Comparative Acute Effects of R-MDMA and S-MDMA in Healthy Participants (R-S-)
This randomised, triple-blind, placebo-controlled Phase I crossover trial (n=24) will compare the acute effects of two enantiomers of MDMA—R-MDMA (300 mg) and S-MDMA (100 mg)—in healthy adult participants.
Detailed Description
Randomised, triple-blind, placebo-controlled 3-period crossover in healthy volunteers to compare acute subjective and physiological effects of single oral doses of R-MDMA (300 mg) and S-MDMA (100 mg) against placebo.
Primary aim is basic science characterisation of enantiomer-specific pharmacology and subjective effects; outcomes include vital signs, adverse events and standard psychometric instruments.
Each participant receives three single-dose sessions (R-MDMA, S-MDMA, placebo) with washout between periods; estimated enrollment 24 at University Hospital Basel.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
R-MDMA 300mg
experimentalSingle oral dose of R-MDMA 300 mg in crossover period.
Interventions
- MDMA300 mgvia Oral• single dose
R-MDMA (300 mg)
S-MDMA 100mg
experimentalSingle oral dose of S-MDMA 100 mg in crossover period.
Interventions
- MDMA100 mgvia Oral• single dose
S-MDMA (100 mg)
Placebo
inactivePlacebo (mannitol) comparator in crossover period.
Interventions
- Placebovia Oral• single dose
Placebo (mannitol)
Participants
Inclusion Criteria
- Inclusion Criteria:
- 1. Age between 18 and 65 years
- 2. Good understanding of the German language
- 3. Understanding of procedures and risks associated with the study
- 4. Willing to adhere to the protocol and signing of the consent form
- 5. Willing to refrain from the consumption of illicit psychoactive substances during the study
- 6. Willing not to operate heavy machinery within 48 h after administration of a study substance (including driving a car)
- 7. Willing to use effective birth-control throughout study participation.
- 8. Body mass index 18 - 34.9 kg/m2
Exclusion Criteria
- Exclusion Criteria:
- 1. Relevant chronic or acute medical condition
- 2. Current or previous major psychiatric disorder (e.g. bipolar disorder, schizophrenia), current depression or anxiety disorder
- 3. Psychotic disorder or bipolar disorder in first-degree relatives
- 4. Hypertension (SBP>140/90 mmHg) or hypotension (SBP<85 mmHg)
- 5. Illicit substance use (not including cannabis) more than 20 times or any time within the previous month.
- 6. Pregnancy or current breastfeeding
- 7. Participation in another clinical trial (currently or within the last 30 days)
- 8. Use of medications that may interfere with the effects of the study medication
- 9. Tobacco smoking (>10 cigarettes/day).
- 10. Excessive consumption of alcoholic beverages (>15 drinks/week)
Study Details
- StatusRecruiting
- PhasePhase I
- Typeinterventional
- DesignRandomizedtriple Blind
- Target Enrollment24 participants
- TimelineStart: 2025-05-01End: 2026-11-01
- Compounds
- Topic