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Startle ResponsePhase 1NCT03181763

Evaluation of MDMA on Startle Response

A Phase 1 study testing Midomafetamine and Acoustic startle in people with Startle Response, run by Resilient Pharmaceuticals at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this clinical trial is to learn if MDMA impacts startle response in healthy participants. The main question it aims to answer is: Does MDMA impact participant's performance on a startle test? Researchers will compare healthy volunteers who have taken MDMA to those who have taken placebo. Read more about this study

Who is it for?
Ages 21 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Startle Response
What is being tested?
Midomafetamine and Acoustic startle
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
34 participants
Where
1 siteUnited States
Study dates
14 Mar 2017to 1 Aug 2020
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Persons aged 21 to 55.
  • Ability to visually read and understand English language.
  • Live within in metro Atlanta area
  • Previously used MDMA in a recreational or research setting
  • If a person is of childbearing potential (able to bear children), they must have a negative pregnancy test at study entry and prior to the Experimental Session. They must agree to use adequate birth control through 10 days after the last dose of MDMA. Adequate birth control methods include intrauterine device (IUD), injected or implanted hormonal methods, abstinence, oral hormones plus a barrier contraception or double barrier contraception. Two forms of contraception are required with any barrier method or oral hormones (i.e. condom plus diaphragm, condom or diaphragm plus spermicide, oral hormonal contraceptives plus spermicide or condom). Not of childbearing potential is defined as permanent sterilization, postmenopausal, or male.
  • (For sub-study measuring serum oxytocin) Willing to have periodic blood draws

Who cannot join

  • Upon review of medical or psychiatric history, have any current or past diagnosis that would be considered a risk to participating in the study.
  • Are abusing illegal drugs.
  • Current use of any psychoactive medications, including antidepressants, mood stabilizers, sedatives, stimulants, antipsychotics, anxiolytics, or beta-blockers
  • Are not able to give adequate informed consent.
  • Uncontrolled hypertension, or clinically significant cardiac arrhythmia, as detected by electrocardiogram.
  • Currently pregnant or breast-feeding.
  • History of acute angle glaucoma.
  • Hearing impairment as assessed by audiometer; unable to detect tones below 40 dB in right or left ear.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Emory University

    Atlanta, Georgia, 30329

Other trials in United States

About this study

Official title: Evaluation of 3,4-methylenedioxymethamphetamine (MDMA) on Startle Response

The goal of this clinical trial is to learn if MDMA impacts startle response in healthy participants.

The main question it aims to answer is: Does MDMA impact participant's performance on a startle test?

Researchers will compare healthy volunteers who have taken MDMA to those who have taken placebo.

Participants will first undergo a 1-hour startle test. The next day, they will be randomized to receive either MDMA or placebo followed by another startle test and vitals signs and blood measurements. Participants will return the next day for a final startle test. Their sleep will be tracked by a Fitbit device.

Read the detailed description

This is a randomized, blinded, placebo-controlled Phase 1 study that aims to evaluate the impact of 3,4-methylenedioxymethamphetamine (MDMA) on startle response.

This study will enroll healthy participants. At Visit 1, all participants will undergo a 1-hour startle test. Acoustic startle will be measured through assessing eye-blink response from the orbicularis oculi muscles in response to a 106 dB noise, using sensors under the eye. While watching the computer monitor, the participant will also experience several brief blasts of air directed at the throat.

At Visit 2 (24 hours later), participants will be randomized to receive 100 mg of MDMA or inactive placebo, after which they will undergo another startle test. Participants enrolled in the study who agree to do this will have their blood drawn to measure levels of oxytocin, and possibly other hormones or proteins, such as cortisol or brain-derived neurotrophic factor (BDNF). Measuring oxytocin will be blind to condition, and the decision will happen before randomization to either condition. Blood will be drawn before MDMA or placebo administration, and eight times afterwards.The researchers will measure pulse, blood pressure and temperature once before and six times after receiving MDMA or placebo, and study participants will complete a questionnaire about their experience.

At Visit 3, participants will return for a final startle test and recall task. Sleep will be measured via self-report and Fitbit during study participation.

Being tested
Placebo, Midomafetamine, Acoustic startle
Keywords
MDMA, Startle response, sleep, Oxytocin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Also called inactive placebo, lactose

    Participants will receive inactive placebo on their second visit.

