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Completed

NCT Number: NCT05753956

Safety and Pharmacokinetics of GH002 in Healthy Volunteers

The primary objectives of this study are to investigate the safety and serum pharmacokinetics of 5-MeO-DMT in healthy volunteers in a double-blind, placebo-controlled, randomized study design with single, injected doses of GH002 and in an open-label, non-randomized study design with intra-subject dose-escalation of GH002. As secondary objectives, the PK/ pharmacodynamic relationship, PD profile of GH002 as evaluated by its psychoactive effects and impact on cognitive performance, and the serum PK of the metabolite bufotenine are also assessed.

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Key information

Conditions

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

GH Research Clinical Trial Site

Groningen, Netherlands

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Has a body mass index (BMI) in the range of 18.5 and 35 kg/m2 (inclusive) at Screening.
  • Is deemed in good physical health by the investigator.
  • Is in good mental health in the opinion of the investigator and clinical psychologist

Exclusion criteria

  • Has known allergies or hypersensitivity or any other contra-indication to 5-MeO-DMT.
  • Has received any investigational medication, including investigational vaccines, within the 6 weeks prior to baseline
  • Has a current or past clinically significant condition, which renders the subject unsuitable for the trial according to the Investigator's judgement.

Treatment and study plan

5 Methoxy N,N Dimethyltryptamine

Drug

GH002 administered via i.v. bolus injection(s)

Other names: GH002, 5-MeO-DMT

Placebo

Drug

GH002 placebo administered via i.v. bolus injection

Other names: GH002 placebo

Primary outcomes

  1. Safety and tolerability: incidence of treatment emergent adverse events

    Time frame: Up to 7 days

    Adverse events reported in the study and coded by MedDRA.

  2. Safety and tolerability: local tolerance (injection site reactions)

    Time frame: Up to discharge on dosing day

    Local infusion site findings will be assessed as none, mild, moderate and severe for the following signs and symptoms of the applicable site: dryness, redness, swelling, pain, tenderness, and itching and other.

  3. Safety and tolerability: Clinically significant changes from baseline in ECG, vital signs and safety laboratory assessments

    Time frame: Up to 7 days

    Clinically significant changes in ECG include any significant change in rate or rhythm as determined by the principal investigator

  4. Safety and tolerability: Assessment of sedation (Modified Observer's Assessment of Alertness and Sedation [MOAA/S]) following each dose and as part of the discharge evaluation on Day 0

    Time frame: Up to discharge on dosing day

    The Modified Observer's Assessment of Alertness and Sedation scale (MOAA/S) will be completed before and after GH002 dosing. Scored from 0 (deep sedation) to 5 (alert)

  5. Safety and tolerability: Change from baseline in Clinician Administered Dissociative States Scale (CADSS)

    Time frame: Up to 7 days

    The CADSS comprises 19 subjective items, ranging from 0 'not at all' to 4 'extremely. Summed together, these subscales form a total dissociative score. Combined score ranges from 0 to 76

  6. Safety and tolerability: Assessment of subject-discharge readiness at discharge on Day 0

    Time frame: Up to discharge on dosing day

    Assessment of Discharge Readiness on the administration day by the Principal Investigator, using the Clinical Assessment of Discharge Readiness (CADR).

  7. Safety and tolerability: Columbia-Suicide Severity Rating Scale (C-SSRS) categorization based on the Columbia Classification Algorithm of Suicide Assessment (C-CASA).

    Time frame: Up to 7 days

    A detailed questionnaire assessing both suicidal behaviour and suicidal ideation.

  8. Safety and tolerability: Change from baseline in Brief Psychiatric Rating Scale (BPRS).

    Time frame: Up to 7 days

    A scale to measure psychiatric symptoms. Each symptom is rated 1-7 and a total of 18 symptoms are scored. Combined score ranges from 18 to 126.

  9. The pharmacokinetic (PK) parameters derived from laboratory assay results of the systemic levels of 5-MeO-DMT

    Time frame: Up to 6 hours

    For PK analyses, blood samples will be collected before and up to 6 hours after the administration of GH002 to determine 5-MeO-DMT serum concentrations.

Secondary outcomes

  1. Pharmacodynamic assessment: The dose-related psychoactive effects of GH002 as evaluated by a Visual Analogue Scale

    Time frame: Up to 1 hour after dosing

    The Peak Experience Scale (PES) is a Visual Analogue Scale scored from 0-100

  2. Pharmacodynamic assessment: Challenging Experiences Questionnaire (CEQ)

    Time frame: Up to 1 hour after dosing

    Completed by the subject after GH002 administration and assesses seven factors (grief, fear, death, insanity, isolation, physical distress, and paranoia) all scored from 0 to 5.

  3. Pharmacodynamic assessment: 30-Question Mystical Experience Questionnaire (MEQ30)

    Time frame: Up to 1 hour after dosing

    The MEQ30 is a validated procedure for assessing the extent of the psychoactive effects experienced by a subject. The validated MEQ30 uses thirty assessment questions across four areas of experience, all scored from 0 to 5.

  4. Pharmacodynamic assessment: Duration of the psychoactive effects (PsE)

    Time frame: Up to 1 hour after dosing

    The duration of the experience, defined as time in minutes from drug administration to time when the subject reports that any psychoactive symptoms have subsided will be recorded.

  5. PK/PD relationship(s) of 5-MeO-DMT

    Time frame: Up to 1 hour after dosing

    In particular the correlation between Cmax and AUC with PES score and duration of PsE as scored by the investigator will be described

  6. Cognitive Function: Change from baseline in Rapid visual information processing (RVP) test

    Time frame: Up to 7 days

    A computerized test assessing the reaction time in response to a visual stimulus.

  7. Cognitive Function: Change from baseline in Verbal recognition memory (VRM) test

    Time frame: Up to 7 days

    The VRM test is based on successive auditory presentations of 18-word lists followed by attempted recall.

  8. Cognitive Function: Change from baseline in Spatial Working Memory (SWM) task

    Time frame: Up to 7 days

    The SWM test requires retention and manipulation of visuospatial information. This test has notable executive function demands, and measures strategy use as well as errors. In this task the subject has to search for tokens hidden in boxes on screen. The subject must touch a box to open the box to reveal either a yellow token or an empty box. Once the subject has found a yellow token, they must touch the outline of the right-hand side of the screen to 'store' it. The subject must then continue searching through the boxes until all of the tokens have been found. The test takes about 4 minutes to complete

  9. Cognitive Function: Change from baseline in Digit Symbol Substitution Task (DSST)

    Time frame: Up to 7 days

    The DSST is a global measure of cognitive ability, requiring the engagement of multiple cognitive domains in order to complete effectively. A computerized test with the task is to match digits with symbols from encoding list. The number of digits correctly encoded within 90 seconds is the performance measure.

  10. The pharmacokinetic (PK) parameters derived from laboratory assay results of the systemic levels of bufotenine

    Time frame: Up to 6 hours

    For PK analyses, blood samples will be collected before and up to 6 hours after the administration of GH002 to determine bufotenine serum concentrations.

Sponsors and collaborators

Lead sponsor

GH Research Ireland Limited

Industry

Registry information

Official study title

A Phase 1 Clinical Trial to Determine the Safety, Pharmacokinetics and Pharmacodynamics of Intravenous GH002 in Healthy Volunteers

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Mar 3, 2023
Registry last updated
Jan 25, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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