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Clinical Trial Details — Status: Withdrawn

Administrative data

NCT number NCT05173831
Other study ID # MPG1
Secondary ID
Status Withdrawn
Phase Phase 2
First received
Last updated
Start date September 2023
Est. completion date December 2024

Study information

Verified date January 2024
Source Lykos Therapeutics
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This Phase 2, open-label, non-randomized, 3-cohort study assesses the feasibility and safety of MDMA-assisted group therapy for the treatment of PTSD in veterans. The study will be conducted in up to N=18 participants, recruited in three cohorts of six participants and receive therapy sessions throughout their participation in these groups.


Description:

To further assess the feasibility and safety of MDMA-assisted group therapy for participants with at least moderate PTSD, the sponsor is conducting a phase 2, open-label, non-randomized, 3-cohort study. This novel treatment package consists of two once-monthly Experimental Sessions of therapy combined with a divided-dose of MDMA, along with non-drug preparatory and integrative therapy administered in both individual and group sessions. The Primary Outcome measure, the Clinician Administered PTSD Scale (CAPS-5), evaluates changes in PTSD symptom severity and is assessed by a blinded centralized Independent Rater (IR) pool. The therapeutic approach will combine manualized MDMA-assisted therapy for PTSD with group therapy components.


Recruitment information / eligibility

Status Withdrawn
Enrollment 0
Est. completion date December 2024
Est. primary completion date December 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Are at least 18 years old. - Are a U.S. Military Veteran - Are fluent in speaking and reading the predominantly used or recognized language of the study site. - Are able to swallow pills. - Agree to have study visits recorded, including Experimental Sessions, outcome assessments, and non-drug psychotherapy sessions. - Must provide a contact who is willing and able to be reached by the investigators in the event of a participant becoming suicidal or unreachable. - Must agree to inform the investigators within 48 hours of any medical conditions and procedures. - If able to become pregnant, must have a negative pregnancy test at study entry and prior to each Experimental Session, and must agree to use adequate contraception through 10 days after the last Experimental Session. - Must not participate in any other interventional clinical trials during the duration of the study. - Must commit to medication dosing, therapy, and study procedures. - Have a current PTSD diagnosis at the time of screening. Exclusion Criteria: - Are not able to give adequate informed consent. - Have uncontrolled hypertension. - Have a marked baseline QTcF interval >450 milliseconds [ms] demonstrated on repeated ECG assessments. - Have a history of additional risk factors for Torsade de pointes (e.g., heart failure, hypokalemia, family history of Long QT Syndrome). - Have evidence or history of significant medical disorders. - Have symptomatic liver or biliary disease. - Have history of hyponatremia or hyperthermia. - Weigh less than 48 kilograms (kg). - Are pregnant or nursing, or are able to become pregnant and are not practicing an effective means of birth control. - Are abusing illegal drugs or alcohol.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Midomafetamine
Initial dose of 120 mg MDMA HCL and optional supplemental dose of 60 mg MDMA HCL at 1.5 to 2 hours after first dose
Behavioral:
Therapy
Standardized non-directive psychotherapy performed by therapist team

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
Lykos Therapeutics

Outcome

Type Measure Description Time frame Safety issue
Primary Change in CAPS-5 Total Severity Score The CAPS-5 is a semi-structured interview that assesses index history of DSM-5-defined traumatic event exposure [114], including the most distressing event, time since exposure, to produce a diagnostic score (presence vs. absence) and a PTSD Total Severity score [114]. The CAPS-5 rates intrusion symptoms (intrusive thoughts or memories), avoidance, cognitive and mood symptoms, arousal and reactivity symptoms, duration and degree of distress and dissociation. The total severity score is a sum of symptom frequency and intensity scores for the subscales B (re-experiencing), C (avoidance) and D (hypervigilance) and ranges from 0 to 136, with higher scores indicating greater severity of PTSD symptoms. Baseline - 3 months from first Experimental Session
Secondary Change in Sheehan Disability Scale (SDS) Sheehan Disability Scale (SDS) total score, a measure of clinician-rated functional impairment. The first three items indicate degree of impairment in the domains of work/school, social life, and home life, with response options based on an eleven-point scale (0=not at all to 10=extremely), and five verbal tags (not at all, mildly, moderately, markedly, extremely). The remaining two items assess Days Lost and Days Unproductive during the reporting period. Baseline - 3 months from First Experimental Session
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