Effect of an NMDA-based Intervention on Biomarker Measures of Cognitive Dysfunction in Schizophrenia
Overview
- Phase
- Phase 2
- Intervention
- D Serine
- Conditions
- Schizophrenia
- Sponsor
- Nathan Kline Institute for Psychiatric Research
- Enrollment
- 16
- Locations
- 1
- Primary Endpoint
- PANSS Total
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief 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.
Detailed Description
16 in- or outpatients with DSM-IV-TR schizophrenia or schizoaffective disorder and prominent negative symptoms will be recruited for this study. This study will consist of a randomized trial of D-serine (60 mg/kg/d) vs. placebo using a crossover design with a 2-week baseline lead-in, and two 6-week intervention arms separated by a two week, placebo controlled washout period. Biomarkers will be assessed at baseline for each treatment arm, acutely (day 7) following treatment initiation, and following 6 weeks of treatment (6 biomarker sessions total). Primary biomarker outcome measures will include 1) amplitude of the mismatch negativity (MMN) waveform and 2) amplitude of the visual P1 potential. Symptomatic outcome measures will include PANSS and composite score of the MATRICS neuropsychological battery. The study will be supported from ongoing NIMH-funded Cooperative Drug Development Grant (CDDG) to the PI.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Arms & Interventions
D-serine
60 mg/kg/day
Intervention: D Serine
Placebo
Intervention: Placebo
Outcomes
Primary Outcomes
PANSS Total
Time Frame: 6 weeks
Positive and Negative Symptom Scale (PANSS) range 30-210
MMN Amplitude
Time Frame: 6 weeks
Final MMN amplitude
Secondary Outcomes
- Visual P1(6 weeks)
- MATRICS(6 weeks)