Trial Outcomes & Findings for Targeting a Genetic Mutation in Glycine Metabolism With D-cycloserine (NCT NCT02304432)

NCT ID: NCT02304432

Last Updated: 2017-09-19

Results Overview

Positive and Negative Symptom Scale (PANSS) measures positive and negative symptoms of schizophrenia. The sum of ratings for seven positive symptoms is measured on a scale from 7-49 with 7 meaning no symptoms and 49 meaning severe symptoms.The sum of ratings for seven negative symptoms is measured on a scale from 7-49 with 7 meaning no symptoms and 49 meaning severe symptoms.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

2 participants

Primary outcome timeframe

Baseline & at 2, 4, 6 & 8 Weeks during open-label phase 1 and every 2 weeks up to 24 weeks during open label phase 2

Results posted on

2017-09-19

Participant Flow

Participant milestones

Participant milestones
Measure
Open Label DCS
Both participants received open label D-cycloserine (seromycin), 50 mg/d capsule for 8 weeks. D-cycloserine: Both participants received open label D-cycloserine (seromycin), 50 mg/d capsule, x 8 weeks.
Placebo First, Then DCS
One of the sequences during the DB period; dose of DCS, freq of admin; length of trial Randomized to DCS or placebo. Participants underwent double-blind placebo-controlled exposures to DCS for 6 weeks or placebo for 6 weeks. One participant received exposure to DCS for 6 weeks and then received placebo dosing for 6 weeks. The other participant received exposure to placebo dosing for 6 weeks and then DCS for 6 weeks. D-cycloserine: Both participants received open label D-cycloserine (seromycin), 50 mg/d capsule, x 8 weeks. DCS or placebo: Double-blind placebo-controlled exposures to DCS or placebo x 6 weeks. One participant received exposure to DCS x 6 weeks and then received placebo dosing x 6 weeks. The other participant received exposure to placebo dosing x 6 weeks and then DCS x 6 weeks.
DCS First, Then Placebo
One of the sequences during the DB period; dose of DCS, freq of admin; length of trial
Second Open Label DCS
Both participants received second open label exposures to D-cycloserine (seromycin), 50 mg/d capsule for 24 weeks. D-cycloserine: Both participants received second open label D-cycloserine (seromycin), 50 mg/d capsule, x 8 weeks.
Open Label DCS
STARTED
2
0
0
0
Open Label DCS
COMPLETED
2
0
0
0
Open Label DCS
NOT COMPLETED
0
0
0
0
Double-Blind DCS Placebo Crossover
STARTED
0
1
1
0
Double-Blind DCS Placebo Crossover
COMPLETED
0
1
1
0
Double-Blind DCS Placebo Crossover
NOT COMPLETED
0
0
0
0
Second Open Label DCS
STARTED
0
0
0
2
Second Open Label DCS
COMPLETED
0
0
0
2
Second Open Label DCS
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Targeting a Genetic Mutation in Glycine Metabolism With D-cycloserine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=2 Participants
Both participants received open label D-cycloserine (seromycin), 50 mg/d capsule for 8 weeks. D-cycloserine: Both participants received open label D-cycloserine (seromycin), 50 mg/d capsule, x 8 weeks. Add crossover phase and second OL phase
Age, Continuous
42 years
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline & at 2, 4, 6 & 8 Weeks during open-label phase 1 and every 2 weeks up to 24 weeks during open label phase 2

