Schizophrenia and Schizoaffective Disorder, Tardive Dyskinesia
Conditions
Brief summary
Presently no generally effective treatments for tardive dyskinesia (TD) are available. D-serine is a naturally occurring amino acid that acts in-vivo as positive allosteric modulator at the glycine site associated with the glutamatergic NMDA receptor. Previous studies have suggested that D-serine may improve motor symptoms, including dyskinesias, which are caused by treatment with presently used antipsychotics drugs. The hypothesis under investigation in the present study is that D-serine adjuvant treatment may improve TD in schizophrenia patients diagnosed with this disorder.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. age 18-70; 2. diagnosis of schizophrenia/schizoaffective disorder according to DSM-IV criteria; diagnosis will be made on the basis of SCID interview and information from medical records, previous treating psychiatrists, and family informants; 3. history of ≥3 months antipsychotic drugs treatment and present stable dose antipsychotic treatment for at last 4 weeks; 4. fulfillment of Schooler-Kane TD research criteria on a first evaluation performed 2-12 weeks prior to study entrance and on a subsequent evaluation performed prior to allocation to experimental treatment.
Exclusion criteria
1. meeting criteria for other DSM-IV Axis I diagnoses; 2. presence of a neurological disorder or history of significant head injury; 3. substance abuse or alcoholism during entire lifetime; 4. are judged clinically to be at suicidal or homicidal risk; 5. female patients who are pregnant or lactating; female patients who are not pregnant or lactating, if sexually active, must be using medically accepted means of contraception.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in AIMS total score | biweekly during a period of 8 weeks |
Countries
Israel