Open-Label Proof of Concept Feasibility Study to Explore the Safety, Tolerability and Potential Role of MDMA-Assisted Psychotherapy for the Treatment of Detoxified Patients with Alcohol Use Disorder
Open-label proof-of-concept feasibility study (n=20) assessing safety, tolerability, and acceptability of MDMA-assisted psychotherapy (oral MDMA capsules) in detoxified patients with alcohol use disorder.
Detailed Description
Proof-of-concept, therapist-supported MDMA-assisted psychotherapy delivered over an 8-week programme to detoxified patients with alcohol use disorder; primary outcomes are safety and tolerability and feasibility of delivering the intervention.
Intervention uses oral MDMA capsules (IMP strength documented as 62.5 mg). Secondary outcomes include drinking behaviour, psychosocial functioning and quality of life measured up to 9 months.
Sponsor: Imperial College London; competent authority decision authorised (MHRA) and favourable ethics opinion recorded in EudraCT.
Study Protocol
Preparation
Dosing
Integration
Therapeutic Protocol
Study Arms & Interventions
MDMA-assisted psychotherapy
experimentalOral MDMA capsules administered during drug-assisted psychotherapy sessions.
Interventions
- MDMA62.5 mgvia Oral• per dosing session
Capsule strength 62.5 mg (IMP specification).
Placebo
inactiveMatching placebo capsule used as comparator per registry form.
Interventions
- Placebovia Oral• per dosing session
Placebo used (D.8 in EudraCT); details not specified in public record.
Participants
Inclusion Criteria
- Informed consent
- Primary diagnosis (DSM-5) of alcohol use disorder
- Successful alcohol detoxification (no longer consuming any alcoholic substances)
- Aged 18–65 years
- Able to identify a supportive significant other who can accompany/provide supervision and be contacted for follow-up
- Proficient in English
- Agree to comply with protocol requirements
Exclusion Criteria
- Lacking capacity
- History of, or current, primary psychotic disorder, bipolar affective disorder type 1, or personality disorder
- Present a serious suicide risk
- Relevant abnormal clinical findings at screening judged by investigator to render subject unsuitable (including history of cardiac disease, hypertension, stroke; severe liver disease; epilepsy; malignant hyperthermia/Central Core Disease)
- Regular user of ecstasy (>5 times in last 5 years or ≥2 times in prior 6 months)
- Currently taking or unwilling/unable to stop medications inhibiting CYP2D6 or interacting meds listed in protocol (MAOIs, ritonavir, paroxetine, fluoxetine, citalopram, regular benzodiazepines, etc.) during 8-week therapy
- Regular use/dependence on other drugs (benzodiazepines, synthetic cannabinoids, cocaine, heroin)
- Females of childbearing potential must use effective contraception and not be breastfeeding during 8-week therapy
- Participation in another investigational product study within last 3 months
Study Details
- StatusUnknown status
- PhasePhase II
- Typeinterventional
- DesignNon-randomized
- Target Enrollment20 participants
- TimelineStart: 2017-01-03End: 2025-12-30
- Compounds
- Topic