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Phase 2 N=16 Randomized Quadruple-blind Treatment

Biomarkers in Schizophrenia

Schizophrenia · Schizoaffective Disorder

Enrolled (actual)
16
Serious AEs
0.0%
Results posted
Aug 2017
Primary outcome: Primary: PANSS Total — 77.9; 80 units on a scale — p=0.02

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
D Serine (Drug); Placebo (Drug)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Nathan Kline Institute for Psychiatric Research
Primary completion
Jul 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
PANSS Total
77.9; 80 0.02 sig
PRIMARY
MMN Amplitude
-1.21; -.21 0.001 sig
SECONDARY
MATRICS
26.2; 25.7 .31
SECONDARY
Visual P1
-.21; -.54 .41

Summary

N-methyl-D-aspartate (NMDA)-type glutamate receptors are thought to play a pivotal role in neurocognitive dysfunction associated with schizophrenia. Further, several novel glutamate-based classes of compound are presently in development as potential novel treatments for persistent negative and cognitive symptoms. The study will assess effectiveness of a NMDA-based intervention on biomarkers related to schizophrenia as a mechanism for developing appropriate outcome batteries for future trials of novel compounds.

Eligibility Criteria

Inclusion criteria

  • Age 18-64
  • SCID diagnosis of Schizophrenia or Schizoaffective Disorder.
  • PANSS 3 factor negative symptom (screening and baseline visit 1 and visit 3) score of >20 and PANSS total score between 60-110. Any degree of positive symptoms is acceptable but the total PANSS score must not exceed 110.
  • SAS total score less than or equal to 12 and a Calgary Depression Inventory total score less than or equal to 10 and suicide (item 8) less than moderate (<2).
  • Two consecutive CGI ratings at screening and baseline (visit 1 and 3) with no change in score.
  • Estimated Glomerular Filtration Rate (GFR)(a measure of renal function) greater than or equal to 60.

Exclusion criteria

  • Organic brain disorder, including epilepsy; mental retardation; or a medical condition whose pathology or treatment would likely alter the presentation or treatment of schizophrenia or significantly increase the risk associated with any of the proposed treatments
  • Current DSM-IV diagnosis of drug/alcohol abuse in last month and current DSM-IV diagnosis of drug/alcohol dependence in last 6 months
  • Pregnant female patients
  • Impaired renal function
  • Significant extrapyramidal symptoms (as reflected by a total score of 10 or above on the SAS scale), and depressive symptoms (as reflected by a score of 10 or above on the Calgary Depression Scale for Schizophrenia)
  • Patients who are unable to or unwilling to participate in the Cognitive assessment (MATRICS) and the electrophysiology tasks .
  • Patients on clozapine
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00817336). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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