Positive and Negative Symptom Scale (PANSS) measures positive and negative symptoms of schizophrenia. The sum of ratings for seven positive symptoms is measured on a scale from 7-49 with 7 meaning no symptoms and 49 meaning severe symptoms.The sum of ratings for seven negative symptoms is measured on a scale from 7-49 with 7 meaning no symptoms and 49 meaning severe symptoms.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=2 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
n=2 Participants
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Positive and Negative Symptom Scores
Baseline positive
14.5 units on a scale
Interval 12.0 to 17.0
11 units on a scale
Interval 9.0 to 13.0
Positive and Negative Symptom Scores
Baseline negative
14.5 units on a scale
Interval 11.0 to 18.0
14 units on a scale
Interval 11.0 to 17.0
Positive and Negative Symptom Scores
2 weeks positive
10 units on a scale
Interval 9.0 to 11.0
11 units on a scale
Interval 9.0 to 13.0
Positive and Negative Symptom Scores
2 weeks negative
12 units on a scale
Interval 9.0 to 15.0
14 units on a scale
Interval 11.0 to 17.0
Positive and Negative Symptom Scores
4 weeks positive
10.5 units on a scale
Interval 10.0 to 11.0
10.5 units on a scale
Interval 9.0 to 12.0
Positive and Negative Symptom Scores
4 weeks negative
12 units on a scale
Interval 9.0 to 15.0
13.5 units on a scale
Interval 11.0 to 16.0
Positive and Negative Symptom Scores
6 weeks positive
9 units on a scale
Interval 8.0 to 10.0
9 units on a scale
Interval 8.0 to 10.0
Positive and Negative Symptom Scores
6 weeks negative
12 units on a scale
Interval 9.0 to 15.0
13 units on a scale
Interval 11.0 to 15.0
Positive and Negative Symptom Scores
8 weeks positive
9 units on a scale
Interval 8.0 to 10.0
9.5 units on a scale
Interval 8.0 to 11.0
Positive and Negative Symptom Scores
8 weeks negative
12 units on a scale
Interval 9.0 to 15.0
12 units on a scale
Interval 9.0 to 15.0
Positive and Negative Symptom Scores
10 weeks positive
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
10.5 units on a scale
Interval 10.0 to 11.0
Positive and Negative Symptom Scores
10 weeks negative
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
13 units on a scale
Interval 11.0 to 15.0
Positive and Negative Symptom Scores
12 weeks positive
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
11 units on a scale
Interval 9.0 to 13.0
Positive and Negative Symptom Scores
12 weeks negative
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
12 units on a scale
Interval 9.0 to 15.0
Positive and Negative Symptom Scores
14 weeks positive
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
10 units on a scale
Interval 8.0 to 12.0
Positive and Negative Symptom Scores
14 weeks negative
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
12 units on a scale
Interval 9.0 to 15.0
Positive and Negative Symptom Scores
16 weeks positive
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
10.5 units on a scale
Interval 10.0 to 11.0
Positive and Negative Symptom Scores
16 weeks negative
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
12 units on a scale
Interval 9.0 to 15.0
Positive and Negative Symptom Scores
18 weeks positive
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
10.5 units on a scale
Interval 9.0 to 12.0
Positive and Negative Symptom Scores
18 weeks negative
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
12 units on a scale
Interval 9.0 to 15.0
Positive and Negative Symptom Scores
20 weeks positive
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
10.5 units on a scale
Interval 9.0 to 12.0
Positive and Negative Symptom Scores
20 weeks negative
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
12 units on a scale
Interval 9.0 to 15.0
Positive and Negative Symptom Scores
22 weeks positive
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
9.5 units on a scale
Interval 8.0 to 11.0
Positive and Negative Symptom Scores
22 weeks negative
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
12 units on a scale
Interval 9.0 to 15.0
Positive and Negative Symptom Scores
24 weeks positive
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
10 units on a scale
Interval 8.0 to 12.0
Positive and Negative Symptom Scores
24 weeks negative
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
12 units on a scale
Interval 9.0 to 15.0

PRIMARY outcome

Timeframe: Baseline, 2, 4, & 6 weeks (crossover periods)

Positive and Negative Symptom Scale (PANSS) measures positive and negative symptoms of schizophrenia. The sum of ratings for seven positive symptoms is measured on a scale from 7-49 with 7 meaning no symptoms and 49 meaning severe symptoms.The sum of ratings for seven negative symptoms is measured on a scale from 7-49 with 7 meaning no symptoms and 49 meaning severe symptoms.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=1 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
n=1 Participants
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Positive and Negative Symptom Scores
Baseline positive for first intervention
11 units on a scale
10 units on a scale
Positive and Negative Symptom Scores
Baseline negative symptoms for first intervention
9 units on a scale
15 units on a scale
Positive and Negative Symptom Scores
2 weeks positive for first intervention
12 units on a scale
10 units on a scale
Positive and Negative Symptom Scores
2 weeks negative for first intervention
15 units on a scale
15 units on a scale
Positive and Negative Symptom Scores
4 weeks positive for first intervention
11 units on a scale
10 units on a scale
Positive and Negative Symptom Scores
4 weeks negative for first intervention
13 units on a scale
15 units on a scale
Positive and Negative Symptom Scores
6 weeks positive for first intervention
13 units on a scale
10 units on a scale
Positive and Negative Symptom Scores
6 weeks negative for first intervention
13 units on a scale
15 units on a scale
Positive and Negative Symptom Scores
Baseline positive for second intervention
13 units on a scale
15 units on a scale
Positive and Negative Symptom Scores
Baseline negative for second intervention
13 units on a scale
18 units on a scale
Positive and Negative Symptom Scores
2 weeks positive for second intervention
10 units on a scale
15 units on a scale
Positive and Negative Symptom Scores
2 weeks negative for second intervention
11 units on a scale
18 units on a scale
Positive and Negative Symptom Scores
4 weeks positive for second intervention
9 units on a scale
15 units on a scale
Positive and Negative Symptom Scores
4 weeks negative for second intervention
11 units on a scale
18 units on a scale
Positive and Negative Symptom Scores
6 weeks positive for second intervention
9 units on a scale
14 units on a scale
Positive and Negative Symptom Scores
6 weeks negative for second intervention
11 units on a scale
18 units on a scale

