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| ID | Type | Description | Link |
|---|---|---|---|
| 1R01DK128242-01A1 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) | NIH |
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The present study is a phase 1 dose escalation study of harmine in healthy volunteers. The primary goal of the trial is to determine the maximum tolerated dose of harmine.
The present study is a phase 1 dose escalation study of harmine in healthy volunteers. The primary goal of the trial is to determine the maximum tolerated dose of harmine. Harmine will be administered in an open-label, dose escalation design that will use the continual reassessment method to inform the next dose to test in a subject. There will be a total of seven possible doses that include 100 mg, 200 mg, 300 mg, 500 mg, 700 mg, 900 mg and 1200 mg. Each study subject will receive a single oral dose of harmine in this single ascending dose design. On the treatment day, subjects will undergo continuous medical monitoring. All adverse events will be documented and events that qualify as dose limiting toxicities (DLTs) will be used to inform dosing for the subsequent subjects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Harmine Dose | Experimental | There will be a total of seven possible doses that include 100 mg, 200 mg, 300 mg, 500 mg, 700 mg, 900 mg and 1200 mg. Each study subject will receive a single oral dose of harmine in this single ascending dose design. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Harmine Hydrochloride Capsules | Drug | capsules taken orally |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Dose Limiting Toxicity (DLT) | DLT which is defined if have any one of the following: Patient Rated Inventory of Side Effects (PRISE): 0-51, higher scores indicate more adverse events observed Brief Psychiatric Rating Scale (BPRS): 4 - 28, higher scores indicate more symptoms of psychosis Vitals: blood pressure and heart rate will all be measured - anything outside of the following ranges will be noted:
| 24 hours |
| Maximum Tolerated Dose (MTD) of Oral Harmine HCl Based on Dose Limiting Toxicity (DLT) | The MTD was determined to be between 100 and 200mg and is weight-based. | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Scale (VAS) - Nausea | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
| Visual Analog Scale (VAS) - Hunger |
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Inclusion Criteria
Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| James Murrough, MD, PhD | Icahn School of Medicine at Mount Sinai | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Depression and Anxiety Center | New York | New York | 10029 | United States |
As of now the study team is not plan on sharing IPD as that would not align with the approved management plan.
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Between September 2022, and June 2023, a total of 34 participants signed consent with 7 failed screening.
27 were enrolled
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| ID | Title | Description |
|---|---|---|
| FG000 | Harmine Hydrochloride 100mg | Using the CRM to inform the dose to be given to the next participant based on prior information. The CRM used a one-parameter logistic regression model to estimate the relationship between dose and dose-limiting toxicity (DLT) risk to inform decisions on dosing with a target DLT rate of 25%. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a participant experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. At every step, the next patient is assigned the dose estimated to be nearest to the MTD. To minimize the exposure of participants to potentially toxic doses, we employed some modifications to the CRM, including starting with the lowest dose available and not skipping dose levels when escalating. Additionally, we included an early stopping rule that the study would end when either the maximum number of allowable patients treated per protocol was reached or would end early in the event that the probability of the next 10 patients being given the same dose level exceeds 90%, regardless of DLT outcomes observed. Each participant received a single oral dose of harmine HCl on the treatment day and was observed for 8 h with continuous medical monitoring and followed up at 24 h. Note that doses >500 mg were not used due to the stopping rule above. |
| FG001 | Harmine Hydrochloride 200mg | Using the CRM to inform the dose to be given to the next participant based on prior information. The CRM used a one-parameter logistic regression model to estimate the relationship between dose and dose-limiting toxicity (DLT) risk to inform decisions on dosing with a target DLT rate of 25%. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a participant experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. At every step, the next patient is assigned the dose estimated to be nearest to the MTD. To minimize the exposure of participants to potentially toxic doses, we employed some modifications to the CRM, including starting with the lowest dose available and not skipping dose levels when escalating. Additionally, we included an early stopping rule that the study would end when either the maximum number of allowable patients treated per protocol was reached or would end early in the event that the probability of the next 10 patients being given the same dose level exceeds 90%, regardless of DLT outcomes observed. Each participant received a single oral dose of harmine HCl on the treatment day and was observed for 8 h with continuous medical monitoring and followed up at 24 h. Note that doses >500 mg were not used due to the stopping rule above. |
