Acute Effects of R- and S-MDMA in Healthy Subjects (R-S-MDMA)
This crossover trial (n=24) investigates the acute effects of R- and S-MDMA compared to racemic MDMA and placebo in healthy subjects.
Detailed Description
Randomised, double-blind, triple-masked, five-period crossover in healthy volunteers comparing 125 mg racemic MDMA, 125 mg S-MDMA, 125 mg R-MDMA, 250 mg R-MDMA, and placebo.
Primary aim is basic science: to characterise acute subjective, physiological and neuroendocrine differences between enantiomers and racemate; participants abstain from psychoactives and follow protocol restrictions.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
125 mg MDMA
experimentalRacemic MDMA 125 mg, single oral dose (one period of the crossover).
Interventions
- MDMA125 mgvia Oral• single dose
125 mg S-MDMA
experimentalEnantiomeric S-MDMA 125 mg, single oral dose.
Interventions
- MDMA125 mgvia Oral• single dose
S-enantiomer
125 mg R-MDMA
experimentalEnantiomeric R-MDMA 125 mg, single oral dose.
Interventions
- MDMA125 mgvia Oral• single dose
R-enantiomer
250 mg R-MDMA
experimentalEnantiomeric R-MDMA 250 mg, single oral dose.
Interventions
- MDMA250 mgvia Oral• single dose
Higher R-enantiomer dose
Placebo
inactivePlacebo (mannitol) single oral dose.
Interventions
- Placebovia Oral• single dose
Mannitol placebo
Participants
Inclusion Criteria
- Inclusion Criteria:
- 1. Age between 18 and 65 years.
- 2. Understanding of the German language.
- 3. Understanding the procedures and the risks that are associated with the study.
- 4. Participants must be willing to adhere to the protocol and sign the consent form.
- 5. Participants must be willing to refrain from taking illicit psychoactive substances during the study.
- 6. Participants must be willing to drink only alcohol-free liquids and no coffee, black or green tea, or energy drink after midnight of the evening before the study session, as well as during the study day.
- 7. Participants must be willing not to drive a traffic vehicle or to operate machines within 48 h after substance administration.
- 8. Willing to use double-barrier birth control throughout study participation.
- 9. Body mass index between 18-29 kg/m2.
Exclusion Criteria
- 1. Chronic or acute medical condition
- 2. Current or previous major psychiatric disorder
- 3. Psychotic disorder in first-degree relatives, not including psychotic disorders secondary to an apparent medical reason, e.g. brain injury, dementia, or lesions of the brain.
- 4. Hypertension (SBP>140/90 mmHg) or hypotension (SBP<85 mmHg)
- 5. Illicit substance use (not including cannabis) more than 20 times or any time within the previous month
- 6. Pregnant or nursing women.
- 7. Participation in another clinical trial (currently or within the last 30 days).
- 8. Use of medications that may interfere with the effects of the study medications.
- 9. Tobacco smoking (>10 cigarettes/day).
- 10. Consumption of alcoholic drinks (>15 drinks/week).