PRIMARY outcome

Timeframe: Baseline & at 2, 4, 6 & 8 Weeks during open-label phase 1 and every 2 weeks up to 24 weeks during open label phase 2

Total BPRS score measures severity of 18 psychiatric symptoms. Each symptom is scored 1-7 with the total score ranging from 18-126. 18 means no symptoms and 126 means very severe symptoms.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=2 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
n=2 Participants
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Brief Psychiatric Rating Scale (BPRS) Scores
Baseline BPRS
37 units on a scale
Interval 34.0 to 40.0
31.5 units on a scale
Interval 28.0 to 35.0
Brief Psychiatric Rating Scale (BPRS) Scores
2 weeks BPRS
25 units on a scale
Interval 22.0 to 28.0
30.5 units on a scale
Interval 27.0 to 34.0
Brief Psychiatric Rating Scale (BPRS) Scores
4 weeks BPRS
26 units on a scale
Interval 24.0 to 28.0
28 units on a scale
Interval 27.0 to 29.0
Brief Psychiatric Rating Scale (BPRS) Scores
6 weeks BPRS
24 units on a scale
Interval 22.0 to 26.0
25.5 units on a scale
Interval 25.0 to 26.0
Brief Psychiatric Rating Scale (BPRS) Scores
8 weeks BPRS
24.5 units on a scale
Interval 23.0 to 26.0
26 units on a scale
Interval 24.0 to 28.0
Brief Psychiatric Rating Scale (BPRS) Scores
10 weeks BPRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
26.5 units on a scale
Interval 26.0 to 27.0
Brief Psychiatric Rating Scale (BPRS) Scores
12 weeks BPRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
26 units on a scale
Interval 24.0 to 28.0
Brief Psychiatric Rating Scale (BPRS) Scores
14 weeks BPRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
25.5 units on a scale
Interval 24.0 to 27.0
Brief Psychiatric Rating Scale (BPRS) Scores
16 weeks BPRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
28.5 units on a scale
Interval 27.0 to 30.0
Brief Psychiatric Rating Scale (BPRS) Scores
18 weeks BPRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
27 units on a scale
Interval 25.0 to 29.0
Brief Psychiatric Rating Scale (BPRS) Scores
20 weeks BPRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
25 units on a scale
Interval 23.0 to 27.0
Brief Psychiatric Rating Scale (BPRS) Scores
22 weeks BPRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
24.5 units on a scale
Interval 22.0 to 27.0
Brief Psychiatric Rating Scale (BPRS) Scores
24 weeks BPRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
26.5 units on a scale
Interval 25.0 to 28.0

PRIMARY outcome

Timeframe: Baseline, 2, 4, & 6 weeks (crossover periods)

