants of Nonspecific Response to Treatment in Randomized Controlled Trials of Major Depressive Disorder: A Narrative Review.
Journal article
Guidetti C. et al, (2026), Am J Psychiatry
Applying immunity and metabolism to psychiatry: lost, or in translation?
Journal article
De Giorgi R. et al, (2026), Br J Psychiatry, 1 - 6
The renin angiotensin system in cognitive flexibility: Effects of single-dose losartan on task-switching in healthy volunteers.
Journal article
Prasad D. et al, (2026), J Psychopharmacol
Dose-response considerations in transdiagnostic antidepressant effects of lurasidone: response to Chen et al: commentary, Ghenciulescu & De Giorgi.
Journal article
Ghenciulescu A. and De Giorgi R., (2026), Br J Psychiatry, 228, 491 - 492
Psychedelics in mental healthcare show growing interest but uneven evidence.
Journal article
Sarang M. and De Giorgi R., (2026), BMJ, 393
