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NCT04030169

Open Label Study of MDMA-assisted Psychotherapy for Treatment of PTSD With Optional fMRI Sub-Study

Completed Phase 2 Results posted Last updated 28 January 2025
What this trial tests

Phase 2 trial testing Midomafetamine HCl in PTSD in 21 participants. Completed in 15 December 2023.

Timeline
24 June 2020
Primary endpoint
14 December 2023
15 December 2023

Quick facts

Lead sponsorMAPS Europe B.V.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment21
Start date24 June 2020
Primary completion14 December 2023
Estimated completion15 December 2023
Sites6 locations across Netherlands, United Kingdom, Germany, Norway, Czechia

Drugs / interventions tested

Conditions studied

Sponsor

MAPS Europe B.V.

Who can join

18 and older, any sex, with PTSD. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in CAPS-5 Total Severity Score Primary · 13 weeks post-baseline

The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) is a 30-item semi-structured interview assessing PTSD in the past month through diagnostic and symptom severity scores anchored to a DSM-5 defined traumatic event. The CAPS-5 produces a Total Severity Score based on severity of PTSD domains described in the DSM-5, as well as a categorical rating indicating whether a participant meets PTSD diagnostic criteria. CAPS-5 Total Symptom Severity scores range from 0 to 80 with higher values designating greater symptom severity. CAPS-5 assigns PTSD diagnosis as being present or absent.

GroupValue95% CI
MDMA-assisted Psychotherapy-13.95-16.32 – -11.58
Change in Sheehan Disability Scale (SDS) Item Scores Secondary · 13 weeks post-baseline

The Sheehan Disability Scale (SDS) is a clinician-rated assessment of functional impairment for PTSD. The SDS is a 3-item scale measuring the severity of disability (i.e., the degree of impairment) in the domains of work, family life/home responsibilities and social/leisure activities. Responses are recorded using an 11-point scale (0 = not at all to 10 = extremely) and 5 verbal tags (not at all, mildly, moderately, markedly, extremely). For participants who are not able to work for reasons unrelated to PTSD, the measure includes an option to skip the work-related impairment item, and the reas

Family Life / Home
GroupValue95% CI
Experimental: MDMA-assisted Psychotherapy-1.18-2.14 – -0.22
Social / Leisure Activities
GroupValue95% CI
Experimental: MDMA-assisted Psychotherapy-1.45-2.32 – -0.58
Work / School
GroupValue95% CI
Experimental: MDMA-assisted Psychotherapy-1.45-2.36 – -0.53
Total Score
GroupValue95% CI
Experimental: MDMA-assisted Psychotherapy-1.30-2.17 – -0.43

Adverse events — posted to ClinicalTrials.gov

Time frame: Approximately 8 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Experimental: MDMA-assisted Psychotherapy
Serious: 2/21 (10%)
Deaths: 0/21

Serious adverse events (2 terms)

ReactionSystemExperimental: MDMA-assiste…
Suicidal ideationPsychiatric disorders
Suicidal behaviorPsychiatric disorders
Other adverse events (21 terms — click to expand)

ReactionSystemExperimental: MDMA-assiste…
HeadacheNervous system disorders
NauseaGastrointestinal disorders
Muscle tightnessMusculoskeletal and connective tissue disorders
Suicidal ideationPsychiatric disorders
FatigueGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
InsomniaPsychiatric disorders
MyalgiaMusculoskeletal and connective tissue disorders
AnxietyPsychiatric disorders
PalpitationsCardiac disorders
Vision blurredEye disorders
VomitingGastrointestinal disorders
Feeling coldGeneral disorders
Feeling hotGeneral disorders
Blood pressure increasedInvestigations
Back painMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
ParaesthesiaNervous system disorders
Tension headacheNervous system disorders
Dry mouthGastrointestinal disorders
Emotional disorderPsychiatric disorders

Most-reported serious reactions: Suicidal ideation, Suicidal behavior.

Data from ClinicalTrials.gov NCT04030169 adverse events section.

Sponsor's own description

The goal of this clinical trial is to learn if MDMA-assisted therapy is safe and effective in people diagnosed with at least severe PTSD. The main question it aims to answer is: Do two open-label sessions of MDMA-assisted therapy reduce PTSD symptoms? Participants will receive three non-drug preparatory sessions followed by two sessions of MDMA-assisted therapy. Each MDMA-assisted therapy session is followed by three non-drug integrative therapy sessions.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Alleviating anxiety and taming trauma: Novel pharmacotherapeutics for anxiety disorders and posttraumatic stress disorder.
    Singewald N, Sartori SB, Reif A, Holmes A. · · 2023 · cited 40× · PMID 36623804 · DOI 10.1016/j.neuropharm.2023.109418
  2. The Use of Psychedelics in the Treatment of Medical Conditions: An Analysis of Currently Registered Psychedelics Studies in the American Drug Trial Registry.
    Kurtz JS, Patel NA, Gendreau JL, Yang C, et al · · 2022 · cited 19× · PMID 36259015 · DOI 10.7759/cureus.29167
  3. Post-traumatic stress disorder: the role of the amygdala and potential therapeutic interventions - a review.
    Davis LL, Hamner MB. · · 2024 · cited 7× · PMID 38903645 · DOI 10.3389/fpsyt.2024.1356563

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04030169.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing