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FDA Approves Large Clinical Trial For Ecstasy As Relief For PTSD Patients (arstechnica.com)

An anonymous reader quotes a report from Ars Technica: The Food and Drug Administration on Tuesday approved the first large-scale, phase 3 clinical trial of ecstasy in patients suffering from post-traumatic stress disorder (PTSD), the New York Times reported. The regulatory green-light follows six smaller-scale trials that showed remarkable success using the drug. In fact, some of the 130 PTSD patients involved in those trials say ecstasy -- or 3,4-Methylenedioxymethamphetamine (MDMA) -- saved them from the devastating impacts of PTSD after more than a decade of seeing no improvement with the other treatment options available. Currently, the best of those established treatment options can only improve symptoms in 60 to 70 percent of PTSD patients, one expert noted. However, after one of the early MDMA studies, the drug had completely erased all traces of symptoms in two-thirds of PTSD patients. The new Phase 3 trial will involve at least 230 patients and is planned to start in 2017. Like the other trials, it is backed by the Multidisciplinary Association for Psychedelic Studies (MAPS), a nonprofit created in 1985 to advocate for the medical benefits and use of psychedelic drugs, such as MDMA and marijuana. Also like the others, the new, larger trial will involve a limited number of MDMA treatments administered by professional psychotherapists as part of a therapy program. In previous trials, patients spent 12 weeks in a psychotherapy program, including three eight-hour sessions in which they took MDMA and talked through traumatic memories.

31 of 151 comments (clear)

  1. Here It Comes... by Scarletdown · · Score: 5, Funny

    If this proves to be a success, then this treatment will definitely be something to rave about.

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    This space unintentionally left blank.
    1. Re: Here It Comes... by kelemvor4 · · Score: 4, Informative

      Ha, ha, ha! Good one. But seriously, it is nigh impossible to function on ecstasy, the FDA is a bad joke, basically a public face for big pharma. At this rate it won't be long before most Americans are just drug-addled zombies, be they prescription or street drugs, and the rest of the world will run circles around us. Always blows me away that so many people in the valley are so willfully blind about their drug addiction. It's why ideas that sound like genius under the influence make people in other places scratch heir heads and go, 'Whatever.'.

      I know this is slashdot, but.... You didn't read TFA.

      "improvements lasted more than a year after therapy"

    2. Re: Here It Comes... by cayenne8 · · Score: 2
      My main question is....You can do experimental tests with MDMA, but you can't with marijuana?!?!

      Is MDMA on a lower schedule than pot...? Seriously?

      --
      Light travels faster than sound. This is why some people appear bright until you hear them speak.........
    3. Re: Here It Comes... by erikkemperman · · Score: 2, Informative

      "improvements lasted more than a year after therapy"

      Which is a good thing, given that it's not actually possible to use it continuously (at least not effectively, due to depleted serotonin). Which is also why folks tend not to get addicted to molly.

      For this exact same reason, I bet the pharmaceutical industry does not like this idea. At all.

      From my own personal experience, I absolutely credit occasional recreational use of MDMA (and visiting the associated raves, I guess) with helping me out of a not-so-mild depression couple of years back.

      --
      Gosh, thanks. That must be why the other ships call me Meatfucker -- GCU Grey Area (Eccentric)
  2. I don't care what people do by Anonymous Coward · · Score: 2, Insightful

    As long as I can CCW.

  3. DEA already has rescheduled and overruled itself by catmistake · · Score: 5, Interesting

    Here's the ruling

    Based upon this record it is the recommended decision of the administrative law judge that the substance 3, 4-
    methylenedioxymethamphetamine, also known as MDMA, should be placed in Schedule III.
    Dated: MAY 22 1986
    Francis L Young, Administrative Law Judge

    here is the story

    I don't know the process here between FDA and DEA, which has which ultimate powers regarding final say on drug scheduling, but I have a feeling the drug is going to be rescheduled by the FDA (it is a "good," drug, a miracle drug, and the benefits to patients far outweighs the damage to those who abuse drugs), and then something fishy will happen at the DEA, and someone will overstep their authority, just like last time, and it will again be decided in court who gets their way, the nanny-staters and asshole control freaks or the doctors, scientists, and patients that need the drug.

