Drug DependencePhase 2NCT04003948
Preliminary Efficacy and Safety of Ibogaine in the Treatment of Methadone Detoxification
A Phase 2 study testing Ibogaine Hydrochloride in people with Drug Dependence and Drug Use Disorders, run by International Center for Ethnobotanical Education, Research, and Service at 1 site in Spain.
Trial 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… Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Drug Dependence, Drug Use Disorders, Opioid Dependence
- What is being tested?
- Ibogaine Hydrochloride
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 1 siteSpain
- Study dates
- 28 Oct 2020to 26 Apr 2024
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 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.
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- 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.
Who cannot join
- 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.
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- 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.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Preliminar Efficacy and Safety of Ibogaine in the Treatment of Methadone
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.
- Conditions
- Drug Dependence, Drug Use Disorders, Opioid Dependence
- Being tested
- Ibogaine Hydrochloride
- Keywords
- Ibogaine, Methadone, Drug dependence, Addiction
- Medical subject headings
- Substance-Related Disorders, Opioid-Related Disorders, Behavior, Addictive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Ibogaine HydrochlorideDrug
Fixed or ascending doses of ibogaine will be administered for the treatment of opioid withdrawal syndrome.
| Study group | Role | What they receive |
|---|---|---|
| Fixed dose | Experimental | Ibogaine Hydrochloride 100 mg on each administration. Receives: Drug: Ibogaine Hydrochloride |
| Ascending dose | Experimental | Ibogaine Hydrochloride on ascending doses (100-200-300-400-500-600). Receives: Drug: Ibogaine Hydrochloride |
What is being measured
The primary outcome is the main question the study is designed to answer.
Methadone dose
Rate of decrease of methadone dose used
Measured: 0-6 months
Secondary outcomes (2)
Adverse events
Description of adverse events found at different doses of ibogaine
Measured: 0-24 hours
Cardiovascular effects
Electrocardiogram (QT interval, ST wave)
Measured: 0-24 hours
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jul 2019
- Study start28 Oct 2020
- Primary completion26 Apr 2024
- Study completion26 Apr 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Drug DependenceStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 20 participants (actual)
Sponsor and investigators
- Lead sponsor
- International Center for Ethnobotanical Education, Research, and Service
- Sponsor type
- University, hospital or other
- Collaborators
- Multidisciplinary Association for Psychedelic Studies, University Rovira i Virgili, Universidad Autonoma de Madrid, Hospital Universitari Sant Joan de Reus, University of Sao Paulo
- Responsible party
- Sponsor
- Investigators
- José Carlos Bouso, PhD, Principal investigator, International Center for Ethnobotanical Education, Research, and ServiceTre Borràs, MD, Principal investigator, Hospital Universitari Sant Joan de ReusGenís Ona, MSc, Study director, International Center for Ethnobotanical Education, Research, and Service
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04003948
- Sponsor's protocol ID
- IBO-METAD-001
- Status last verified
- Jan 2025
- First submitted
- 27 Jun 2019
- Last updated
- 17 Jan 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Jan 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Preliminar Efficacy and Safety of Ibogaine in the Treatment of Methadone
- ClinicalTrials.gov ID
- NCT04003948
- Acronym / sponsor ID
- IBO-METAD-001
- Conditions
- Drug Dependence, Drug Use Disorders, Opioid Dependence
- Keywords
- Ibogaine, Methadone, Drug dependence, Addiction
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 20 participants (actual)
- Lead sponsor
- International Center for Ethnobotanical Education, Research, and ServiceUniversity, hospital or other
- Collaborators
- Multidisciplinary Association for Psychedelic Studies, University Rovira i Virgili, Universidad Autonoma de Madrid, Hospital Universitari Sant Joan de Reus, University of Sao Paulo
- Study start
- 28 Oct 2020 (actual)
- Primary completion
- 26 Apr 2024 (actual)
- Study completion
- 26 Apr 2024 (actual)
- First posted
- 1 Jul 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Fixed dose | Experimental | Drug: Ibogaine HydrochlorideIbogaine Hydrochloride 100 mg on each administration. |
| Ascending dose | Experimental | Drug: Ibogaine HydrochlorideIbogaine Hydrochloride on ascending doses (100-200-300-400-500-600). |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (9 listed)
- 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.
Key exclusion criteria (12 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Ibogaine HydrochlorideFixed or ascending doses of ibogaine will be administered for the treatment of opioid withdrawal syndrome. | Drug | Ascending dose, Fixed dose |
Primary outcome
Methadone dose
Time frame: 0-6 months
Rate of decrease of methadone dose used
2 secondary outcomes
Adverse events
Time frame: 0-24 hours
Cardiovascular effects
Time frame: 0-24 hours
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Jan 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
José Carlos Bouso, PhD principal investigator
International Center for Ethnobotanical Education, Research, and Service
Tre Borràs, MD principal investigator
Hospital Universitari Sant Joan de Reus
Genís Ona, MSc study director
International Center for Ethnobotanical Education, Research, and Service
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Ibogaine Hydrochloride in people with Drug Dependence and Drug Use Disorders, run by International Center for Ethnobotanical Education, Research, and Service at 1 site in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Methadone dose (time frame: 0-6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jan 2025.