Schizophrenia Clinical Trial
Official title:
Effects of Weekly Dosing of D-cycloserine on Cognitive Function in Individuals With Schizophrenia.
This is a parallel-group, placebo-controlled trial examining the cognitive effects at weeks 1, 4, & 8 of once-weekly oral D-cycloserine 50 mg added to a stable dose of antipsychotic for 8 weeks in adult outpatients with schizophrenia.
In a previous placebo-controlled trial, investigators demonstrated significant improvement
of negative symptoms with once-weekly D-cycloserine treatment. In addition, investigators
found significant improvement of memory consolidation following the first dose; however, the
effect on memory consolidation was lost after several weeks. The "practice effect" of weekly
measurement of memory consolidation using repeated administration of the Logical Memory Test
may have resulted in a "ceiling effect" which would obscure drug/placebo differences. In the
current study, investigators propose to administer the Logical Memory Test at four-week
intervals (weeks 1, 4 and 8) to avoid the ceiling effect. Additionally a measurement will be
added of negative symptoms at week 4 to better characterize the time course of negative
symptom improvement.
Hypotheses:
1. Assess the effects of a single dose of D-cycloserine 50 mg on memory consolidation as
measured by the Logical Memory Test compared to placebo.
2. Assess the persistence of once-weekly D-cycloserine effects on memory consolidation
measured at weeks 4 & 8.
3. Assess the effects of repeated weekly dosing of D-cycloserine on performance on a
standard cognitive battery at week 8 compared to placebo.
4. Assess effects of weekly D-cycloserine dosing on negative symptoms at weeks 4 & 8
compared to placebo.
5. Assess tolerability and side effects of weekly D-cycloserine compared to placebo.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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