Acute Dose-dependent Effects of DMT in Healthy Subjects: A Placebo-controlled Cross-over Study (DMT DR)
The present study is a modern randomized cross-over trial, investigating different continuous intravenous DMT dose rates over a broad dose range.
Detailed Description
Randomized, double-blind, placebo-controlled 5-period crossover in healthy volunteers (n=24) testing IV DMT at 0.6, 1.2, 1.8 and 2.4 mg/min with a placebo arm; a sixth session permits patient-guided titration.
Primary aim is to characterise dose–response relationships for subjective and autonomic effects using continuous IV infusion regimens and relate doses to acute safety and physiological measures.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
DMT 0.6 mg/min
experimentalIV infusion of DMT at 0.6 mg/min (single session).
Interventions
- DMT0.6 mg/minvia IV• single dose• 1 doses total
Total dose ~54 mg (infusion).
DMT 1.2 mg/min
experimentalIV infusion of DMT at 1.2 mg/min (single session).
Interventions
- DMT1.2 mg/minvia IV• single dose• 1 doses total
Total dose ~108 mg (infusion).
DMT 1.8 mg/min
experimentalIV infusion of DMT at 1.8 mg/min (single session).
Interventions
- DMT1.8 mg/minvia IV• single dose• 1 doses total
Total dose ~162 mg (infusion).
DMT 2.4 mg/min
experimentalIV infusion of DMT at 2.4 mg/min (single session).
Interventions
- DMT2.4 mg/minvia IV• single dose• 1 doses total
Total dose ~216 mg (infusion).
Placebo
inactiveSaline infusion (placebo comparator).
Interventions
- Placebovia IV• single dose• 1 doses total
Saline infusion.
DMT 1.2 mg/min + titration
experimentalIV infusion at 1.2 mg/min with an additional patient-guided titration session.
Interventions
- DMT1.2 mg/minvia IV• single dose• 1 doses total
Patient-guided dose titration in a sixth session; total dose ~108 mg before titration.
Participants
Inclusion Criteria
- Inclusion Criteria:
- 1. Age between 25 and 65 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. Abstaining from xanthine-based liquids from the evenings prior to the study sessions and during the sessions
- 7. Willing not to operate heavy machinery within 6 h of DMT administration
- 8. Willing to use double-barrier birth control throughout study participation
- 9. Body mass index between 18-29 kg/m2
Exclusion Criteria
- Exclusion Criteria:
- 1. Chronic or acute medical condition
- 2. Current or previous major psychiatric disorder (e.g. psychotic disorders, mania / hypomania, anxiety disorders).
- 3. Psychotic disorder or bipolar disorder in first-degree relatives
- 4. Hypertension (SBP>140/90 mmHg) or hypotension (SBP<85 mmHg)
- 5. Hallucinogenic substance use (not including cannabis) more than 20 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)