Trial Outcomes & Findings for D-cycloserine for the Treatment of Chronic, Refractory Low Back Pain (NCT NCT03535688)

NCT ID: NCT03535688

Last Updated: 2026-05-04

Results Overview

Mean pain levels will be assessed at study baseline and compared to mean pain levels at Week 12 (study efficacy endpoint). Pain will be assessed using an 11-point NRS scale.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

203 participants

Primary outcome timeframe

12 weeks

Results posted on

2026-05-04

Participant Flow

There was an error in the study drug dispensation process that resulted in the incorrect treatment assignment being dispensed. Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).

Participant milestones

Participant milestones
Measure
D-cycloserine (Secondary)
The participants in this group were incorrectly randomized to D-cycloserine. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in this group were incorrectly randomized to Placebo. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
D-cycloserine 200 mg twice daily
Placebo
Placebo twice daily
Overall Study
STARTED
27
6
86
84
Overall Study
COMPLETED
19
6
57
62
Overall Study
NOT COMPLETED
8
0
29
22

Reasons for withdrawal

Reasons for withdrawal
Measure
D-cycloserine (Secondary)
The participants in this group were incorrectly randomized to D-cycloserine. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in this group were incorrectly randomized to Placebo. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
D-cycloserine 200 mg twice daily
Placebo
Placebo twice daily
Overall Study
Withdrawal by Subject
6
0
9
4
Overall Study
Lost to Follow-up
2
0
11
7
Overall Study
Adverse Event
0
0
0
1
Overall Study
Lack of Efficacy
0
0
3
1
Overall Study
Physician Decision
0
0
6
3
Overall Study
Study Terminated Early
0
0
0
6

Baseline Characteristics

D-cycloserine for the Treatment of Chronic, Refractory Low Back Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Total
n=170 Participants
Total of all reporting groups
Age, Continuous
55.95 years
STANDARD_DEVIATION 14.28 • n=54 Participants
56.07 years
STANDARD_DEVIATION 15.42 • n=60 Participants
56.01 years
STANDARD_DEVIATION 14.81 • n=114 Participants
Sex: Female, Male
Female
46 Participants
n=54 Participants
39 Participants
n=60 Participants
85 Participants
n=114 Participants
Sex: Female, Male
Male
40 Participants
n=54 Participants
45 Participants
n=60 Participants
85 Participants
n=114 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants
n=54 Participants
8 Participants
n=60 Participants
21 Participants
n=114 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
71 Participants
n=54 Participants
74 Participants
n=60 Participants
145 Participants
n=114 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=54 Participants
2 Participants
n=60 Participants
4 Participants
n=114 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=54 Participants
0 Participants
n=60 Participants
1 Participants
n=114 Participants
Race (NIH/OMB)
Asian
5 Participants
n=54 Participants
7 Participants
n=60 Participants
12 Participants
n=114 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Race (NIH/OMB)
Black or African American
34 Participants
n=54 Participants
28 Participants
n=60 Participants
62 Participants
n=114 Participants
Race (NIH/OMB)
White
43 Participants
n=54 Participants
40 Participants
n=60 Participants
83 Participants
n=114 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=54 Participants
7 Participants
n=60 Participants
10 Participants
n=114 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=54 Participants
2 Participants
n=60 Participants
2 Participants
n=114 Participants
Region of Enrollment
United States
86 participants
n=54 Participants
84 participants
n=60 Participants
170 participants
n=114 Participants
Pain Numeric Rating Scale (NRS)
6.00 units on a scale
STANDARD_DEVIATION 1.37 • n=54 Participants
5.95 units on a scale
STANDARD_DEVIATION 1.36 • n=60 Participants
5.97 units on a scale
STANDARD_DEVIATION 4.36 • n=114 Participants
painDETECT
11.34 units on a scale
STANDARD_DEVIATION 7.04 • n=54 Participants
11.88 units on a scale
STANDARD_DEVIATION 6.58 • n=60 Participants
11.61 units on a scale
STANDARD_DEVIATION 6.79 • n=114 Participants
Positive and Negative Affect Schedule (PANAS) Positive
33.66 units on a scale
STANDARD_DEVIATION 6.01 • n=54 Participants
32.27 units on a scale
STANDARD_DEVIATION 6.83 • n=60 Participants
32.97 units on a scale
STANDARD_DEVIATION 8.32 • n=114 Participants
Positive and Negative Affect Schedule (PANAS) Negative
17.28 units on a scale
STANDARD_DEVIATION 6.66 • n=54 Participants
17.04 units on a scale
STANDARD_DEVIATION 6.15 • n=60 Participants
17.16 units on a scale
STANDARD_DEVIATION 6.39 • n=114 Participants
Beck Depression Inventory (BDI)
6.63 units on a scale
STANDARD_DEVIATION 6.10 • n=54 Participants
8.00 units on a scale
STANDARD_DEVIATION 7.75 • n=60 Participants
7.31 units on a scale
STANDARD_DEVIATION 6.98 • n=114 Participants
Pain Catastrophizing Scale (PCS)
13.44 units on a scale
STANDARD_DEVIATION 11.05 • n=54 Participants
12.72 units on a scale
STANDARD_DEVIATION 11.03 • n=60 Participants
13.06 units on a scale
STANDARD_DEVIATION 11.00 • n=114 Participants
Oswestry Disability Index (ODI)
31.26 units on a scale
STANDARD_DEVIATION 14.32 • n=54 Participants
31.93 units on a scale
STANDARD_DEVIATION 16.24 • n=60 Participants
31.59 units on a scale
STANDARD_DEVIATION 15.25 • n=114 Participants
SF-12 Mental Health
62.43 units on a scale
STANDARD_DEVIATION 13.46 • n=54 Participants
60.29 units on a scale
STANDARD_DEVIATION 13.81 • n=60 Participants
61.36 units on a scale
STANDARD_DEVIATION 13.63 • n=114 Participants
SF-12 Physical Health
43.09 units on a scale
STANDARD_DEVIATION 12.35 • n=54 Participants
42.39 units on a scale
STANDARD_DEVIATION 12.31 • n=60 Participants
42.74 units on a scale
STANDARD_DEVIATION 12.33 • n=114 Participants
Patient Global Assessment (PGA) of Low Back Pain
2.61 units on a scale
STANDARD_DEVIATION 0.58 • n=54 Participants
2.63 units on a scale
STANDARD_DEVIATION 0.62 • n=60 Participants
2.62 units on a scale
STANDARD_DEVIATION 0.59 • n=114 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

Mean pain levels will be assessed at study baseline and compared to mean pain levels at Week 12 (study efficacy endpoint). Pain will be assessed using an 11-point NRS scale.

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Change in Numeric Rating Scale (NRS) Pain Score 0-10; Higher Worse
4.62 units on a scale
Standard Error 1.94
4.70 units on a scale
Standard Error 2.27

SECONDARY outcome

Timeframe: 12 weeks

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

Assess the effect of gender on the on the pain rating response in each group (pain rating scale: 0 (no pain) to 10 (highest pain)).

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
n=34 Participants
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
n=37 Participants
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=33 Participants
D-cycloserine 200 mg twice daily
Placebo
n=37 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Effect of Gender on Magnitude of Pain Response.
4.4 units on a scale
Standard Deviation 2.3
3.68 units on a scale
Standard Deviation 3.03
4.87 units on a scale
Standard Deviation 2.38
4.29 units on a scale
Standard Deviation 2.48

SECONDARY outcome

Timeframe: 12 weeks

Evaluate interaction between the primary endpoint and specified brain biomarkers, with particular attention to corticostriatal connectivity. Whole-brain exploratory analyses will also be used to identify both brain predictors or treatment response and brain reorganization in response to treatment.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 weeks

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

A 5-point scale used to reflect the global impact of pain from the patient's perspective. Scale range 0-10; higher = worse.

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Patient Global Assessment
2.43 score on a scale
Standard Deviation 0.66
2.50 score on a scale
Standard Deviation 0.52

SECONDARY outcome

Timeframe: 12 weeks

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

A 7-point self-report measure that reflects a patient's belief about the efficacy of treatment; by depicting a patient's rating of overall improvement. Scale range 1-7, higher = worse.

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Patient Global Impression of Change
2.96 score on a scale
Standard Deviation 0.95
3.69 score on a scale
Standard Deviation 1.01

SECONDARY outcome

Timeframe: 12 weeks

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

A 17-item self-reported measure assessing both the quality and intensity of subjective pain. Score 0-45, higher worse

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
McGill Pain Questionnaire (MPQ)
10.71 score on a scale
Standard Deviation 8.55
9.15 score on a scale
Standard Deviation 7.63

SECONDARY outcome

Timeframe: 12 weeks

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

A 14-item self-reported measure assessing qualities for pain of neuropathic origin to distinguish pain severity. Score 0-38; higher more neuropathic

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
PainDETECT Questionnaire (PDQ)
8.87 score on a scale
Standard Deviation 5.74
9.06 score on a scale
Standard Deviation 5.44

SECONDARY outcome

Timeframe: 12 week

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

A 21-item self-report rating inventory that measures characteristic attitudes and symptoms of depression. Score 0-63, higher worse

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Beck Depression Inventory (BDI)
8.35 score on a scale
Standard Deviation 7.95
7.78 score on a scale
Standard Deviation 9.04

SECONDARY outcome

Timeframe: 12 weeks

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

A self-report questionnaire consisting of two 10-item (5-point) scales to measure both positive and negative affects of pain. Score 10-50; higher more positive

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Positive and Negative Affect Schedule (PANAS) - Positive
32.90 score on a scale
Standard Deviation 8.28
32.25 score on a scale
Standard Deviation 9.59

SECONDARY outcome

Timeframe: 12 weeks

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

A 13-item scale assessing the degree of catastrophic cognitions in the sensation of pain. The scale ranges from 1 (not at all) to 4 (always). Score 0-52, higher worse