  4. Re:So basically.... by Calydor · · Score: 3, Interesting

    The cure for a LOT of things is essentially 'a drug trip'.

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    -=This sig has nothing to do with my comment. Move along now=-
  5. But, by M0j0_j0j0 · · Score: 3, Funny

    On the other hand, patients will suffer from low nutrition issues due to the Dragons in the kitchen.

    1. Re:But, by Opportunist · · Score: 4, Funny

      Just chase your mom back to her room and you'll be fine.

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
  6. Re:DEA already has rescheduled and overruled itsel by Rei · · Score: 5, Interesting

    To clarify what catmistake means by "just like last time": MDMA was a psychotherapy drug used for, among other things, PTSD. That's how it got its start, before breaking out into the recreational scene. When the FDA considered banning it, there was a court hearing on the topic, which turned into a constant stream of psychiatrists stepping up and saying, "Don't do this!". The FDA at the time was unaware that it was used in psychotherapy. The judge ruled that it should be classed as a Schedule III drug, aka something with an established medical use but also the potential for abuse. However, the DEA administrator overrode him and classified it as a Schedule I drug. The DEA was sued by a Harvard psychiatrist for misclassification, and he won; the court stripped the DEA's Schedule I classification. The DEA responded by simply reclassifying it yet again as Schedule I.

    The scheduling has made research difficult over the years, but the widespread attestment to its effectiveness is compelling. Research in other regards has shown that the act of recalling a memory also involves, to some degree, writing it back; there's been treatment researched for trauma wherein the patient recalls memories while on drugs that induce mild amnesia. I wouldn't be surprised if something similar is at work here.

    --
    People said I was dumb, but I proved them.
  7. Re:So basically.... by jcr · · Score: 3, Funny

    Penicillin is INCREDIBLE!

    -jcr

    --
    The only title of honor that a tyrant can grant is "Enemy of the State."
  8. Re:DEA already has rescheduled and overruled itsel by jcr · · Score: 2, Funny

    Bureaucrats in agencies that have no constitutional authority to exist in the first place can be such unbelievable assholes.

    -jcr

    --
    The only title of honor that a tyrant can grant is "Enemy of the State."
  9. Re:let's be honest here by jcr · · Score: 3, Insightful

    MDMA is a gateway drug

    So is milk. You can fuck right off with that brain-dead argument.

    -jcr

    --
    The only title of honor that a tyrant can grant is "Enemy of the State."
  10. Re:let's be honest here by rainmouse · · Score: 4, Interesting

    MDMA is a gateway drug, and we shouldn't be risking addiction by patients who already have mental health issues.

    While we thank the DEA for their view on this sensitive matter; And no doubt you have similar views on Morphine. Sadly your 'ain't gonna have no hippie scientists givin' kids drugs' attitude belies the fact you clearly have no concept of how utterly devastating a life crippled with PTSD can be.

    You and your ilk are basically everything that's wrong with knee-jerk legislators across the western world.
    'I don't understand science, but this could look bad in the news papers, therefore I must ban it...... speaking as a parent..... '

  11. Re:let's be honest here by Opportunist · · Score: 5, Insightful

    What is a "gateway drug"? You know why "gateway drugs" are leading to other drugs? Because the only way to get them is at some dealer who wants to sell you stuff that has a bigger cut for him.

    MDMA a gateway drug for Heroin. Yeeeah, that makes sense. "Hey, I had this one drug that was allowing me to dance all night and party, why not try something now that makes me extremely drowsy and apathetic, that's exactly what I want."

    C'mon. At least make some credible claims. I smoked some MJ and I even had a few Es back when they were still made of good stuff, but why the fuck would I have wanted to shoot some junk into my veins?

