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Preliminary Efficacy and Safety of Ibogaine in the Treatment of Methadone Detoxification

Primary Purpose

Drug Dependence, Drug Use Disorders, Opioid Dependence

Status
Recruiting
Phase
Phase 2
Locations
Spain
Study Type
Interventional
Intervention
Ibogaine Hydrochloride
Sponsored by
International Center for Ethnobotanical Education, Research, and Service
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Drug Dependence focused on measuring Ibogaine, Methadone, Drug dependence, Addiction

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Aged between 18 and 60 years.
  • Body weight within normal range (Quetelet's index between 19 and 27) expressed as weight (kg) / height (m2).
  • Normal clinical records and physical examination.
  • Subjects without organic disorders.
  • Laboratory tests (hematology, biochemistry and urinalysis) within the range of normal values, according to the laboratory reference values of the "Hospital Universitari Sant Joan de Reus". Variations may be admitted according to the clinical criteria of the Principal Investigator.
  • Clinically acceptable temperature, blood pressure and pulse rate in supine and standing position (SBP between 100-140 mm Hg/ DBP between 50-90 mm Hg / HR between 50-100 bpm). Blood pressure and pulse will be measured after a minimum of 3 minutes of resting.
  • Having not participated in another clinical trial in the last 2 months.
  • Free acceptance to participate in the study by obtains signed informed consent form approved by the ethics committee.
  • ECG values within the range of normal values (PR < 240 ms, QRS < 110 ms and QTc < 430 ms in men and QTc < 450 ms in women, and heart rate >50 bpm.

Exclusion Criteria:

  • Background of allergy, idiosyncrasy or hypersensitivity to drugs..
  • Intake of any medication within 2 weeks prior taking the study treatment (except for use of paracetamol in short-term symptomatic treatments), including over-the-counter products (including natural food supplements, vitamins and medicinal plants products), or any enzymatic inductor or inhibitor before the drug administration.
  • Viral activity for hepatitis B, C or HIV.
  • Background or clinical evidence of cardiovascular, respiratory, renal, hepatic, endocrine, gastrointestinal, hematological or neurological disease or other chronic diseases.
  • History of severe psychiatric disease like psychosis, bipolar disorder or dissociative disorders, or a high risk to develop them as reported by psychometric questionnaires.
  • Past or current risk of suicide.
  • Having undergone major surgery during the previous 6 months before the enrollment.
  • Positive results of the drugs at screening period or the day before starting treatment period: Amphetamines, Cocaine, Ethanol, Opiates (not methadone), and not prescribed Benzodiazepines (positive results may be repeated at the discretion of the PI).
  • Not understanding the nature of the study and potential consequences.
  • 12 lead ECG obtained at screening with PR ≥ 220 msec, QRS ≥120 msec and QTc ≥ 440 msec for men and ≥450 for women, bradycardia (<50 bpm) or clinically significant minor ST wave changes or any other abnormal changes on the screening ECG that would interfere with measurement of the QT interval.
  • Pregnancy or lactation status (females).
  • Not understanding the informed consent.

Sites / Locations

  • Hospital Universitari Sant JoanRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Fixed dose

Ascending dose

Arm Description

Ibogaine Hydrochloride 100 mg on each administration.

Ibogaine Hydrochloride on ascending doses (100-200-300-400-500-600).

Outcomes

Primary Outcome Measures

Methadone dose
Rate of decrease of methadone dose used

Secondary Outcome Measures

Adverse events
Description of adverse events found at different doses of ibogaine
Cardiovascular effects
Electrocardiogram (QT interval, ST wave)

Full Information

First Posted
June 27, 2019
Last Updated
August 30, 2022
Sponsor
International Center for Ethnobotanical Education, Research, and Service
Collaborators
Multidisciplinary Association for Psychedelic Studies, University Rovira i Virgili, Universidad Autonoma de Madrid, Hospital Universitari Sant Joan de Reus, University of Sao Paulo
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1. Study Identification

Unique Protocol Identification Number
NCT04003948
Brief Title
Preliminary Efficacy and Safety of Ibogaine in the Treatment of Methadone Detoxification
Official Title
Preliminar Efficacy and Safety of Ibogaine in the Treatment of Methadone
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Recruiting
Study Start Date
October 28, 2020 (Actual)
Primary Completion Date
December 15, 2022 (Anticipated)
Study Completion Date
June 15, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
International Center for Ethnobotanical Education, Research, and Service
Collaborators
Multidisciplinary Association for Psychedelic Studies, University Rovira i Virgili, Universidad Autonoma de Madrid, Hospital Universitari Sant Joan de Reus, University of Sao Paulo

