SPL026 (DMT Fumarate) in Healthy Subjects and MDD Patients

NCT ID: NCT04673383

Last Updated: 2024-03-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-04

Study Completion Date

2022-12-22

Brief Summary

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SPL026 (N,N-dimethyltryptamine \[DMT\] fumarate) is a psychedelic tryptamine being developed as a therapy for patients with major depressive disorder (MDD).

Detailed Description

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2-part study. Part A in psychedelic-naïve healthy volunteers. Part B in patients with MDD who score moderate-severe on Ham-D.

Healthy volunteers will receive a single dose of SPL026 in a dose-escalation parallel group study.

Patients will receive up to 2 single doses of SPL026, 2 weeks apart. Dose 1 will be randomised double-blind with placebo. Dose 2 will be open label, active SPL026.

SPL026 will be administered by IV injection. Safety and tolerability, PK, PD and efficacy will be measured.

Conditions

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Major Depressive Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
RCT

Study Groups

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Healthy volunteers (active)

SPL026 to be administered by IV injection

Group Type EXPERIMENTAL

SPL026

Intervention Type DRUG

Intravenous solution

Healthy volunteers (placebo)

SPL026-matched placebo to be administered by IV injection

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

SPL026-matched placebo

Patients (active)

SPL026 to be administered by IV injection

Group Type EXPERIMENTAL

SPL026

Intervention Type DRUG

Intravenous solution

Patients (placebo)

SPL026-matched placebo to be administered by IV injection

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

SPL026-matched placebo

Interventions

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SPL026

Intravenous solution

Intervention Type DRUG

Placebo

SPL026-matched placebo

Intervention Type DRUG

Other Intervention Names

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DMT dimethyltryptamine n,n-dimethytryptaimine Dummy SPL026-matched placebo

Eligibility Criteria

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Inclusion Criteria

Normotensive male or female, deemed healthy on the basis of a clinical history, physical examination, ECG, vital signs, laboratory tests of blood and urine, Mini-International Neuropsychiatric Interview (MINI) and Beck Scale for Suicidal Ideation (BSS); willing to follow the contraception requirements of the trial; willing to refrain from psychedelic drug use (excluding the study drug) during the trial and ≥ 3 months afterwards; willing to be contacted by email and video call, and have online access; able to give fully informed written consent. Part A only: psychedelic-naïve, ie have never taken a serotonergic psychedelic drug, in any form. Must be 25 years or older. Part B only: MDD diagnosis (as per DSM-V); not on antidepressant medication or willing to discontinue antidepressant medication (eg selective serotonin reuptake inhibitor \[SSRI\] treatment) for a sufficient time before and during the study; no psychedelic drug use in the 6 months before dosing.

Exclusion Criteria

Pre-menopausal females who are pregnant or lactating, or who are sexually active and not using a reliable method of contraception; clinically relevant abnormal findings at the screening assessment; acute or chronic illness (other than MDD \[Part B only\]) or infection; clinically relevant abnormal medical history or concurrent medical condition (other than MDD \[Part B only\]); positive tests for hepatitis B \& C, or HIV; severe adverse reaction to any drug; use of over-the-counter or prescribed medication (excluding oral contraceptives) within previous 28 days (paracetamol \[acetaminophen\] permitted up to 7 days, and antidepressant medication must have ceased for at least 14 days; 28 days for MOAIs) before first dose of trial medication; drug or alcohol abuse; use of cannabis in the 24 h before each study visit; heavy smokers (\> 10 \[Part A\] or \> 20 cigarettes \[Part B\] daily); supine blood pressure, heart rate, or QTcF outside the acceptable ranges; participation in other clinical trials of unlicensed medicines, or loss of more than 400 mL blood, within the previous 3 months; phobia of needles or blood; possibility that volunteer will not cooperate with the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Small Pharma Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Erritzoe, MD

Role: PRINCIPAL_INVESTIGATOR

Imperial College London

Malcolm Boyce, MD

Role: PRINCIPAL_INVESTIGATOR

Hammersmith Medicines Research

Fabian Devlin, MD

Role: PRINCIPAL_INVESTIGATOR

MAC Clinical Research

Locations

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MAC Clinical Research

Liverpool, , United Kingdom

Site Status

Hammersmith Medicines Research

London, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Good M, Joel Z, Benway T, Routledge C, Timmermann C, Erritzoe D, Weaver R, Allen G, Hughes C, Topping H, Bowman A, James E. Pharmacokinetics of N,N-dimethyltryptamine in Humans. Eur J Drug Metab Pharmacokinet. 2023 May;48(3):311-327. doi: 10.1007/s13318-023-00822-y. Epub 2023 Apr 22.

Reference Type RESULT
PMID: 37086340 (View on PubMed)

James E, Erritzoe D, Benway T, Joel Z, Timmermann C, Good M, Agnorelli C, Weiss BM, Barba T, Campbell G, Baker Jones M, Hughes C, Topping H, Boyce M, Routledge C. Safety, tolerability, pharmacodynamic and wellbeing effects of SPL026 (dimethyltryptamine fumarate) in healthy participants: a randomized, placebo-controlled phase 1 trial. Front Psychiatry. 2024 Jan 11;14:1305796. doi: 10.3389/fpsyt.2023.1305796. eCollection 2023.

Reference Type RESULT
PMID: 38274414 (View on PubMed)

Related Links

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https://www.isrctn.com/ISRCTN63465876

Clinical Trial Report Synopsis Available Here

Other Identifiers

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CT026_001

Identifier Type: -

Identifier Source: org_study_id

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