RecruitingPhase 1ACTRN12622001315707

An open label study to evaluate the safety, tolerability, and subjective effects of two dimethyltryptamine (DMT) and harmala alkaloid containing formulations in healthy volunteers

AEOS: An open label study to evaluate the safety, tolerability, and subjective effects of two dimethyltryptamine (DMT) and harmala alkaloid containing formulations in healthy volunteers


Sponsor

St Vincent's Hospital, Melbourne

Enrollment

8 participants

Start Date

Dec 21, 2022

Study Type

Interventional

Conditions

Summary

The primary purpose of this study is to assess the safety and psychedelic effect of two orally administered DMT and harmala alkaloid formulations provided in separate sessions to healthy volunteers with prior use of these substances. This data will inform the decision to chose one of the formulations for use in a future phase 2 study involving participants with dual diagnosis and major depressive disorder. The potential dose escalation element will focus on determining the psychedelic properties and safety at a range of doses.


Eligibility

Sex: Both males and femalesMin Age: 25 YearssMax Age: 70 Yearss

Inclusion Criteria8

  • 25 to 70-year-old men or women
  • Medically and psychiatrically healthy as adjudicated by the investigator based on physical exam and MINI (DSM-5) psychiatric interview.
  • Previous consumption of a DMT-harmaloid plant-based preparation
  • Weigh between 50kg and 90kg + a BMI of 18 to 32.
  • Voluntary consent to participate in the study (including follow-up visits) and to undergo the procedures requested.
  • Confirmation that a friend or family member will assist them personally with transport after the active drug session that evening.
  • Agree to alcohol abstinence 24 hours prior to the active treatment session and on the treatment day.
  • Willing to follow advice regarding sexual activity during the study.

Exclusion Criteria17

  • History of psychosis: past or present diagnosis of bipolar disorder, schizophrenia, or schizoaffective disorder.
  • Family history of psychosis: past or present diagnosis of bipolar disorder type 1 in first degree relative, or schizophrenia, or schizoaffective disorder in first or second degree relative.
  • Current suicidality or history of suicide attempt.
  • Current psychiatric disorder diagnosis.
  • Daily/weekly high-risk alcohol use (as per NHMRC guidelines).
  • Use of any psychoactive medication (e.g., a selective serotonin reuptake inhibitor such as paroxetine or citalopram), haloperidol, any medication with MAO activity (such as isocarboxazid, phenelzine, selegiline or tranylcypromine, linezolid, and methylene blue), or any drug that has been indicated as a potential precipitative agent for serotonin syndrome within 28 days prior to study drug administration and through to the end of study.
  • Currently taking any other regular medication, including: Opiates, Anti-histamines, Anti-convulsants, Amphetamines, Kava, and St John’s wort.
  • Used a hallucinogen in the past month (a one-month wash-out is acceptable)
  • Smoking/using nicotine
  • Substance/alcohol use disorder
  • History of Hallucinogen Persisting Perception Disorder (HPPD).
  • Serious medical condition e.g., Cardiovascular, Metabolic, Neurological, Respiratory, Oncological, haematological disorder.
  • Serious ECG abnormality
  • Serious abnormal haematology or electrolyte, renal or liver test result (indicated by screening aspartate aminotransferase (AST) or alanine aminotransferase (ALT) 1.2X or total bilirubin 1.5 x upper limit of normal (ULN), which remains above these limits if retested) in the previous 12 months (as provided by their GP or SVHM).
  • Not agreeing to fasting from midnight prior to the Dose Day sessions until the afternoon of that treatment day.
  • Females who are pregnant, nursing, or trying to become pregnant (pregnancy test provided).
  • Participation in another clinical study involving investigational study treatment within 30 days or 5 half-lives, whichever is longer, prior to screening.

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Interventions

Initially, two orally administered DMT (1.0mg/kg) and harmala alkaloid formulations (4mg/kg) will be provided in separate single dose sessions to 8 healthy volunteers (with prior experience of these s

Initially, two orally administered DMT (1.0mg/kg) and harmala alkaloid formulations (4mg/kg) will be provided in separate single dose sessions to 8 healthy volunteers (with prior experience of these substances). After this data is collected, an interim assessment of the psychedelic effect and safety parameters will occur, with one of the formulations being chosen for the next dosage level. The amount given to the 8 partcipants will be increased to: DMT (1.4mg/kg) and harmala alkaloids (5.6mg/kg). Participants will be given both formulations in a cross-over design (16 psychedelic sessions in total), with a 2-week washout between treatments. Initial treatment group assignment will be randomised. Post-monitoring will occur to assess the more chronic effects of the treatments.


Locations(1)

St Vincent's Hospital (Melbourne) Ltd - Fitzroy

VIC, Australia

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ACTRN12622001315707


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