Multiple clinical trials evaluate D-cycloserine across Phase 1, Phase 3, and Phase 4 stages for neuropsychiatric and substance use conditions, including major depressive disorder, schizophrenia, smoking cessation, and nicotine addiction. Sponsored by academic and government research institutions such as Massachusetts General Hospital, the University of Calgary, Baylor College of Medicine, the National Institute of Mental Health, and the National Institute on Drug Abuse, these studies report both completed and withdrawn statuses.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05731323 | Completed | Major Depressive Disorder |
University of Calgary |
2022-10-12 | Phase 1 |
| NCT01399866 | Completed | Smoking Cessation |
Massachusetts General Hospital |
2011-05 | Phase 3 |
| NCT00964041 | Withdrawn | Schizophrenia |
Massachusetts General Hospital|National Institute of Mental Health (NIMH) |
2009-07 | Phase 4 |
| NCT01062932 | Completed | Nicotine Addiction |
Baylor College of Medicine|National Institute on Drug Abuse (NIDA) |
2009-05 | Phase 1 |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).