| FG002 | Harmine Hydrochloride 300mg | Using the CRM to inform the dose to be given to the next participant based on prior information. The CRM used a one-parameter logistic regression model to estimate the relationship between dose and dose-limiting toxicity (DLT) risk to inform decisions on dosing with a target DLT rate of 25%. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a participant experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. At every step, the next patient is assigned the dose estimated to be nearest to the MTD. To minimize the exposure of participants to potentially toxic doses, we employed some modifications to the CRM, including starting with the lowest dose available and not skipping dose levels when escalating. Additionally, we included an early stopping rule that the study would end when either the maximum number of allowable patients treated per protocol was reached or would end early in the event that the probability of the next 10 patients being given the same dose level exceeds 90%, regardless of DLT outcomes observed. Each participant received a single oral dose of harmine HCl on the treatment day and was observed for 8 h with continuous medical monitoring and followed up at 24 h. Note that doses >500 mg were not used due to the stopping rule above. |
| FG003 | Harmine Hydrochloride 500mg | Using the CRM to inform the dose to be given to the next participant based on prior information. The CRM used a one-parameter logistic regression model to estimate the relationship between dose and dose-limiting toxicity (DLT) risk to inform decisions on dosing with a target DLT rate of 25%. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a participant experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. At every step, the next patient is assigned the dose estimated to be nearest to the MTD. To minimize the exposure of participants to potentially toxic doses, we employed some modifications to the CRM, including starting with the lowest dose available and not skipping dose levels when escalating. Additionally, we included an early stopping rule that the study would end when either the maximum number of allowable patients treated per protocol was reached or would end early in the event that the probability of the next 10 patients being given the same dose level exceeds 90%, regardless of DLT outcomes observed. Each participant received a single oral dose of harmine HCl on the treatment day and was observed for 8 h with continuous medical monitoring and followed up at 24 h. Note that doses >500 mg were not used due to the stopping rule above. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Harmine 300mg and 500mg combined to maintain confidentiality of one participant in 500mg arm
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| ID | Title | Description |
|---|---|---|
| BG000 | Harmine Dose 100 mg | Each study subject received a single oral dose of harmine in this single ascending dose design. Harmine Hydrochloride Capsules: capsules taken orally |
| BG001 | Harmine 200 mg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Dose Limiting Toxicity (DLT) | DLT which is defined if have any one of the following: Patient Rated Inventory of Side Effects (PRISE): 0-51, higher scores indicate more adverse events observed Brief Psychiatric Rating Scale (BPRS): 4 - 28, higher scores indicate more symptoms of psychosis Vitals: blood pressure and heart rate will all be measured - anything outside of the following ranges will be noted:
| Posted | Count of Participants | Participants | 24 hours |
|
24 hours
300mg and 500mg arm combined
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Harmine Hydrochloride 100mg | Using the CRM to inform the dose to be given to the next participant based on prior information. The CRM used a one-parameter logistic regression model to estimate the relationship between dose and dose-limiting toxicity (DLT) risk to inform decisions on dosing with a target DLT rate of 25%. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a participant experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. At every step, the next patient is assigned the dose estimated to be nearest to the MTD. To minimize the exposure of participants to potentially toxic doses, we employed some modifications to the CRM, including starting with the lowest dose available and not skipping dose levels when escalating. Additionally, we included an early stopping rule that the study would end when either the maximum number of allowable patients treated per protocol was reached or would end early in the event that the probability of the next 10 patients being given the same dose level exceeds 90%, regardless of DLT outcomes observed. Each participant received a single oral dose of harmine HCl on the treatment day and was observed for 8 h with continuous medical monitoring and followed up at 24 h. Note that doses >500 mg were not used due to the stopping rule above. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Vomiting/emesis | Gastrointestinal disorders | medDRA 21.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jessica L Ables | Icahn School of Medicine at Mount Sinai | (212) 241-2774 | jessica.ables@mssm.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jun 6, 2023 | Oct 21, 2024 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Jun 6, 2023 | Oct 23, 2024 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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This study will employ the continual reassessment method (CRM) to find an MTD of Harmine. It uses a statistical model to estimate the relationship between dose and DLT risk to inform decisions on dosing. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a patient experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. The next dose assigned is that most likely to be associated with the target toxicity level (the MTD). At every step, the next patient is assigned the dose estimated to be nearest to the MTD.
