Acute Analgesic Effects of DMT on Experimentally Induced Pain in Healthy Participants
This randomised, triple-blind, placebo-controlled crossover trial (n=18) will investigate the acute analgesic (anti-pain) effects of N,N-dimethyltryptamine (DMT) on experimentally induced acute nociceptive pain, hyperalgesia, and allodynia in healthy participants.
Detailed Description
This is a randomized, counter-balanced three-period crossover in healthy volunteers comparing continuous IV DMT infusion, racemic ketamine infusion, and saline placebo using a validated electrical stimulation pain model to probe nociception, hyperalgesia and allodynia.
DMT is administered as a controllable continuous intravenous infusion (1.2 mg/min) allowing rapid adjustment and termination; ketamine (1.0 mg/min) serves as an active comparator and saline as placebo. Outcomes include acute pain intensity and secondary measures of pain sensitisation.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
DMT infusion
experimentalContinuous intravenous infusion of DMT (controllable, short half-life) in a single session within a three-period crossover.
Interventions
- DMT1.2 mg/minvia IV• single infusion
Continuous IV infusion at 1.2 mg/min; rapidly adaptable and terminable psychedelic state.
Ketamine infusion
active comparatorRacemic ketamine active comparator infusion in crossover.
Interventions
- Ketamine1 mg/minvia IV• single infusion
Racemic ketamine infusion at 1.0 mg/min as positive control.
Placebo infusion
inactiveSaline placebo infusion in crossover.
Interventions
- Placebovia IV• single infusion
Saline infusion (placebo).
Participants
Inclusion Criteria
- 1. Age between 25 and 75 years old
- 2. Sufficient understanding of the German language
- 3. Understanding of procedures and risks associated with the study
- 4. Willing to adhere to the protocol and signing of the consent form
- 5. Willing to refrain from the consumption of illicit psychoactive substances during the study
- 6. Willing not to operate heavy machinery for 24 hours after the study session
- 7. Willing to use effective birth control throughout study participation
- 8. Body mass index between 18-29 kg/m2 and body weight within 50-90 kg
Exclusion Criteria
- 1. Chronic or acute medical condition
- 2. Current or previous major psychiatric disorder
- 3. Psychotic disorder or bipolar disorder in first-degree relatives
- 4. Hypertension (SBP>140/90 mmHg) or hypotension (SBP<85 mmHg)
- 5. Hallucinogenic and/or dissociative substance use (not including cannabis) more than 15 times or any time within the previous two months
- 6. Pregnancy or current breastfeeding
- 7. Participation in another clinical trial (currently or within the last 30 days)
- 8. Use of medication that may interfere with the effects of the study medication
- 9. Tobacco smoking (>10 cigarettes/day)
- 10. Consumption of alcoholic beverages (>20 drinks/week)
Study Details
- StatusRecruiting
- PhasePhase I
- Typeinterventional
- DesignRandomizedtriple Blind
- Target Enrollment18 participants
- TimelineStart: 2024-05-01End: 2025-02-28
- Compounds
- Topic