Actively Recruiting

Phase 2
Age: 21Years - 70Years
All Genders
NCT07288151

MDMA-Assisted Massed Exposure Therapy for PTSD

Led by Emory University · Updated on 2026-04-13

200

Participants Needed

1

Research Sites

195 weeks

Total Duration

On this page

Sponsors

E

Emory University

Lead Sponsor

U

United States Department of Defense

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this clinical trial is to investigate the efficacy of 3,4-methylenedioxy-methamphetamine hydrochloride (MDMA) combined with Massed Prolonged Exposure (PE) therapy for the treatment of posttraumatic stress disorder (PTSD) in adult participants diagnosed with PTSD. This randomized, placebo-controlled trial will enroll 95 participants. The main questions it aims to answer are: * Does the combination of PE + MDMA lead to greater reduction in PTSD symptom severity from pre-treatment to one-month follow-up compared to PE + placebo? * Does PE + MDMA improve response efficiency and durability of PTSD symptom improvement compared to PE + placebo? * Does MDMA + PE enhance extinction retention and reduce amygdala threat reactivity, and are these changes associated with improved PTSD outcomes? Participants will: * Receive 10 sessions of Massed Prolonged Exposure therapy over two weeks * Be administered either 100 mg of MDMA or a placebo at Visit 2 * Undergo blinded independent evaluator assessments using the Clinician-Administered PTSD Scale for DSM-5-R (CAPS-5-R) at the one-month posttreatment follow-up

CONDITIONS

Official Title

MDMA-Assisted Massed Exposure Therapy for PTSD

Who Can Participate

Age: 21Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of PTSD confirmed by Clinician-Administered Posttraumatic Stress Scale for DSM-5 - Revised (CAPS-5-R)
  • Able to speak and read English
  • Willing to sign a release for communication with primary care or mental health providers if needed
  • Able to swallow pills
  • Agree to have study visits audio and/or video recorded
  • Willing to provide contact information for a support person
  • Agree to report any medical conditions or procedures within 48 hours
  • If able to become pregnant, must have negative pregnancy tests before and during the study and agree to use birth control from one month before through 10 days after the medicine session
  • Agree to lifestyle modifications including fasting and medication restrictions before the medicine session, not participating in other interventional trials during the study, and following study dosing, therapy, and procedures
Not Eligible

You will not qualify if you...

  • Unable to give informed consent
  • Previous participation in a MAPS-sponsored MDMA clinical trial
  • Any current problem that might interfere with participation as judged by investigators
  • Hypersensitivity to any ingredient of the investigational drug
  • Current or past psychiatric or medical diagnoses posing risk for study participation
  • Ongoing psychiatric medication use except when tapering under provider guidance
  • Medical conditions that increase risk with MDMA use (e.g., uncontrolled hypertension, Wolff-Parkinson-White syndrome, ventricular arrhythmia, abnormal ECG findings, liver disease, hyponatremia, hyperthermia)
  • Weight less than 48 kilograms (105 lbs.)
  • Pregnant or nursing
  • Recent ketamine-assisted therapy or ketamine use within 12 weeks of enrollment

AI-Screening

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Trial Site Locations

Total: 1 location

1

Emory Brain Health Center

Atlanta, Georgia, United States, 30329

Actively Recruiting

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Research Team

J

Jessica Maples-Keller, PhD

CONTACT

S

Syreese Fuller

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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MDMA-Assisted Massed Exposure Therapy for PTSD | DecenTrialz