Effect of D-cycloserine on Treatment of Posttraumatic Stress Disorder (PTSD) in Youth

NCT ID: NCT01157416

Last Updated: 2017-04-21

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2012-06-30

Brief Summary

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The purpose of this study is to show whether D-cycloserine in combination with cognitive behavioral therapy (CBT) is more effective than CBT plus placebo to reduce symptoms of posttraumatic stress disorder (PTSD) in 7-12 year old children.

Detailed Description

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While most individuals with PTSD treated with cognitive behavioral therapy (CBT) show improvement, they still have some enduring symptoms and functional impairment. Accordingly, there is a need for treatment advances.

D-cycloserine (DCS), an antibiotic that has been used for over 50 years, has also been found to have positive effects on cognition and anxiety. DCS was found to enhance learning and memory, and also facilitates extinction of fear reactions. However, DCS only produces an extinction effect when paired with behavioral training, not when simply given alone. Thus, the medication only needs to be given for seven doses in this research and youth do not need to take the medication long term. The research also includes a three-month follow-up assessment.

Conditions

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Posttraumatic Stress Disorders PTSD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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D-cycloserine plus CBT

Individuals receive 12 sessions of manualized trauma-focused cognitive behavioral therapy plus seven doses of D-cycloserine.

Group Type ACTIVE_COMPARATOR

D-cycloserine

Intervention Type DRUG

D-cycloserine 50 mg by mouth prior to sessions 5-12 of the 12-session CBT protocol.

CBT

Intervention Type BEHAVIORAL

12-session CBT protocol, called Youth PTSD Treatment.

Placebo plus CBT

Individuals receive 12 sessions of trauma-focused cognitive behavioral therapy plus seven doses of placebo pill.

Group Type PLACEBO_COMPARATOR

Placebo pill

Intervention Type DRUG

Placebo pill by mouth prior to sessions 5-12 of the 12-session CBT protocol.

CBT

Intervention Type BEHAVIORAL

12-session CBT protocol, called Youth PTSD Treatment.

Interventions

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D-cycloserine

D-cycloserine 50 mg by mouth prior to sessions 5-12 of the 12-session CBT protocol.

Intervention Type DRUG

Placebo pill

Placebo pill by mouth prior to sessions 5-12 of the 12-session CBT protocol.

Intervention Type DRUG

CBT

12-session CBT protocol, called Youth PTSD Treatment.

Intervention Type BEHAVIORAL

Other Intervention Names

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Seromycin (brand name) cognitive behavioral therapy

Eligibility Criteria

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Inclusion Criteria

* Certain number of PTSD symptoms plus functional impairment
* Must be able to swallow pills

Exclusion Criteria

* Serious kidney or liver disease
* Epilepsy
* Bipolar
* Psychosis
Minimum Eligible Age

7 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Tulane University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Michael S. Scheeringa

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Michael S Scheeringa, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Tulane University School of Medicine

Locations

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Tulane University Health Sciences Center, 1440 Canal St.

New Orleans, Louisiana, United States

Site Status

Countries

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United States

References

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Scheeringa MS, Lilly ME, Staiger AB, Heller ML, Jones EG, Weems CF. Do Children and Adolescents Have Different Types of Trauma Narratives and Does It Matter? Reliability and Face Validation for a Narrative Taxonomy. J Trauma Stress. 2017 Jun;30(3):323-327. doi: 10.1002/jts.22190. Epub 2017 Jun 1.

Reference Type DERIVED
PMID: 28569390 (View on PubMed)

Scheeringa MS, Weems CF. Randomized placebo-controlled D-cycloserine with cognitive behavior therapy for pediatric posttraumatic stress. J Child Adolesc Psychopharmacol. 2014 Mar;24(2):69-77. doi: 10.1089/cap.2013.0106. Epub 2014 Feb 7.

Reference Type DERIVED
PMID: 24506079 (View on PubMed)

Other Identifiers

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1RC1MH088969-01

Identifier Type: NIH

Identifier Source: secondary_id

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1RC1MH088969-01

Identifier Type: NIH

Identifier Source: org_study_id

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