Actively Recruiting

Phase 3
Age: 18Years - 64Years
All Genders
NCT06117306

MDMA-assisted Massed Prolonged Exposure for PTSD

Led by Healing Breakthrough · Updated on 2026-04-24

20

Participants Needed

1

Research Sites

148 weeks

Total Duration

On this page

Sponsors

H

Healing Breakthrough

Lead Sponsor

S

San Diego Veterans Healthcare System

Collaborating Sponsor

AI-Summary

What this Trial Is About

The overall objective of this study is to pilot the VASDHS-adapted Emory MDMA-PE Protocol (aE-MDMA-PE) and assess the effect on clinician-rated PTSD symptoms in veterans who receive different doses of MDMA.

CONDITIONS

Official Title

MDMA-assisted Massed Prolonged Exposure for PTSD

Who Can Participate

Age: 18Years - 64Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Be a veteran aged 18 to 64 years old with PTSD severity of 25 or higher on the CAPS-5
  • Be fluent in English for speaking and reading
  • Willing to commit to medication dosing, therapy sessions, follow-ups, and study evaluations
  • Able to swallow pills
  • Agree to audio and/or video recording of study visits including MDMA and therapy sessions
  • Have a contact able to drive participant home after the MDMA session
  • Provide a support contact reachable by investigators if participant becomes suicidal or unreachable
  • Agree to inform investigators within 48 hours of any new medical conditions or procedures
  • For those who can become pregnant, have a sensitive negative pregnancy test at entry and prior to MDMA session and agree to use effective birth control from 1 month before to 10 days after MDMA session
  • Agree to lifestyle modifications including fasting and medication restrictions before and after MDMA session
  • Agree not to participate in other PTSD psychotherapy during study treatment
  • Not enrolled in other interventional clinical trials during study
  • Have at least moderate PTSD symptoms in the last month with a PCL-5 score of 40 or greater
  • May have well-controlled hypertension if cardiovascular disease is ruled out
  • May have asymptomatic Hepatitis C if previously evaluated and treated
  • May have alcohol or substance use disorder if not in withdrawal, with a realistic plan to reduce use and manage symptoms
  • May have stable diabetes mellitus (Type 2) with physician approval
  • May have hypothyroidism if on stable thyroid medication
  • May have history or current glaucoma with ophthalmologist approval
Not Eligible

You will not qualify if you...

  • Unable to provide written informed consent
  • Currently engaged in compensation and pension litigation for PTSD or psychiatric disorders
  • Likely to be re-exposed to trauma, lack social support, or stable living situation
  • Prior use of Ecstasy or participation in MDMA clinical trials
  • Positive screen for amphetamine or cocaine
  • Any current problem interfering with safety or ability to participate
  • Hypersensitivity to any ingredient of study drug
  • Electroconvulsive Therapy within 12 weeks prior to enrollment
  • Dementia
  • History or current primary psychotic disorder
  • History or current Bipolar 1 or 2 disorder or manic episode
  • Current eating disorder with active purging
  • Current major depressive disorder with psychotic features
  • Current panic disorder
  • History of amphetamine or cocaine substance use disorder
  • Current alcohol or substance use disorder considered a safety concern or interfering with study
  • Serious current suicide risk or recent suicidal behavior
  • Presenting serious risk to others
  • Ongoing psychiatric medication therapy not allowed by study
  • Medical condition increasing risk from sympathomimetic drugs such as recent myocardial infarction or aneurysm
  • Uncontrolled hypertension
  • History of ventricular arrhythmia or serious heart rhythm disorders
  • Marked prolongation of QT/QTc interval
  • Additional risk factors for Torsade de pointes
  • Use of medications prolonging QT/QTc interval during study
  • Symptomatic liver disease or repeated significant liver enzyme elevations
  • History of hyponatremia or hyperthermia
  • Body mass index of 18.5 or less
  • Pregnant, nursing, or unwilling/unable to use effective birth control
  • Ketamine-assisted therapy or ketamine use within 12 weeks
  • Preexisting condition affecting kidney function

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

VA San Diego Healthcare System, San Diego, CA

San Diego, California, United States, 92161

Actively Recruiting

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Research Team

L

Leslie A Morland, Psy.D.

CONTACT

B

Bettye Chargin

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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