The METEMP protocol: Massed exposure therapy enhanced with MDMA for PTSD

This article describes the rationale and the specific methods for an open label pilot trial of 100 mg MDMA in combination with massed exposure therapy for PTSD, a treatment which involves daily exposure therapy sessions for two weeks which has found to be effective. We review the need for novel PTSD...

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Main Authors: Jessica L. Maples-Keller, Boadie W. Dunlop, Barbara O. Rothbaum
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Contemporary Clinical Trials Communications
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Online Access:http://www.sciencedirect.com/science/article/pii/S2451865424001479
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author Jessica L. Maples-Keller
Boadie W. Dunlop
Barbara O. Rothbaum
author_facet Jessica L. Maples-Keller
Boadie W. Dunlop
Barbara O. Rothbaum
author_sort Jessica L. Maples-Keller
collection DOAJ
description This article describes the rationale and the specific methods for an open label pilot trial of 100 mg MDMA in combination with massed exposure therapy for PTSD, a treatment which involves daily exposure therapy sessions for two weeks which has found to be effective. We review the need for novel PTSD treatments and the existing research on MDMA-assisted therapy, and then describe the rationale for this novel treatment approach, including combining MDMA with a gold standard treatment, translational support for this treatment, strong dissemination potential, and strengths of providing massed exposure treatment. The specific methods of the open label pilot study are presented, followed by conclusions and future directions for this research. This study will enroll at least 15 adults with PTSD over the next 2 years in order to identify feasibility and lead to a manual describing how to combine MDMA with exposure therapy, tested in a randomized, placebo-controlled trial, with significant promise for dissemination and improving our ability to treat PTSD. Trial registration: ClinicalTrials.gov identifier: NCT05746572.
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spelling doaj-art-fd0e1978ad2641759ef77f156a7b0e0f2025-01-12T05:25:29ZengElsevierContemporary Clinical Trials Communications2451-86542025-02-0143101400The METEMP protocol: Massed exposure therapy enhanced with MDMA for PTSDJessica L. Maples-Keller0Boadie W. Dunlop1Barbara O. Rothbaum2Corresponding author. 12 Executive Park Dr NE, Atlanta, GA, 30329, Georgia.; Emory University School of Medicine, Department of Psychiatry and Behavioral Sciences, GeorgiaEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, GeorgiaEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, GeorgiaThis article describes the rationale and the specific methods for an open label pilot trial of 100 mg MDMA in combination with massed exposure therapy for PTSD, a treatment which involves daily exposure therapy sessions for two weeks which has found to be effective. We review the need for novel PTSD treatments and the existing research on MDMA-assisted therapy, and then describe the rationale for this novel treatment approach, including combining MDMA with a gold standard treatment, translational support for this treatment, strong dissemination potential, and strengths of providing massed exposure treatment. The specific methods of the open label pilot study are presented, followed by conclusions and future directions for this research. This study will enroll at least 15 adults with PTSD over the next 2 years in order to identify feasibility and lead to a manual describing how to combine MDMA with exposure therapy, tested in a randomized, placebo-controlled trial, with significant promise for dissemination and improving our ability to treat PTSD. Trial registration: ClinicalTrials.gov identifier: NCT05746572.http://www.sciencedirect.com/science/article/pii/S2451865424001479MDMAPTSDClinical trialExposure therapyTreatmentPsychedelic
spellingShingle Jessica L. Maples-Keller
Boadie W. Dunlop
Barbara O. Rothbaum
The METEMP protocol: Massed exposure therapy enhanced with MDMA for PTSD
Contemporary Clinical Trials Communications
MDMA
PTSD
Clinical trial
Exposure therapy
Treatment
Psychedelic
title The METEMP protocol: Massed exposure therapy enhanced with MDMA for PTSD
title_full The METEMP protocol: Massed exposure therapy enhanced with MDMA for PTSD
title_fullStr The METEMP protocol: Massed exposure therapy enhanced with MDMA for PTSD
title_full_unstemmed The METEMP protocol: Massed exposure therapy enhanced with MDMA for PTSD
title_short The METEMP protocol: Massed exposure therapy enhanced with MDMA for PTSD
title_sort metemp protocol massed exposure therapy enhanced with mdma for ptsd
topic MDMA
PTSD
Clinical trial
Exposure therapy
Treatment
Psychedelic
url http://www.sciencedirect.com/science/article/pii/S2451865424001479
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