- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT05674929
En åben-label, enkeltdosis undersøgelse hos patienter med alkoholmisbrug
Et åbent, fase 2a enkeltdosisstudie i patienter med alkoholforbrug
Studieoversigt
Detaljeret beskrivelse
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
-
-
-
London, Det Forenede Kongerige
- King's College London
-
London, Det Forenede Kongerige, W1G 8DR
- Clerkenwell Health
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Villig og i stand til at give informeret samtykke.
- Alder 18 til 64 år på Screening.
- Diagnosticeret med AUD af sværhedsgrad, der kan have gavn af farmakologisk behandling, dvs. moderat til svær AUD.
- Minimum 10 tunge drikkedage i de 28 dage før screening.
- Der er ikke gået mere end 14 dage siden sidste HDD eller afslutning af afgiftning.
- Kan afholde sig fra indtagelse af alkoholiske stoffer i 72 timer før dosering.
- Villig til at afholde sig fra at bruge rekreative stoffer fra screening indtil afslutningen af undersøgelsen
- Er villig til at afholde sig fra rygning under deres ophold i klinikken på doseringsdagen.
- Villig til at afholde sig fra psykedelisk stofbrug fra Screening indtil afslutningen af undersøgelsen.
- Bor i stabil/sikker bolig i samfundet.
- I besiddelse af en personlig mobiltelefon og i stand til at nominere mindst én lokaliseringsperson (f.eks. et familiemedlem, en ven eller en helbredelsesmentor) med en verificerbar adresse og et telefonnummer til at hjælpe med at arrangere opfølgende aftaler.
Ekskluderingskriterier:
- Personlig eller førstegrads familiehistorie med skizofreni, bipolar lidelse, psykotisk lidelse, vrangforestillingslidelse, paranoid lidelse eller skizoaffektiv lidelse.
- Alle større psykiatriske lidelser, med undtagelse af mild eller moderat angst og/eller depression.
- En klinisk diagnose af posttraumatisk stresslidelse.
- Selvmordstanker eller -adfærd ved screening.
- Regelmæssig brug af eller afhængighed af andre stoffer end koffein eller nikotin.
- Enhver selvrapporteret brug af psykedeliske forbindelser inden for de seneste 6 måneder.
- Historie om anfald.
- Patienter, der udviser tegn på alkoholabstinenser på doseringsdagen.
- Positiv for alkohol på doseringsdagen.
- Positiv urinstofscreening for ulovlige stoffer eller misbrugsstoffer.
- Enhver næseblokering, blokering eller symptomer på overbelastning.
- Enhver personlig eller familiehistorie med malign hypertermi.
- Patienter med en ukontrolleret kardiovaskulær lidelse, der efter Investigators opfattelse kan forstyrre fortolkningen af undersøgelsesresultater eller udgøre en sundhedsrisiko for patienten, hvis han/hun deltager i undersøgelsen.
- Ukontrolleret eller insulinafhængig diabetes.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: BPL-003 arm
|
En enkelt dosis administreret intranasalt
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Percentage of Participants With Treatment Emergent Adverse Events
Tidsramme: Up to 12 weeks
|
The number (%) of participants with at least one treatment-emergent adverse event is presented.
More detailed information is provided in the dedicated 'Adverse Events' section
|
Up to 12 weeks
|
|
Percentage of Participants With Clinically Significant Abnormal Laboratory Tests
Tidsramme: Up to 12 weeks
|
The number (%) of participants with any clinically significant abnormal laboratory tests (routine haematology, clinical chemistry and coagulation) is presented
|
Up to 12 weeks
|
|
Percentage of Participants With Clinically Significant Abnormal Vital Signs
Tidsramme: Up to 12 weeks
|
The number (%) of participants with any clinically significant abnormal vital signs (blood pressure, heart rate and temperature) result is presented
|
Up to 12 weeks
|
|
Number of Participants With Post-baseline Suicidal Ideation or Behaviour Based on C-SSRS Score
Tidsramme: Up to 12 weeks
|
The C-SSRS was performed at screening, on Day 0 (dosing day), and on Days 1, 7, and 84 post-dose.
