Influence of Bupropion on the Effects of MDMA
The purpose of this study is to determinate the effect of a pre-treatment with bupropion, a dopamine and norepinephrine transporter inhibitor, on the pharmacodynamics and pharmacokinetics of 3,4-methylenedioxymethamphetamine (MDMA, “Ecstasy”). The study will provide further understanding of the dopaminergic regulation of mood.
Detailed Description
Randomised, double-blind, placebo-controlled crossover in 16 healthy volunteers testing the effect of bupropion pre-treatment on acute physiological and subjective responses to MDMA.
Bupropion XR given for 7 days (150 mg x3 days, then 300 mg x4 days) with a single 300 mg dose 2 hours before MDMA 125 mg or placebo; outcomes include repeated subjective measures, cardiovascular responses, and MDMA pharmacokinetics.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
MDMA ± bupropion
experimentalRandomised, double-blind, within-subject crossover with four treatment conditions (placebo-placebo; bupropion-placebo; placebo-MDMA; bupropion-MDMA).
Interventions
- MDMA125 mgvia Oral• single dose
MDMA 125 mg per os.
- Compound300 mgvia Oral• 7-day course with single pre-dose
Bupropion XR: 150 mg qd x3 then 300 mg qd x4; 300 mg given 2 h before MDMA/placebo on test day.
- Placebovia Oral• single dose
Placebo capsules matching MDMA or bupropion.
Participants
Inclusion Criteria
- Age between 18 and 45
- Understanding of the German language
- Subjects understand the procedures and the risks associated with the study
- Participants must be willing to adhere to the protocol and sign the consent form
- Participants must be willing to drink only alcohol-free liquids and no xanthine-containing products (such as coffee, black or green tea, red bull, chocolate) after midnight of the evening before the study session, as well as during the study day
- Participants must be willing not to drive a traffic vehicle within 48 h following MDMA administration
- Women of childbearing potential must have a negative pregnancy test at the beginning of the study and must agree to use an effective form of birth control. Pregnancy tests are repeated before each study session
- Body mass index: 18-27 kg/m2
Exclusion Criteria
- Chronic or acute medical condition including clinically relevant abnormality in physical exam, laboratory values, or ECG. In particular: Hypertension (>140/90 mmHg) or Hypotension (SBP<85 mmHg). Personal or first-grade history of seizures. Cardiac or neurological disorder
- Current or previous psychotic or major affective disorder
- Psychotic or major affective disorder in first-degree relatives
- Prior illicit drug use (except tetrahydrocannabinol (THC)-containing products) more than 5 times or any time within the previous 2 months
- Pregnant or nursing women
- Participation in another clinical trial (currently or within the last 30 days)
- Use of medications that are contraindicated or otherwise interfere with the effects of the study medications (monoamine oxidase inhibitors, antidepressants, sedatives etc.)
- Tobacco smoking
Study Details
- StatusCompleted
- PhasePhase I
- Typeinterventional
- DesignRandomizedquadruple Blind
- Target Enrollment16 participants
- TimelineStart: 2013-01-01End: 2013-01-09
- Compounds
- Topic