Circulating Oxytocin Changes in Response to the Oxytocin System Stimulator MDMA in Patients With Diabetes Insipidus and Healthy Controls
This randomized, double-blind, placebo-controlled crossover trial (n=30) called OxyMA aims to investigate the changes in circulating oxytocin levels in response to the oxytocin system stimulator MDMA in patients with diabetes insipidus and healthy controls.
Detailed Description
Randomized, double-blind, placebo-controlled crossover study comparing single 100 mg MDMA versus placebo in 30 participants (patients with central diabetes insipidus and matched healthy volunteers) to measure acute changes in circulating oxytocin.
Primary purpose is basic science; MDMA administered as gelatin capsule with mannitol filler. Outcomes include plasma oxytocin response; standard safety exclusions applied (cardiovascular disease, psychiatric disorders, interacting medications).
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
MDMA
experimentalSingle 100 mg MDMA capsule (within-subject crossover)
Interventions
- MDMA100 mgvia Oral• single dose• 1 doses total
Absolute dose 100 mg (~1.3 ± 0.3 mg/kg) administered in gelatin capsule with mannitol.
Placebo
inactiveIdentical mannitol placebo capsule (within-subject crossover)
Interventions
- Placebovia Oral• single dose• 1 doses total
Identical placebo capsule containing only mannitol.
Participants
Inclusion Criteria
- Inclusion Criteria diabetes insipidus:
- Confirmed diagnosis of central diabetes insipidus
- Inclusion criteria healthy volunteers:
- Matched for age, sex, BMI and estrogen replacement/menopause/hormonal contraceptives to patients with central diabetes insipidus
- No medication, except hormonal contraception
Exclusion Criteria
- Exclusion Criteria:
- Familial central diabetes insipidus
- Participation in a trial with investigational drugs within 30 days
- Illicit substance use (with the exception of cannabis) more than 10 times in lifetime or any time within the previous two months
- Consumption of alcoholic beverages >15 drinks/week
- Tobacco smoking >10 cigarettes/day
- Cardiovascular disease (coronary artery disease, heart failure, left ventricular ejection fraction (LVEF) <40%, stroke in the last 3 months, atrial fibrillation/flutter, Wolff-Parkinson-White syndrome)
- Uncontrolled arterial hypertension (>140/90 mmHg) or hypotension (systolic blood pressure <85 mmHg)
- Current or previous major psychiatric disorder (e.g., major depression, schizophrenia spectrum disorder)
- Psychotic disorder in first-degree relatives
- Regular intake of selective serotonin reuptake inhibitor (SSRI), monoamine oxidase (MAO) inhibitors
- Pregnancy and breastfeeding
- Diagnosed chronic kidney disease > grade III (eGFR < 30 ml/min)
- Diagnosed liver cirrhosis or ALT/AST levels 2.5 times above the normal range
Study Details
- StatusCompleted
- PhasePhase NA
- Typeinterventional
- DesignRandomizeddouble Blind
- Target Enrollment30 participants
- TimelineStart: 2021-02-05End: 2021-12-10
- Compounds
- Topic