Clinical trial • Phase IV • Psychiatry
midomafetamine hydrochloride for Post-traumatic stress disorder|Treatment-refractory post-traumatic stress disorder
Phase IV trial of midomafetamine hydrochloride for Post-traumatic stress disorder|Treatment-refractory post-traumatic stress disorder.
Overview
- Trial Therapeutic Area
- Psychiatry
- Trial Disease
- Post-traumatic stress disorder|Treatment-refractory post-traumatic stress disorder
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 08-01-2024
- First CTIS Authorization Date
- 18-04-2024
Trial design
open-label, none/not specified-controlled Phase IV trial across 1 site in Netherlands.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 20
- Trial Duration For Participant
- 84
Eligibility
Recruits 20 No vulnerable population selected. Participants must be at least 18 years. Consent/assent handling is not described in the provided record..
- Vulnerable Population
- No vulnerable population selected. Participants must be at least 18 years. Consent/assent handling is not described in the provided record.
Inclusion criteria
- {"criterion_text":"- Are at least 18 years, at the time of signing the informed consent.\n- At Screening meet DSM-5 criteria for current PTSD with a symptom duration of at least 6 months.\n- At Screening, have a PCL-5 score of 40 or greater (i.e., moderate to severe PTSD).\n- At screening, meet criteria for treatment-refractory PTSD, defined as having had at least two evidence-based trauma focused psychotherapies of at least 10 sessions per therapy."}
Exclusion criteria
- {"criterion_text":"- Have a current Personality Disorder (except for avoidant personality disorder due to the significant overlap with PTSD)\n- Have a diagnosis of uncontrolled hypertension, defined as repeated blood pressure readings of ≥140 mmHg systolic or ≥90 mmHg diastolic.\n- Have a current eating disorder with compensatory behaviors\n- Have current major depressive disorder with psychotic features.\n- Have a history of, or a current primary psychotic disorder or bipolar affective disorder type 1\n- Have a current moderate (not in early remission in the 3 months prior to enrollment and meets at least 5 of 11 diagnostic criteria per DSM-5) or severe alcohol or cannabis use disorder within the 12 months prior to enrollment (meets at least 6 of 11 diagnostic criteria per DSM-5).\n- Have an active illicit drug (other than cannabis) or prescription drug substance use disorder at any severity within 12 months prior to enrollment.\n- Any participant presenting current serious suicide risk, as determined through psychiatric interview, responses to C-SSRS, and clinical judgment of the investigator will be excluded; however, history of suicide attempts is not an exclusion.\n- Have a marked baseline QTcF interval >450 ms demonstrated on repeated ECG assessments.\n- Have a history of any medical condition that could make receiving a sympathomimetic drug harmful because of increases in blood pressure and heart rate. This includes, but is not limited to, a history of myocardial infarction, cerebrovascular accident, heart failure, severe coronary artery disease, or aneurysm."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Mean change in CAPS-5-R Total Severity Score from Baseline (Visit 4) to 12 weeks post Baseline (Visit 23).","definition_or_measurement_approach":"Mean change in CAPS-5-R Total Severity Score from Baseline (Visit 4) to 12 weeks post Baseline (Visit 23)."}
Secondary endpoints
- {"endpoint_text":"- Mean change in Sheehan Disability Scale (SDS) scores from Visit 4 (Baseline) to Visit 23 (12 weeks post Baseline).\n- Number, percentage and reasons for Screen Failure and Dropout.","definition_or_measurement_approach":"Mean change in SDS from Visit 4 (Baseline) to Visit 23 (12 weeks post Baseline).; Number, percentage and reasons will be reported for screen failure and dropout (counts, percentages and reasons)."}
Recruitment
- Planned Sample Size
- 20
- Recruitment Window Months
- 20
- Consent Approach
- Participants must be at least 18 and sign informed consent. No assent procedures described. Languages for consent not specified in the provided record.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 20
Netherlands
- Earliest CTIS Part Ii Submission Date
- 25-03-2024
- Latest Decision Or Authorization Date
- 18-04-2024
- Processing Time Days
- 24
- Number Of Sites
- 1
- Number Of Participants
- 20
Sites
- Site Name
- Arq National Psychotrauma Centre
- Department Name
- ARQ Centre'45
- Contact Person Name
- Tijmen Bostoen
- Contact Person Email
- t.bostoen@centrum45.nl
- Number Of Participants
- 20
Sponsor
Primary sponsor
- Full Name
- Arq National Psychotrauma Centre
- Organisation Type
- Patient organisation/association
- Country Of Registered Address
- Netherlands
Third parties
- {"country":"","full_name":"MAPS Publication Benefit Corporation (rebranded to Lykos Therapeutics)","duties_or_roles":"Monetary support","organisation_type":""}
Investigational products
- Investigational Product Name
- 3,4-methylenedioxymethamphetamine hydrochloride
- Active Substance
- midomafetamine hydrochloride
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- oral
- Starting Dose
- 60 mg
- Dose Levels
- 60 mg
- Maximum Dose
- 60 mg
- Investigational Product Name
- 3,4-methylenedioxymethamphetamine hydrochloride
- Active Substance
- midomafetamine hydrochloride
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- oral
- Starting Dose
- 120 mg
- Dose Levels
- 120 mg + 60 mg (supplemental)
- Frequency
- two administrations within a dosing session (initial dose then supplemental dose)
- Maximum Dose
- 240 mg
- Dose Escalation Increase
- 120 mg, then 60 mg
- Combination Treatment
- Yes
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