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PharmacokineticsPhase 1NCT03606538

MDMA in Subjects With Moderate Hepatic Impairment and Subjects With Normal Hepatic Function

A Phase 1 study testing Midomafetamine HCl in people with Pharmacokinetics and Hepatic Impairment, run by Resilient Pharmaceuticals at 1 site in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial to learn how MDMA is processed in people with abnormal liver function. The main questions it aims to answer are: Do people with abnormal liver function experience greater absorption of MDMA? Does the dose of MDMA need to be adjusted in people with abnormal liver function? Researchers… Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Pharmacokinetics, Hepatic Impairment
What is being tested?
Midomafetamine HCl
Could I receive a placebo?
No, everyone receives an active treatment
How many people
16 participants
Where
1 siteUnited States
Study dates
29 Mar 2026to Dec 2028
Phase
Phase 1
Are there results?
Not yet: the study is under way

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 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Participants with moderate hepatic impairment (class B according to Child- Pugh's criteria).
  • Participants with normal hepatic function: no clinically significant findings from medical history, physical examination, laboratory values within protocol defined parameters.
  • Age 18 to 65 years.
  • Weight > 45 kg
  • Negative Carbohydrate Deficient Transferrin blood test at Screening and negative breathalyzer alcohol test prior to trial drug administration.
  • Negative urine test for drugs of abuse at Screening and prior to trial drug administration.
  • Able to comprehend and willing to sign an informed consent form.

Who cannot join

  • Have a current psychiatric diagnosis.
  • Are pregnant or nursing, or are women of child bearing potential who are not practicing an effective means of birth control.
  • Have acute or exacerbating hepatitis, fluctuating or rapidly deteriorating hepatic function as indicated by widely varying or worsening of clinical and/or laboratory signs of hepatic impairment within 2 weeks.
  • Have autoimmune liver disease; esophageal variceal bleeding within 6 months prior to screening, unless successfully treated with banding, or gastric varices.
  • Have spontaneous bacterial peritonitis within 3 months prior to screening.
  • Have a portosystemic shunt, organ transplant, Wilson's disease, cholestatic liver disease (e g, primary biliary cirrhosis or primary sclerosing cholangitis)
Show all 16Show fewer
  • Evidence or history of significant hematological, endocrine, cerebrovascular, cardiovascular (including controlled hyper-tension), coronary, pulmonary, renal, gastrointestinal, immunocompromising, or neurological disease, including seizure disorder, or any other medical disorder judged by the investigator to significantly increase the risk of MDMA administration.
  • For moderate hepatic impairment participants: have clinically significant laboratory findings except as related to hepatic impairment.
  • For control participants only: have clinically significant laboratory results outside the normal limits, including AST >48 U/L, ALT > 55 U/L, GGT > 48 U/L, bilirubin > 1.2 mg/dL or hemoglobin < 12 g/dL.
  • Have a history of any illness that, in the opinion of the Investigator, might confound the results of the trial or pose risk in administering the trial drug to the subject.
  • Have any positive test for drugs of abuse and /or alcohol at screening.
  • Have a history or presence of clinically significant abnormal 12-lead ECG or an ECG with QTc by Bazett's correction of > 450 ms in men, > 470 ms in women on the screening ECG.
  • Have a PR interval > 240 ms, QRS > 110 ms or a history of prolongation of QT interval.
  • Have mental incapacity, unwillingness or language barriers precluding adequate understanding or subject co-operation.
  • Are unwilling to stay in the clinical unit for the required duration as per the protocol.
  • Have a known or suspected allergy to trial product or related products.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Recruitment Officer contact

recruitment@lykospbc.com

United States1 site
  • Alliance for Multispecialty Research, LLC.

    Knoxville, Tennessee, 37920

    Study coordinator

Other trials in United States

About this study

Official title: A Phase I, Open Label, Study of 3,4-Methylenedioxymethamphetamine (MDMA) Tolerability and Pharmacokinetics in Subjects With Moderate Hepatic Impairment Compared to Matched Control Subjects With Normal Hepatic Function

The goal of this clinical trial to learn how MDMA is processed in people with abnormal liver function.

The main questions it aims to answer are:

Do people with abnormal liver function experience greater absorption of MDMA? Does the dose of MDMA need to be adjusted in people with abnormal liver function?

Researchers will compare people with abnormal liver function to people with normal liver function.

Participants will receive a single dose of MDMA then undergo periodic vitals measurements. They will remain at the study site for two more days undergoing more vitals measurements and having subjective effects and adverse events measured.

Read the detailed description

This protocol is for a Phase 1, open-label study with a primary purpose of evaluating the effect of moderate hepatic impairment in the pharmacokinetics of MDMA and its active metabolite, 3,4-methylene-dioxyamphetamine (MDA), and determining whether an adjustment to the dosage would be indicated in this group of patients in comparison to patients with normal liver function. Because people with moderate hepatic impairment may experience greater exposure to drug than people without it, the secondary purpose of this study is to evaluate the effect of moderate hepatic impairment on the safety and tolerability of oral MDMA, with special attention to ECG data. The study will enroll eight participants, ages 18 to 65 years old, with moderate hepatic impairment, and eight healthy controls with normal hepatic function who are matched with participants with moderate impaired hepatic function on the basis of age, weight and gender.