    If you want to look for "gateways" to heroin, look at society. Society is what pushes people into the arms of drugs like heroin that promise an exit from this world.

    --
    We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
  12. Re:DEA already has rescheduled and overruled itsel by swb · · Score: 4, Interesting

    Given that the FDA's purpose is to approve drugs for their therapeutic value, why don't they have the ability to overrule the DEA? Why does the DEA have the authority to block access to drugs with a compelling case for therapeutic value to the extent that you can't even perform research to prove their therapeutic value?

    I mean, I can't escape the (only slightly) tinfoil hat explanation that they do it to perpetuate and expand their power and ensure they have a near immutable list of banned substances to justify their power and budget. And of course they hang onto marijuana as schedule I because it provides the vast bulk of "illegal" drug use, and complete legalization might usher into public consciousness the idea that the entire premise of the DEA is suspect.

    It seems highly likely that most drugs with a recreational potential are likely to have some kind of therapeutic use as well. I guess we're just fortunate that opiates, amphetamines and tranquilizers had a long and mostly irrefutable clinical history of therapeutic value before the DEA existed or they would have long ago scheduled them away.

  13. The truth.... by beheaderaswp · · Score: 5, Informative

    Myself and others who actually suffer from PTSD (In my case CPTSD) are always looking for a way out. It's a disorder caused by experiencing severe trauma- in my case the traumatic experience went for a period of 15 years as a kid. Child abuse victims and those who were abused as POWs are the ones who suffer the most from this disease. But remember this disease is caused by traumatic things happening around you, or worse, traumatic things done to you.

    This is a disease that is inflicted on it's victims both others.

    You never really get out of the PTSD symptoms... flashbacks keep repeating. Your current day relationships are held hostage to your condition. In some cases (like mine) it's accompanied by a sleep disorder. And the combination of flashbacks and lack of sleep can lead to psychosis. As you age you become unable to "tough it out" by staying up for a couple of days. So working becomes difficult or impossible. I used to be an IT executive.

    Sure there are treatments like "Eye Movement Desensitization and Reprogramming". And they help a little. Or you can drug yourself out. Or just do the best you can and hope your loved ones are willing to keep you in food and housing. As a non veteran my chances at disability through Social Security are zero.

    The only drug that has ever worked for me to totally eradicate the symptoms- are narcotics. If I can legally obtain them for another legitimate issue then I get to be normal for a few days, or a week. Norco and Hydrocodone seem to work the best.

    So if someone told me I could get my PTSD treated at a pain clinic with narcotics- under doctors supervision I'd be there in a second. The hell I go through is shattering.

    So- this new treatment is making me so happy. I want to get in on the trial... or try the therapy as soon as possible.

    If you have a heart for people who are truly suffering. Please support these trials and be supportive of the idea. You'll be helping a lot of people.

    --
    Another consultant who stuck it out.

    "We are the Priests, of the Temples of Syrinx..."
    1. Re:The truth.... by Anonymous Coward · · Score: 2, Interesting

      I too suffer from CPTSD or as it is known by the WHO ICD-10 F62.0 (Enduring personality change after catastrophic
      experience.) I was sexually and physically abused by my primary school principal when I was 10 (the perpetrator was criminally charged). Life is hell for me. Normal social interactions, trust in people and institutions, holding down jobs, participating in education, and keeping sane relationships is near impossible. I am constantly on my own suicide watch. I found a niche for myself being a lone cowboy coder. It allows me to manage my time and reduce my social exposure, though it is still extremely difficult to survive economically, the coding world is much more collabrative than it once was which makes it harder for me to participate. I pick up small contracts here and there, I am lucky my wife understands the illness and helps me but it is not easy for her I know (I am lucky to have a wife). Being a basement geek is a refuge for PTSD sufferers. Just talking with people on the phone is stressful, in fact I never pick up a ringing phone. I manage to message my way through life. I am looking at a life time of anti-depressants and psycho-therapy just to cope. If MDMA is doing what they say it can do it could be a shining light. So as OP mentioned, support the trials. This is not about recreation, this is about controlled relief and a possible cure from a debilitating illness.