  • MidomafetamineDrug

    Also called 3,4-methylenedioxymethamphetamine, MDMA, midomafetamine HCl

    Participants will receive 100 mg midomafetamine HCl on their second visit

  • Acoustic startleBehavioural

    Also called startle test

    Startle assessment

Study groups in NCT03181763
Study groupRoleWhat they receive
100 mg MDMA HClExperimentalParticipants receive 100 mg MDMA HCl on their second visit
Receives: Drug: Midomafetamine; Behavioral: Acoustic startle
PlaceboPlacebo comparatorParticipants receive inactive placebo on their second visit
Receives: Drug: Placebo; Behavioral: Acoustic startle

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. EMG of right orbicularis oculi muscle

    Description: Measure of startle response to noise after fear extinction training

    Measured: Four days post-enrollment

Secondary outcomes (41)
  1. Systolic blood pressure pre-drug

    Systolic blood pressure measured prior to administration of MDMA or placebo

    Measured: 5 minutes pre-drug

  2. Systolic blood pressure 45 min post-drug

    Systolic blood pressure measured 45 minutes after MDMA or placebo administration

    Measured: 45 minutes post-drug

  3. Systolic blood pressure 1 h 15 min post-drug

    Systolic blood pressure measured 1 hour 15 minutes after MDMA or placebo administration

    Measured: 1 hour 15 minutes post drug

  4. Systolic blood pressure 1 h 45 min post-drug

    Systolic blood pressure measured 1 hour 45 minutes after MDMA or placebo administration

    Measured: 1 hour 45 minutes post drug

  5. Systolic blood pressure 3 h post-drug

    Systolic blood pressure measured 3 hours after MDMA or placebo administration

    Measured: 3 hours post-drug

  6. Systolic blood pressure 4 h post-drug

    Systolic blood pressure measured 4 hours after MDMA or placebo administration

    Measured: 4 hours post-drug

  7. Systolic blood pressure 5 h post-drug

    Systolic blood pressure measured 5 hours after MDMA or placebo administration

    Measured: 5 hours post-drug

  8. Systolic blood pressure 6 h post-drug

    Systolic blood pressure measured 6 hours after MDMA or placebo administration

    Measured: 6 hours post-drug

  9. Diastolic blood pressure pre-drug

    Diastolic blood pressure measured prior to MDMA or placebo administration

    Measured: 5 minutes pre-drug

  10. Diastolic blood pressure 45 min post-drug

    Diastolic blood pressure measured 45 minutes after MDMA or placebo administration

    Measured: 45 minutes post-drug

  11. Diastolic blood pressure 1 h 15 min post-drug

    Diastolic blood pressure measured 1 h 15 minutes after MDMA or placebo administration

    Measured: 1 hour 15 minutes post-drug

  12. Diastolic blood pressure 1 h 45 min post-drug

    Diastolic blood pressure measured 1 h 45 minutes after MDMA or placebo administration

    Measured: 1 hour 45 minutes post drug

  13. Diastolic blood pressure 3 h post-drug

    Diastolic blood pressure measured 3 hours after MDMA or placebo administration

    Measured: 3 hours post-drug

  14. Diastolic blood pressure 4 hours post-drug

    Diastolic blood pressure measured 4 hours after MDMA or placebo administration

    Measured: 4 hours post-drug

  15. Diastolic blood pressure 5 hours post-drug

    Diastolic blood pressure measured 5 hours after MDMA or placebo administration

    Measured: 5 hours post-drug

  16. Diastolic blood pressure 6 hours post-drug

    Diastolic blood pressure measured 6 hours after MDMA or placebo administration

    Measured: 6 hours post-drug

  17. Pulse pre-drug

    Pulse (assessing heart rate) measured prior to MDMA or placebo administration

    Measured: 5 minutes pre-drug

  18. Pulse 45 min post-drug

    Pulse (assessing heart rate) measured 45 min after MDMA or placebo administration

    Measured: 45 minutes post-drug

  19. Pulse 1 h 15 min post-drug

    Pulse (assessing heart rate) measured 1 hour 15 min after MDMA or placebo administration

    Measured: 1 hour 15 minutes post-drug

  20. Pulse 1 h 45 min post-drug

    Pulse (assessing heart rate) measured 1 hour 45 min after MDMA or placebo administration

    Measured: 1 hour 45 minutes post-drug

  21. Pulse 3 h post-drug

    Pulse (assessing heart rate) measured 3 hours after MDMA or placebo administration

    Measured: 3 hours post-drug

  22. Pulse 4 h post-drug

    Pulse (assessing heart rate) measured 4 hours after MDMA or placebo administration

    Measured: 4 hours post-drug

  23. Pulse 5 h post-drug

    Pulse (assessing heart rate) measured 5 hours after MDMA or placebo administration

