Dose-finding Study for the Combination of DMT and Harmine in Healthy Subjects

Study Overview
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Brief Summary
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The goal of this clinical trial is to compare corresponding inter- and intraindividual pharmacokinetic and pharmacodynamic profiles including assessments of safety & tolerability.

Detailed Description
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Participants will undergo a series of six study days with varying doses of DMT and Harmine. The intervention is embedded in controlled environment and continuous psychological support. Pharmacokinetic and pharmacodynamic assessments are obtained over the course of 24 hours on each study visit to estimate dose-exposure relationship and drug-drug-interaction. Additionally, the occurrence of adverse events will be closely monitored throughout the whole study.

Official Title
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Single-blind, Randomized, Two-arm, Dose-response Study of DMT and Harmine in Healthy Subjects

Conditions
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Healthy

Intervention / Treatment
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* Drug: Dimethyltryptamin (DMT) & Harmine


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Willing and capable to give informed consent for the participation in the study after it has been thoroughly explained Willing to refrain from drinking alcohol one day before testing days and caffeinated drinks at the testing days and from consuming psychoactive substances or other medications for 2 weeks before testing days and for the duration of the study Already experienced with psychedelic substances (at least 5 prior experiences - microdoses do not count) Able and willing to comply with all study requirements Informed consent form was signed Good knowledge of the German language Participant informs study physicians / project scientists about simultaneous treatment or therapy with other physicians and about current intake of psychotropic substances or medication Women of childbearing potential are required to use effective, established contraception, such as oral, injected or implanted hormonal methods of contraception, placement of an intrauterine device (IUD) or intrauterine system (IUS), barrier methods of contraception: condom or occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository Exclusion Criteria: Previous significant adverse response to a hallucinogenic drug Participation in another study where pharmaceutical compounds will be given Presence of Axis I affective, anxiety, or dissociative disorders Present or antecedent diagnosis of bipolar disorder (I, II, not otherwise specified), schizophrenia, schizoaffective disorder, psychosis, or other disorders from the psychotic spectrum First-degree relatives with present or antecedent schizophrenia, schizoaffective disorder, or bipolar disorder type I History of head trauma, seizures, cancer, or cerebrovascular accidents Recent cardiac or brain surgery Current addiction of medication or psychotropic substances (including nicotine addiction) according to SCID I criteria Presence of major internal or neurological disorders (including sepsis, pheochromocytoma, thyrotoxicosis, drug-induced fibrosis, familiar or basilar artery migraine) Cardiovascular disease (hypertonia, coronary artery disease, heart insufficiency, myocardical infarction, coronary spastic angina) Peripheral vascular disease (thromboangiitis obliterans, luetic arteritis, severe arteriosclerosis, thrombophlebitis, Raynaud's disease) Cerebrovascular disease (e.g. stroke, intracranial bleeding / hemorrhage, intracranial aneurysm) Serious abnormalities in ECG or blood count/chemistry Liver or renal or pulmonary disease Pregnant or breastfeeding women (a urine pregnancy test will be done for all women capable of bearing children), occurrence of premenstrual dysphoric disorder (PMDD) Current use of medications with significant interaction potential with MAOI (e.g. antidepressants, antipsychotics, psychostimulants, dopaminergic/serotonergic agents, anticonvulsants) high risk of adverse emotional or behavioral reaction based on investigator's clinical evaluation (e.g. evidence of serious personality disorder, serious current stressors, lack of social support) Optional wearable data collection (pilot and main study): Additional inclusion criterion for health data collection sub-cohort using TeleWear and accompanying wearable: possession of a smartphone capable of running the latest version of the TeleWear application and Withings® HealthMate application.

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Each participants will be randomized into one of two sequences. Each sequence consists of six study days with a minimum of 1 day between each study day. The differences between the sequences are a) the order of dosages administered to minimize confounding effects through expectancy and b) a study day containing only one of the two active ingredients, thus covering each combination in a factorial, cross-over design.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Sequence A<br>Six varying doses of a fixed-combination of Dimethyltryptamin (DMT) and harmine | Drug: Dimethyltryptamin (DMT) & Harmine<br>* Six varying doses of a fixed-combination formulation of Dimethyltryptamin (DMT) and harmine<br>* Other names: RE01;|
| Experimental: Sequence B<br>Six varying doses of a fixed-combination of Dimethyltryptamin (DMT) and harmine | Drug: Dimethyltryptamin (DMT) & Harmine<br>* Six varying doses of a fixed-combination formulation of Dimethyltryptamin (DMT) and harmine<br>* Other names: RE01;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pharmacokinetic parameter Cmax | Dose-dependent changes in Cmax of several doses of combined DMT & Harmine | Changes from baseline to study days 1,2,3,4,5,6 | 
| Pharmacokinetic parameter Area under the curve (AUC) | Dose-dependent changes in AUC of several doses of combined DMT & Harmine | Changes from baseline to study days 1,2,3,4,5,6 | 
| Pharmacokinetic parameter T1/2 | Dose-dependent changes in T1/2 of several doses of combined DMT & Harmine | Changes from baseline to study days 1,2,3,4,5,6 | 
| Incidence of Treatment-Emergent Adverse Events | Dose-dependent changes in incidence of adverse drug reactions | On study days 1,2,3,4,5,6 | 
| Blood count (Lab biochemistry) | Changes from baseline in blood count | Changes from baseline to End of Study, an average of 6 weeks | 
| Clinical chemistry (Lab biochemistry) | Changes from baseline in any clinical chemistry parameter with potential clinical relevance. | Changes from baseline to End of Study, an average of 6 weeks | 
| Blood coagulation (Lab biochemistry) | Changes from baseline in blood coagulation | Changes from baseline to End of Study, an average of 6 weeks | 
| QT interval (12-lead Electrocardiogram [ECG]) | Dose-dependent changes of QT intervals assessed by clinical 12-lead ECG) | Changes from baseline to study days 1,2,3,4,5,6 | 
| Blood pressure | Dose-dependent changes in systolic and diastolic blood pressure | Changes from baseline to study days 1,2,3,4,5,6 | 
| Heart rate | Dose-dependent changes in heart-rate | Changes from baseline to study days 1,2,3,4,5,6 | 
| Temperature | Dose-dependent changes in body temperature (in °C) | Changes from baseline to study days 1,2,3,4,5,6 | 
| Genotyping | Collection of saliva-samples to determine genetic polymorphisms | At screening | 
| Subjective effects | Dose-dependent changes in trajectories of subjective effects | Changes from baseline to study days 1,2,3,4,5,6 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Aliveness - Behavioral Task | Validated instrument developed to assess dose-dependent changes in perceived aliveness. | Changes from baseline to study days 1,2,3 | 
| Heart-rate-Variability, Physical Activity, Sleep Patterns | Wearable device for continuous sensor assessments | Continuously throughout the study until End of Study, an average of 6 weeks | 
| Heart-rate-variability | Occurence of dose-dependent changes in heart-rate-variability assessed by a wearable device | Continuously throughout the study until End of Study, an average of 6 weeks | 
| Physical Activity | Occurence of dose-dependent changes in physical activity assessed by a wearable device | Continuously throughout the study until End of Study, an average of 6 weeks | 
| Sleep Patterns | Occurence of dose-dependent changes in sleep patterns assessed by a wearable device | Continuously throughout the study until End of Study, an average of 6 weeks |