Clinical Trials

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National Institute of Mental Health, and the National Institute on Drug Abuse, these studies report both completed and withdrawn statuses.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NCT00964041 Withdrawn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)

Check the D-Cycloserine product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

As a structural analog of D-alanine, D-cycloserine competitively inhibits L-alanine racemase and D-alanylalanine synthetase, thereby blocking the formation of D-alanine and its incorporation into the bacterial peptidoglycan precursor pentapeptide. This enzymatic block disrupts cell wall assembly to induce osmotic lysis, providing the foundation for its antibiotic action and its clinical evaluation in neurological conditions such as major depressive disorder and schizophrenia.

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>).

Note: Technical data last updated: Sep 1, 2026.