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Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly. |
| baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
| Visual Analog Scale (VAS) - Feeling High/Intoxicated | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
| Visual Analog Scale (VAS) - Drowsiness | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
| Visual Analog Scale (VAS) - Anxiety | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
| Visual Analog Scale (VAS) - Depressed Mood | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly. | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
| Visual Analog Scale (VAS) - Happy Mood | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
| Visual Analog Scale (VAS) - Excitement | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly. | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
| Visual Analog Scale (VAS) - Feeling of Control | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly. | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
| Visual Analog Scale (VAS) - Vividness of Image | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly. | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
| Profile of Mood States Bipolar Scale (POMS-Bi): Composed-Anxious Scale | The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments. Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood | Baseline, 2, 6, 7, 8, and 24 hours |
| Profile of Mood States Bipolar Scale (POMS-Bi): Agreeable-Hostile Scale | The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments. Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood | Baseline, 2, 6, 7, 8, and 24 hours |
| Profile of Mood States Bipolar Scale (POMS-Bi): Elated-Depression Scale | The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments. Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood | Baseline, 2, 6, 7, 8, and 24 hours |
| Profile of Mood States Bipolar Scale (POMS-Bi): Confident-Unsure Scale | The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments. Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood | Baseline, 2, 6, 7, 8, and 24 hours |
| Profile of Mood States Bipolar Scale (POMS-Bi): Energetic-Tired Scale | The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments. Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood | Baseline, 2, 6, 7, 8, and 24 hours |
| Profile of Mood States Bipolar Scale (POMS-Bi): Clearheaded-Confused Scale | The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments. Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood | Baseline, 2, 6, 7, 8, and 24 hours |
| Perceived Stress Scale (PSS) | The PSS is a 10-item self-report scale that measures the perception of stress. Each item is rated on a scale from 0-4. Full scale from 0-40, with higher score indicating more perceived stress | 24 hours |
| Patient Rated Inventory of Side Effects (PRISE) | The PRISE is a self-report Adverse Event (AE) Checklist used to qualify side effects by identifying and evaluating the tolerability of each symptom. Only new onset or worsening symptoms were included. Participants could report more than one AE. | 24 hours |
| Brief Psychiatric Rating Scale (BPRS) | The BPRS is a 16-item clinician- administered scale that captures acute behavioral changes throughout treatment. Each item is rated on a scale from 1-7. Full scale from 16-112 with higher score indicating more worse health outcomes. | Baseline, 2, 6, 7, 8, and 24 hours |
| Columbia Suicide Severity Rating Scale (C-SSRS) | The C-SSRS is a clinician-administered suicidal ideation and behavior rating scale used to evaluate suicide risk. Full range from 0 (low intensity suicidal ideation to 9 (high intensity suicidal ideation). | 24 hours |
Each study subject received a single oral dose of harmine in this single ascending dose design.
