Evidence map›Paper›PMID 26111923›Full record

Trial reportContemporary clinical trials2015

Dose timing of D-cycloserine to augment cognitive behavioral therapy for social anxiety: Study design and rationale.

Stefan G Hofmann, Joseph K Carpenter, Michael W Otto, David Rosenfield, Jasper A J Smits, Mark H Pollack

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Stefan G HofmannDepartment of Psychological and Brain Sciences, Boston University, 648 Beacon Street, 6th, Floor Boston, MA 02215, United States. Electronic address: shofmann@bu.edu.
Joseph K CarpenterDepartment of Psychological and Brain Sciences, Boston University, 648 Beacon Street, 6th, Floor Boston, MA 02215, United States. Electronic address: jcarpen@bu.edu.
Michael W OttoDepartment of Psychological and Brain Sciences, Boston University, 648 Beacon Street, 6th, Floor Boston, MA 02215, United States. Electronic address: mwotto@bu.edu.
David RosenfieldDepartment of Psychology, Southern Methodist Univeristy, Expressway Tower 1100N, Dallas, TX 75275, United States. Electronic address: drosenfi@smu.edu.
Jasper A J SmitsDepartment of Psychology, University of Texas at Austin, 108 E. Dean Keeton, Stop A8000, Austin, TX 78712, United States. Electronic address: smits@utexas.edu.
Mark H PollackDepartment of Psychiatry, Rush University Medical Center, 1645W. Jackson Blvd, Suite 600, Chicago, IL 60612, United States. Electronic address: mark_pollack@rush.edu.
Boston University · USRush University Medical Center · USSouthern Methodist University · USThe University of Texas at Austin · US

Funding

2/3-Dose Timing of D-cycloserine to Augment CBT for Social Anxiety DisorderR34MH099311 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI HOFMANN, STEFAN G. · 2014 to 2016
$737k
NIMH NIH HHS R34 MH099311
6 · The paper itself

Abstract

The use of D-cycloserine (DCS) as a cognitive enhancer to augment exposure-based cognitive-behavioral therapy (CBT) represents a promising new translational research direction with the goal to accelerate and optimize treatment response for anxiety disorders. Some studies suggest that DCS may not only augment extinction learning but could also facilitate fear memory reconsolidation. Therefore, the effect of DCS may depend on fear levels reported at the end of exposure sessions. This paper presents the rationale and design for a randomized controlled trial examining the relative efficacy of tailoring DCS administration based on exposure success (i.e. end fear levels) during a 5-session group CBT protocol for social anxiety disorder (n = 156). Specifically, tailored post-session DCS administration will be compared against untailored post-session DCS, untailored pre-session DCS, and pill placebo in terms of reduction in social anxiety symptoms and responder status. In addition, a subset of participants (n = 96) will undergo a fear extinction retention experiment prior to the clinical trial in which they will be randomly assigned to receive either DCS or placebo prior to extinguishing a conditioned fear. The results from this experimental paradigm will clarify the mechanism of the effects of DCS on exposure procedures. This study aims to serve as the first step toward developing an algorithm for the personalized use of DCS during CBT for social anxiety disorder, with the ultimate goal of optimizing treatment outcome for anxiety disorders.

Indexed as

Research DesignAnxiety DisordersCombined Modality TherapyCycloserineDouble-Blind MethodHeart RateHumansHydrocortisoneImplosive TherapyPsychiatric Status Rating ScalesSalivaSeverity of Illness IndexSleepCycloserineHydrocortisoneCognitive–behavioral therapyd-cycloserineExposure therapySocial anxiety disorderSocial phobia

Identifiers

PMID26111923
PMCPMC4522368
OpenAlexW2136533306

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.