D-cycloserine: A Novel Treatment for Gulf War Illness (GWDCS)

Study Overview
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Brief Summary
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The purpose of this study is to investigate the efficacy of d-cycloserine (DCS) treatment for Gulf War Illness (GWI). Gulf War veterans with Gulf War Illness experience numerous chronic health symptoms, including cognition and fatigue, which reduces their quality of life. Gulf War veterans are in urgent need of novel treatment plans to tackle elusive symptomatology of Gulf War Illness. By using the literature of previous studies, the investigators have chosen to investigate d-cycloserine as a possible candidate for treating GWI, specifically cognitive symptoms. DCS has been shown to reduce neuroinflammation, regulate glutamate levels, and improve synaptic functioning in key areas of the brain.

Detailed Description
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Our study is a pilot study for the novel treatment of d-cycloserine to treat GWI. Our study will consist of two experimental groups of equal size (n=28): DCS treatment group and a placebo group. Participants will be randomized into either group; with a double blind study design. Participants will be instructed to self-administer their treatment pills once per day for 28 days. There will be a total of 6 study visits that will include medical and neuropsychological assessment. The first visit will be for establishing eligibility and baseline functioning. Three visits (visits 2-4) will occur during the medication trial (day 1, day 2 and two weeks into medication/placebo). Visit 5 will occur around the time medication/placebo is finished. Visit 6 (follow up) will occur one month after medication/placebo is complete.

Official Title
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D-cycloserine: A Novel Treatment for Gulf War Illness

Conditions
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Gulf War Illness

Intervention / Treatment
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* Drug: D-cycloserine
* Drug: Placebos


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Veterans of the 1991 Gulf War, male or female Physical examination and laboratory findings within normal limits Willingness and ability to participate in the informed consent process and comply with study protocols Symptom criteria: Meets Gulf War Illness criteria with the cognitive symptom domain being present. Veteran does not have medical exclusions for Gulf War Illness Exclusion Criteria: Veteran lacks the capacity to provide consent during the informed consent process Veteran has the one of the following medical exclusion conditions and/or has been active or received treatment within the past 5 years: Cancer (except nonmelanoma skin cancer), diabetes (not well managed), seizure disorder, heart disease (except hypertension), liver disease, kidney disease, Lupus, multiple sclerosis, stroke, chronic infectious disease, immune disorder/immunosuppression Veteran has a history of a major psychiatric or central nervous system disorder that can affect cognitive function (ie. epilepsy, brain tumor, Parkinson's Disease) Veteran has been hospitalized in the past 5 years for depression, PTSD, alcohol or drug dependence Veteran has current suicidal ideation or current alcohol or drug dependence Pregnant women, lactating women, women who are breastfeeding, or women of childbearing potential who are not using medically accepted forms of contraception Veteran is active duty personnel

Ages Eligible for Study
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Minimum Age: 43 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: D-cycloserine<br>To compare efficacy of the novel therapeutic approach of DCS in improving cognitive functioning in GW veterans with GWI. DCS = d-cycloserine Dosage: 100mg Dosage form: Pill, administered orally Frequency: Daily for four weeks | Drug: D-cycloserine<br>* Partial agonist of N-methyl-D-aspartate (NMDA) receptor<br>* Other names: DCS;|
| Placebo Comparator: Placebos<br>To provide a control group to compare efficacy of the novel therapeutic approach of DCS in improving cognitive functioning in GW veterans with GWI. | Drug: Placebos<br>* Sugar pill<br>* Other names: Placebo control;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neuropsychological Test Battery |  | 8 weeks per subject | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Symptom Questionnaires |  | 8 weeks per subject | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Neuroinflammation, Gulf War, D-cycloserine, Cognition, Memory