Major Depressive Disorder Clinical Trial
Official title:
Target Engagement of D-cycloserine (DCS)
Assess the mechanism of action of d-cycloserine (DCS) to guide development of other medications working via similar molecular targets.
Evaluate the target engagement of DCS with Proton magnetic resonance spectroscopy (1H MRS) measurement of glutamate and glutamine (Glx) and GABA responses to DCS. The main purpose of the study will be to look at the acute effects of DCS on 1H MRS measured glutamate and gamma- aminobutyric acid (GABA), followed by an optional follow-up four week phase of lurasidone plus DCS and an magnetic resonance imagine (MRI) at the end of this four week treatment to assess both clinical and biomarker response to the four week treatment. Using combined DCS/lurasidone has potential unique synergies, with lurasidone blocking residual risk of psychosis with DCS, and DCS blocking akathisia associated with use of lurasidone or other atypical antipsychotics, along with potential synergistic antidepressive symptoms with the combination. There is an optional 4 week treatment with DCS + lurasidone following the MRI. ;
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