Harmine Hydrochloride Capsules: capsules taken orally
| BG002 | Harmine >200mg | Each study subject received a single oral dose of harmine in this single ascending dose design. Harmine Hydrochloride Capsules: capsules taken orally |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Weight | Mean | Standard Deviation | kg |
|
| Body mass index | Mean | Standard Deviation | kg/m^2 |
|
| Education level | Count of Participants | Participants |
|
| Marital status | Count of Participants | Participants |
|
| Harmine Hydrochloride 100mg |
Using the CRM to inform the dose to be given to the next participant based on prior information. The CRM used a one-parameter logistic regression model to estimate the relationship between dose and dose-limiting toxicity (DLT) risk to inform decisions on dosing with a target DLT rate of 25%. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a participant experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. At every step, the next patient is assigned the dose estimated to be nearest to the MTD. To minimize the exposure of participants to potentially toxic doses, we employed some modifications to the CRM, including starting with the lowest dose available and not skipping dose levels when escalating. Additionally, we included an early stopping rule that the study would end when either the maximum number of allowable patients treated per protocol was reached or would end early in the event that the probability of the next 10 patients being given the same dose level exceeds 90%, regardless of DLT outcomes observed. Each participant received a single oral dose of harmine HCl on the treatment day and was observed for 8 h with continuous medical monitoring and followed up at 24 h. Note that doses >500 mg were not used due to the stopping rule above. |
| OG001 | Harmine Hydrochloride 200mg | Using the CRM to inform the dose to be given to the next participant based on prior information. The CRM used a one-parameter logistic regression model to estimate the relationship between dose and dose-limiting toxicity (DLT) risk to inform decisions on dosing with a target DLT rate of 25%. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a participant experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. At every step, the next patient is assigned the dose estimated to be nearest to the MTD. To minimize the exposure of participants to potentially toxic doses, we employed some modifications to the CRM, including starting with the lowest dose available and not skipping dose levels when escalating. Additionally, we included an early stopping rule that the study would end when either the maximum number of allowable patients treated per protocol was reached or would end early in the event that the probability of the next 10 patients being given the same dose level exceeds 90%, regardless of DLT outcomes observed. Each participant received a single oral dose of harmine HCl on the treatment day and was observed for 8 h with continuous medical monitoring and followed up at 24 h. Note that doses >500 mg were not used due to the stopping rule above. |
| OG002 | Harmine Hydrochloride 300mg | Using the CRM to inform the dose to be given to the next participant based on prior information. The CRM used a one-parameter logistic regression model to estimate the relationship between dose and dose-limiting toxicity (DLT) risk to inform decisions on dosing with a target DLT rate of 25%. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a participant experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. At every step, the next patient is assigned the dose estimated to be nearest to the MTD. To minimize the exposure of participants to potentially toxic doses, we employed some modifications to the CRM, including starting with the lowest dose available and not skipping dose levels when escalating. Additionally, we included an early stopping rule that the study would end when either the maximum number of allowable patients treated per protocol was reached or would end early in the event that the probability of the next 10 patients being given the same dose level exceeds 90%, regardless of DLT outcomes observed. Each participant received a single oral dose of harmine HCl on the treatment day and was observed for 8 h with continuous medical monitoring and followed up at 24 h. Note that doses >500 mg were not used due to the stopping rule above. |
| OG003 | Harmine Hydrochloride 500mg | Using the CRM to inform the dose to be given to the next participant based on prior information. The CRM used a one-parameter logistic regression model to estimate the relationship between dose and dose-limiting toxicity (DLT) risk to inform decisions on dosing with a target DLT rate of 25%. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a participant experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. At every step, the next patient is assigned the dose estimated to be nearest to the MTD. To minimize the exposure of participants to potentially toxic doses, we employed some modifications to the CRM, including starting with the lowest dose available and not skipping dose levels when escalating. Additionally, we included an early stopping rule that the study would end when either the maximum number of allowable patients treated per protocol was reached or would end early in the event that the probability of the next 10 patients being given the same dose level exceeds 90%, regardless of DLT outcomes observed. Each participant received a single oral dose of harmine HCl on the treatment day and was observed for 8 h with continuous medical monitoring and followed up at 24 h. Note that doses >500 mg were not used due to the stopping rule above. |
|
|
| Primary | Maximum Tolerated Dose (MTD) of Oral Harmine HCl Based on Dose Limiting Toxicity (DLT) | The MTD was determined to be between 100 and 200mg and is weight-based. | Posted | Number | mg/kg | 24 hours |