Participants were counted if they answered 'yes' to any question.
At baseline, the C-SSRS assessed the worst-point suicidal ideation experienced during the participant's lifetime.
Beyond baseline, suicidal ideation and behaviour since last visit was assessed.
|
Up to 12 weeks
|
|
Time to Readiness for Discharge Post-dose Using the Readiness for Discharge Questionnaire (RDQ)
Tidsramme: 1 Day
|
The RDQ was a brief assessment scale to ensure that ahead of discharge after BPL-003 dosing, participants:
Readiness for discharge was assessed at 90 minutes post-dose and then every 30 minutes until the participant was deemed ready for discharge (eg, the answer was 'yes' to all of the above items). |
1 Day
|
|
Percentage of Participants With Occurrence of Reactivation Using the Reactivation Questionnaire (ReAQ)
Tidsramme: Up to 12 weeks
|
The occurrence and (if applicable) frequency, emotional valence, and functional impact of any reactivation events was determined.
To determine if reactivation had occurred, participants were asked if they had any flashbacks or recurrence of any effects of the study drug experience.
|
Up to 12 weeks
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Effects on the Mystical Experience Questionnaire (MEQ-30)
Tidsramme: 1 Day
|
The MEQ-30 was performed to assess the extent of a participant's mystical experience after receiving BPL-003 on Day 0 (dosing day).
The questionnaire comprises a list of 30 phenomena, with subscales to measure mystical, positive mood, transcendence of space and time, and ineffability factors, measured on a 0 to 5 scale (0=none; not at all to 5=extreme).
A 'total MEQ-30 score' was calculated for each participant as the average of all their responses.
The total MEQ-30 score is presented.
The higher the score, the greater the mystical experience.
A total score of ≥3 was considered to be a significant mystical experience.
|
1 Day
|
|
Effects on the Ego Dissolution Inventory (EDI)
Tidsramme: 1 Day
|
The EDI was performed to assess the extent of a participant's dissolution of ego after receiving BPL-003 on Day 0 (dosing day).
The inventory comprises 8 statements.
Participants rated their agreement to each statement by marking on a visual analogue scale from 0 ("no, not more than usually") to 100 ("yes, entirely or completely").
Higher scores are indicative of more intense ego dissolution.
In practice, this means participants with higher scores could have a reduced sense of having a distinct, separate self; greater feelings of unity with the environment or universe; a loss of self-referential thoughts or identity; or altered boundaries between 'self' and 'other'.
A 'total EDI score' was calculated for each participant as the average of their individual-item scores.
The total EDI score is presented.
|
1 Day
|
|
Percentage of Participants With a Complete Mystical Experience Using the MEQ-30
Tidsramme: 1 Day
|
The MEQ-30 was performed to assess the extent of a participant's mystical experience after receiving BPL-003 on Day 0 (dosing day). The questionnaire comprises a list of 30 phenomena, with subscales to measure mystical, positive mood, transcendence, and ineffability factors, measured on a 0 to 5 scale (0=none; not at all to 5=extreme). A 'total MEQ-30 score' was calculated for each participant as the average of all their responses. A complete mystical experience was defined as reaching or exceeding a score of 3 on all four sub-domains (mystical, positive mood, transcendence of time and space, and ineffability) of the MEQ-30 scale. |
1 Day
|
|
Percentage of Participants Experiencing an Ego Dissolution Using the EDI
Tidsramme: 1 Day
|
The EDI was performed to assess the extent of a participant's dissolution of ego after receiving BPL-003 on Day 0 (dosing day).
The inventory comprises 8 statements.
Participants rated their agreement to each statement by marking on a visual analogue scale from 0 ("no, not more than usually") to 100 ("yes, entirely or completely").
