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Diabetes MellitusPhase 1NCT05526430

Study of Harmine in Healthy Subjects

A Phase 1 study testing Harmine Hydrochloride Capsules in people with Diabetes Mellitus, run by James Murrough 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 present study is a phase 1 dose escalation study of harmine in healthy volunteers. The primary goal of the trial is to determine the maximum tolerated dose of harmine. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Diabetes Mellitus
What is being tested?
Harmine Hydrochloride Capsules
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
27 participants
Where
1 siteUnited States
Study dates
13 Sep 2022to 23 Jun 2023
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male or female aged 18-55 years;
  • Participants must have a level of understanding of the English language sufficient to agree to all tests and examinations required by the study and must be able to participate fully in the informed consent process;
  • Body Mass Index (BMI) between 19 and 30;
  • Women of childbearing potential and men must be using an acceptable method of contraception to avoid pregnancy throughout the study as judged by the investigator;
  • Women must not be breastfeeding;

Who cannot join

  • Children under the age of 18 and adults over the age of 55 due to concerns regarding neurodevelopmental and neurocognitive effects, respectively.
  • Individuals who are underweight as defined as a BMI <19, or who are obese as defined as >30 according to the Centers for Disease Control (CDC). These criteria are in line with the goals of a phase I dose finding and pharmacokinetic study.
  • Presence of a significant medical illness i.e., delirium, metastatic cancer, decompensated cardiac, liver or kidney failure, major surgery, stroke or myocardial infarction during the three months prior to entry;
  • Presence of a significant neurological disease such as Parkinson's disease, primary or secondary seizure disorders, intracranial tumors, severe head trauma; neurodegenerative diseases;
  • Presence of neurocognitive or dementing disorders;
  • Presence or history of psychiatric disorder as diagnosed by Mini Neuropsychiatric Interview (MINI);
Show all 19Show fewer
  • Urine toxicology positive for illicit drugs or dis-allowed concomitant medications as per study protocol;
  • Medications with primary central nervous system (CNS) effects are dis-allowed, including psychotropic medications, antidepressants, benzodiazepines, centrally acting hypnotic agents, and centrally acting anti-migraine therapies;
  • Medications with primary cardiovascular effects are dis-allowed, including beta-adrenergic antagonists, ACE inhibitors, calcium channel blockers, and diuretics;
  • Any OTC medications or herbal remedies (see concomitant medications listed above) that could interfere with the study drug, pose a risk to the subject, or contain high tyramine as outlined in the Low Tyramine Diet attachment and above in the concomitant medication summary;
  • Any other medications that, in the opinion of the investigators, would pose a safety risk to the patient or that would interfere with the interpretation of study results; Positive pregnancy test at screen or on the morning of the treatment day in women of childbearing potential;
  • Systolic blood pressure outside the range of 100 - 140 mmHg, diastolic blood pressure outside the range of 60 - 90 mmHg, and pulse rate at rest > 100 or < 60 bpm;
  • History of positive tests for hepatitis B surface antigen, hepatitis C antibodies;
  • History of HIV;
  • Significant ECG abnormalities as follows:
  • Heart Rate < 60 and >100 bpm
  • PR Interval <120 and > 220 ms
  • QRS duration < 70 and >120 ms
  • QTC Interval (Bazett) > 450 ms

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Depression and Anxiety Center

    New York, New York, 10029

Other trials in United States

About this study

Official title: A Phase I Dose Escalation Study of Harmine in Healthy Subjects

The present study is a phase 1 dose escalation study of harmine in healthy volunteers. The primary goal of the trial is to determine the maximum tolerated dose of harmine.

Read the detailed description

The present study is a phase 1 dose escalation study of harmine in healthy volunteers. The primary goal of the trial is to determine the maximum tolerated dose of harmine. Harmine will be administered in an open-label, dose escalation design that will use the continual reassessment method to inform the next dose to test in a subject. There will be a total of seven possible doses that include 100 mg, 200 mg, 300 mg, 500 mg, 700 mg, 900 mg and 1200 mg. Each study subject will receive a single oral dose of harmine in this single ascending dose design. On the treatment day, subjects will undergo continuous medical monitoring. All adverse events will be documented and events that qualify as dose limiting toxicities (DLTs) will be used to inform dosing for the subsequent subjects.

Being tested
Harmine Hydrochloride Capsules
Medical subject headings
Diabetes Mellitus

What participants receive

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

  • Harmine Hydrochloride CapsulesDrug

    capsules taken orally

Study groups in NCT05526430
Study groupRoleWhat they receive
Harmine DoseExperimentalThere will be a total of seven possible doses that include 100 mg, 200 mg, 300 mg, 500 mg, 700 mg, 900 mg and 1200 mg. Each study subject will receive a single oral dose of harmine in this single ascending dose design.
Receives: Drug: Harmine Hydrochloride Capsules

What is being measured

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

  1. Number of Participants With Dose Limiting Toxicity (DLT)

    DLT which is defined if have any one of the following:

    Patient Rated Inventory of Side Effects (PRISE): 0-51, higher scores indicate more adverse events observed

    Brief Psychiatric Rating Scale (BPRS): 4 - 28, higher scores indicate more symptoms of psychosis

    Vitals: blood pressure and heart rate will all be measured - anything outside of the following ranges will be noted:

    • Symptomatic hypotension, or > 20% decrease in systolic blood pressure (SBP) from pre-dosing and an absolute SBP < 90; or
    • Symptomatic hypertension, or > 20% increase in SBP or diastolic blood pressure (DBP) from predosing and absolute SBP > 170 or DBP > 95;
    • New onset tachycardia (heart rate >100 bpm) and >20% increase from pre-dosing; or symptomatic bradycardia (heart rate <60 bpm) and > 20% decrease from pre-dosing.
    • Signs and symptoms of cardiac ischemia, defined by acute ischemic changes on ECG with or without concomitant symptoms

    Measured: 24 hours

  2. Maximum Tolerated Dose (MTD) of Oral Harmine HCl Based on Dose Limiting Toxicity (DLT)

    The MTD was determined to be between 100 and 200mg and is weight-based.

