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HealthyPhase 1LSD-BioNCT04865653

LSD Base and LSD Tartrate Bioequivalence and Bioavailability in Healthy Subjects

A Phase 1 study testing Lysergic Acid Diethylamide Base oral drinking solution, Lysergic Acid Diethylamide Base solid orodispersible film and Lysergic Acid Diethylamide Tartrate oral drinking solution in people with Healthy, run by University Hospital, Basel, Switzerland at 1 site in Switzerland.

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

Lysergic acid diethylamide (LSD) is used as recreational substance and as a research substance to study the mind. Recreationally, LSD is typically used in the form of "blotters" containing LSD tartrate. In research, both LSD base (LSD alone) or LSD salt in the form of LSD tartrate are used. Read more about this study

Who is it for?
Ages 25 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Lysergic Acid Diethylamide Base oral drinking solution, Lysergic Acid Diethylamide Base solid orodispersible film and Lysergic Acid Diethylamide Tartrate oral drinking solution
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
20 participants
Where
1 siteSwitzerland
Study dates
17 Mar 2022to 11 Oct 2023
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 25 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Age between 25 and 65 years old
  • Sufficient understanding of the German language
  • Understanding of procedures and risks associated with the study
  • Willing to adhere to the protocol and signing of the consent form
  • Willing to refrain from the consumption of illicit psychoactive substances during the study
  • Abstaining from xanthine-based liquids from the evenings prior to the study sessions to the end of the study days
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  • Willing not to operate heavy machinery within 48 hours after substance administration
  • Willing to use double-barrier birth control throughout study participation
  • Body mass index between 18-29 kg/m2

Who cannot join

  • Chronic or acute medical condition
  • Current or previous major psychiatric disorder
  • Psychotic disorder or bipolar disorder in first-degree relatives
  • Hypertension (>140/90 mmHg) or hypotension (SBP<85 mmHg)
  • Hallucinogenic substance use (not including cannabis) more than 20 times or any time within the previous two months
  • Pregnancy or current breastfeeding
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  • Participation in another clinical trial (currently or within the last 30 days)
  • Use of medication that may interfere with the effects of the study medication
  • Tobacco smoking (>10 cigarettes/day)
  • Consumption of alcoholic beverages (>20 drinks/week)

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • Clinical Pharmacology & Toxicology, University Hospital Basel

    Basel, 4031

Other trials in Switzerland

About this study

Lysergic acid diethylamide (LSD) is used as recreational substance and as a research substance to study the mind. Recreationally, LSD is typically used in the form of "blotters" containing LSD tartrate. In research, both LSD base (LSD alone) or LSD salt in the form of LSD tartrate are used. The oral bioavailability of LSD is not known and LSD alone and LSD as salt have never been directly compared regarding their equivalence of plasma concentrations and effects. Because different forms of LSD are used in research it is important to know their difference or equivalence for correct dosing of LSD. The present study will compare equivalent doses of LSD base in ethanol orally, LSD tartrate in water administered orally, LSD base in an orodispersible film administered orally and LSD tartrate in water administered intravenously, as well as a placebo using a double-blind, randomized, counterballanced cross-over design in healthy participants.

Read the detailed description

LSD is widely used for recreational and spiritual purposes. Additionally LSD is currently reused in experimental studies with healthy subjects and in studies investigating its effects on patients suffering from anxiety, depression, addiction personality disorders, cluster headache, migraine, and other pathological conditions.

When LSD is used recreationally, it is administered mostly in the form of LSD tartrate on filter paper (blotter) or as a liquid. In experimental research over the past years, LSD has mostly been used in the form of LSD base, which is lipophilic and therefore has typically been administered as a solution in ethanol. However, some researchers have also use LSD tartrate orally or LSD base intravenously. Currently, it is not clear how these different forms of LSD compare regarding their bioequivalence and effects.

The present study therefore compares four different formulations of LSD and placebo: (1) An oral drinking solution of LSD base currently used in many research studies (100 μg LSD in 96% ethanol), (2) A solid orodispersible film containing LSD base (100 μg LSD), (3) LSD tartrate used in research and recreationally (100 μg LSD equivalent of LSD tartrate in water), (4) an intravenous administration of LSD tartrate (100 μg LSD equivalent of LSD tartrate in water), and (5) placebo for all formulations (quadruple-dummy). The primary goals are to document the bioequivalence of LSD base (1) and tartrate (3) and to define the oral bioavailability of LSD using an additional intravenous LSD administration.

