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

Related trials

Other published trials that may interest you.