Total BPRS score measures severity of 18 psychiatric symptoms. Each symptom is scored 1-7 with the total score ranging from 18-126. 18 means no symptoms and 126 means very severe symptoms.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=1 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
n=1 Participants
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Brief Psychiatric Rating Scale (BPRS) Scores
Baseline BPRS for first intervention
29 units on a scale
26 units on a scale
Brief Psychiatric Rating Scale (BPRS) Scores
2 weeks BPRS for first intervention
35 units on a scale
25 units on a scale
Brief Psychiatric Rating Scale (BPRS) Scores
4 weeks BPRS for first intervention
33 units on a scale
25 units on a scale
Brief Psychiatric Rating Scale (BPRS) Scores
6 weeks BPRS for first intervention
35 units on a scale
26 units on a scale
Brief Psychiatric Rating Scale (BPRS) Scores
Baseline BPRS for second intervention
36 units on a scale
39 units on a scale
Brief Psychiatric Rating Scale (BPRS) Scores
2 weeks BPRS for second intervention
30 units on a scale
45 units on a scale
Brief Psychiatric Rating Scale (BPRS) Scores
4 weeks BPRS for second intervention
27 units on a scale
45 units on a scale
Brief Psychiatric Rating Scale (BPRS) Scores
6 weeks BPRS for second intervention
28 units on a scale
38 units on a scale

PRIMARY outcome

Timeframe: Baseline & at 2, 4, 6 & 8 Weeks during open-label phase 1 and every 2 weeks up to 24 weeks during open label phase 2

CGI severity scores measure severity of mental illness on a scale of 1-7 where 1 means normal, not at all ill, 2 means borderline mentally ill, 3 means mildly ill, 4 means moderately ill, 5 means markedly ill, 6 means severely ill and 7 means among the most extremely ill patients.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=2 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
n=2 Participants
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Clinical Global Impression (CGI) Severity Scores
Baseline CGI
4 units on a scale
Interval 4.0 to 4.0
2.5 units on a scale
Interval 2.0 to 3.0
Clinical Global Impression (CGI) Severity Scores
2 weeks CGI
2 units on a scale
Interval 2.0 to 2.0
2.5 units on a scale
Interval 2.0 to 3.0
Clinical Global Impression (CGI) Severity Scores
4 weeks CGI
2 units on a scale
Interval 2.0 to 2.0
2.5 units on a scale
Interval 2.0 to 3.0
Clinical Global Impression (CGI) Severity Scores
6 weeks CGI
2 units on a scale
Interval 2.0 to 2.0
2.5 units on a scale
Interval 2.0 to 3.0
Clinical Global Impression (CGI) Severity Scores
8 weeks CGI
2 units on a scale
Interval 2.0 to 2.0
2.5 units on a scale
Interval 2.0 to 3.0
Clinical Global Impression (CGI) Severity Scores
10 weeks CGI
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
3 units on a scale
Interval 3.0 to 3.0
Clinical Global Impression (CGI) Severity Scores
12 weeks CGI
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
2.5 units on a scale
Interval 2.0 to 3.0
Clinical Global Impression (CGI) Severity Scores
14 weeks CGI
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
2 units on a scale
Interval 2.0 to 2.0
Clinical Global Impression (CGI) Severity Scores
16 weeks CGI
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
2.5 units on a scale
Interval 2.0 to 3.0
Clinical Global Impression (CGI) Severity Scores
18 weeks CGI
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
2.5 units on a scale
Interval 2.0 to 3.0
Clinical Global Impression (CGI) Severity Scores
20 weeks CGI
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
2.5 units on a scale
Interval 2.0 to 3.0
Clinical Global Impression (CGI) Severity Scores
22 weeks CGI
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
2.5 units on a scale
Interval 2.0 to 3.0
Clinical Global Impression (CGI) Severity Scores
24 weeks CGI
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
2.5 units on a scale
Interval 2.0 to 3.0

PRIMARY outcome

Timeframe: Baseline, 2, 4, & 6 weeks (crossover periods)

CGI severity scores measure severity of mental illness on a scale of 1-7 where 1 means normal, not at all ill, 2 means borderline mentally ill, 3 means mildly ill, 4 means moderately ill, 5 means markedly ill, 6 means severely ill and 7 means among the most extremely ill patients.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=1 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
n=1 Participants
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Clinical Global Impression (CGI) Severity Scores
Baseline CGI for first intervention
1 units on a scale
2 units on a scale
Clinical Global Impression (CGI) Severity Scores
2 weeks CGI for first intervention
3 units on a scale
2 units on a scale
Clinical Global Impression (CGI) Severity Scores
4 weeks CGI for first intervention
3 units on a scale
2 units on a scale
Clinical Global Impression (CGI) Severity Scores
6 weeks CGI for first intervention
3 units on a scale
2 units on a scale
Clinical Global Impression (CGI) Severity Scores
Baseline CGI for second intervention
3 units on a scale
3 units on a scale
Clinical Global Impression (CGI) Severity Scores
2 weeks CGI for second intervention
2 units on a scale
3 units on a scale
Clinical Global Impression (CGI) Severity Scores
4 weeks CGI for second intervention
2 units on a scale
3 units on a scale
Clinical Global Impression (CGI) Severity Scores
6 weeks CGI for second intervention
2 units on a scale
3 units on a scale

