ClinicalTrials.gg
CompletedNCT00842309BDD/DCSUpdated Jun 18, 2019Results posted

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

An Early Phase 1 interventional study of d-cycloserine and Placebo in Body Dysmorphic Disorder, sponsored by Massachusetts General Hospital. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-06-18.

Sponsored by Massachusetts General Hospital · Early Phase 1, Interventional, and Treatment

Phase
Early Phase 1
Study type
Interventional
Enrollment
68
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of the study is to conduct a double-blind, placebo-controlled study of D-cycloserine (DCS) augmentation of behavior therapy in individuals with Body Dysmorphic Disorder (BDD). Specifically, we intend to randomize 50 individuals with BDD to receive either DCS (n = 25) or placebo (n = 25) one hour prior to 8 of 10 behavior therapy sessions.

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Conditions studied

  • Body Dysmorphic Disorder
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In context

Body Dysmorphic Disorders

59 studies on the registry are indexed under Body Dysmorphic Disorders; 12 are open to participants now.

This study's enrollment of 68 is above the median of 50 across 45 interventional studies indexed under Body Dysmorphic Disorders.

Browse Body Dysmorphic Disorders studies →

Lead sponsor

Massachusetts General Hospital is the lead sponsor of 2,582 studies on the registry; 451 are open to participants now.

Of its 221 completed or terminated interventional studies of FDA-regulated products, 168 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18 years of age or older
  • Primary diagnosis of Body Dysmorphic Disorder as determined by DSM-IV criteria
  • BDD Yale-Brown Obsessive Compulsive Scale score greater than or equal to 24
  • Females of childbearing potential must have a negative urinary beta-HCG test
  • Subjects currently taking psychotropic medication must be on a stable does for at least two months prior to initiating study procedures

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding women will be excluded
  • People taking medications that may interfere with DCS
  • History of seizure disorder or other serious medical illnesses such as cardiovascular, hepatic, renal, respiratory, endocrine, neurologic or hematologic disease
  • Comorbid psychiatric diagnoses (alcohol dependence, bipolar disorder, psychosis, borderline personality disorder, organic mental disorder, or development disorder). If subjects have any other comorbid disorder, the BDD symptoms have to be the primary concern.
  • Persons taking medications that may lower seizure threshold, including clozapine, pethidine, and the following antibiotics in high dosage: penicillins, cephalosporins, amphotericin, and imipenem
  • Those deemed to pose a serious suicidal or homicidal threat will be excluded
  • Current psychotherapy or failure to benefit from ten or more sessions of previous ERP treatment is a rule-out
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Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
68 participants (actual)

Study arms

  • Active comparator
    D-cycloserine

    100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.

    Drug: d-cycloserine

  • Placebo comparator
    Placebo

    Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.

    Drug: Placebo

Interventions

  • 100mg of d-cycloserine in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.

    Also known as: seromycin

  • DrugPlacebo

    Placebo in pill form administered 1 hour before behavior therapy sessions once a week for 8 weeks.

    Also known as: sugar pill

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What researchers measure

Primary outcomes

  1. Body Dysmorphic Disorder Yale-Brown Obsessive Compulsive Scale (BDD-YBOCS)

    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.

    Time frame: Endpoint (post-treatment, week 11)

  2. Body Dysmorphic Disorder Yale-Brown Obsessive Compulsive Scale (BDD-YBOCS)

    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.

    Time frame: Mid-treatment (week 6)

07

Results

Posted Mar 15, 2019

Participant flow

Participant flow — Overall Study
MilestoneD-cycloserine-augmented CBTPlacebo-augmented CBT
Started1414
Completed1113
Not completed31
Withdrew: Withdrawal by subject31

Outcome measures

PrimaryBody Dysmorphic Disorder Yale-Brown Obsessive Compulsive Scale (BDD-YBOCS)

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.

Time frame:
Endpoint (post-treatment, week 11)
Reported as:
Mean · units on a scale
Body Dysmorphic Disorder Yale-Brown Obsessive Compulsive Scale (BDD-YBOCS)
units on a scaleD-cycloserinePlacebo
Body Dysmorphic Disorder Yale-Brown Obsessive Compulsive Scale (BDD-YBOCS)19.64 ± 6.818.77 ± 10.03
PrimaryBody Dysmorphic Disorder Yale-Brown Obsessive Compulsive Scale (BDD-YBOCS)

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.

Time frame:
Mid-treatment (week 6)
Reported as:
Mean · units on a scale
Body Dysmorphic Disorder Yale-Brown Obsessive Compulsive Scale (BDD-YBOCS)
units on a scaleD-cycloserinePlacebo
Body Dysmorphic Disorder Yale-Brown Obsessive Compulsive Scale (BDD-YBOCS)21.75 ± 5.3420.85 ± 8.9

Adverse events

Collected over Adverse event data was collected at pretreatment, mid-treatment, post-treatment and at 1- and 6- month follow-up visits.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
D-cycloserine-augmented CBT0/14 (0%)0/14 (0%)1/14 (7.1%)
Placebo-augmented CBT0/14 (0%)0/14 (0%)3/14 (21.4%)
Most frequent other events
Most frequent other events
EventD-cycloserine-augmented CBTPlacebo-augmented CBT
Feeling drowsy or sleepyNervous system disorders0/142/14
Depressive symptomsPsychiatric disorders1/141/14
Stress fracture in both armsGeneral disorders1/140/14
Tendonitis in kneeMusculoskeletal and connective tissue disorders1/140/14
Went to dermatologist for acne and started medicationSkin and subcutaneous tissue disorders1/140/14

Baseline characteristics

Participants included in modified intent-to-treat (ITT) analyses were 26 adults who completed at least one treatment session in their randomized condition \[CBT plus DCS (n = 12); CBT plus placebo (n = 14)\]. Note that 2 participants in CBT plus DCS did not complete any sessions in their randomized condition and were excluded from analyses.

Age, Continuous
Age, Continuous(years)D-cycloserinePlaceboTotal
Mean23.92 ± 5.7429.07 ± 11.0426.69 ± 9.46
Sex: Female, Male
Sex: Female, Male(Participants)D-cycloserinePlaceboTotal
Female51217
Male729
Race (NIH/OMB)
Race (NIH/OMB)(Participants)D-cycloserinePlaceboTotal
American Indian or Alaska Native101
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American011
White111122
More than one race011
Unknown or Not Reported011
BDD-YBOCS
BDD-YBOCS(units on a scale)D-cycloserinePlaceboTotal
Mean31.75 ± 5.0330.36 ± 4.4531 ± 4.68
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Study locations

1 site
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
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References and documents

Study documents

  • Protocol and statistical analysis plan · May 23, 2016

Documents are hosted by the registry — open the source record to download them.

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Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Nov 2008, a primary completion of Dec 2017 and a completion of Aug 2018. It does not say whether these dates are actual or estimated.

Results were first posted in Mar 2019, 1 year 3 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 10, 2009
First posted
Feb 12, 2009
Start
Nov 2008
Primary completionActual
Dec 2017
CompletionActual
Aug 2018
Results first posted
Mar 15, 2019
Last update
Jun 18, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 18, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00842309
Responsible party
Sabine Wilhelm, PhD (PhD, Massachusetts General Hospital) — Principal investigator
First posted
Feb 12, 2009
Start date
Nov 2008
Primary completion
Dec 2017
Completion
Aug 2018
Results posted
Mar 15, 2019
Last update
Jun 18, 2019

Study contacts

Sabine Wilhelm, PhD
principal investigator · Massachusetts General Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Cycloserine

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