{"id":4238,"date":"2024-08-19T10:00:00","date_gmt":"2024-08-19T15:00:00","guid":{"rendered":"https:\/\/www.cchrstl.org\/wordpress\/?p=4238"},"modified":"2024-08-16T18:41:16","modified_gmt":"2024-08-16T23:41:16","slug":"cchr-commends-fda-decision-psychedelic-drug-ecstasy-not-proven-safe-or-effective-treatment-for-traumatized-patients","status":"publish","type":"post","link":"https:\/\/www.cchrstl.org\/wordpress\/2024\/08\/19\/cchr-commends-fda-decision-psychedelic-drug-ecstasy-not-proven-safe-or-effective-treatment-for-traumatized-patients\/","title":{"rendered":"CCHR Commends FDA Decision: Psychedelic Drug Ecstasy Not Proven Safe or Effective Treatment for Traumatized Patients"},"content":{"rendered":"\n<h2 class=\"wp-block-heading has-text-align-center\"><em><\/em><em>The U.S. drug regulatory agency examined evidence presented by the company requesting approval for MDMA (ecstasy) and reports from experts examining that evidence before denying approval for the drug as mental health treatment. A medical journal has just retracted three MDMA therapy research papers for ethical violations.<\/em><\/h2>\n\n\n\n<p><em>by\u00a0<a href=\"https:\/\/cchrnational.org\/author\/penric\/\">CCHR National Affairs Office<\/a><\/em><\/p>\n\n\n\n<p>The U.S. Food and Drug Administration (FDA) has rejected the psychedelic drug MDMA, commonly known as ecstasy or molly, as treatment for post-traumatic stress, a decision that Citizens Commission on Human Rights (CCHR) advocated in its statement submitted to the FDA during a public comment period earlier this year.&nbsp;The FDA\u2019s decision ends the first attempt to gain the agency\u2019s approval for a psychedelic drug treatment.<\/p>\n\n\n\n<p>The FDA concurred with the&nbsp;<a href=\"https:\/\/cchrnational.org\/2024\/06\/05\/cchr-applauds-fda-advisory-committee-rejection-of-psychedelic-assisted-psychotherapy-for-post-traumatic-stress\/\">findings<\/a>&nbsp;of its advisory committee of independent experts, which held a public hearing in June on the use of MDMA for psychedelic-assisted psychotherapy.&nbsp;The committee voted overwhelmingly that the company which applied for drug approval, Lykos Therapeutics, failed in its clinical trials to prove the treatment was effective, and that benefits from the drug therapy did not outweigh the risks.<\/p>\n\n\n\n<p>A&nbsp;<a href=\"https:\/\/www.fda.gov\/media\/178984\/download\">briefing document<\/a>&nbsp;prepared by FDA staff and issued prior to the hearing pointed to a number of drawbacks in the data from the Lykos clinical trials.&nbsp;Claims of efficacy could be skewed by a large majority of trial participants knowing whether they had received MDMA or placebo, the staff observed.&nbsp;The cardiovascular risks of MDMA, which acts as a stimulant, and the underreporting of adverse effects were also concerns.&nbsp;<\/p>\n\n\n\n<p>During the hearing, committee members discussed allegations of ethical misconduct in the clinical trials, including claims that participants were pressured not to report adverse effects. The <em>Wall Street Journal <\/em>recently\u00a0<a href=\"http:\/\/www.wsj.com\/health\/healthcare\/ecstasy-drug-trials-missed-suicidal-thoughts-of-subjects-888ebfa1\">reported<\/a>\u00a0that three people participating in the Lykos clinical trials felt more suicidal during or after the testing, but felt pressured to report positive outcomes.\u00a0Their adverse effects were not reflected in the research results.<\/p>\n\n\n\n<p>Another patient was allegedly sexually assaulted by the two psychotherapists who stayed in the room with her as part of the MDMA treatment.\u00a0MDMA is known to lower inhibition and increase sexual desire. \u00a0Nese Devenot, a researcher at Johns Hopkins University who petitioned the FDA to hold the public hearing,\u00a0<a href=\"https:\/\/www.npr.org\/sections\/shots-health-news\/2024\/06\/04\/nx-s1-4991112\/mdma-therapy-ptsd-fda-advisors\">told<\/a>\u00a0NPR that psychotherapy with a patient on MDMA \u201cincentivized boundary violations.