The FDA isn’t approving MDMA (sometimes known as the party-drug ecstasy or molly) for the treatment of post-traumatic stress disorder or PTSD, a mental illness. Some Republican and Democratic members of Congress on the Congressional Psychedelics Advancing Therapies (PATH) Caucus believe the FDA made a mistake. In their view, MDMA could save lives.
In particular, many think that veterans with PTSD would be well served through MDMA. Other treatments often do not work. Veterans very much supported FDA approval of the psychedelic drug. And, there is mounting support from the public for FDA approval of MDMA. Thirteen million Americans suffer from PTSD.
The FDA did not rule out future approval of MDMA. Rather, it requested that Lykos Therapeutics, which conducted the clinical trial, conduct a third phase 3 trial to investigate further the safety and efficacy of MDMA. The first two trials suggested MDMA was effective for treating PTSD, but the FDA’s advisory committee claimed that data on adverse events were missing and that the research was biased. A third trial will take several years to complete.
Olivia Goldhill reports for Stat News that the Institute for Clinical and Economic Review (ICER) determined back in March that evidence supporting MDMA therapy for PTSD was “insufficient.” It posited that there could have been clinical trial misconduct. Trial participants told ICER researchers about “severe negative outcomes.” These outcomes were not reported in the trial data.
Haleema Shah reports for Vox that MDMA was created decades ago now in a home laboratory, and since then, people have used it illegally. People who use it say that it fills them with love and empathy. Some say that people with PTSD who use it for 18 weeks are relieved of symptoms that other medicines and talk therapy cannot accomplish.
That said, there is evidence that MDMA can have serious health consequences, including rapid heart rate and other heart conditions.
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- What you should know about ayahuasca, a psychedelic drug
- Psilocybin found to relieve depression for extended period