PMID- 35915689 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220803 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 14 IP - 6 DP - 2022 Jun TI - 3,4-Methylenedioxymethamphetamine (MDMA)-Assisted Therapy in Hawaii: A Brief Review. PG - e26402 LID - 10.7759/cureus.26402 [doi] LID - e26402 AB - The Food and Drug Administration (FDA) granted breakthrough therapy status to 3,4-methyl​enedioxy​methamphetamine-assisted therapy (MDMA-AT) in 2017 due to preliminary evidence supporting its efficacy and safety in treating post-traumatic stress disorder (PTSD). A series of six phase-II clinical trials studying MDMA-AT for treatment-resistant PTSD found that 54% of MDMA-AT full-dose participants no longer met the diagnosis of PTSD after two MDMA sessions, compared to 23% in the control group. In the first phase-III clinical trial, 67% no longer met the criteria for PTSD after three sessions. The effects are durable, with 67% no longer diagnosable after one year and 74% at nearly four years. The MDMA-AT is being fast-tracked for potential FDA approval by 2023. In 2021, Hawaii's Senate Bill 738 unsuccessfully proposed that psilocybin be removed from the Schedule I controlled substances list due to its clinical efficacy for major depressive disorder. Methyl​enedioxy​methamphetamine is also a Schedule I controlled substance and has proven to be a treatment option that could potentially benefit the people of Hawaii. CI - Copyright (c) 2022, Inouye et al. FAU - Inouye, Ann AU - Inouye A AD - Psychology, Hawaii School of Professional Psychology, Honolulu, USA. FAU - Wolfgang, Aaron AU - Wolfgang A AD - Psychiatry, Brooke Army Medical Center, San Antonio, USA. LA - eng PT - Journal Article PT - Review DEP - 20220628 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC9337778 OTO - NOTNLM OT - hawaii OT - mdma-assisted psychotherapy OT - mdma-at OT - neurobiology OT - neuropsychology OT - psychedelics OT - psychoactive drug OT - trauma COIS- The authors have declared that no competing interests exist. EDAT- 2022/08/03 06:00 MHDA- 2022/08/03 06:01 PMCR- 2022/06/28 CRDT- 2022/08/02 01:46 PHST- 2022/06/28 00:00 [accepted] PHST- 2022/08/02 01:46 [entrez] PHST- 2022/08/03 06:00 [pubmed] PHST- 2022/08/03 06:01 [medline] PHST- 2022/06/28 00:00 [pmc-release] AID - 10.7759/cureus.26402 [doi] PST - epublish SO - Cureus. 2022 Jun 28;14(6):e26402. doi: 10.7759/cureus.26402. eCollection 2022 Jun.