\u201d<\/p>\n\n\n\n<p>In June, ahead of the advisory committee hearing, the Institute for Clinical and Economic Review, an independent research organization that reviews health care interventions, issued a&nbsp;<a href=\"https:\/\/icer.org\/wp-content\/uploads\/2023\/11\/PTSD_Revised-Report_For-Publication_05142024.pdf\">report<\/a>&nbsp;that also was critical of the Lykos clinical trial data and results, concluding there was insufficient evidence to support approval of the MDMA treatment.<\/p>\n\n\n\n<p>Additionally, Lykos was criticized by advisory committee members for the failure to follow the instructions, or protocol, for conducting its studies. Shortly after the FDA\u2019s decision, the journal <em>Psychopharmacology<\/em> <a href=\"https:\/\/www.statnews.com\/2024\/08\/11\/mdma-ptsd-lykos-maps-retractions\/\">retracted<\/a> three research papers it had published about MDMA-assisted psychotherapy due to \u201cprotocol violations amounting to unethical conduct\u201d during the clinical trials. Many of the authors of the papers are reportedly affiliated with Lykos.<em><\/em><\/p>\n\n\n\n<p>The FDA also had to contend with the fact that it regulates drugs, but cannot regulate the psychotherapy component of the proposed treatment.&nbsp;<\/p>\n\n\n\n<p>The FDA\u2019s decision not to approve this use of MDMA with psychotherapy was made despite massive lobbying by the psychopharmaceutical industry.\u00a0 Companies developing psychedelic drugs for therapy have\u00a0attracted\u00a0millions of dollars from investors hoping to cash in on a \u201cpsychedelic revolution.\u201d\u00a0 Some veteran groups also advocated for approval because existing psychiatric drugs and practices have failed to handle veterans\u2019 mental health issues.\u00a0<\/p>\n\n\n\n<p>\u201cThe FDA is commended for not caving in to the psychopharmaceutical industry\u2019s pressure for approval of MDMA-assisted psychotherapy when safety and efficacy of the drug have not been established,\u201d said Anne Goedeke, president of the CCHR National Affairs Office.\u00a0\u201cPsychedelic drugs are being pushed because psychiatric drugs and practices have failed to handle the mental health issues of many traumatized veterans; but our veterans deserve better treatment than the risk of further damage to their mental health from a use of psychedelics that has not proven safe or effective.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The U.S. drug regulatory agency examined evidence presented by the company requesting approval for MDMA (ecstasy) and reports from experts examining that evidence before denying approval for the drug as mental health treatment. A medical journal has just retracted three MDMA therapy research papers for ethical violations. <a href=\"https:\/\/www.cchrstl.org\/wordpress\/2024\/08\/19\/cchr-commends-fda-decision-psychedelic-drug-ecstasy-not-proven-safe-or-effective-treatment-for-traumatized-patients\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"A medical journal has just retracted three MDMA therapy research papers for ethical violations.","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[2],"tags":[224,108,218,176,36],"class_list":["post-4238","post","type-post","status-publish","format-standard","hentry","category-big-muddy-river-newsletter","tag-ecstasy","tag-fda","tag-mdma","tag-psychedelics","tag-side-effects"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6NMpC-16m","jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/posts\/4238","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/comments?post=4238"}],"version-history":[{"count":0,"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/posts\/4238\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/media?parent=4238"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/categories?post=4238"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/tags?post=4238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}