Conditions
Healthy
Being tested
Lysergic Acid Diethylamide Base oral drinking solution, Lysergic Acid Diethylamide Base solid orodispersible film, Lysergic Acid Diethylamide Tartrate oral drinking solution, Lysergic Acid Diethylamide Tartrate intravenous administration, LSD Placebo

What participants receive

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

  • Lysergic Acid Diethylamide Base oral drinking solutionDrug

    Also called LSD

    A moderate dose of 0.1 mg LSD will be administered.

  • Lysergic Acid Diethylamide Base solid orodispersible filmDrug

    Also called LSD

    A moderate dose of 0.1 mg LSD will be administered.

  • Lysergic Acid Diethylamide Tartrate oral drinking solutionDrug

    Also called LSD

    A moderate dose of 0.146 mg LSD tartrate will be administered (equivalent to 0.1 mg LSD base).

  • Lysergic Acid Diethylamide Tartrate intravenous administrationDrug

    Also called LSD

    A moderate dose of 0.146 mg LSD tartrate will be administered (equivalent to 0.1 mg LSD base).

  • LSD PlaceboOther

    Also called Placebo

    Placebo for each formulation containing only the solvent or gel but no LSD.

Study groups in NCT04865653
Study groupRoleWhat they receive
Oral drinking solution of LSD baseExperimentalOral drinking solution of 0.1 mg LSD base in 96% ethanol
Receives: Drug: Lysergic Acid Diethylamide Base oral drinking solution
Solid orodispersible film containing LSD baseExperimentalSolid orodispersible film containing 0.1 mg LSD base
Receives: Drug: Lysergic Acid Diethylamide Base solid orodispersible film
Oral drinking solution of LSD tartrateExperimentalOral drinking solution of 0.146 mg LSD tartrate in water
Receives: Drug: Lysergic Acid Diethylamide Tartrate oral drinking solution
Intravenous administration of LSD tartrateExperimentalIntravenous administration of 0.146 mg LSD tartrate in water
Receives: Drug: Lysergic Acid Diethylamide Tartrate intravenous administration
PlaceboPlacebo comparatorPlacebo for all formulations
Receives: Other: LSD Placebo

What is being measured

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

  1. LSD plasma AUC

    Assessed 22 times on each study day via blood samples

    Measured: 18 months

  2. LSD Cmax

    Assessed 22 times on each study day via blood samples

    Measured: 18 months

  3. Bioavailability of LSD base

    Assessed 22 times on each study day via blood samples

    Measured: 18 months

  4. Bioavailability of LSD tartrate

    Assessed 22 times on each study day via blood samples

    Measured: 18 months

Secondary outcomes (18)
  1. Acute subjective effects I

    Visual Analog Scales (VAS) assessing the intensity and duration of subjective effects on a scale from 0% - 100% with higher scores representing more intense effects

    Measured: 18 months

  2. Acute subjective effects II

    5 Dimensions of Altered States of Consciousness (5D-ASC) consisting of 94 items to be rated on a visual analog scale (0-100 mm), with higher values indicating stronger effects

    Measured: 18 months

  3. Acute subjective effects III

    Spiritual Realm Questionnaire assesses the spiritual phenomenons elicited by psychedelic substances through 11 main questions to be answered on a total of 65 sub-ordered 100mm visual analog scales

    Measured: 18 months

  4. Acute subjective effects IV

    States of Consciousness Questionnaire assesses the emergence and intensity of phenomenons occurring in altered states of consciousness on a 6-point Likert scale ranging from 0 ("not at all") to 5 ("extremely")

    Measured: 18 months

  5. Autonomic effects I

    Assessed 23 times on each study day via systolic and diastolic blood pressure

    Measured: 18 months

  6. Autonomic effects II

    Assessed 23 times on each study day via heart rate

    Measured: 18 months

  7. Autonomic effects III

    Assessed 23 times on each study day via tympanic body temperature

    Measured: 18 months

  8. Bioavailability of orodispersible film

    Assessed 22 times on each study day via blood samples

    Measured: 18 months

  9. NEO-Five-Factor-Inventory (NEO-FFI)

    The NEO-FFI is a self-description questionnaire with 60 items for the measurement of the "big five": neuroticism, extraversion, openness, agreeableness, and consciousness. It uses a 5-point Likert scale ranging from "completely disagree" to "fully agree".

    Measured: Baseline

  10. Freiburger Personality Inventory (FPI-R)

    The FPI-R version comprises 138 items and covers 12 dimensions of personality: life satisfaction, social orientation, performance orientation, inhibition, excitability, aggressiveness, stress, physical complaints, health concerns, openness, as well as the secondary factors according to Eysenck's Extraversion and Emotionality (Neuroticism). It uses a 2-point scale ("true" and "not true").

