Effects of MDMA-like Substances in Healthy Subjects
Phase I randomised, triple‑blind, placebo‑controlled 5‑period crossover in healthy volunteers (n=23) comparing single oral MDMA, MDA, lysine‑MDMA, lysine‑MDA and placebo.
Detailed Description
This randomized, triple‑blind, placebo‑controlled five‑period crossover in healthy volunteers directly compares the acute effects of MDMA and its metabolite MDA, and their lysine‑linked prodrugs, using single oral doses and modern psychometric and physiological measures.
Aims are to (1) characterise and directly compare subjective, cognitive and physiological effects of MDMA versus MDA and (2) test whether lysine‑conjugation (slow‑release prodrug) attenuates onset and peak effects; outcomes include psychometrics, vitals and safety/tolerability.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
MDMA
experimentalSingle oral MDMA dose (MDMA-HCl 100 mg; 84.1 mg free base).
Interventions
- MDMA84.1 mgvia Oral• single dose• 1 doses total
100 mg MDMA‑HCl (=84.1 mg MDMA free base)
MDA
experimentalSingle oral MDA dose (93.9 mg MDA‑HCl; 78.0 mg free base).
Interventions
- Placebo78 mgvia Oral• single dose• 1 doses total
93.9 mg MDA‑HCl (=78.0 mg MDA free base); mapped to placeholder compound
lysine‑MDMA
experimentalSingle oral lysine‑MDMA prodrug (171.7 mg lysMDMA dihydrochloride; 84.1 mg MDMA free base).
Interventions
- MDMA84.1 mgvia Oral• single dose• 1 doses total
Administered as 171.7 mg lysMDMA dihydrochloride (equals 84.1 mg MDMA free base)
lysine‑MDA
experimentalSingle oral lysine‑MDA prodrug (165.6 mg lysMDA dihydrochloride; 78.0 mg MDA free base).
Interventions
- Placebo78 mgvia Oral• single dose• 1 doses total
165.6 mg lysMDA dihydrochloride (equals 78.0 mg MDA free base); mapped to placeholder compound
Placebo
inactivePlacebo (mannitol) comparator.
Interventions
- Placebovia Oral• single dose• 1 doses total
Placebo (mannitol)
Participants
Inclusion Criteria
- Age between 18 and 65 years old
- Sufficient understanding of the German language
- Understanding of procedures and risks associated with the study
- Willing to adhere to the protocol and signing of the consent form
- Willing to refrain from the consumption of illicit psychoactive substances during the study
- Abstaining from xanthine-based liquids from the evenings prior to the study sessions to the end of the study days
- Willing not to operate heavy machinery within 48 hours after substance administration
- Willing to use double-barrier birth control throughout study participation
- Body mass index between 18-29 kg/m2
Exclusion Criteria
- Chronic or acute medical condition
- Current or previous major psychiatric disorder
- Psychotic disorder or bipolar disorder in first-degree relatives
- Hypertension (>140/90 mmHg) or hypotension (SBP<85 mmHg)
- Hallucinogenic substance or MDMA use more than 20 times or use of any illicit substance within the previous two months (not including cannabis)
- Pregnancy or current breastfeeding
- Participation in another clinical trial (currently or within the last 30 days)
- Use of medication that may interfere with the effects of the study medication
- Tobacco smoking (>10 cigarettes/day)
- Consumption of alcoholic beverages (>20 drinks/week)
Study Details
- StatusCompleted
- PhasePhase I
- Typeinterventional
- DesignRandomizedtriple Blind
- Target Enrollment23 participants
- TimelineStart: 2021-04-30End: 2023-12-31
- Compounds
- Topic