Open-Label Dose-Ranging Study of Oral SM-001 in Healthy Adults

NCT ID: NCT05894902

Last Updated: 2023-07-07

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

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-01

Study Completion Date

2024-06-30

Brief Summary

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Phase I safety and dose finding study of a standardized Ayahuasca analog (SM-001) in healthy adult volunteers

Detailed Description

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The Investigational New Drug SM-001 is formulated as a hot water decoction of two clonal cultivars of the Peruvian plants, Banisteriopsis caapi (BC) and Psychotria viridis (PV). It represents a modern formulation of an ancient Amazonian botanical medicine, "ayahuasca" ("vine of the soul") that is used by many native South American indigenous and mestizo groups for both religious and medicinal purposes.

This initial Phase 1 study is to be conducted as an open label, dose-ranging safety assessment of a single dose of SM-001 taken orally by healthy adult volunteers. Twelve adult men and women, ages 25-65 years, will be consecutively assigned to one of three dose levels, 4 subjects per group (2 M; 2 F). In the presence of the Clinical Investigator(s), each subject will receive a single dose of SM-001, administered at the Clinical Study Site as a liquid at one of three dose levels: 0.25, 0.5, or1.5 ml SM-001 per kg body weight. To assess systemic exposure to SM-001, plasma levels of the four biomarkers, dimethyltryptamine, harmine, tetrahydroharmine, and harmaline will be measured. Blood samples will be drawn at baseline, HR 0 (pre-Study Drug dose), and then at HR 1, 2, 4, 8, and 24 post dose. Subjects will return to the Clinical Study Site at Study Day 28 for a final in-person assessment.

Conditions

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Major Depression Post Traumatic Stress Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Subjects will be consecutively accrued to one of three study groups, starting at the lowest dose, Level 1 ("low" dose), and proceeding to the next higher dose level. Each subject will receive one dose of the Study Drug orally at the Clinical Study Site, according to their assigned dose Level. Dose levels vary by volume:

Level 1: 0.5 mL/kg ("low"; 50% of usual dose) N=4 (2M/2F) Level 2: 1 ml/kg ("medium"; 100% of usual dose) N=4 (2M/2F) Level 3: 2 ml/kg ("high"; 200% of usual dose) N=4 (2M/2F)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Open label Phase I safety & dose finding study: low dose group

4 study participants will receive a low oral dose (0.5 mL/Kg) of SM-001

Group Type ACTIVE_COMPARATOR

SM-001

Intervention Type DRUG

The Investigational New Drug SM-001 is formulated as a hot water decoction of two proprietary clonal cultivars of the Peruvian plants, Banisteriopsis caapi (BC) and Psychotria viridis (PV).

Open label Phase I safety & dose finding study: medium dose group

4 study participants will receive a medium oral dose (1.0 mL/Kg) of SM-001

Group Type ACTIVE_COMPARATOR

SM-001

Intervention Type DRUG

The Investigational New Drug SM-001 is formulated as a hot water decoction of two proprietary clonal cultivars of the Peruvian plants, Banisteriopsis caapi (BC) and Psychotria viridis (PV).

Open label Phase I safety & dose finding study: high dose group

4 study participants will receive a high oral dose (2.0 mL/Kg) of SM-001

Group Type ACTIVE_COMPARATOR

SM-001

Intervention Type DRUG

The Investigational New Drug SM-001 is formulated as a hot water decoction of two proprietary clonal cultivars of the Peruvian plants, Banisteriopsis caapi (BC) and Psychotria viridis (PV).

Interventions

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SM-001

The Investigational New Drug SM-001 is formulated as a hot water decoction of two proprietary clonal cultivars of the Peruvian plants, Banisteriopsis caapi (BC) and Psychotria viridis (PV).

Intervention Type DRUG

Other Intervention Names

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Ayahuasca

Eligibility Criteria

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Inclusion Criteria

* Healthy adults: men and women ages 25-65 years of age
* Previous experience with a psychedelic drug
* Vital Signs within normal limits for temperature (oral), respiratory rate, heart rate
* Normal blood pressure (for age) in the absence of antihypertensive drugs
* Normal complete blood count and differential, platelets, coagulation ((PT/PTT)
* Liver function tests ≤ 1.5X upper limits of normal
* Renal function (BUN, serum Creatinine) - within normal limits
* Able to understand and willing to comply with Study Protocol requirements.
* Willing to abstain from alcohol for at least 72 hours prior to and following Study Day 0
* No use of recreational drugs for at least 14 days prior to Study Day 0.
* Women who are not pregnant or lactating.

Exclusion Criteria

* Body Mass Index \> 30 or \< 20
* Systemic condition that includes, but is not limited to: hematological, immunological, hepatic, renal, cardiac, neurological conditions that is under current treatment or causes abnormal physical or laboratory parameters.
* History of seizures
* History of drug or alcohol abuse
* History of psychiatric disorder or history of significant trauma, as defined by DSM- V.
* Use of SSRIs, MAO inhibitors, or other psychoactive compounds either pharmaceutical drugs or botanical in origin (i.e., 5-HTP, St John's Wort)
* Any condition which, in the opinion of the Investigators, would preclude the use of the test article or the successful completion of the study.
Minimum Eligible Age

25 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Advanced Integrative Medical Science Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Leanna J Standish, ND PhD

Role: PRINCIPAL_INVESTIGATOR

AIMS Institute

Locations

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AIMS Institute

Seattle, Washington, United States

Site Status

Countries

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United States

Central Contacts

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Leanna J Standish, ND PhD

Role: CONTACT

2064201321

Sunil K Aggarwal, MD PhD

Role: CONTACT

2064201321

Facility Contacts

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Michelle Speaks, MBA

Role: primary

206-420-1321

Sunil K Aggarwal, MD, PhD

Role: backup

2064201321

References

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Other Identifiers

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SM-001

Identifier Type: -

Identifier Source: org_study_id

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