Tolerability of MDMA in Schizophrenia (TMS)
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ClinicalTrials.gov Identifier: NCT05770375 |
Recruitment Status :
Not yet recruiting
First Posted : March 15, 2023
Last Update Posted : May 8, 2024
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Sponsor:
Anya Bershad, MD, PhD
Collaborator:
National Institutes of Health (NIH)
Information provided by (Responsible Party):
Anya Bershad, MD, PhD, University of California, Los Angeles
Tracking Information | |||||||
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First Submitted Date ICMJE | February 21, 2023 | ||||||
First Posted Date ICMJE | March 15, 2023 | ||||||
Last Update Posted Date | May 8, 2024 | ||||||
Estimated Study Start Date ICMJE | August 1, 2024 | ||||||
Estimated Primary Completion Date | March 2025 (Final data collection date for primary outcome measure) | ||||||
Current Primary Outcome Measures ICMJE |
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Original Primary Outcome Measures ICMJE | Same as current | ||||||
Change History | |||||||
Current Secondary Outcome Measures ICMJE | Not Provided | ||||||
Original Secondary Outcome Measures ICMJE | Not Provided | ||||||
Current Other Pre-specified Outcome Measures | Not Provided | ||||||
Original Other Pre-specified Outcome Measures | Not Provided | ||||||
Descriptive Information | |||||||
Brief Title ICMJE | Tolerability of MDMA in Schizophrenia | ||||||
Official Title ICMJE | Tolerability of MDMA in Schizophrenia | ||||||
Brief Summary | Impaired social motivation, or "asociality," is a negative symptom of schizophrenia (SCZ) and a cause of significant functional impairment in the illness. Whereas many symptoms of schizophrenia can be treated with antipsychotic medications, deficits in social motivation persist, leading to significant social disability in patients. There is currently no effective treatment for this symptom of the illness. One promising and unexplored avenue to enhance social motivation in schizophrenia is ± 3,4-methylenedioxymethamphetamine (MDMA). MDMA is a psychostimulant that shares some pharmacological properties with amphetamines, but in addition, has pronounced pro-social effects, increasing the motivation to engage socially. In healthy volunteers, it produces feelings of empathy and closeness with others and increases attention to positive social cues, perhaps partly through its effects on the social bonding hormone, oxytocin. MDMA has shown promise in other psychiatric conditions such as PTSD. Thus, MDMA could offer a unique therapeutic benefit in patients with SCZ who suffer from impaired social motivation. The investigators plan to take the first step in testing MDMA as a treatment for these social deficits by testing the tolerability of the drug in patients with SCZ. This will be an open-label, ascending-dose, within-subject trial in which participants will receive 40mg, 80mg, or 120mg of MDMA. The doses will be administered in ascending order, but doses will be stopped if subjects experience moderate or greater psychotic symptoms at 24 hours. This trial will assess the tolerability of the drug in this population and guide in the selection of a maximum well-tolerated dose for future studies. The primary tolerability measure will be clinician-rated psychotic symptoms (disorganized speech, delusions, hallucinations) collected at 24 hours after MDMA administration. The results of this project will lay the foundation for further investigations of MDMA and other psychoactive compounds as a treatment for debilitating and difficult-to-treat social deficits in schizophrenia. Future studies will examine interactions between the effects of psychoactive compounds and nonpharmacologic psychosocial interventions targeting social symptoms. | ||||||
Detailed Description | Not Provided | ||||||
Study Type ICMJE | Interventional | ||||||
Study Phase ICMJE | Phase 1 Phase 2 |
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Study Design ICMJE | Allocation: N/A Intervention Model: Single Group Assignment Intervention Model Description: Ascending-dose tolerability study Masking: None (Open Label)Primary Purpose: Treatment |
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Condition ICMJE | Schizophrenia | ||||||
Intervention ICMJE |
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Study Arms ICMJE | Experimental: MDMA
Each subject will receive 3 doses of MDMA in ascending order: 40mg, 80mg, 120mg.
Interventions:
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Publications * | Not Provided | ||||||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | |||||||
Recruitment Status ICMJE | Not yet recruiting | ||||||
Estimated Enrollment ICMJE |
20 | ||||||
Original Estimated Enrollment ICMJE | Same as current | ||||||
Estimated Study Completion Date ICMJE | March 2026 | ||||||
Estimated Primary Completion Date | March 2025 (Final data collection date for primary outcome measure) | ||||||
Eligibility Criteria ICMJE | Inclusion Criteria:
Exclusion Criteria:
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Sex/Gender ICMJE |
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Ages ICMJE | 18 Years to 60 Years (Adult) | ||||||
Accepts Healthy Volunteers ICMJE | No | ||||||
Contacts ICMJE | |||||||
Listed Location Countries ICMJE | Not Provided | ||||||
Removed Location Countries | |||||||
Administrative Information | |||||||
NCT Number ICMJE | NCT05770375 | ||||||
Other Study ID Numbers ICMJE | IRB#22-001600 1DP5OD036172-01 ( U.S. NIH Grant/Contract ) |
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Has Data Monitoring Committee | Not Provided | ||||||
U.S. FDA-regulated Product |
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IPD Sharing Statement ICMJE | Not Provided | ||||||
Current Responsible Party | Anya Bershad, MD, PhD, University of California, Los Angeles | ||||||
Original Responsible Party | Same as current | ||||||
Current Study Sponsor ICMJE | Anya Bershad, MD, PhD | ||||||
Original Study Sponsor ICMJE | Same as current | ||||||
Collaborators ICMJE | National Institutes of Health (NIH) | ||||||
Investigators ICMJE | Not Provided | ||||||
PRS Account | University of California, Los Angeles | ||||||
Verification Date | May 2024 | ||||||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |