Safety and Effectiveness of D-serine in Schizophrenia
PK/PD Study of Escalating Dose D-serine as Adjunctive Treatment in Schizophrenia
2 other identifiers
interventional
55
1 country
3
Brief Summary
This study will determine whether increasing D-serine within the body will improve negative symptoms and cognitive impairments in people with schizophrenia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2 schizophrenia
Started Mar 2006
Typical duration for phase_2 schizophrenia
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2006
CompletedFirst Submitted
Initial submission to the registry
May 2, 2006
CompletedFirst Posted
Study publicly available on registry
May 4, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2009
CompletedResults Posted
Study results publicly available
October 5, 2020
CompletedOctober 5, 2020
September 1, 2020
2.8 years
May 2, 2006
May 29, 2012
September 11, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Renal Safety Measures
number of renal adverse events (serum and urinalysis)
Measured at Week 4
Secondary Outcomes (2)
Positive and Negative Symptoms Scale (PANSS)
Measured at Week 4
Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Battery
Measured at Week 4
Study Arms (3)
D-serine 30 mg/kg
EXPERIMENTALD-serine 30 mg/kg
D-serine 60 mg/kg
EXPERIMENTALD-serine 60 mg/kg
D-serine 120 mg/kg
EXPERIMENTALD-serine 120 mg/kg
Interventions
D-serine at following dose levels: 30 mg/kg, 60 mg/kg, and 120 mg/kg. PK/PD studies done at day 1. Medication will be administered as powder dissolved in liquid given in two divided doses daily for 4 weeks.
Eligibility Criteria
You may qualify if:
- Structured Clinical Interview for DSM-III-R diagnosis of schizophrenia or schizoaffective disorder
- PANSS total score between 60 and 110
- Simpson-Angus Scale total score of 12 or less
- Calgary Depression Inventory total score of 10 and suicide score less than 2
- No change in Clinical Global Impressions (CGI) Scale score prior to study entry
- Chlorpromazine (CPZ) equivalent of 1500 or less
- Willing to use an effective form of birth control throughout the study if sexually active
You may not qualify if:
- High extrapyramidal symptom (EPS) levels
- Began, discontinued, or adjusted psychotropic medication within 2 weeks of study entry
- Taking investigational medication within 2 weeks of study entry
- Contraindication to study medication
- Serious or unstable medical illness
- Pregnant or breastfeeding
- Alcohol or drug abuse within 6 months of study entry
- Diagnosed with neurodegenerative disease or a seizure disorder
- History of a kidney impairment
- Currently taking clozapine
- Currently taking more than two antipsychotic medications
- Currently taking stimulants or cholinesterase inhibitors
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Yale University School of Medicine
New Haven, Connecticut, 06512, United States
The Zucker Hillside Hospital
Glen Oaks, New York, 11004, United States
The Nathan S. Kline Institute for Psychiatric Research
Orangeburg, New York, 10962, United States
Related Publications (1)
Kantrowitz JT, Epstein ML, Lee M, Lehrfeld N, Nolan KA, Shope C, Petkova E, Silipo G, Javitt DC. Improvement in mismatch negativity generation during d-serine treatment in schizophrenia: Correlation with symptoms. Schizophr Res. 2018 Jan;191:70-79. doi: 10.1016/j.schres.2017.02.027. Epub 2017 Mar 18.
PMID: 28318835DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Open Label
Results Point of Contact
- Title
- Dr. Daniel Javitt
- Organization
- Nathan Kline Institute
Study Officials
- PRINCIPAL INVESTIGATOR
Daniel C. Javitt, MD, PhD
Nathan Kline Institute
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PI
Study Record Dates
First Submitted
May 2, 2006
First Posted
May 4, 2006
Study Start
March 1, 2006
Primary Completion
January 1, 2009
Study Completion
January 1, 2009
Last Updated
October 5, 2020
Results First Posted
October 5, 2020
Record last verified: 2020-09