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Pain Catastrophizing Scale (PCS)
12.26 score on a scale
Standard Deviation 11.51
10.97 score on a scale
Standard Deviation 11.97

SECONDARY outcome

Timeframe: 12 weeks

A 32-item self-reported measure delineating between beneficial versus maladaptive interoceptive attention. Score 0-160, higher more awareness.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 weeks

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

A 10-item self-reported measure quantifying a subjective percentage score of level of function (disability) in activities of daily living in those with chronic low back pain. Score 0-50; higher is greater disability

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Oswestry Disability Index (ODI)
26.19 score on a scale
Standard Deviation 15.50
18.67 score on a scale
Standard Deviation 15.50

SECONDARY outcome

Timeframe: 12 weeks

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

A 12-item self-report questionnaire measuring functional health and well-being from the patient's point of view. The SF-12 measures patient reported, health related quality of life from 0 to 100, with higher scores indicating better physical and mental health functioning.

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
12-Item Short Form Survey (SF-12) - Mental
61.14 score on a scale
Standard Deviation 13.46
60.23 score on a scale
Standard Deviation 14.10

SECONDARY outcome

Timeframe: 12 weeks

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

A self-report questionnaire consisting of two 10-item (5-point) scales to measure both positive and negative affects of pain. Score 10-50; higher more positive

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Positive and Negative Affect Schedule (PANAS) - Negative
17.54 score on a scale
Standard Deviation 5.92
16.79 score on a scale
Standard Deviation 7.10

SECONDARY outcome

Timeframe: 12 weeks

Population: The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.

A 12-item self-report questionnaire measuring functional health and well-being from the patient's point of view. The SF-12 measures patient reported, health related quality of life from 0 to 100, with higher scores indicating better physical and mental health functioning.

Outcome measures

Outcome measures
Measure
D-cycloserine (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Placebo (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
D-cycloserine
n=86 Participants
D-cycloserine 200 mg twice daily
Placebo
n=84 Participants
Placebo twice daily
Male (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
Female (Secondary)
The participants in the secondary sample were incorrectly randomized. They were excluded from efficacy analyses, but were included in safety analyses.
12-Item Short Form Survey (SF-12) - Physical
44.02 score on a scale
Standard Deviation 13.81
44.45 score on a scale
Standard Deviation 14.00

Adverse Events

D-cycloserine

Serious events: 2 serious events
Other events: 13 other events
Deaths: 0 deaths

Placebo

Serious events: 4 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
D-cycloserine
n=113 participants at risk
D-cycloserine 200 mg twice daily
Placebo
n=90 participants at risk
Placebo twice daily
Vascular disorders
Stroke
0.88%
1/113 • Number of events 1 • AEs were collected throughout the entire study period, starting on screening (visit 1) to week 24 (final visit).
Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).
1.1%
1/90 • Number of events 1 • AEs were collected throughout the entire study period, starting on screening (visit 1) to week 24 (final visit).
Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).
Infections and infestations
Severe COVID-19 Infection
0.00%
0/113 • AEs were collected throughout the entire study period, starting on screening (visit 1) to week 24 (final visit).
Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).
2.2%
2/90 • Number of events 2 • AEs were collected throughout the entire study period, starting on screening (visit 1) to week 24 (final visit).
Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).
Musculoskeletal and connective tissue disorders
Severe Back Pain
0.00%
0/113 • AEs were collected throughout the entire study period, starting on screening (visit 1) to week 24 (final visit).
Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).
1.1%
1/90 • Number of events 1 • AEs were collected throughout the entire study period, starting on screening (visit 1) to week 24 (final visit).
Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).
Surgical and medical procedures
Total Knee Replacement
0.88%
1/113 • Number of events 1 • AEs were collected throughout the entire study period, starting on screening (visit 1) to week 24 (final visit).
Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).
0.00%
0/90 • AEs were collected throughout the entire study period, starting on screening (visit 1) to week 24 (final visit).
Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).

Other adverse events

Other adverse events
Measure
D-cycloserine
n=113 participants at risk
D-cycloserine 200 mg twice daily
Placebo
n=90 participants at risk
Placebo twice daily
Nervous system disorders
Headache
5.3%
6/113 • Number of events 6 • AEs were collected throughout the entire study period, starting on screening (visit 1) to week 24 (final visit).
Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).
4.4%
4/90 • Number of events 4 • AEs were collected throughout the entire study period, starting on screening (visit 1) to week 24 (final visit).
Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).
Infections and infestations
Upper Respiratory Infection
6.2%
7/113 • Number of events 7 • AEs were collected throughout the entire study period, starting on screening (visit 1) to week 24 (final visit).
Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).
6.7%
6/90 • Number of events 6 • AEs were collected throughout the entire study period, starting on screening (visit 1) to week 24 (final visit).
Adverse events are reported for all participants who were randomized (n=203) based on the treatment received (safety population). For the primary efficacy outcome results, only those participants who were enrolled up to the time of the error in allocation were included in those analyses (n=170).

Additional Information

Dr. Santiago Espinosa Salas

Northwestern University Feinberg School of Medicine

Phone: 312 503 3283

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place