MDMA (3,4-methylenedioxy-N-methylamphetamine) for the treatment of tinnitus
This placebo-controlled, double-blind crossover trial (n=40) explores the potential therapeutic effects of a low dose (30–70 mg) of MDMA for treating tinnitus.
Detailed Description
Two-phase, placebo-controlled, double-blind crossover study assessing oral low-dose MDMA versus placebo in people with constant tinnitus; phase 1 evaluates 30 mg (and 70 mg if needed) and phase 2 further assesses the selected dose in a larger sample.
Sessions occur in a low-sensory environment under pharmacist supervision; phase 2 includes resting-state fMRI before and two hours after administration to objectively assess MDMA effects.
Study Protocol
Preparation
Dosing
Integration
Therapeutic Protocol
Study Arms & Interventions
MDMA vs placebo
experimentalOral low-dose MDMA (30 mg; conditional escalation to 70 mg) in a placebo-controlled, double-blind crossover design.
Interventions
- MDMA30 - 70 mgvia Oral• single dose
Phase 1 tests 30 mg (N=10) and, if no effect, 70 mg (N=10); phase 2 uses dose chosen from phase 1 (N=20).
- Placebovia Oral• single dose
Microcrystalline cellulose capsule (placebo).
Participants
Inclusion Criteria
- Constant tinnitus perception
- Age 18 to 70 years
- Good mental and physical health; no drugs or medication one week before and during the study
- BMI within 15% of established norm
Exclusion Criteria
- Personal or family history of mood disorder (e.g., depression or bipolar disorder)
- Nursing or pregnancy
- History of serious organic illness or major surgery within 3 months
- Smoking ≥20 cigarettes per day
- Daily alcohol consumption ≥50 g
- Regular medication in the month prior to the study
- History of allergy or adverse reaction to medication
- Neurological disorders susceptible to worsening with psychoactive substances (e.g., epilepsy)
- History of cardiovascular, gastrointestinal, hepatic, or renal pathology or other conditions affecting drug absorption, distribution, metabolism, or excretion
- Systolic BP ≥135 mmHg, diastolic BP ≥85 mmHg, or heart rate ≥100 bpm after 5 min rest
- Inability to understand the nature and consequences of the study or the procedures
- History of drug or alcohol addiction
Study Details
- StatusCompleted
- PhasePhase NA
- Typeinterventional
- DesignRandomizeddouble Blind
- Target Enrollment40 participants
- TimelineStart: 2013-11-19End: 2017-04-28
- Compounds
- Topic