Participants were classed as experiencing an ego dissolution if they had a total score of >50.0 out of 100 on the EDI scale.
|
1 Day
|
|
Description of the BPL-003 Subjective Experience Data, From a Qualitative Interview
Tidsramme: Interviews were conducted approximately 2 hours after dosing
|
After BPL-003 dosing, participants had the option to participate in a one-to-one guided interview with independent researchers trained in microphenomenology methods to describe their psychedelic experience.
Temporal aspects of drug effects (e.g., sensory, cognitive, metacognitive, and sense of self/other/connectedness) were elicited through open-ended interview questions.
|
Interviews were conducted approximately 2 hours after dosing
|
|
Feedback From Therapists on the Frequency and Duration of Psychotherapy Sessions, Therapy Manual and Overall Therapy Model
Tidsramme: 1 Day
|
Key themes from qualitative feedback on the treatment model was sought from therapists on frequency and duration of psychotherapy sessions, implementation of therapy manual, and overall therapy model.
Feedback was obtained in a qualitative interview with each therapist after each participant's last integration session (between Day 15 and Day 42).
|
1 Day
|
|
Semi-structured Interview to Assess Psychological Changes Following BPL-003 Treatment
Tidsramme: Up to 12 weeks
|
After BPL-003 dosing, participants had the option to participate in a semi-structured interview.
The interviews were topic-guided, qualitative interviews to understand psychological changes shortly after dosing on Day 1, and on Day 84.
|
Up to 12 weeks
|
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Timeline Follow-Back (TLFB) Interview to Assess the Percentage of Abstinent Days (PAD)
Tidsramme: Up to 12 weeks
|
Using the TLFB interview, the PAD in the 85 days before Day -3 (or start of detox) vs the PAD post-dosing measured on Days 14, 28, 56, and 84 were determined to assess alcohol use.
|
Up to 12 weeks
|
|
TLFB Interview to Assess the Percentage of Heavy Drinking Days (PHDD)
Tidsramme: Up to 12 weeks
|
Using the TLFB interview, the PHDD in the 85 days before Day -3 (or start of detox) vs PHDD post-dosing measured on Days 14, 28, 56, and 84 were determined to assess alcohol use.
|
Up to 12 weeks
|
|
TLFB Interview to Assess the Percentage of Drinking Days (PDD)
Tidsramme: Up to 12 weeks
|
Using the TLFB interview, the PDD in the 85 days before Day -3 (or start of detox) vs PDD post-dosing measured on Days 14, 28, 56, and 84 were determined to assess alcohol use.
|
Up to 12 weeks
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studieleder: Kevin Craig, M.D., Beckley Psytech Ltd
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- BPL-003-203
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
produkt fremstillet i og eksporteret fra U.S.A.
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med BPL-003
-
Beckley Psytech LimitedRekrutteringBehandlingsresistent depressionDet Forenede Kongerige
-
Beckley Psytech LimitedAfsluttetBehandlingsresistent depressionSpanien, Forenede Stater, Australien, Polen, Tyskland, Det Forenede Kongerige
-
Beckley Psytech LimitedAfsluttetFarmakokinetik hos raske voksneDet Forenede Kongerige
-
Mónica Marazuela AzpírozAlba Garcimartín Álvarez; Carolina Knott Torcal; Nerea Aguirre Moreno; Miguel... og andre samarbejdspartnereAfsluttet
-
Tel-Aviv Sourasky Medical CenterRekruttering
-
National Institute of Allergy and Infectious Diseases...Rekruttering
-
Clarunis - Universitäres Bauchzentrum BaselRekrutteringForhøjet blodtryk | Diabetes mellitus, type 2 | Dyslipidæmi | Søvnapnø | Fedme, sygeligSchweiz
-
Hospital de Sao SebastiaoInstituto de Ciências Biomédicas Abel Salazar; The Novo Nordisk Foundation...Aktiv, ikke rekrutterende
-
Nanjing Leads Biolabs Co.,LtdHenan Cancer Hospital; Hunan Cancer Hospital; Shandong Cancer Hospital and...AfsluttetAvanceret ondartet tumorKina
-
National Institute of Allergy and Infectious Diseases...AfsluttetInfluenzaForenede Stater