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Methadone is a very long-acting opiate very difficult to detox from. In Spain there are a lot of methadone dependent people in the aftermath of the heroin epidemic of the 1980s. Many have been dependent for more than 15 years and a number of them have a relatively stable life condition (have work, family, housing, etc.) and a relatively good health condition in comparison with current heroin users. This Phase-II RCT is a collaboration with the Sant Joan Hospital in Reus, Spain. Twenty patients on the methadone maintenance program will be recruited. Patients will be randomized to two groups: One receiving 6 doses of 100 mg of ibogaine; and the other one receiving ascending doses of ibogaine (100-200-300-400-500-600). Methadone use will be interrupted and for both groups ibogaine will be administered when clinical symptoms of opioid withdrawal appear. After an ibogaine dose, when symptoms of opioid withdrawal appear again, half of the methadone dose used last time will be administered. By doing so, methadone doses will be progressively reduced until no withdrawal symptoms appear.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Drug Dependence, Drug Use Disorders, Opioid Dependence
Keywords
Ibogaine, Methadone, Drug dependence, Addiction

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Fixed dose
Arm Type
Experimental
Arm Description
Ibogaine Hydrochloride 100 mg on each administration.
Arm Title
Ascending dose
Arm Type
Experimental
Arm Description
Ibogaine Hydrochloride on ascending doses (100-200-300-400-500-600).
Intervention Type
Drug
Intervention Name(s)
Ibogaine Hydrochloride
Intervention Description
Fixed or ascending doses of ibogaine will be administered for the treatment of opioid withdrawal syndrome.
Primary Outcome Measure Information:
Title
Methadone dose
Description
Rate of decrease of methadone dose used
Time Frame
0-6 months
Secondary Outcome Measure Information:
Title
Adverse events
Description
Description of adverse events found at different doses of ibogaine
Time Frame
0-24 hours
Title
Cardiovascular effects
Description
Electrocardiogram (QT interval, ST wave)
Time Frame
0-24 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Aged between 18 and 60 years. Body weight within normal range (Quetelet's index between 19 and 27) expressed as weight (kg) / height (m2). Normal clinical records and physical examination. Subjects without organic disorders. Laboratory tests (hematology, biochemistry and urinalysis) within the range of normal values, according to the laboratory reference values of the "Hospital Universitari Sant Joan de Reus". Variations may be admitted according to the clinical criteria of the Principal Investigator. Clinically acceptable temperature, blood pressure and pulse rate in supine and standing position (SBP between 100-140 mm Hg/ DBP between 50-90 mm Hg / HR between 50-100 bpm). Blood pressure and pulse will be measured after a minimum of 3 minutes of resting. Having not participated in another clinical trial in the last 2 months. Free acceptance to participate in the study by obtains signed informed consent form approved by the ethics committee. ECG values within the range of normal values (PR < 240 ms, QRS < 110 ms and QTc < 430 ms in men and QTc < 450 ms in women, and heart rate >50 bpm. Exclusion Criteria: Background of allergy, idiosyncrasy or hypersensitivity to drugs.. Intake of any medication within 2 weeks prior taking the study treatment (except for use of paracetamol in short-term symptomatic treatments), including over-the-counter products (including natural food supplements, vitamins and medicinal plants products), or any enzymatic inductor or inhibitor before the drug administration. Viral activity for hepatitis B, C or HIV. Background or clinical evidence of cardiovascular, respiratory, renal, hepatic, endocrine, gastrointestinal, hematological or neurological disease or other chronic diseases. History of severe psychiatric disease like psychosis, bipolar disorder or dissociative disorders, or a high risk to develop them as reported by psychometric questionnaires. Past or current risk of suicide. Having undergone major surgery during the previous 6 months before the enrollment. Positive results of the drugs at screening period or the day before starting treatment period: Amphetamines, Cocaine, Ethanol, Opiates (not methadone), and not prescribed Benzodiazepines (positive results may be repeated at the discretion of the PI). Not understanding the nature of the study and potential consequences. 12 lead ECG obtained at screening with PR ≥ 220 msec, QRS ≥120 msec and QTc ≥ 440 msec for men and ≥450 for women, bradycardia (<50 bpm) or clinically significant minor ST wave changes or any other abnormal changes on the screening ECG that would interfere with measurement of the QT interval. Pregnancy or lactation status (females). Not understanding the informed consent.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Genís Ona, MSc
Phone
675553344
Ext
+34
Email
genisona@iceers.org
First Name & Middle Initial & Last Name or Official Title & Degree
José Carlos Bouso, PhD
Email
jcbouso@iceers.org
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
José Carlos Bouso, PhD
Organizational Affiliation
International Center for Ethnobotanical Education, Research, and Service
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Tre Borràs, MD
Organizational Affiliation
Hospital Universitari Sant Joan de Reus
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Genís Ona, MSc
Organizational Affiliation
International Center for Ethnobotanical Education, Research, and Service
Official's Role
Study Director
Facility Information:
Facility Name
Hospital Universitari Sant Joan
City
Reus
State/Province
Tarragona
ZIP/Postal Code
43204
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tre Borras, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Preliminary Efficacy and Safety of Ibogaine in the Treatment of Methadone Detoxification

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