  14. Re:This is better how? by Ol+Olsoc · · Score: 4, Insightful

    From the summary (no, I didn't read the article): "Currently, the best of those established treatment options can only improve symptoms in 60 to 70 percent of patients" and " the drug had completely erased all traces of symptoms in two-thirds of PTSD patients." To me, the 60 to 70 percent sounds very close to the two-thirds of patients (roughly 66.667%). So, this is better how?

    Re-read what you wrote, and consider the difference between "improve symptoms" and "completely erase symptoms." IT's the difference between improvement and elimination.

    --
    The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
  15. Shrooms, too. by wiredog · · Score: 4, Interesting
    1. Re:Shrooms, too. by Anonymous Coward · · Score: 3, Interesting

      Totally believe it. A modest dose of shrooms can have a big impact on just about anyone. It allows/forces you to step outside of your normal patterns and thoughts and allows you to actually have a fresh approach to your reality. A key part that differentiates a trip from normally trying to evaluate your life is that you don't have a lot of choice in the matter, its a ride you can't just hop off of when it gets tense - even if you try to veg out and watch tv or just listen to music its still happening.

      It can be uncomfortable / scary to have to deal with your own thoughts on shrooms and I can't imagine taking them in a clinical environment I'd think it'd weird me out, but I think the chance at getting out of a bad pattern would outweigh that discomfort.

      CSB: I once took a dosage much higher than I usually would and after rolling around in a bed for 4 hours re-evaluating my position in the world I realized I had been being an asshole to some people in my life (inadvertently) which I immediately set out to change, that I was fapping too often (quit for 3 months with no effort), and ended up called relatives that I hadn't seen in a long time to have them over to watch a sporting event (even though the day before I felt like I was too busy with life to hang out) as soon as I could figure out how to work my phone.

    2. Re:Shrooms, too. by dj245 · · Score: 2

      A single dose of magic mushrooms can make people with severe anxiety and depression better for months, according to a landmark pair of new studies.

      Research into cannabis, MDMA, LSD, etc was the most promising area of psychiatric research in the 1950s. A mental health revolution was on the horizon until a bunch of non-scientists got involved and shut the whole thing down.

      --
      Even those who arrange and design shrubberies are under considerable economic stress at this period in history.
    3. Re:Shrooms, too. by dj245 · · Score: 2

      From what I understood, it was indeed promising but it never went beyond that. The problem with psychedelics is that while we did have some very good results, it was too unpredictable. You talk about non-scientists but there is nothing scientists hate more than unpredictability. When a psychiatrist gives a drug to a patient, he wants to know the effects beforehand, he wants to know how things can go wrong, what to do next, etc.. You can't have it with LSD. I don't think we went passed the point of throwing it at a patient and see how it sticks.

      One of the last potential use of psychedelics is for treating cluster headaches. A benign but extremely painful condition. Interestingly, the most effective treatments are all hit-or-miss repurposed drugs, psychedelics are of these.

      Every drug has potential side effects and some level of unpredictability. If you were to measure the negative side effects and the benefits of commercial prescription antidepressants and mood disorder drugs, the net gain is very small or even negative in some cases. Some antidepressants on the market actually perform worse than a placebo. That's not a particularly high bar for these drugs to clear.

      The only reason these drugs weren't fully researched is because they were made very difficult to study, both by regulation and by the social stigma / loss of reputation that anyone trying to study them would have to endure.

      --
      Even those who arrange and design shrubberies are under considerable economic stress at this period in history.
  16. Re:So basically.... by geekmux · · Score: 4, Insightful

    ...going on a drug trip is the cure? Might as well just get drunk, it's cheaper.

    Liver cancer and alcoholism is cheaper? Please, do tell. Oh wait, let me get my boots on. I have a feeling the flow of bullshit is going to be rather high.

    Dammit, I know I put my chest waders around here somewhere...

  17. Re:let's be honest here by Applehu+Akbar · · Score: 5, Funny

    So is milk.

