Plasma Oxytocin Changes in Response to Low-dose MDMA vs. Placebo in Patients With Arginine Vasopressin Deficiency and Healthy Controls (OxyMAX)
This double-blind, placebo-controlled crossover trial (n=24) will investigate low-dose MDMA (25 mg or 50 mg) effects on oxytocin in patients with arginine vasopressin deficiency and matched healthy controls.
Detailed Description
Randomized, double-blind, placebo-controlled crossover (two sessions, washout ≥10 days) testing single low doses of MDMA (25 mg or 50 mg) versus placebo in patients with arginine vasopressin deficiency and matched healthy controls.
Primary outcome is change in plasma oxytocin; study will confirm prior findings and provide safety data for low-dose MDMA stimulation testing, with monitoring of vitals and adverse events.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
MDMA
experimentalSingle-dose MDMA (25 mg or 50 mg) in a randomized double-blind crossover with placebo; washout ≥10 days.
Interventions
- MDMA50 mgvia Oral• single dose
Single dose 25 mg or 50 mg (capsule composition as described)
Placebo
inactiveIdentical placebo capsules administered in crossover.
Interventions
- Placebovia Oral• single dose
Placebo contains mannitol filler, identical gelatin capsules
Participants
Inclusion Criteria
- Inclusion criteria — patients:
- 1. Adult patients with confirmed diagnosis of Arginine Vasopressin deficiency (central diabetes insipidus) or with anterior pituitary deficiency.
- Inclusion criteria — healthy controls:
- 1. Adult healthy controls
- 2. Matched for age, sex, body mass index, and oestrogen replacement/menopause/hormonal contraceptives to patients
- 3. No medication, except hormonal contraception
Exclusion Criteria
- 1. Participation in a trial with investigational drugs within 30 days
- 2. Illicit substance use (except cannabis) more than 10 times in lifetime or any use within the previous 2 months
- 3. Consumption of alcoholic beverages >15 drinks/week
- 4. Tobacco smoking >10 cigarettes/day
- 5. Cardiovascular disease (coronary artery disease, heart failure with LVEF <40%, stroke in last 3 months, atrial fibrillation/flutter, Wolff–Parkinson–White syndrome)
- 6. Uncontrolled arterial hypertension (>140/90 mmHg) or hypotension (<85 mmHg)
- 7. Current or previous major psychiatric disorder (e.g., major depression, schizophrenia spectrum disorder)
- 8. Psychotic disorder in first-degree relatives
- 9. Regular intake of SSRIs or MAOIs
- 10. Pregnancy and breastfeeding
- 11. Diagnosed chronic kidney disease > grade III (GFR <30 ml/min)
- 12. Diagnosed liver cirrhosis or ALAT/ASAT levels >2.5× normal range
Study Details
- StatusRecruiting
- PhasePhase NA
- Typeinterventional
- DesignRandomizeddouble Blind
- Target Enrollment24 participants
- TimelineStart: 2025-01-01End: 2026-12-01
- Compounds
- Topic