    Measured: 24 hours

Secondary outcomes (20)
  1. Visual Analog Scale (VAS) - Nausea

    Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly

    Measured: baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours

  2. Visual Analog Scale (VAS) - Hunger

    Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly.

    Measured: baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours

  3. Visual Analog Scale (VAS) - Feeling High/Intoxicated

    Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly

    Measured: baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours

  4. Visual Analog Scale (VAS) - Drowsiness

    Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly

    Measured: baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours

  5. Visual Analog Scale (VAS) - Anxiety

    Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly

    Measured: baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours

  6. Visual Analog Scale (VAS) - Depressed Mood

    Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly.

    Measured: baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours

  7. Visual Analog Scale (VAS) - Happy Mood

    Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly

    Measured: baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours

  8. Visual Analog Scale (VAS) - Excitement

    Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly.

    Measured: baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours

  9. Visual Analog Scale (VAS) - Feeling of Control

    Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly.

    Measured: baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours

  10. Visual Analog Scale (VAS) - Vividness of Image

    Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly.

    Measured: baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours

  11. Profile of Mood States Bipolar Scale (POMS-Bi): Composed-Anxious Scale

    The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments.

    Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood

    Measured: Baseline, 2, 6, 7, 8, and 24 hours

  12. Profile of Mood States Bipolar Scale (POMS-Bi): Agreeable-Hostile Scale

    The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments.

    Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood

    Measured: Baseline, 2, 6, 7, 8, and 24 hours

  13. Profile of Mood States Bipolar Scale (POMS-Bi): Elated-Depression Scale

    The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments.

    Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood

    Measured: Baseline, 2, 6, 7, 8, and 24 hours

  14. Profile of Mood States Bipolar Scale (POMS-Bi): Confident-Unsure Scale

    The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments.

    Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood

    Measured: Baseline, 2, 6, 7, 8, and 24 hours

  15. Profile of Mood States Bipolar Scale (POMS-Bi): Energetic-Tired Scale

    The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments.

    Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood

    Measured: Baseline, 2, 6, 7, 8, and 24 hours

  16. Profile of Mood States Bipolar Scale (POMS-Bi): Clearheaded-Confused Scale

    The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments.

    Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood

    Measured: Baseline, 2, 6, 7, 8, and 24 hours

  17. Perceived Stress Scale (PSS)

    The PSS is a 10-item self-report scale that measures the perception of stress. Each item is rated on a scale from 0-4. Full scale from 0-40, with higher score indicating more perceived stress

    Measured: 24 hours

  18. Patient Rated Inventory of Side Effects (PRISE)

    The PRISE is a self-report Adverse Event (AE) Checklist used to qualify side effects by identifying and evaluating the tolerability of each symptom.

    Only new onset or worsening symptoms were included. Participants could report more than one AE.

    Measured: 24 hours

  19. Brief Psychiatric Rating Scale (BPRS)

    The BPRS is a 16-item clinician- administered scale that captures acute behavioral changes throughout treatment. Each item is rated on a scale from 1-7. Full scale from 16-112 with higher score indicating more worse health outcomes.

    Measured: Baseline, 2, 6, 7, 8, and 24 hours

  20. Columbia Suicide Severity Rating Scale (C-SSRS)

    The C-SSRS is a clinician-administered suicidal ideation and behavior rating scale used to evaluate suicide risk. Full range from 0 (low intensity suicidal ideation to 9 (high intensity suicidal ideation).

    Measured: 24 hours

Timeline

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

  1. First posted2 Sep 2022
  2. Study start13 Sep 2022
  3. Primary completion23 Jun 2023
  4. Study completion23 Jun 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
Treatment
Allocation
Not applicable
Intervention model
Sequential
Model description
This study will employ the continual reassessment method (CRM) to find an MTD of Harmine. It uses a statistical model to estimate the relationship between dose and DLT risk to inform decisions on dosing. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a patient experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. The next dose assigned is that most likely to be associated with the target toxicity level (the MTD). At every step, the next patient is assigned the dose estimated to be nearest to the MTD.
Masking
None (open label)
Enrolment
27 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05526430
Sponsor's protocol ID
GCO 20-1458
Other IDs
1R01DK128242-01A1
Status last verified
Jan 2025
First submitted
31 Aug 2022
Last updated
16 Jan 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: As of now the study team is not plan on sharing IPD as that would not align with the approved management plan.

Publications

  • Ables JL, Israel L, Wood O, Govindarajulu U, Fremont RT, Banerjee R, Liu H, Cohen J, Wang P, Kumar K, Lu G, DeVita RJ, Garcia-Ocana A, Murrough JW, Stewart AF. A Phase 1 single ascending dose study of pure oral harmine in healthy volunteers. J Psychopharmacol. 2024 Oct;38(10):911-923. doi: 10.1177/02698811241273772. Epub 2024 Sep 20.

    PubMed 39301926

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Harmine Hydrochloride Capsules in people with Diabetes Mellitus, run by James Murrough 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 5 inclusion and 19 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 16 Jan 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. 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?

Yes. Results are posted in the registry (first posted 16 Jan 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Participants With Dose Limiting Toxicity (DLT) (time frame: 24 hours). 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?

On the ClinicalTrials.gov record for NCT05526430, 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 16 Jan 2025.

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