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Fixed Order, Open-Label, Dose-Escalation Study of DMT in Humans

Phase 1
Active, not recruiting
Conditions
Major Depressive Disorder
Depression
Interventions
Registration Number
NCT04711915
Lead Sponsor
Yale University
Brief Summary

The goal of this fixed order, open-label, dose-escalation study is to investigate the safety and efficacy of specific doses of dimethyltryptamine (DMT) in humans.

Detailed Description

The results of this study will inform the doses to be used in a larger, double-blind, randomized, placebo-controlled, crossover study. Since the goal of the open label study is to inform the double-blind, randomized, placebo-controlled study, the investigators are citing the hypothesis of the latter solely for providing context. The investigators hypothesize that the administration of DMT will result in neuroplastic changes in healthy and depressed subjects. These changes in neuroplasticity will be indexed using electroencephalographic (EEG) measures and tasks. These neuronal changes may in parallel cause changes in mood measured both in healthy and depressed subjects, which will be captured using appropriate psychometric measures of mood.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
30
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
0.1 mg/kg DMT0.1 mg/kg Dimethyltryptamine (DMT)0.1 mg/kg DMT administered intravenously
0.3 mg/kg DMT0.3 mg/kg Dimethyltryptamine (DMT)0.3 mg/kg DMT administered intravenously
Primary Outcome Measures
NameTimeMethod
Change in Blood Pressure-60 and -30 minutes before DMT administration; 0, +5, +10, +15, +20, +30, +45, +60, and +120 minutes after DMT administration

Systolic and diastolic blood pressure will be measured before and several times after the administration of DMT on each test day.

Overall Tolerability assessed by the VAS+120 minutes after DMT administration

Overall tolerability will be assessed using a visual analog scale that subjects will be asked to score from 0 (well tolerated) to 100 (intolerable) to capture the net tolerability of DMT.

Change in Heart Rate-60 and -30 minutes before DMT administration; 0, +5, +10, +15, +20, +30, +45, +60, and +120 minutes after DMT administration

Heart rate will be measured before and several times after the administration of DMT on each test day.

Change in Psychedelic Effects-60 minutes before DMT administration; 0, +30, and +60 minutes after DMT administration

The modified Altered States of Consciousness Rating Scale (ASC) will be used to assess drug-induced altered states of consciousness before and several times after drug administration. This is a 23-item subjective rating scale that will be completed using a visual analog scale format. Questions are scored 0 to 100 each; higher numbers indicate greater psychedelic effects.

Change in Anxiety-60 minutes before DMT administration; 0, +30, and +60 minutes after DMT administration

Anxiety will be assessed using a visual analog scale that subjects will be asked to score from 0 (not at all) to 100 (worst ever) to capture the net anxiety produced by DMT. This will be collected before and several times after DMT administration.

Drug Reinforcing Effects+120 minutes after DMT administration

Subjects will be asked to answer questions such as (1) How likely are you to use this drug? and (2) How much are you willing to pay for this experience? using a visual analog scale.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Biological Studies Unit at the VA Connecticut Healthcare System, Yale School of Medicine

🇺🇸

West Haven, Connecticut, United States

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