The Role of 5-HT2A Receptor in the Perception of Self and Personal Meaning in Healthy Volunteers
Randomised, double-blind, placebo-controlled crossover fMRI study (n=25) testing single 100 µg oral LSD vs placebo and ketanserin (40 mg pretreatment) in healthy volunteers to probe 5-HT2A receptor contributions to self and personal meaning.
Detailed Description
This randomised, double-blind, placebo-controlled, cross-over trial in 25 healthy volunteers assesses the effects of single-dose oral LSD (100 µg) on self-consciousness, perception and meaning-making using functional magnetic resonance imaging, psychometric and cognitive measures.
The study includes a ketanserin pretreatment condition (40 mg) to evaluate the contribution of the 5-HT2A receptor; sessions use matched placebo capsules and standardised washout, with outcomes including neuroimaging correlates and behavioural/psychometric assessments.
Study Arms & Interventions
LSD crossover
experimentalRandomised, double-blind, placebo-controlled crossover with placebo, LSD (100 µg) and ketanserin (40 mg) conditions.
Interventions
- Placebovia Oral• single dose
Mannitol placebo capsule, per os
- LSD100 µgvia Oral• single dose
Single 100 µg LSD dose per session
- Compound40 mgvia Oral• single dose
Ketanserin 40 mg given as pretreatment (identical-appearing capsule)
Participants
Inclusion Criteria
- Healthy male and female volunteers aged 20-40
- Willing and capable to give informed consent
- Willing to refrain from alcohol and caffeinated drinks on testing days and from psychoactive substances 2 weeks before testing and for study duration
- Able and willing to comply with study requirements
- MRI-compatible body shape and size (BMI 17-30)
- Right-handedness
Exclusion Criteria
- Poor knowledge of German
- Previous significant adverse response to a hallucinogenic drug
- Participation in another study with pharmaceuticals within 30 days
- Self or first-degree relatives with present or antecedent psychiatric disorders
- Present or antecedent alcohol/drug dependence or current alcohol/drug abuse
- History of head trauma, fainting, seizures, or ECT
- Recent cardiac or brain surgery
- Current use of medication known to affect brain function (e.g., benzodiazepines, antihistamines, aspirin, beta blockers, theophylline, acetazolamide, etc.)
- Concomitant therapy with potent CYP3A4 inhibitors
- Major internal or neurological disorders
- Presence of psychiatric disorder
- Cardiovascular disease (hypertension, coronary artery disease, heart insufficiency, recent MI, coronary spasm)
- Peripheral vascular disease
- Liver or renal disease
- Pregnant or breastfeeding women
- Inability to lie still for ~60 minutes
- Metal parts in the body or implanted devices
- Claustrophobia
Study Details
- StatusCompleted
- PhasePhase NA
- Typeinterventional
- DesignRandomizeddouble Blind
- Target Enrollment25 participants
- TimelineStart: 2015-01-03End: 2016-01-01
- Compounds
- Topic