|
|
|
| Secondary | Visual Analog Scale (VAS) - Nausea | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
|
|
|
| Secondary | Visual Analog Scale (VAS) - Hunger | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly. | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
|
|
|
| Secondary | Visual Analog Scale (VAS) - Feeling High/Intoxicated | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
|
|
|
| Secondary | Visual Analog Scale (VAS) - Drowsiness | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
|
|
|
| Secondary | Visual Analog Scale (VAS) - Anxiety | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
|
|
|
| Secondary | Visual Analog Scale (VAS) - Depressed Mood | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly. | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
|
|
|
| Secondary | Visual Analog Scale (VAS) - Happy Mood | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
|
|
|
| Secondary | Visual Analog Scale (VAS) - Excitement | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly. | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
|
|
|
| Secondary | Visual Analog Scale (VAS) - Feeling of Control | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly. | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
|
|
|
| Secondary | Visual Analog Scale (VAS) - Vividness of Image | Visual Analog Scale (VAS) to characterize psychoactive effects of harmine in healthy adults. Full scale from 0-10, with higher scores indicating subjective states are experienced more strongly. | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7 8, and 24 hours |
|
|
|
| Secondary | Profile of Mood States Bipolar Scale (POMS-Bi): Composed-Anxious Scale | The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments. Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | Baseline, 2, 6, 7, 8, and 24 hours |
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| Secondary | Profile of Mood States Bipolar Scale (POMS-Bi): Agreeable-Hostile Scale | The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments. Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | Baseline, 2, 6, 7, 8, and 24 hours |
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| Secondary | Profile of Mood States Bipolar Scale (POMS-Bi): Elated-Depression Scale | The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments. Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | Baseline, 2, 6, 7, 8, and 24 hours |
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| Secondary | Profile of Mood States Bipolar Scale (POMS-Bi): Confident-Unsure Scale | The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments. Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | Baseline, 2, 6, 7, 8, and 24 hours |
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| Secondary | Profile of Mood States Bipolar Scale (POMS-Bi): Energetic-Tired Scale | The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments. Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | Baseline, 2, 6, 7, 8, and 24 hours |
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| Secondary | Profile of Mood States Bipolar Scale (POMS-Bi): Clearheaded-Confused Scale | The POMS-Bi is a 72-item psychological self-report rating scale used to assess transient, distinct mood states. It is also a validated instrument for identifying the effects of drug treatments. Items are rated on a four-point scale from 0 "much unlike this" to 3 "much like this." It includes six bipolar scales: composed-anxious, agreeable-hostile, elated-depressed, confident-unsure, energetic-tired, and clearheaded-confused. Each subscale is scored 0-36, with higher scores associated with better mood | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | Baseline, 2, 6, 7, 8, and 24 hours |
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| Secondary | Perceived Stress Scale (PSS) | The PSS is a 10-item self-report scale that measures the perception of stress. Each item is rated on a scale from 0-4. Full scale from 0-40, with higher score indicating more perceived stress | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | 24 hours |
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| Secondary | Patient Rated Inventory of Side Effects (PRISE) | The PRISE is a self-report Adverse Event (AE) Checklist used to qualify side effects by identifying and evaluating the tolerability of each symptom. Only new onset or worsening symptoms were included. Participants could report more than one AE. | Participants given 300mg and 500mg were combined into one arm | Posted | Count of Participants | Participants | 24 hours |
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| Secondary | Brief Psychiatric Rating Scale (BPRS) | The BPRS is a 16-item clinician- administered scale that captures acute behavioral changes throughout treatment. Each item is rated on a scale from 1-7. Full scale from 16-112 with higher score indicating more worse health outcomes. | 300mg and 500mg arm combined | Posted | Mean | Full Range | score on a scale | Baseline, 2, 6, 7, 8, and 24 hours |
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| Secondary | Columbia Suicide Severity Rating Scale (C-SSRS) | The C-SSRS is a clinician-administered suicidal ideation and behavior rating scale used to evaluate suicide risk. Full range from 0 (low intensity suicidal ideation to 9 (high intensity suicidal ideation). | Posted | Mean | Full Range | score on a scale | 24 hours |
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| 0 |
| 10 |
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| 2 |
| 10 |