PRIMARY outcome

Timeframe: Baseline & at 2, 4, 6 & 8 Weeks during open-label phase 1 and every 2 weeks up to 24 weeks during open label phase 2

Young Mania Rating Scale (YMRS) measures severity of manic symptoms. The sum of the ratings for 7 symptoms of mania is measured on a scale of 0-4 and the sumof 4 symptoms of mania is measured on a scale of 0-8 to yield a total score ranging from 0-60, with 0 meaning no manic symptoms and 60 meaning severe manic symptoms.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=2 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
n=2 Participants
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Mania Symptom Scores
Baseline YMRS
2 units on a scale
Interval 2.0 to 2.0
0 units on a scale
Interval 0.0 to 0.0
Mania Symptom Scores
2 weeks YMRS
1 units on a scale
Interval 0.0 to 2.0
0 units on a scale
Interval 0.0 to 0.0
Mania Symptom Scores
4 weeks YMRS
1 units on a scale
Interval 0.0 to 2.0
0 units on a scale
Interval 0.0 to 0.0
Mania Symptom Scores
6 weeks YMRS
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0
Mania Symptom Scores
8 weeks YMRS
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0
Mania Symptom Scores
10 weeks YMRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Mania Symptom Scores
12 weeks YMRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Mania Symptom Scores
14 weeks YMRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Mania Symptom Scores
16 weeks YMRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Mania Symptom Scores
18 weeks YMRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Mania Symptom Scores
20 weeks YMRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Mania Symptom Scores
22 weeks YMRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Mania Symptom Scores
24 weeks YMRS
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
1 units on a scale
Interval 0.0 to 2.0

PRIMARY outcome

Timeframe: Baseline & at 2, 4, 6 & 8 Weeks during open-label phase 1 and every 2 weeks up to 24 weeks during open label phase 2

Hamilton Depression Scale (HAM) measures severity of depression symptoms. The sum of the ratings for 9 depression symptoms is measured on a scale of 0-2 with 0 meaning no depression symptoms and 2 meaning some level of severity of that specific symptom. The rating for one depression symptom is measured on a scale of 0-3 with 0 meaning no depression symptoms and 3 meaning a severe level of that specific symptom. The sum of ratings for 11 depression symptoms is measured on a scale of 0-4, with 0 meaning no symptoms and 4 meaning a severe level of that specific symptom. The three sums are added to produce an overall depression rating scale score ranging from 0-65. Higher scores indicate worse depression symptoms.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=2 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
n=2 Participants
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Depression Symptom Scores
Baseline HAM
5 units on a scale
Interval 4.0 to 6.0
0.5 units on a scale
Interval 0.0 to 1.0
Depression Symptom Scores
2 weeks HAM
1.5 units on a scale
Interval 0.0 to 3.0
1 units on a scale
Interval 1.0 to 1.0
Depression Symptom Scores
4 weeks HAM
1 units on a scale
Interval 0.0 to 2.0
1 units on a scale
Interval 0.0 to 2.0
Depression Symptom Scores
6 weeks HAM
0.5 units on a scale
Interval 0.0 to 1.0
0 units on a scale
Interval 0.0 to 0.0
Depression Symptom Scores
8 weeks HAM
1.5 units on a scale
Interval 0.0 to 3.0
2.5 units on a scale
Interval 0.0 to 5.0
Depression Symptom Scores
10 weeks HAM
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Depression Symptom Scores
12 weeks HAM
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Depression Symptom Scores
14 weeks HAM
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Depression Symptom Scores
16 weeks HAM
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
3.5 units on a scale
Interval 0.0 to 7.0
Depression Symptom Scores
18 weeks HAM
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Depression Symptom Scores
20 weeks HAM
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Depression Symptom Scores
22 weeks HAM
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0
Depression Symptom Scores
24 weeks HAM
NA units on a scale
This open label period lasted only 8 weeks, so no additional data were collected for this time point.
0 units on a scale
Interval 0.0 to 0.0

