Trial Outcomes & Findings for D-Cycloserine Augmentation of Behavior Therapy for Individuals With Body Dysmorphic Disorder (NCT NCT00842309)

NCT ID: NCT00842309

Last Updated: 2019-06-18

Results Overview

The BDD-YBOCS is the gold-standard, semi-structured clinician-administered assessment of BDD severity. It contains 12 items ranging from 0 to 4, which are summed to generate a total score (range = 0 to 48). Higher scores indicate more severe BDD symptoms. The BDD-YBOCS will be used to assess BDD symptoms at baseline and endpoint.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

68 participants

Primary outcome timeframe

Endpoint (post-treatment, week 11)

Results posted on

2019-06-18

Participant Flow

68 participants consented and screened. Of those, 28 were deemed eligible to participate and randomized to a condition. The remaining 40 participants were excluded for the following reasons: Did not meet criteria (n= 30) Declined to participate (n= 4) Did not show (n= 3) Other (n= 3)

Participant milestones

Participant milestones
Measure
D-cycloserine-augmented CBT
100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks. d-cycloserine: 100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.
Placebo-augmented CBT
Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks. Placebo: Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.
Overall Study
STARTED
14
14
Overall Study
COMPLETED
11
13
Overall Study
NOT COMPLETED
3
1

Reasons for withdrawal

Reasons for withdrawal
Measure
D-cycloserine-augmented CBT
100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks. d-cycloserine: 100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.
Placebo-augmented CBT
Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks. Placebo: Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.
Overall Study
Withdrawal by Subject
3
1

Baseline Characteristics

D-Cycloserine Augmentation of Behavior Therapy for Individuals With Body Dysmorphic Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
D-cycloserine
n=12 Participants
100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks. d-cycloserine: 100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.
Placebo
n=14 Participants
Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks. Placebo: Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.
Total
n=26 Participants
Total of all reporting groups
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
23.92 years
STANDARD_DEVIATION 5.74 • n=5 Participants
29.07 years
STANDARD_DEVIATION 11.04 • n=7 Participants
26.69 years
STANDARD_DEVIATION 9.46 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
12 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
2 Participants
n=7 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
11 Participants
n=5 Participants
11 Participants
n=7 Participants
22 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
BDD-YBOCS
31.75 units on a scale
STANDARD_DEVIATION 5.03 • n=5 Participants
30.36 units on a scale
STANDARD_DEVIATION 4.45 • n=7 Participants
31 units on a scale
STANDARD_DEVIATION 4.68 • n=5 Participants

PRIMARY outcome

Timeframe: Endpoint (post-treatment, week 11)

Population: BDD-YBOCS was a clinician-administered measure administered to patients with body dysmorphic disorder.

The BDD-YBOCS is the gold-standard, semi-structured clinician-administered assessment of BDD severity. It contains 12 items ranging from 0 to 4, which are summed to generate a total score (range = 0 to 48). Higher scores indicate more severe BDD symptoms. The BDD-YBOCS will be used to assess BDD symptoms at baseline and endpoint.

Outcome measures

Outcome measures
Measure
D-cycloserine
n=11 Participants
100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks. d-cycloserine: 100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.
Placebo
n=13 Participants
Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks. Placebo: Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.
Body Dysmorphic Disorder Yale-Brown Obsessive Compulsive Scale (BDD-YBOCS)
19.64 units on a scale
Standard Deviation 6.8
18.77 units on a scale
Standard Deviation 10.03

PRIMARY outcome

Timeframe: Mid-treatment (week 6)

The BDD-YBOCS is the gold-standard, semi-structured clinician-administered assessment of BDD severity. It contains 12 items ranging from 0 to 4, which are summed to generate a total score (range = 0 to 48). Higher scores indicate more severe BDD symptoms. The BDD-YBOCS will be used to assess BDD symptoms at baseline and endpoint.

Outcome measures

Outcome measures
Measure
D-cycloserine
n=12 Participants
100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks. d-cycloserine: 100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.
Placebo
n=13 Participants
Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks. Placebo: Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.
Body Dysmorphic Disorder Yale-Brown Obsessive Compulsive Scale (BDD-YBOCS)
21.75 units on a scale
Standard Deviation 5.34
20.85 units on a scale
Standard Deviation 8.9

Adverse Events

D-cycloserine-augmented CBT

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Placebo-augmented CBT

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
D-cycloserine-augmented CBT
n=14 participants at risk
100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks. d-cycloserine: 100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.
Placebo-augmented CBT
n=14 participants at risk
Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks. Placebo: Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.
Nervous system disorders
Feeling drowsy or sleepy
0.00%
0/14 • Adverse event data was collected at pretreatment, mid-treatment, post-treatment and at 1- and 6- month follow-up visits.
14.3%
2/14 • Number of events 2 • Adverse event data was collected at pretreatment, mid-treatment, post-treatment and at 1- and 6- month follow-up visits.
Psychiatric disorders
Depressive symptoms
7.1%
1/14 • Number of events 1 • Adverse event data was collected at pretreatment, mid-treatment, post-treatment and at 1- and 6- month follow-up visits.
7.1%
1/14 • Number of events 1 • Adverse event data was collected at pretreatment, mid-treatment, post-treatment and at 1- and 6- month follow-up visits.
General disorders
Stress fracture in both arms
7.1%
1/14 • Number of events 1 • Adverse event data was collected at pretreatment, mid-treatment, post-treatment and at 1- and 6- month follow-up visits.
0.00%
0/14 • Adverse event data was collected at pretreatment, mid-treatment, post-treatment and at 1- and 6- month follow-up visits.
Musculoskeletal and connective tissue disorders
Tendonitis in knee
7.1%
1/14 • Number of events 1 • Adverse event data was collected at pretreatment, mid-treatment, post-treatment and at 1- and 6- month follow-up visits.
0.00%
0/14 • Adverse event data was collected at pretreatment, mid-treatment, post-treatment and at 1- and 6- month follow-up visits.
Skin and subcutaneous tissue disorders
Went to dermatologist for acne and started medication
7.1%
1/14 • Number of events 1 • Adverse event data was collected at pretreatment, mid-treatment, post-treatment and at 1- and 6- month follow-up visits.
0.00%
0/14 • Adverse event data was collected at pretreatment, mid-treatment, post-treatment and at 1- and 6- month follow-up visits.

Additional Information

Dr. Hilary Weingarden

Massachusetts General Hospital

Phone: 617-643-6206

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place