D-Serine Monotherapy for Schizophrenia
Recruitment status was Recruiting
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Purpose
N-methyl-D-aspartate receptor (NMDAR) agonist, added to classical or atypical antipsychotic medication, has reduced negative, depressive, and cognitive symptomatology. We will be investigating the effect of D-serine, (DSR), a selective and potent NMDAR agonist, as monotherapy for treatment resistant schizophrenics.
40 subjects on stable doses of risperidone will be randomized under double-blind conditions into a treatment group, which will receive D-serine 2100 mg, or a control group, which will continue to receive risperidone. Treatment will continue for 14 weeks.
Symptoms and side effects will be rated biweekly with the CGI, PANSS, BPRS, SAS, AIMS, and UKU. Before and after the trial subjects will undergo neuropsychological assessments. Baseline and post-trial levels of amino acids relevant to glutamatergic neurotransmission (glutamate, glutamine, aspartate, glycine, serine, alanine) will be assessed.
The primary outcome measures of the study will be the PANSS total scores and the positive and negative symptom cluster scores.
| Condition | Intervention | Phase |
|---|---|---|
|
Schizophrenia |
Drug: D-serine 2100 mg daily |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- DSM-IV criteria for chronic schizophrenia
- Treatment resistant
- aged 18-70
- Two months on stable risperidone dose
- PANSS positive symptom cluster score >20
- PANSS negative symptom cluster score >22
Exclusion Criteria:
- Substance abuse
- Concurrent DSM IV axis I disorder
- Serious medical disorder
- Concurrent drug therapy that can obscure the effect of risperidone or DSR.
Contacts and Locations| Contact: Pesach Lichtenberg, M.D. | 972-2-6221154 | licht@cc.huji.ac.il |
| Israel | |
| Herzog Hospital, Department of Psychiatry | Recruiting |
| Jerusalem, Israel, 91351 | |
| Contact: Pesach Lichtenberg, M.D. 972-2-5316929 licht@cc.huji.ac.il | |
| Principal Investigator: | Pesach Lichtenberg, M.D. | Herzog Hospital, and Hadassah Medical School--the Hebrew University of Jerusalem, Israel |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00215917 History of Changes |
| Other Study ID Numbers: | lichtenberg1CTIL |
| Study First Received: | September 18, 2005 |
| Last Updated: | May 1, 2006 |
| Health Authority: | Israel: Israeli Health Ministry Pharmaceutical Administration |
Keywords provided by Herzog Hospital:
|
Schizophrenia NMDA D-serine |
Additional relevant MeSH terms:
|
Schizophrenia Schizophrenia and Disorders with Psychotic Features Mental Disorders |
ClinicalTrials.gov processed this record on May 16, 2013