PRIMARY outcome

Timeframe: Baseline, 2, 4, & 6 weeks (crossover periods)

Young Mania Rating Scale (YMRS) measures severity of manic symptoms. The sum of the ratings for 7 symptoms of mania is measured on a scale of 0-4 and the sumof 4 symptoms of mania is measured on a scale of 0-8 to yield a total score ranging from 0-60, with 0 meaning no manic symptoms and 60 meaning severe manic symptoms.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=1 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
n=1 Participants
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Mania Symptom Scores
Baseline YMRS for first intervention
1 units on a scale
0 units on a scale
Mania Symptom Scores
2 weeks YMRS for first intervention
0 units on a scale
0 units on a scale
Mania Symptom Scores
4 weeks YMRS for first intervention
0 units on a scale
0 units on a scale
Mania Symptom Scores
6 weeks YMRS for first intervention
0 units on a scale
0 units on a scale
Mania Symptom Scores
Baseline YMRS for second intervention
4 units on a scale
0 units on a scale
Mania Symptom Scores
2 weeks YMRS for second intervention
1 units on a scale
0 units on a scale
Mania Symptom Scores
4 weeks YMRS for second intervention
1 units on a scale
0 units on a scale
Mania Symptom Scores
6 weeks YMRS for second intervention
1 units on a scale
0 units on a scale

PRIMARY outcome

Timeframe: Baseline, 2, 4, & 6 weeks (crossover periods)

Hamilton Depression Scale (HAM) measures severity of depression symptoms. The sum of the ratings for 9 depression symptoms is measured on a scale of 0-2 with 0 meaning no depression symptoms and 2 meaning some level of severity of that specific symptom. The rating for one depression symptom is measured on a scale of 0-3 with 0 meaning no depression symptoms and 3 meaning a severe level of that specific symptom. The sum of ratings for 11 depression symptoms is measured on a scale of 0-4, with 0 meaning no symptoms and 4 meaning a severe level of that specific symptom. The three sums are added to produce an overall depression rating scale score ranging from 0-65. Higher scores indicate worse depression symptoms.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=1 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
n=1 Participants
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Depression Symptom Scores
Baseline HAM for first intervention
4 units on a scale
0 units on a scale
Depression Symptom Scores
2 weeks HAM for first intervention
5 units on a scale
1 units on a scale
Depression Symptom Scores
4 weeks HAM for first intervention
2 units on a scale
0 units on a scale
Depression Symptom Scores
6 weeks HAM for first intervention
10 units on a scale
0 units on a scale
Depression Symptom Scores
Baseline HAM for second intervention
0 units on a scale
2 units on a scale
Depression Symptom Scores
2 weeks HAM for second intervention
0 units on a scale
12 units on a scale
Depression Symptom Scores
4 weeks HAM for second intervention
0 units on a scale
9 units on a scale
Depression Symptom Scores
6 weeks HAM for second intervention
0 units on a scale
2 units on a scale

SECONDARY outcome

Timeframe: Baseline and Week 8 of open-label DCS treatment

Population: The on DCS data were collected during week 8 of the first open-label portion of the study in one subject and in week 8 of the second open-label portion of the study in the other subject for logistical reasons.

Scores on each of 8 domains of cognitive function (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning/problem solving, social cognition, overall composite). Scores are T scores ranging from 0-100, with 50 representing the mean for a population based on a normal distribution, standard deviation of 10. Higher scores signify better functioning.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=2 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Neurocognitive Function
Baseline Processing Speed
48.5 T scores
Interval 43.0 to 54.0
Neurocognitive Function
Baseline Attention/Vigilance
44.5 T scores
Interval 39.0 to 50.0
Neurocognitive Function
Baseline Working Memory
38.5 T scores
Interval 38.0 to 39.0
Neurocognitive Function
Baseline Verbal Learning
54 T scores
Interval 45.0 to 63.0
Neurocognitive Function
Baseline Visual Learning
50.5 T scores
Interval 50.0 to 51.0
Neurocognitive Function
Baseline Reasoning/Problem Solving
52.5 T scores
Interval 52.0 to 53.0
Neurocognitive Function
Baseline Social Cognition
48 T scores
Interval 44.0 to 52.0
Neurocognitive Function
Baseline Overall Composite Score
46.5 T scores
Interval 45.0 to 48.0
Neurocognitive Function
Week 8 of open-label DCS Processing Speed
52.5 T scores
Interval 51.0 to 54.0
Neurocognitive Function
Week 8 of open-label DCS Attention/Vigilance
47.5 T scores
Interval 39.0 to 56.0
Neurocognitive Function
Week 8 of open-label DCS Working Memory
50.5 T scores
Interval 49.0 to 52.0
Neurocognitive Function
Week 8 of open-label DCS Verbal Learning
43.5 T scores
Interval 42.0 to 45.0
Neurocognitive Function
Week 8 of open-label DCS Visual Learning
54.5 T scores
Interval 51.0 to 58.0
Neurocognitive Function
Week 8 of open-label DCS Reasoning/Problem Solving
66.5 T scores
Interval 65.0 to 68.0
Neurocognitive Function
Week 8 of open-label DCS Social Cognition
44.5 T scores
Interval 42.0 to 47.0
Neurocognitive Function
Week 8 of open-label DCS Overall Composite Score
51.5 T scores
Interval 49.0 to 54.0

