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| Name | Class |
|---|---|
| University Medical Center Freiburg | OTHER |
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The investigators are doing this project to investigate potential neurophysiological synergy effects between mindfulness meditation and psychedelics. Previous studies have found that both mindfulness and psychedelics like psilocybin modulate neural activity and connectivity of the same brain network. However, little is known about the potential interactions between mindfulness meditation and psychedelics. The indigenous plant preparation "Ayahuasca" is particularly interesting for the combination with mindfulness meditation. It contains two components, N,N-dimethyltryptamine (DMT) and harmine, which are very similar to the body's own messenger substance serotonin and increase its effect in the body. The investigators would now like to find out how these corresponding networks change in experienced meditators after DMT/Harmine-enhanced mindfulness meditation and how this affects their subjective experience. For this functional MRI imaging will be performed, as well as psychometric assessments and detailed experiential interviews before and after a three-day meditation retreat. Participants will be randomly assigned to one of two groups. One group receives DMT and harmine during the sitting meditation on the second day, the other group receives a corresponding placebo. Neither the participants nor the investigator know who will receive a placebo or the combination of DMT/harmine on the day of the experiment. The pre- and post-measurements of the MRI imaging and psychometric questionnaires of the DMT/Harmine group are compared with those of the placebo control group. By examining the synergistic effects of mindfulness meditation and DMT/harmine, the aim of this study is to contribute to a comprehensive understanding of the neurophenomenology of rare and inaccessible phenomena of consciousness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DMT and harmine | Experimental | This arm comprises the following interventions:
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| Placebo | Placebo Comparator | This arm comprises the following interventions:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DMT + harmine | Drug | The intervention used in this study is a combination of the two main ingredients of ayahuasca, DMT (N,N-dimethyltryptamine) and harmine in purified form. |
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| Measure | Description | Time Frame |
|---|---|---|
| Functional brain connectivity changes in response to DMT-enhanced mindfulness in experienced meditators (rs-fMRI) | The primary endpoint of this present study is to test functional brain connectivity at rest and during meditation in response to DMT-enhanced mindfulness in experienced meditators. More specifically, the present study aims at assessing the impact of DMT-enhanced mindfulness on the attenuation of Default Mode Network (DMN) activity and connectivity with fMRI recordings before and after a group meditation retreat using SVA and ICA analyses. | fMRI recordings 1 day before the group meditation retreat - fMRI recordings 1 day after the group meditation retreat |
| Measure | Description | Time Frame |
|---|---|---|
| Psychometric changes in response to DMT-enhanced mindfulness in experienced meditators | Measures of drug-induced altered states of consciousness: Mystical Experience Questionnaire (minimum value = 0; maximum value = 5; higher scores indicate individual mystical experiences) | Baseline - Retreat Day 2 (i.e. study day with pharmacological intervention) - Retreat Day 3 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Milan Scheidegger, MD, PhD | Psychiatric University Hospital, Zurich | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Psychiatric University Hospital Zurich | Zurich | 8032 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39340164 | Derived | Meling D, Egger K, Aicher HD, Jareno Redondo J, Mueller J, Dornbierer J, Temperli E, Vasella EA, Caflisch L, Pfeiffer DJ, Schlomberg JT, Smallridge JW, Dornbierer DA, Scheidegger M. Meditating on psychedelics. A randomized placebo-controlled study of DMT and harmine in a mindfulness retreat. J Psychopharmacol. 2024 Oct;38(10):897-910. doi: 10.1177/02698811241282637. Epub 2024 Sep 27. |
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Only anonymized, quantitative neurophysiological and behavioral data can be shared upon publication according to the FAIR data principles. Qualitative interview data are sensitive and cannot be shared due to confidentiality reasons.
