August 9th, 2024

MDMA therapy didn't get FDA approval. Now what?

The FDA declined to approve MDMA therapy for PTSD, requesting further studies due to clinical trial concerns. This setback is viewed as a delay, not a rejection, amid ongoing interest in psychedelics.

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MDMA therapy didn't get FDA approval. Now what?

The FDA has declined to approve MDMA therapy for treating post-traumatic stress disorder (PTSD), marking a setback for the psychedelic therapy movement. Lykos Therapeutics, which submitted the application, was asked to conduct an additional Phase 3 study due to concerns about the data provided. This decision comes despite previous optimism surrounding the potential approval, which was anticipated to allow healthcare professionals to prescribe MDMA therapy. The FDA's request for further study stems from criticisms regarding the clinical trial design, including issues with establishing placebo controls and ethical concerns raised during an advisory committee meeting. While the decision is disappointing for advocates of psychedelic therapy, it is viewed more as a delay than a definitive rejection. The approval of MDMA therapy would have challenged its classification as a Schedule I substance and could have paved the way for broader acceptance of psychedelics in medical treatment. The FDA's decision reflects ongoing caution in the regulatory landscape for mental health treatments, particularly those involving psychedelics. As the field continues to evolve, other organizations are also working on similar treatments, suggesting that the conversation around psychedelic therapy is far from over.

- The FDA has not approved MDMA therapy for PTSD, requesting further studies from Lykos Therapeutics.

- Concerns about clinical trial design and ethical practices influenced the FDA's decision.

- The setback is seen as a delay rather than a complete rejection of psychedelic therapy.

- Approval would have challenged MDMA's Schedule I classification and supported broader acceptance of psychedelics.

- Other organizations are pursuing similar treatments, indicating ongoing interest in psychedelic therapy.

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