Pharmacological Interaction Between Carvedilol and Methylenedioxymethamphetamine (MDMA)
Randomised, double-blind, placebo-controlled crossover in 16 healthy volunteers testing carvedilol (50 mg) pre-treatment on the pharmacodynamics and pharmacokinetics of oral MDMA (125 mg).
Detailed Description
This randomized, quadruple-blind, placebo-controlled crossover study in healthy adults evaluates whether carvedilol (50 mg) attenuates the cardiovascular and subjective effects of a single oral MDMA dose (125 mg).
Each participant completes four experimental sessions in which carvedilol or placebo is given 1 hour before MDMA or placebo; subjective and cardiovascular responses are measured repeatedly and plasma is collected for pharmacokinetics and pharmacodynamics.
Primary hypothesis: carvedilol will significantly reduce the blood pressure response to MDMA; secondary outcomes include heart rate, subjective effects, and PK measures.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
Carvedilol–MDMA crossover
experimentalWithin-subject crossover testing carvedilol or placebo given 1 h before MDMA or placebo (4 sessions).
Interventions
- MDMA125 mgvia Oral• single dose• 1 doses total
Oral MDMA 125 mg single dose.
- Compound50 mgvia Oral• single dose• 1 doses total
Carvedilol 50 mg oral given 1 h before MDMA or placebo.
- Placebovia Oral• single dose• 1 doses total
Placebo capsules identical to MDMA or carvedilol.
Participants
Inclusion Criteria
- Inclusion Criteria:
- Sufficient 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 refrain from taking illicit psychoactive substances during the study
- Participants must be willing to drink only alcohol-free liquids and no xanthine-containing liquids (such as coffee, black or green tea, red bull, chocolate) after midnight of the evening before the study session; subjects must agree not to smoke tobacco for 1 h before and 4 hours after MDMA administration
- Participants must be willing not to drive a traffic vehicle in the evening of the study day
- 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: 18-25 kg/m2
Exclusion Criteria
- Exclusion Criteria:
- Chronic or acute medical condition including clinically relevant abnormality in physical exam, laboratory values, or ECG; in particular: hypertension (>140/90 mmHg)
- Personal or first-degree history of seizures
- Cardiac or neurological disorder
- Current or previous psychotic or affective disorder
- Psychotic or affective disorder in first-degree relatives
- Prior illicit drug use (except 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.)
Study Details
- StatusCompleted
- PhasePhase NA
- Typeinterventional
- DesignRandomizedquadruple Blind
- Target Enrollment16 participants
- TimelineStart: 2011-01-01End: 2011-01-05
- Compounds
- Topic