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| ID | Term |
|---|---|
| D004130 | N,N-Dimethyltryptamine |
| D006247 | Harmine |
| ID | Term |
|---|---|
| D014363 | Tryptamines |
| D015306 | Biogenic Monoamines |
| D001679 | Biogenic Amines |
| D000588 | Amines |
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Double-blind, randomized, placebo-controlled, between-subjects study design
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| Placebo | Drug | The placebo consists of pharmaceutically inactive ingredients and additional flavors, and is organoleptically hardly distinguishable from the verum. |
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| Psychometric changes in response to DMT-enhanced mindfulness in experienced meditators | Measures of drug-induced altered states of consciousness: Visual Self-Transcendence Scale (minimum value = 1; maximum value = 7; higher scores indicate higher self-transcendence) | Retreat Day 1 - Retreat Day 2 (i.e. study day with pharmacological intervention) - Retreat Day 3 |
| Psychometric changes in response to DMT-enhanced mindfulness in experienced meditators | Measures of drug-induced altered states of consciousness: Non-dual Awareness Dimensional Assessment Scale-State (visual analog scale; minimum value = 0; maximum value = 10) | Baseline - Retreat Day 2 (i.e. study day with pharmacological intervention) - Retreat Day 3 |
| Psychometric changes in response to DMT-enhanced mindfulness in experienced meditators | Measures of drug-induced altered states of consciousness: Persisting Effects Questionnaire (minimum value = no change [1]; maximum value = very strong change [5]; higher scores indicate greater change) | Follow-up 1 month after the group meditation retreat |
| Psychometric changes in response to DMT-enhanced mindfulness in experienced meditators | Mindfulness & Compassion: Toronto Mindfulness Scale (minimum value = 0; maximum value = 4; higher scores indicate greater mindfulness) Meditation Depth Questionnaire (minimum value = 0; maximum value = 4) Sussex-Oxford Compassion Scale (minimum value = 0; maximum value = 4) | Baseline - Study Day with pharmacological intervention - 1 day after the group retreat - Follow-up 1 week after the group meditation retreat |
| Psychometric changes in response to DMT-enhanced mindfulness in experienced meditators | Connectedness: Watts Connectedness Scale (visual analog scale; minimum value = 0; maximum value = 100) | Baseline - Study Day with pharmacological intervention - 1 day after the group retreat - Follow-up 1 week after the group meditation retreat |
| Psychometric changes in response to DMT-enhanced mindfulness in experienced meditators | Mindfulness: Freiburg Mindfulness Inventory (minimum value = 1; maximum value = 4; higher scores indicate greater mindfulness) | Baseline - 1 day after the group retreat - Follow-up 1 week after the group meditation retreat |
| Psychometric changes in response to DMT-enhanced mindfulness in experienced meditators | Gratitude: Gratitude Questionnaire (minimum value = 1; maximum value = 7) | Baseline - Study Day with pharmacological intervention - Retreat Day 3 - 1 day after the group meditation retreat - Follow-up 1 week after the group meditation retreat |
| Psychometric changes in response to DMT-enhanced mindfulness in experienced meditators | Psychological Insights: Psychological Insight Scale (visual analog scale: left = not more than before; right = very much more than before) | Retreat Day 1 - Retreat Day 2 (i.e. study day with pharmacological intervention) - Retreat Day 3 |
| Psychometric changes in response to DMT-enhanced mindfulness in experienced meditators | Psychological Flexibility: Psy-Flex Questionnaire (minimum value = 1; maximum value = 5; higher scores indicate greater psychological flexibility) | 1 day before the group meditation retreat -1 day after the group meditation retreat - Follow-up 1 week after the group meditation retreat |
| Phenomenological reports in response to DMT-enhanced mindfulness in experienced meditators | Microphenomenological and semi-structured qualitative interviews | Within 24 hours after drug administration - Follow-up 1 month after the group meditation retreat |
| Incidence of Treatment-Emergent Adverse Events | Frequency of occurence of treatment-related adverse events as assessed by CTCAE v5.0 | On study days with pharmacological intervention (at baseline, 30, 60, 90, 120, 180, 240, and 360 min after drug administration) |
| EmpaToM (fMRI task) | The EmpaToM is a validated fMRI test paradigm to assess emotional valence, compassion or empathy and theory of mind | fMRI recordings 1 day before the group meditation retreat - fMRI recordings 1 day after the group meditation retreat |
| Mediating Variables | Personality Type: Ten-Item Personality Inventory (minimal value =1; maximal value = 7) | Baseline - Study Day with pharmacological intervention - 1 day after group meditation retreat - Follow-up 1 week after the group meditation retreat |
| Mediating Variables | Personality Type: Affective Neuroscience Personality Scale (minimum value = 1; maximum value = 4) | Baseline |
| Mediating Variables | Meditation Motivation (single-choice) & Intention (visual analog scale) | Baseline - Study Day with pharmacological intervention - Retreat Day 3 - Follow-up 1 week and 1 month after the group meditation retreat |
| Mediating Variables | Expectations (minimal value = 0; maximal value = 4) | Immediately before the pharmacological intervention |
| D009930 |
| Organic Chemicals |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D000077290 | Harmala Alkaloids |
| D026121 | Indole Alkaloids |
| D000470 | Alkaloids |
| D054836 | Indolizidines |
| D007212 | Indolizines |
| D002243 | Carbolines |
| D006575 | Heterocyclic Compounds, 3-Ring |