This double-blind, placebo-controlled Phase II pilot study (n=14) investigates the safety and efficacy of MDMA-assisted manualised psychotherapy (30-125mg) in Australian war veterans with chronic, treatment-resistant posttraumatic stress disorder (PTSD).
The trial, registered on ANZCTR (ACTRN12612000219886), includes an open-label lead-in for two participants, receiving two experimental drug-assisted psychotherapy sessions using 125mg MDMA with an optional supplemental dose of 62.5mg. This lead-in aims to verify therapist adherence to the psychotherapy manual.
The subsequent double-blinded Stage 1 compares 125mg MDMA to a 30mg MDMA active placebo in 12 participants. Stage 2, an optional treatment for active placebo recipients, involves open-label full-dose MDMA-assisted psychotherapy.
The study, conducted in Australia, encompasses 12 sessions over six months, combining drug-assisted and non-drug psychotherapy. Primary outcomes include changes in PTSD symptoms measured by the Global Clinician-Administered PTSD Scale (CAPS) scores, with additional assessments for depression, quality of life, sleep quality, general well-being, and PTSD diagnostic scale.
Ethical approval is pending, and the study is funded by Psychedelic Research in Science & Medicine Inc and the Multidisciplinary Association for Psychedelic Studies, with Dr. Stuart Saker as the principal investigator. The trial was registered on 21/02/2012, with a submission date of 16/02/2012, and is expected to run from January 2023 to October 2024.
Trial Details
This research study employs a two-arm, randomised, multi-dose design with an open-label lead-in for two participants, involving two experimental drug-assisted psychotherapy sessions using MDMA. The lead-in aims to ensure therapist adherence to the psychotherapy manual. Stage 1, a double-blinded phase, compares the therapeutic effects of 125mg MDMA to a 30mg MDMA active placebo in 12 participants. Both groups undergo two drug-assisted psychotherapy sessions and 10 non-drug psychotherapy sessions, following the lead-in schedule. Stage 2 is an optional treatment for those who received the active placebo in Stage 1, involving open-label full-dose treatment and additional psychotherapy sessions. All participants undergo a long-term follow-up session 12 months after their final drug-assisted session. The entire study spans six months with a total of 12 psychotherapy sessions for each participant, blending drug-assisted and non-drug sessions.Trial Number ACTRN12612000219886
Sponsors & Collaborators
MAPSMAPS stands for Multidisciplinary Association for Psychedelic Studies, it's the front runner in making psychedelics a legal way to use (and improve) in therapy.