    Measured: Baseline

  11. Saarbrücker Personality Questionnaire (SPF)

    The SPF defines empathy as the "reactions of one individual to the observed experiences of another." It assesses 28-items on a 5-point Likert scale ranging from "Does not describe me well" to "Describes me very well". The measure has 4 subscales (Perspective Taking, Fantasy, Empathic Concern, Personal Distress) each made up of 7 different items.

    Measured: Baseline

  12. HEXACO personality inventory

    The HEXACO personality inventory is a six-dimensional model of human personality with 100 items.The six factors are: Honesty-Humility, Emotionality, Extraversion, Agreeableness, Conscientiousness and Openness to Experience. The HEXACO uses a 5-point Likert scale ranging from "completely disagree" to "fully agree".

    Measured: Baseline

  13. Defense Style Questionnaire (DSQ-40)

    The DSQ-40 can provide scores for 20 individual defenses, and scores for the three factors "mature", "neurotic", and "immature". Each item is evaluated on a scale from 1 to 9, where "1" indicates "completely disagree" and "9" indicates "fully agree".

    Measured: Baseline

  14. Absence of tolerance

    Absence of tolerance (no significant order effect) with repeated dosing of LSD with a between dosing interval of at least 10 days assessed with Visual Analog Scales (any drug response over time)

    Measured: 18 months

  15. Appreciation Scale (AS)

    The Appreciation Scale comprises 57 items used to measure eight aspects of appreciation. The eight subscales are respectively focus on what one has ("Have" Focus), Awe, Ritual, Present Moment, Self/Social Comparison, Gratitude, Loss/Adversity, and Interpersonal. Each item is evaluated on a scale from 1 to 7 in terms of either attitude intensity ("strongly disagree" to "strongly agree") or frequency ("never" to "more than once a day").

    Measured: Baseline

  16. Subjective well-being I

    The Scale of Positive and Negative Experience (SPANE) is a 12-item questionnaire to capture the affective component of subjective well-being. It includes six items to assess positive feelings and six items to assess negative feelings. The feelings are reported on a 5-point scale ranging from "very rarely" to "very often or always".

    Measured: 18 months

  17. Subjective well-being II

    The Positive Attitude towards life is an 8-item subscale of the 39-item Bern Subjective Well-Being Questionnaire and assesses different dimensions of subjective well-being. Evaluations are made using a six-point rating scale ranging from 1 ("strongly disagree") to 6 ("strongly agree").

    Measured: 18 months

  18. Subjective well-being III

    Global Life Satisfaction (GLS) is assessed on a single item life satisfaction measure. The question is answered on a 11-point scale with 0 as "not at all satisfied with your life" and 10 " completely satisfied.

    Measured: 18 months

Timeline

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

  1. First posted29 Apr 2021
  2. Study start17 Mar 2022
  3. Primary completion11 Oct 2023
  4. Study completion11 Oct 2023

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
Crossover
Model description
Double-blind, placebo-controlled, 5-period cross-over design with five treatment conditions: 1. Oral drinking solution of 0.1 mg LSD base in 96% ethanol 2. Solid orodispersible film containing 0.1 mg LSD base 3. Oral drinking solution of 0.146 mg LSD tartrate in water (equivalent to 0.1 mg LSD base) 4. Intravenous administration of 0.146 mg LSD tartrate in water (equivalent to 0.1 mg LSD base) 5. Placebo
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04865653
Sponsor's protocol ID
BASEC 2020-02331
Acronym
LSD-Bio
Status last verified
Feb 2024
First submitted
26 Apr 2021
Last updated
14 Feb 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Arikci D, Holze F, Mueller L, Vizeli P, Rudin D, Luethi D, Hysek CM, Liechti ME. Absolute Oral Bioavailability and Bioequivalence of LSD Base and Tartrate in a Double-Blind, Placebo-Controlled, Crossover Study. Clin Pharmacol Ther. 2025 Sep;118(3):735-743. doi: 10.1002/cpt.3726. Epub 2025 May 26.

    PubMed 40418105

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Lysergic Acid Diethylamide Base oral drinking solution, Lysergic Acid Diethylamide Base solid orodispersible film and Lysergic Acid Diethylamide Tartrate oral drinking solution in people with Healthy, run by University Hospital, Basel, Switzerland at 1 site in Switzerland.

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 9 inclusion and 10 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 14 Feb 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 Switzerland. 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?

LSD plasma AUC (time frame: 18 months). The study lists 4 primary outcomes in all. 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 NCT04865653, 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 14 Feb 2024.

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