Trifecta Research Study
Non-randomised, parallel interventional study (n=40) testing sequences of HRT, MeRT, ibogaine and 5‑MeO‑DMT in Special Operations Forces veterans with PTSD and cognitive difficulties following TBI.
Detailed Description
This interventional programme enrolls 40 SOF veterans with combat deployments, PTSD and cognitive symptoms related to TBI to evaluate sequences of Hormone Replacement Therapy, Magnetic e‑resonance Therapy (MeRT), ibogaine and 5‑MeO‑DMT.
Participants are assigned to one of two parallel sequences delivered by SOC‑F contracted providers; outcomes include changes in PTSD symptoms, cognitive function, objective cognitive tasks and safety/adverse events up to 3‑month follow‑up.
An observational study will run in parallel by the Johns Hopkins Center for Psychedelic and Consciousness Research to further evaluate effectiveness and safety signals.
Study Protocol
Preparation
Dosing
Integration
Therapeutic Protocol
Study Arms & Interventions
Sequence A
experimentalHRT → Ibogaine + 5‑MeO‑DMT → MeRT sequence delivered by SOC‑F contracted providers.
Interventions
- Compoundvia Other• multiple sessions
Hormone Replacement Therapy (HRT) as clinically indicated.
- Compoundvia Other• multiple sessions
Magnetic e‑resonance therapy (MeRT), EEG‑guided rTMS modality.
- Ibogainevia Other• single or limited dosing sessions
Ibogaine with magnesium treatment; dosing per protocol (not specified in registry fragment).
- 5-MeO-DMTvia Other• single or limited dosing sessions
5‑MeO‑DMT administered per protocol (dose not specified).
Sequence B
active comparatorHRT → MeRT → Ibogaine + 5‑MeO‑DMT sequence delivered by SOC‑F contracted providers.
Interventions
- Compoundvia Other• multiple sessions
Hormone Replacement Therapy (HRT) as clinically indicated.
- Compoundvia Other• multiple sessions
Magnetic e‑resonance therapy (MeRT), EEG‑guided rTMS modality.
- Ibogainevia Other• single or limited dosing sessions
Ibogaine with magnesium treatment; dosing per protocol (not specified).
- 5-MeO-DMTvia Other• single or limited dosing sessions
5‑MeO‑DMT administered per protocol (dose not specified).
Participants
Inclusion Criteria
- At least 18 years of age
- Sponsored by SOC-F Program
Exclusion Criteria
- Diagnosis of Schizophrenia, Bipolar I or II disorder for which patient has been hospitalized or medicated, Depersonalization and/or Derealization Disorder
- Cerebellar dysfunction, Epilepsy, Psychosis or acute confusional state, Dementia
- Prolonged corrected QT interval (QTc) Interval (450ms in males; 470ms in females)
- History of heart failure or hypertrophic heart
- Active blood clots (e.g., Pulmonary embolism, Deep vein thrombosis)
- Major respiratory conditions (e.g., Emphysema, Cystic fibrosis)
- Severe chronic gastrointestinal issues (e.g., bleeding ulcer, leaky gut syndrome)
- Within 6 months of surgeries
- Abnormal blood test results (e.g., potassium or magnesium outside normal range)
- Impaired kidney or liver function
- Refusal to taper off of selective serotonin reuptake inhibitor (SSRI) medication
Study Details
- StatusWithdrawn
- PhasePhase II
- Typeinterventional
- DesignNon-randomized
- Target Enrollment40 participants
- TimelineStart: 2025-03-01End: 2027-03-01
- Compounds
- Topic