MDMA, Cortisol and Memory
Double-blind, placebo-controlled, randomised crossover study (n=60) testing single-dose MDMA (75 mg) and metyrapone (750 mg) versus placebo in ecstasy users to assess memory performance and cortisol responses.
Detailed Description
This within-subject crossover trial enrols 60 experienced or novice ecstasy users (30 novice, 30 heavy) to examine the role of cortisol in MDMA-induced memory impairment under four treatment conditions.
Participants receive metyrapone or placebo as pre‑treatment followed one hour later by MDMA 75 mg or placebo; cognitive testing occurs ~90 minutes after MDMA, with saliva sampling for cortisol. Primary outcomes are cognitive and neuroendocrine measurements.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
Crossover conditions
experimentalWithin-subject, double-blind crossover with four treatment days (Placebo+Placebo; Placebo+MDMA; Metyrapone+Placebo; Metyrapone+MDMA).
Interventions
- MDMA75 mgvia Oral• single dose• 1 doses total
MDMA 75 mg given at 10:30 on each test day (≈90 minutes before cognitive testing).
- Compound750 mgvia Oral• single dose• 1 doses total
Metyrapone 750 mg pre-treatment given ~60 minutes before MDMA/placebo.
- Placebovia Oral• single dose• 1 doses total
Placebo matching MDMA or metyrapone as per condition.
Participants
Inclusion Criteria
- 1. Experience with the use of MDMA (novice: ≤10 lifetime exposures; heavy: ≥100 lifetime exposures; at least one use in past 12 months for both groups).
- 2. Free from medication.
- 3. Good physical health as determined by examination and laboratory analysis.
- 4. Absence of any major medical (except OAC), endocrine or neurological condition.
- 5. Normal weight: BMI between 18 and 28 kg/m2.
- 6. Written informed consent.
Exclusion Criteria
- 1. History of drug abuse (other than MDMA) or addiction.
- 2. Women: pregnancy or lactation; not using oral contraceptive pill.
- 3. Cardiovascular abnormalities on standard 12‑lead ECG.
- 4. Excessive drinking (>20 alcoholic consumptions per week).
- 5. Hypertension (diastolic >100 mmHg or systolic >170 mmHg).
- 6. Current or history of psychiatric disorder.
Study Details
- StatusRecruiting
- PhasePhase NA
- Typeinterventional
- DesignRandomizeddouble Blind
- Target Enrollment60 participants
- TimelineStart: 2008-11-01End: 2012-01-01
- Compounds
- Topic