SECONDARY outcome

Timeframe: Baseline and Week 8 of DCS treatment

Population: Data collected only during only one of the open label periods for financial and logistical reasons. Data were collected in week 8 of the first open-label DCS exposure in one subject and in week 8 of the second open-label DCS exposure in the other subject for logistical reasons.

Proton magnetic resonance spectroscopy at 4T: brain glycine/CR ratio. Participants were assessed at baseline (pre-glycine challenge dose and 60, 80, 100 and 120 minutes post glycine dose) and in week 8 of of open-label DCS treatment: pre-DCS dose, and 60, 80, 100 and 120 minutes post DCS dose. Measured in posterior occipital cortex.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=2 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Brain Glycine/CR Ratio
Baseline
0.41245 ratio
Interval 0.2558 to 0.5691
Brain Glycine/CR Ratio
Baseline at 60 minutes
0.50375 ratio
Interval 0.3918 to 0.6157
Brain Glycine/CR Ratio
Baseline at 80 minutes
0.65295 ratio
Interval 0.6428 to 0.6631
Brain Glycine/CR Ratio
Baseline at 100 minutes
0.61505 ratio
Interval 0.5938 to 0.6363
Brain Glycine/CR Ratio
Baseline at 120 minutes
0.8256 ratio
Interval 0.6953 to 0.9559
Brain Glycine/CR Ratio
Week 8 of DCS: Baseline
0.10977 ratio
Interval 0.00007 to 0.21947
Brain Glycine/CR Ratio
Week 8 of DCS: 60 minutes
0.248885 ratio
Interval 0.24294 to 0.25483
Brain Glycine/CR Ratio
Week 8 of DCS: 80 minutes
0.32609 ratio
Interval 0.24571 to 0.40647
Brain Glycine/CR Ratio
Week 8 of DCS: 100 minutes
0.32052 ratio
Interval 0.24289 to 0.39815
Brain Glycine/CR Ratio
Week 8 of DCS: 120 minutes
0.312155 ratio
Interval 0.1903 to 0.43401

SECONDARY outcome

Timeframe: Baseline and Week 8 of DCS treatment

Population: Only one subject had normal hearing, which is required for valid data collection.

Auditory evoked potential latency: P300 at fz, cz, and pz; N100 at fz and cz; P200 at fz and cz.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=1 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Auditory Evoked Potentials in Latency (Msec)
P300 at fz: Baseline
279.297 msec
Auditory Evoked Potentials in Latency (Msec)
P300 at cz: Baseline
279.297 msec
Auditory Evoked Potentials in Latency (Msec)
P300 at pz: Baseline
279.297 msec
Auditory Evoked Potentials in Latency (Msec)
N100 at fz: Baseline
97.656 msec
Auditory Evoked Potentials in Latency (Msec)
N100 at cz: Baseline
91.797 msec
Auditory Evoked Potentials in Latency (Msec)
P200 at fz: Baseline
197.266 msec
Auditory Evoked Potentials in Latency (Msec)
P200 at cz: Baseline
193.359 msec
Auditory Evoked Potentials in Latency (Msec)
P300 at fz: Week 8 of DCS
294.920 msec
Auditory Evoked Potentials in Latency (Msec)
P300 at cz: Week 8 of DCS
294.000 msec
Auditory Evoked Potentials in Latency (Msec)
P300 at pz: Week 8 of DCS
294 msec
Auditory Evoked Potentials in Latency (Msec)
N100 at fz: Week 8 of DCS
87.9 msec
Auditory Evoked Potentials in Latency (Msec)
N100 at cz: Week 8 of DCS
88.000 msec
Auditory Evoked Potentials in Latency (Msec)
P200 at fz: Week 8 of DCS
212.890 msec
Auditory Evoked Potentials in Latency (Msec)
P200 at cz: Week 8 of DCS
212.000 msec

SECONDARY outcome

Timeframe: Baseline and Week 8 of DCS treatment

Population: Only one subject had normal hearing, which is required for valid data collection.

