PMID- 31814488 OWN - NLM STAT- MEDLINE DCOM- 20210402 LR - 20210402 IS - 1563-5279 (Electronic) IS - 0020-7454 (Linking) VI - 130 IP - 7 DP - 2020 Jul TI - A proof-of-principle study of the short-term effects of 3,4-methylenedioxymethamphetamine (MDMA) on tinnitus and neural connectivity. PG - 671-682 LID - 10.1080/00207454.2019.1702544 [doi] AB - Background: This study was conducted to investigate the short-term behavioural and neurophysiological effects of 3,4-methylenedioxymethamphetamine (MDMA) on tinnitus perception.Methods: A double-blind randomized controlled cross-over design. Part 1. Behavioural measures of tinnitus following 30 mg MDMA or placebo administration (N = 5 participants) and Part 2. Behavioural measures of tinnitus and correlations between pairs of apriori regions of interest (ROI) using resting-state functional magnetic resonance imaging (rs-fMRI) before and after 70 mg of MDMA or placebo (N = 8 participants).Results: The results to MDMA were similar to placebo. For the 70 mg dose, there was a significant reduction after 4 h in annoyance and ignore ratings. RsMRI showed decreased connectivity compared with placebo administration between the left hippocampal, right hippocampal, left amygdala and right amygdala regions, and between the right posterior parahippocampal cortex and the left amygdala after two hours of 70 mg MDMA administration. Increased connectivity compared to placebo administration was found post MDMA between the right post-central gyrus and right posterior and superior temporal gyrus, and between the thalamus and frontoparietal network.Conclusions: Following 70 mg of MDMA two tinnitus rating scales significantly improved. There was, however, a placebo effect. Compared with placebo the rsMRI following the MDMA showed reductions in connectivity between the amygdala, hippocampus and parahippocampal gyrus. There is sufficient proof of concept to support future investigation of MDMA as a treatment for tinnitus. FAU - Searchfield, G D AU - Searchfield GD AD - Eisdell Moore Centre & Audiology Section, The University of Auckland, Auckland, New Zealand. AD - Centre for Brain Research, The University of Auckland, Auckland, New Zealand. AD - Brain Research New Zealand, Auckland, New Zealand. FAU - Poppe, T N E R AU - Poppe TNER AD - Biomedical Engineering and Imaging Sciences, Kings College London, London, UK. FAU - Durai, M AU - Durai M AD - Eisdell Moore Centre & Audiology Section, The University of Auckland, Auckland, New Zealand. AD - Centre for Brain Research, The University of Auckland, Auckland, New Zealand. FAU - Jensen, M AU - Jensen M AD - Pharmacy, Whakatane Hospital, Bay of Plenty, School of Pharmacy, University of Auckland, Auckland, New Zealand. FAU - Kennedy, M A AU - Kennedy MA AUID- ORCID: 0000-0002-6445-8526 AD - Department of Pathology and Biomedical Science, University of Otago, Christchurch, New Zealand. FAU - Maggo, S AU - Maggo S AD - Department of Pathology and Biomedical Science, University of Otago, Christchurch, New Zealand. FAU - Miller, A L AU - Miller AL AD - Department of Pathology and Biomedical Science, University of Otago, Christchurch, New Zealand. FAU - Park, J AU - Park J AD - Eisdell Moore Centre & Audiology Section, The University of Auckland, Auckland, New Zealand. FAU - Russell, B R AU - Russell BR AD - School of Pharmacy, University of Otago, Dunedin, New Zealand. FAU - Shekhawat, G S AU - Shekhawat GS AD - Auckland University of Technology, Auckland, New Zealand. FAU - Spiegel, D AU - Spiegel D AD - Eisdell Moore Centre & Audiology Section, The University of Auckland, Auckland, New Zealand. FAU - Sundram, F AU - Sundram F AD - Department of Psychological Medicine, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand. FAU - Wise, K AU - Wise K AUID- ORCID: 0000-0001-7571-230X AD - Auckland University of Technology, Auckland, New Zealand. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20200106 PL - England TA - Int J Neurosci JT - The International journal of neuroscience JID - 0270707 RN - 0 (Psychotropic Drugs) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Brain/*drug effects/physiopathology MH - Brain Mapping MH - Cross-Over Studies MH - Double-Blind Method MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - N-Methyl-3,4-methylenedioxyamphetamine/*administration & dosage MH - Neural Pathways/drug effects/physiopathology MH - Psychotropic Drugs/*administration & dosage MH - Tinnitus/*drug therapy/physiopathology OTO - NOTNLM OT - 3,4-methylenedioxymethamphetamine OT - Tinnitus OT - rs-MRI OT - treatment EDAT- 2019/12/10 06:00 MHDA- 2021/04/07 06:00 CRDT- 2019/12/10 06:00 PHST- 2019/12/10 06:00 [pubmed] PHST- 2021/04/07 06:00 [medline] PHST- 2019/12/10 06:00 [entrez] AID - 10.1080/00207454.2019.1702544 [doi] PST - ppublish SO - Int J Neurosci. 2020 Jul;130(7):671-682. doi: 10.1080/00207454.2019.1702544. Epub 2020 Jan 6.