Inhaled DMT for Major Depressive Disorder

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversidade Federal do Rio Grande do Norte

About this trial

This Phase 2b, randomized, double-blind, active-controlled clinical trial will evaluate the efficacy and safety of inhaled N,N-dimethyltryptamine (DMT) in adults with Major Depressive Disorder (MDD).

The study will test whether inhaled DMT can rapidly reduce depressive symptoms and suicide risk compared with a low-dose active comparator. A total of 140 participants will be randomized 1:1 to receive either 15 mg followed 1 hour later by 60 mg of inhaled DMT, or 1 mg followed 1 hour later by 4 mg of inhaled DMT.

Participants who do not achieve remission at Day 7 will enter an open-label extension and receive a high-dose DMT session on Day 14 (±3 days). All participants will be followed for up to 12 months to evaluate the durability of response, safety, functioning, and quality of life.

Eligibility criteria

Qualifiers

18 years or older, capable of making decisions, and able to provide informed consent.

Major Depressive Disorder (MDD) according to DSM-5 criteria

Current depressive episode of moderate to severe intensity

Episode duration of at least two weeks

Disqualifiers

Major cardiac, hepatic, or renal disease; unstable cardiovascular conditions

Uncontrolled hypertension, QTc prolongation, arrhythmias, or valvular disease COPD or asthma

Severe obesity, uncontrolled diabetes, coagulopathy, thyroid disease, or glaucoma

Neurological risk (e.g., aneurysm, ↑ICP, epilepsy/seizures, severe disorders)

Trial design

Treatments tested in this trial

  • N,N-Dimethyltryptamine (15 mg + 60 mg)
  • N,N-Dimethyltryptamine (1 mg + 4 mg)

Treatment groups

140 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Universidade Federal do Rio Grande do Norte

Lead sponsor

Financiadora de Estudos e Projetos

Collaborator