    Measured: 5 hours post-drug

  24. Pulse 6 h post-drug

    Pulse (assessing heart rate) measured 6 hours after MDMA or placebo administration

    Measured: 6 hours post-drug

  25. Body temperature pre-drug

    Body temperature measured before MDMA or placebo administration

    Measured: 5 minutes pre-drug

  26. Body temperature 45 minutes post-drug

    Body temperature measured 45 minutes after MDMA or placebo administration

    Measured: 45 minutes post-drug

  27. Body temperature 1 h 15 minutes post-drug

    Body temperature measured 1 hour 15 minutes after MDMA or placebo administration

    Measured: 1 hour 15 minutes post-drug

  28. Body temperature 1 h 45 minutes post-drug

    Body temperature measured 1 hour 45 minutes after MDMA or placebo administration

    Measured: 1 hour 45 minutes post-drug

  29. Body temperature 3 hours post-drug

    Body temperature measured 3 hours after MDMA or placebo administration

    Measured: 3 hours post-drug

  30. Body temperature 4 hours post-drug

    Body temperature measured 4 hours after MDMA or placebo administration

    Measured: 4 hours post-drug

  31. Body temperature 5 hours post-drug

    Body temperature measured 5 hours after MDMA or placebo administration

    Measured: 5 hours post-drug

  32. Body temperature 6 hours post-drug

    Body temperature measured 6 hours after MDMA or placebo administration

    Measured: 6 hours post-drug

  33. Plasma oxytocin (OT) levels predrug

    In people who agree to it, blood collected to assess levels of oxytocin prior to MDMA or placebo administration on day of drug administration

    Measured: 5 min prior to drug administration

  34. Plasma oxytocin (OT) levels 5 min post-drug

    In people who agree to it, blood collected to assess levels of oxytocin approximately 5 minutes after MDMA or placebo administration

    Measured: 5 min post-drug administration

  35. Plasma oxytocin (OT) levels 20 min post-drug

    In people who agree to it, blood collected to assess levels of oxytocin approximately 20 minutes after MDMA or placebo administration

    Measured: 20 min post-drug administration

  36. Plasma oxytocin (OT) levels 95 min post-drug

    In people who agree to it, blood collected to assess levels of oxytocin approximately 95 minutes (approximately 1.5 h) after MDMA or placebo administration

    Measured: 95 min post-drug administration

  37. Plasma oxytocin (OT) levels 110 min post-drug

    In people who agree to it, blood collected to assess levels of oxytocin approximately 110 minutes after MDMA or placebo administration

    Measured: 110 min post-drug administration

  38. Plasma oxytocin (OT) levels 185 min post-drug

    In people who agree to it, blood collected to assess levels of oxytocin approximately 185 minutes after MDMA or placebo administration

    Measured: 185 min post-drug administration

  39. Plasma oxytocin (OT) levels 200 min post-drug

    In people who agree to it, blood collected to assess levels of oxytocin approximately 200 minutes after MDMA or placebo administration

    Measured: 200 min post-drug administration

  40. Plasma oxytocin (OT) levels 240 min post-drug

    In people who agree to it, blood collected to assess levels of oxytocin approximately 240 minutes after MDMA or placebo administration

    Measured: 240 min post-drug administration

  41. Plasma oxytocin (OT) levels 300 min post-drug

    In people who agree to it, blood collected to assess levels of oxytocin approximately 300 minutes after MDMA or placebo administration

    Measured: 300 min post-drug administration

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jun 2017
  2. Study start14 Mar 2017
  3. Primary completion1 Aug 2020
  4. Study completion1 Aug 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
Blinded, placebo between group; all participants undergo fear conditioning, with half randomized to receive 100 mg MDMA and half receiving inactive placebo
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03181763
Sponsor's protocol ID
MPVA-4
Status last verified
Feb 2025
First submitted
5 Jun 2017
Last updated
4 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Maples-Keller JL, Norrholm SD, Burton M, Reiff C, Coghlan C, Jovanovic T, Yasinski C, Jarboe K, Rakofsky J, Rauch S, Dunlop BW, Rothbaum BO. A randomized controlled trial of 3,4-methylenedioxymethamphetamine (MDMA) and fear extinction retention in healthy adults. J Psychopharmacol. 2022 Mar;36(3):368-377. doi: 10.1177/02698811211069124. Epub 2022 Feb 15.

    PubMed 35166140

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Midomafetamine and Acoustic startle in people with Startle Response, run by Resilient Pharmaceuticals at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

EMG of right orbicularis oculi muscle (time frame: Four days post-enrollment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03181763, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Mar 2025.

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