Participants who give their written informed consent will be screened for study participation that will include a physical examination, assessing current and prior medical and physical health, and a baseline electrocardiogram (ECG) reading. If applicable, they may begin tapering off any contraindicated psychiatric medication. Participants who meet study criteria will receive a single dose of 80 mg midomafetamine HCl on the first day of a three-day stay at the study site.

Blood will be collected periodically in order to calculate pharmacokinetics of MDMA and its active metabolite methylenedioxyamphetamine (MDA). Blood will be collected ten times on Day 1 (-5 min, 0 hours (drug administration), 0.5 h, 1, 2, 4, 6, 7, 10 and 12 hours), starting five minutes before drug administration. Subjective effects of MDMA will be assessed through 15 visual analog scales at similar time points to blood collection, at 0.5, 1, 2, 4, 6 and 7 hours post-drug. There will be six 12-lead ECG measurements on Day 1.

Participants will remain at the study site for two more days. Drug safety will be assessed by measuring blood pressure, heart rate and body temperature after MDMA administrations, collecting adverse events throughout the study and measuring suicidal thoughts or behaviors with the Columbia Suicide Severity Rating Scale (C-SSRS). Blood will be collected 24 and 36 hours after drug administration, and ECG will be performed on Day 2, and a single ECG and blood draw will occur on Day 3, 4 and 5. Participants will return for eight and 15 days after drug administration. They will have a single blood draw on each day. The study ends 15 days after drug administration, approximately one month after screening.

The primary outcome measure will be area under the curve from dosing to last dose (AUC) of MDMA and MDA. AUC will be computed from plasma collected multiple times after a single dose of MDMA, twice on the day following the day of drug administration, and once daily for three more days. Other pharmacokinetic measures will be maximal values of MDMA and MDA (Cmax), and time to reach maximum MDMA and MDA levels (Tmax). Safety measures will also include a comparison of subjective effects across groups, ECG readings, number of adverse events, and suicidal ideation or behavior as measured via C-SSRS during the study.

Being tested
Midomafetamine HCl
Keywords
MDMA, metabolism, methylenedioxymethamphetamine, midomafetamine

What participants receive

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

  • Midomafetamine HClDrug

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

    80 mg midomafetamine HCl

Study groups in NCT03606538
Study groupRoleWhat they receive
Moderate hepatic impairmentExperimentalEight participants with moderate hepatic impairment receive a single dose of 80 mg midomafetamine HCl.
Receives: Drug: Midomafetamine HCl
Normal hepatic functionExperimentalEight participants, each matched on age, weight and gender to a participant with moderate hepatic impairment, receive a single dose of 80 mg midomafetamine HCl.
Receives: Drug: Midomafetamine HCl

What is being measured

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

  1. Area under curve from dosing time to last measurement (AUC(0-t)) - MDMA

    Computed exposure to MDMA using blood collected periodically at 1, 2, 4, 6, 7, 10, 12, 24, 36, 48, 72 and 96 h post drug

    Measured: 0 to 5 days after drug administration

  2. Area under curve from dosing time to last measurement (AUC(0-t) MDA

    Computed exposure to MDA using blood collected periodically at 1, 2, 4, 6, 7, 10, 12, 24, 36, 48, 72 and 96 h post-MDMA administration

    Measured: 0 to 5 days after drug administration

Secondary outcomes (31)
  1. Peak MDMA (Cmax)

    Maximum value of plasma MDMA in nglml

    Measured: 0 to 5 days after drug administration

  2. Peak MDA (Cmax)

    Maximum value of plasma MDA in ng/lml

    Measured: 0 to 5 days after drug administration

  3. Time to maximum (Tmax) MDMA

    Time to reach maximum plasma values of MDMA

    Measured: 0 to 5 days after drug administration

  4. Time to maximum (Tmax) MDA

    Time to reach maximum plasma values of MDA

    Measured: 0 to 5 days after drug administration

  5. Area under curve from dosing time to infinity (AUC(0-infinity)) - MDMA

    Computed exposure to MDMA using blood collected periodically at 1, 2, 4, 6, 7, 10, 12, 24, 36, 48, 72 and 96 h post drug

    Measured: 0 to 5 days after drug administration

  6. Area under curve from dosing time to infinity (AUC(0-infinity)) - MDA

    Computed exposure to MDA using blood collected periodically at 1, 2, 4, 6, 7, 10, 12, 24, 36, 48, 72 and 96 h post drug

    Measured: 0 to 5 days after drug administration

  7. 90% CL between hepatic impaired and no hepatic impairment groups for AUC (0-t)

    90% confidence interval (CI) for the ratio of population geometric means between moderate hepatic impairment and normal hepatic function for AUC (0-t)