    Huh?

    Use of milk leads to interest in breasts?

  18. OOHRAH! by SCPaPaJoe · · Score: 2

    The army's on ecstasy, so they say I read all about it in "USA Today" They stepped up urine testing to make it go away 'Cause it's hard to kill the enemy on ol' mdma! Oysterhead

  19. Re:So basically.... by geekmux · · Score: 3, Insightful

    Well, the renal failure often associated with ecstasy isn't exactly cheap on its own. Seriously, the stuff has most of the side effects of meth. Unlike weed, it is one of drugs that is most definitely worse for you than alcohol is. The argument is, do the benefits outweigh the harm. But make no mistake, only an idiot would say it's not dangerous.

    Pot is still considered "deadly" and has earned us the Incarcerated States of America moniker, and yet we legally support cigarettes and alcohol killing 550,000 Americans every year.

    Oh, and let's not forget to thank Big Pharma for bringing good old fashioned opium back into fashion so elegantly, resulting in another 20,000 deaths annually.

    MDMA looks like coffee when compared to current legal alternatives.

  20. Re:let's be honest here by Opportunist · · Score: 5, Insightful

    Why'd I want to switch from K to H?

    Heroin is most of all a "get me out of here, no matter the cost" drug. I do not know a SINGLE person who reached for Heroin who wasn't already at the "I don't give a fuck about my life anymore" stage. It's not like people don't know what heroin does to them. You pretty much cannot NOT know what it really means to shoot that crap into your body. The problem is that people fully KNOW what's going on, and they STILL do it.

    If you want proof for that, take a look at the drug Crocodile (Desomorphin). Do NOT Google it. Seriously. Do not. The pictures you'll see will stay with you for the rest of your life. That crap makes your body rot. Literally. You rot away alive. And people know that and STILL do it.

    If you can keep people from getting to the point where they don't give a fuck about their life anymore, there simply is no longer a market for heroin. Or worse shit.

    --
    We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
  21. Re:So basically.... by blind+biker · · Score: 2

    Well, the renal failure often associated with ecstasy isn't exactly cheap on its own. Seriously, the stuff has most of the side effects of meth. Unlike weed, it is one of drugs that is most definitely worse for you than alcohol is. The argument is, do the benefits outweigh the harm. But make no mistake, only an idiot would say it's not dangerous.

    That's BULLSHIT.

    --
    "The agriculture ministry is not in charge of Gundam" - Japanese ministry official.
  22. Re:what???? by kilfarsnar · · Score: 3, Interesting

    Are you fucking kidding me? Ecstacy? Everyone freaks out about weed being legalized. But, the FDA says, "Hey guys, try out ecstacy for your mental issues!". Wow, what an ass backwards fucking world we live in here in the US of A.

    I think it's interesting the two drugs that are legal - alcohol and cigarettes, two drugs that do absolutely nothing for you at all - are legal, and the drugs that might open your mind up to realise how you're being fucked every day of your life? Those drugs are against the law. Coincidence?

    - Bill Hicks

    --
    "What the American public doesn't know is what makes them the American public." -Ray Zalinsky (Tommy Boy)
  23. Re: So basically.... by BronsCon · · Score: 2

    One of the things that makes a drug a gateway drug is the dealer connection you have to develop to get your hands on it. It's the primary reason marijuana is no longer considered a gateway drug in localities where it has been made legal; the place you go to get marijuana only sells marijuana, they don't sell harder drugs and aren't incentivized to get you hooked on them. If MDMA were suddenly made legal (again) and available over the pharmacy counter, with a prescription (again), you wouldn't have to deal with some back-alley dealer who also sells cocaine, crack, herion, and a slew of other illegal drugs.

    Yes, a pharmacist is effectively a regulated drug dealer; they must also account for every single pill, so they're not exactly going to be pushing Adderall, like the back-alley guy. Your doctor, on the other hand...

    --
    APK quotes people (including myself) without context and should not be trusted. Just thought you should know.