| EG001 | Harmine Hydrochloride 200mg | Using the CRM to inform the dose to be given to the next participant based on prior information. The CRM used a one-parameter logistic regression model to estimate the relationship between dose and dose-limiting toxicity (DLT) risk to inform decisions on dosing with a target DLT rate of 25%. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a participant experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. At every step, the next patient is assigned the dose estimated to be nearest to the MTD. To minimize the exposure of participants to potentially toxic doses, we employed some modifications to the CRM, including starting with the lowest dose available and not skipping dose levels when escalating. Additionally, we included an early stopping rule that the study would end when either the maximum number of allowable patients treated per protocol was reached or would end early in the event that the probability of the next 10 patients being given the same dose level exceeds 90%, regardless of DLT outcomes observed. Each participant received a single oral dose of harmine HCl on the treatment day and was observed for 8 h with continuous medical monitoring and followed up at 24 h. Note that doses >500 mg were not used due to the stopping rule above. | 0 | 10 | 0 | 10 | 5 | 10 |
| EG002 | Harmine Hydrochloride >200mg | Using the CRM to inform the dose to be given to the next participant based on prior information. The CRM used a one-parameter logistic regression model to estimate the relationship between dose and dose-limiting toxicity (DLT) risk to inform decisions on dosing with a target DLT rate of 25%. It first starts with a selected target DLT rate and a mathematical model for the relationship between dose and toxicity, the prior dose-toxicity curve. After a participant experiences a DLT or not, the dose-toxicity curve is re-fit incorporating the latest outcome. At every step, the next patient is assigned the dose estimated to be nearest to the MTD. To minimize the exposure of participants to potentially toxic doses, we employed some modifications to the CRM, including starting with the lowest dose available and not skipping dose levels when escalating. Additionally, we included an early stopping rule that the study would end when either the maximum number of allowable patients treated per protocol was reached or would end early in the event that the probability of the next 10 patients being given the same dose level exceeds 90%, regardless of DLT outcomes observed. Each participant received a single oral dose of harmine HCl on the treatment day and was observed for 8 h with continuous medical monitoring and followed up at 24 h. Note that doses >500 mg were not used due to the stopping rule above. | 0 | 5 | 0 | 5 | 5 | 5 |
| Dizziness | Nervous system disorders | medDRA 21.0 | Systematic Assessment |
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| Impaired concentration/confusion | Nervous system disorders | medDRA 21.0 | Systematic Assessment |
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| Drowsiness | Nervous system disorders | medDRA 21.0 | Systematic Assessment |
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| Visual illusion | Nervous system disorders | medDRA 21.0 | Systematic Assessment |
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| Auditory hallucination | Nervous system disorders | medDRA 21.0 | Systematic Assessment |
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| Giddiness | Nervous system disorders | medDRA 21.0 | Systematic Assessment |
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| Hypotension | Cardiac disorders | medDRA 21.0 | Systematic Assessment |
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| Vasovagal | Nervous system disorders | medDRA 21.0 | Systematic Assessment |
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| Tingling | Nervous system disorders | medDRA 21.0 | Systematic Assessment |
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| Numbness | Nervous system disorders | medDRA 21.0 | Systematic Assessment |
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| Fatigue | General disorders | medDRA 21.0 | Systematic Assessment |
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| Nausea w/o vomiting | Gastrointestinal disorders | medDRA 21.0 | Systematic Assessment |
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| Heaviness | General disorders | medDRA 21.0 | Systematic Assessment |
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| Title | Measurements |
|---|---|
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| Dizziness |
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| Nausea/vomiting |
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| Dizziness on standing |
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| Poor concentration |
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| Headache |
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| Poor coordination |
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| Anxiety |
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| Restlessness |
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| Palpitations |
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| Dry mouth |
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| Sleeping too much |
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| Tremors |
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| Blurred vision |
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| Ringing in ears |
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| Increased perspiration |
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| General malaise |
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| Difficulty sleeping |
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| Constipation |
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| 6 hours |
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| 7 hours |
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| 8 hours |
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| 24 hours |
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