    Measured: 0 to 5 days after drug administration

  8. 90% CL between hepatic impaired and no hepatic impairment groups for AUC (0-infinity)

    90% confidence interval (CI) for the ratio of population geometric means between moderate hepatic impairment and normal hepatic function for AUC(0-infinity)

    Measured: 0 to 5 days after drug administration

  9. 90% CL between hepatic impaired and no hepatic impairment groups for Cmax

    90% confidence interval (CI) for the ratio of population geometric means between moderate hepatic impairment and normal hepatic function for Cmax

    Measured: 0 to 5 days after drug administration

  10. Change in QTcI - Baseline to 0.5 h post drug

    Change in ECG QTcl from Baseline compared to 0.5 h post MDMA

    Measured: 0 days after drug administration

  11. Change in QTcI - Baseline to 2 h post-drug

    Change in ECG QTcl from Baseline compared to 2 h post MDMA

    Measured: 0 days after drug administration

  12. Change in QTcI Baseline to 4 h post-drug

    Change in ECG QTcl from Baseline compared to 4 h post MDMA

    Measured: 0 days after drug administration

  13. Change in QTcI Baseline to 6 h post-drug

    Change in ECG QTcl from Baseline compared to 6 h post MDMA

    Measured: 0 days after drug administration

  14. Change in QTcI Baseline to 7 h post-drug

    Change in ECG QTcl from Baseline compared to 7 h post MDMA

    Measured: 0 days after drug administration

  15. Change in QTcI Baseline to 1 d post-drug

    Change in ECG QTcl from Baseline compared to 1 d post MDMA

    Measured: 1 day after drug administration

  16. Change in QTcI Baseline to 2 d post-drug

    Change in ECG QTcl from Baseline compared to 2 d post MDMA

    Measured: 2 days after drug administration

  17. Change in QTcI Baseline to 3 d post-drug

    Change in ECG QTcl from Baseline compared to 3 d post MDMA

    Measured: 3 days after drug administration

  18. Change in QTcI Baseline to 4 d post-drug

    Change in ECG QTcl from Baseline compared to 4 d post MDMA

    Measured: 4 days after drug administration

  19. Pre-drug Systolic blood pressure (SBP)

    First SBP measurement, prior to drug administration, on day of drug administration

    Measured: 0 days after drug administration

  20. Peak Systolic blood pressure (SBP)

    Maximum value of SBP measured during day of drug administration

    Measured: 0 days after drug administration

  21. Final systolic blood pressure (SBP)

    Last SBP measurement taken on day of drug administration

    Measured: 0 days after drug administration

  22. Pre-drug Diastolic blood pressure (DBP)

    First DBP measurement, prior to drug administration, on day of drug administration

    Measured: 0 days after drug administration

  23. Peak Diastolic blood pressure (DBP)

    Maximum value of DBP measured during day of drug administration

    Measured: 0 days after drug administration

  24. Final Diastolic blood pressure (DBP)

    Last DBP measurement taken on day of drug administration

    Measured: 0 days after drug administration

  25. Pre-drug heart rate (HR)

    First HR measurement, prior to drug administration, on day of drug administration

    Measured: 0 days after drug administration

  26. Peak heart rate (HR)

    Maximum value of HR measured during day of drug administration

    Measured: 0 days after drug administration

  27. Final heart rate (HR)

    Last HR measurement taken on day of drug administration

    Measured: 0 days after drug administration

  28. Pre-drug body temperature (BT)

    First body temperature measurement, prior to drug administration, on day of drug administration

    Measured: 0 days after drug administration

  29. Peak body temperature (BT)

    Maximum BT value measured during day of drug administration

    Measured: 0 days after drug administration

  30. Final body temperature (BT)

    Last BT measurement taken on day of drug administration

    Measured: 0 days after drug administration

  31. Number of AEs reported

    Number of AEs reported in each group from enrollment to study end

    Measured: -4 days to 15 days 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 posted31 Jul 2018
  2. Study start29 Mar 2026 (estimated)
  3. Primary completionDec 2028 (estimated)
  4. Study completionDec 2028 (estimated)

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
Non-randomised
Intervention model
Parallel groups
Model description
Matched group comparison of pharmacokinetics and metabolism of single dose of 80 mg MDMA in participants with moderate hepatic impairment and participants with normal hepatic function and matched on age, weight and gender.
Masking
None (open label)
Enrolment
16 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03606538
Sponsor's protocol ID
MPKH
Status last verified
Oct 2024
First submitted
20 Jul 2018
Last updated
30 Oct 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: We will share outcome data appearing in any published reports upon request.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Midomafetamine HCl in people with Pharmacokinetics and Hepatic Impairment, 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 7 inclusion and 16 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: opening soon, as of the sponsor's last update on 30 Oct 2024. 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. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Recruitment Officer (recruitment@lykospbc.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Area under curve from dosing time to last measurement (AUC(0-t)) - MDMA (time frame: 0 to 5 days after drug administration). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 30 Oct 2024.

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