Auditory evoked potential amplitude: P300 at fz, cz, and pz; N100 at fz and cz; P200 at fz and cz; P50 S1 and S2; mismatch negativity (MMN) at fz and cz.

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=1 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P300 at fz: Baseline
-0.635 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P300 at cz: Baseline
6.529 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P300 at pz: Baseline
5.340 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
N100 at fz: Baseline
-3.926 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
N100 at cz: Baseline
-3.615 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P200 at fz: Baseline
1.662 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P200 at cz: Baseline
6.591 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P50 S1: Baseline
2.759 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P50 S2: Baseline
1.23 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
MMN at fz: Baseline
-3.356 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
MMN at cz: Baseline
-4.130 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P300 at fz: Week 8 of DCS
3.030 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P300 at cz: Week 8 of DCS
6.810 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P300 at pz: Week 8 of DCS
6.620 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
N100 at fz: Week 8 of DCS
-3.260 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
N100 at cz: Week 8 of DCS
-3.940 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P200 at fz: Week 8 of DCS
8.200 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P200 at cz: Week 8 of DCS
8.160 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P50 S1: Week 8 of DCS
1.36 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
P50 S2: Week 8 of DCS
0.4 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
MMN at fz: Week 8 of DCS
-3.330 microvolts
Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)
MMN at cz: Week 8 of DCS
-1.540 microvolts

SECONDARY outcome

Timeframe: Baseline and Week 8 of DCS treatment

Population: Only one subject had normal hearing, which is required for valid data collection.

Auditory evoked potential gamma: G40 hz phase locking at fz and cz; G30 hz phase locking at fz and cz; G20 hz phase locking at fz and cz

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=1 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)
G40 hz phase locking at fz: Baseline
0.135 microvolts squared
Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)
G40 hz phase locking at cz: Baseline
0.168 microvolts squared
Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)
G30 hz phase locking at fz: Baseline
0.190 microvolts squared
Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)
G30 hz phase locking at cz: Baseline
0.163 microvolts squared
Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)
G20 hz phase locking at fz: Baseline
0.023 microvolts squared
Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)
G20 hz phase locking at cz: Baseline
0.030 microvolts squared
Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)
G40 hz phase locking at fz: Week 8 of DCS
0.344 microvolts squared
Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)
G40 hz phase locking at cz: Week 8 of DCS
0.381 microvolts squared
Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)
G30 hz phase locking at fz: Week 8 of DCS
0.168 microvolts squared
Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)
G30 hz phase locking at cz: Week 8 of DCS
0.19 microvolts squared
Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)
G20 hz phase locking at fz: Week 8 of DCS
0.01 microvolts squared
Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)
G20 hz phase locking at cz: Week 8 of DCS
-0.01 microvolts squared

SECONDARY outcome

Timeframe: Baseline and Week 8 of DCS treatment

Population: Only one subject had normal hearing, which is required for valid data collection.

Auditory evoked potential amplitude: P50 ratio (P50 S2/S1)

Outcome measures

Outcome measures
Measure
First Open Label DCS
n=1 Participants
Both participants received first open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 8 weeks.
Second Open Label DCS
Both participants received second open label exposure to D-cycloserine (seromycin), 50 mg/d capsule, for 24 weeks.
Auditory Evoked Potentials - P50 Ratio (P50 S2/S1) (Amplitude)
P50 ratio: Baseline
44.51 ratio
Auditory Evoked Potentials - P50 Ratio (P50 S2/S1) (Amplitude)
P50 ratio: Week 8 of DCS
30 ratio

Adverse Events

Open Label DCS

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

DCS (Crossover)

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

PLACEBO (CROSSOVER)

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

Second Open Label DCS

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Deborah Levy

McLean Hospital

Phone: 617-855-2854

Results disclosure agreements

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