PMID- 31308191 OWN - NLM STAT- MEDLINE DCOM- 20200113 LR - 20210716 IS - 1757-790X (Electronic) IS - 1757-790X (Linking) VI - 12 IP - 7 DP - 2019 Jul 15 TI - First study of safety and tolerability of 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy in patients with alcohol use disorder: preliminary data on the first four participants. LID - 10.1136/bcr-2019-230109 [doi] LID - e230109 AB - We present the preliminary data in an ongoing open-label safety and tolerability proof of concept study exploring the potential role for 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy in treating patients with alcohol use disorder. At this stage, seven participants have completed the full 8-week MDMA-assisted psychotherapy course, including two therapy sessions each with MDMA. This paper focuses on the safety and tolerability of the therapeutic course for the first four participants to complete treatment. Longer-term outcomes of drinking behaviour will be presented later when the full project data are published. Results show all four participants have successfully tolerated the treatment. There have been no serious adverse events related to MDMA, no unexpected physiological responses to the MDMA sessions or changes to blood results or electrocardiograms, measured before and after the 8-week course. We conclude that the treatment is well- tolerated and are making plans to expand the project into a randomised placebo-controlled study. CI - (c) BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Sessa, Ben AU - Sessa B AD - Neuropsychopharmacology, Department of Medicine, Imperial College London, London, UK. FAU - Sakal, Chloe AU - Sakal C AD - Department of Medicine, Avon and Wiltshire Mental Health Partnership NHS Trust, Bath, UK. FAU - O'Brien, Steve AU - O'Brien S AD - Neuropsychopharmacology, Department of Medicine, Imperial College London, London, UK. FAU - Nutt, David AU - Nutt D AD - Neuropsychopharmacology, Department of Medicine, Imperial College London, London, UK. LA - eng PT - Case Reports PT - Journal Article DEP - 20190715 PL - England TA - BMJ Case Rep JT - BMJ case reports JID - 101526291 RN - 0 (Alcohol Deterrents) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adult MH - Alcohol Deterrents/*administration & dosage/adverse effects MH - Alcoholism/*rehabilitation MH - Combined Modality Therapy MH - Drug Administration Schedule MH - Female MH - Humans MH - Male MH - Middle Aged MH - N-Methyl-3,4-methylenedioxyamphetamine/*administration & dosage/adverse effects MH - Psychotherapy/*methods MH - Treatment Outcome PMC - PMC6663239 OTO - NOTNLM OT - alcohol-related disorders OT - drugs misuse (including addiction) OT - psychotherapy COIS- Competing interests: None declared. EDAT- 2019/07/17 06:00 MHDA- 2020/01/14 06:00 PMCR- 2021/07/15 CRDT- 2019/07/17 06:00 PHST- 2019/07/17 06:00 [entrez] PHST- 2019/07/17 06:00 [pubmed] PHST- 2020/01/14 06:00 [medline] PHST- 2021/07/15 00:00 [pmc-release] AID - 12/7/e230109 [pii] AID - bcr-2019-230109 [pii] AID - 10.1136/bcr-2019-230109 [doi] PST - epublish SO - BMJ Case Rep. 2019 Jul 15;12(7):e230109. doi: 10.1136/bcr-2019-230109.