Single ascending dose study with BPL-003 in healthy subjects

ISRCTN ISRCTN10271810
DOI https://doi.org/10.1186/ISRCTN10271810
EudraCT/CTIS number 2021-006225-22
IRAS number 1004390
ClinicalTrials.gov number NCT05347849
Secondary identifying numbers CRO code: 21-013
Submission date
24/01/2022
Registration date
26/01/2022
Last edited
03/03/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
This is a study of 5-MEO-DMT (BPL-003; the study treatment) – a psychedelic substance that occurs naturally in some plants and animals. We’re testing 5-MEO-DMT as an experimental new drug for treatment-resistant depression (TRD). There are existing treatments for depression, but they don’t work well in all patients. About a third of patients (30–40%) have TRD, meaning their depression doesn’t respond to at least 2 commonly available treatments. We hope the study treatment will give patients with TRD more treatment options.

Who can participate?
Healthy volunteers, aged 25–55 years who have never taken a psychedelic substance before

What does the study involve?
We’ll give participants single doses of the study drug or placebo. This formulation of 5 MEO-DMT (the study treatment) has never been given to humans before, so we’ll start with a small dose, and increase the dose as the study progresses. We will give single doses of study treatment intranasally, to find out: its side effects, blood levels, and psychedelic effects, and if it affects people’s mood, feelings, and ability to read facial expressions. We’ll also study how genes (pieces of DNA) affect the way the body responds to or handles the study treatment. Participants will take up to 2 weeks to finish the study. They’ll make up to 5 outpatient visits, up to 2 video calls, and stay on the ward for 3 days and 2 nights. Outpatient visits will include 2 psychedelic preparation visits with an experienced psychedelic researcher in the week before their dosing visit. Participants will attend a screening visit during the 7 weeks before the study.

What are the possible benefits and risks of participating?
Not provided at time of registration

Where is the study run from?
The study will take place at 1 centre in London (HMR)

When is the study starting and how long is it expected to run for?
November 2021 to January 2024

Who is funding the study?
A pharmaceutical company (Beckley Psytech Ltd) is funding the study.

Who is the main contact?
medinfo@beckleypsytech.com

Contact information

Dr . Beckley Psytech Ltd.
Public

Beckley Psytech
Beckley Park
Oxford
OX3 9SY
United Kingdom

Email medinfo@beckleypsytech.com
Dr Takahiro Yamamoto
Principal Investigator

Hammersmith Medicines Research (HMR)
Cumberland Avenue
Park Royal
London
NW10 7EW
United Kingdom

Phone +44 (0)20 8961 4130
Email rec@hmrlondon.com

Study information

Study designFirst-in-man safety, pharmacokinetics and pharmacodynamics trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeOther
Participant information sheet Not available in web format
Scientific titleA two-part phase 1, single ascending dose study to evaluate the safety, tolerability and pharmacokinetic profile of intranasal BPL-003 (5-Methoxy-N,N dimethyltryptamine Benzoate) in healthy subjects
Study acronymBPL-003-103
Study hypothesisThe study will evaluate safety, tolerability and PK profile of BPL-003 in healthy subjects.

Ethics approval(s)1. Approved 20/01/2022, London - Brent Research Ethics Committee (80 London Road, Skipton House, London, SE1 6LH, UK; +44 (0)20 7104 8128, 020 7104 8137; brent.rec@hra.nhs.uk), REC ref: 21/LO/0834
2. Approved 21/01/2022, MHRA (10 South Colonnade, Canary Wharf, London, E14 4PU, UK; +44 (0)20 3080 6000; info@mhra.gov.uk), ref: CTA 53791/0003/001-0001

The HRA has approved the deferral of the publication of trial details on 14/01/2022
ConditionThe study will evaluate safety, tolerability and PK profile of BPL-003 in healthy subjects
InterventionDrug/ BPL-003 arm: BPL-003
- A single dose of BPL-003 will be administered intranasally.
Placebo Comparator arm: Placebo
- A single dose of placebo will be administered intranasally.
Allocation: Randomized
Interventional Model: Sequential Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description: Part A only
Intervention typeDrug
Pharmaceutical study type(s)Pharmacokinetic
PhasePhase I
Drug / device / biological / vaccine name(s)BPL-003 (5-Methoxy-N,N-dimethyltryptamine Benzoate)
Primary outcome measurePercentage of subjects with treatment emergent AEs (TEAES) [Time Frame: From screening through to the follow up visit, up to 65 days].
Secondary outcome measures1. Peak plasma concentration (Cmax) [Time Frame: Day 1 (dosing day) and Day 2]
2. Time to reach Cmax (tmax) [Time Frame: Day 1 (dosing day) and Day 2]
3. Area under the plasma concentration- time curve [Time Frame: Day 1 (dosing day) and Day 2]
Overall study start date01/11/2021
Overall study end date19/01/2024

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit25 Years
Upper age limit55 Years
SexBoth
Target number of participants56
Total final enrolment62
Participant inclusion criteriaMedically healthy based on medical records and study specific assessments.
Participant exclusion criteriaPresence or history of severe adverse reaction to any drug or drug excipient.
Recruitment start date02/02/2022
Recruitment end date22/12/2023

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Hammersmith Medicines Research (HMR)
Cumberland Avenue
Park Royal
London
NW10 7EW
United Kingdom

Sponsor information

Beckley Psytech Ltd.
Industry

Beckley Park
Oxford
OX3 9SY
England
United Kingdom

Email medinfo@beckleypsytech.com
Website https://www.beckleypsytech.com

Funders

Funder type

Industry

Beckley Psytech Ltd.

No information available

Results and Publications

Intention to publish date14/04/2024
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPublication of some trial details is deferred because of the high commercial sensitivity of this phase 1 study and the negligible benefit to the public of Phase I information. The sponsor does plan to report and disseminate the results of the study in the following ways: Internal Report, Conference Presentation, Publication on website and Submission to Regulatory Authorities.
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available due to high commercial sensitivity.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No
Results article 14/04/2024 03/03/2025 Yes No

Editorial Notes

03/03/2025: Publication reference added.
31/01/2025: The information for which publication was previously deferred has been added to the following fields:
1. The public title
2. The scientific title
3. Study hypothesis
4. Condition
5. Interventions
6. Drug name(s)
7. Primary outcome measure
8. Secondary outcome measures
9. Participant inclusion criteria
10. Participant exclusion criteria
11. Plain English summary
12. The recruitment end date was changed from 22/07/2022 to 22/12/2023.
13. The overall end date was changed from 22/07/2022 to 19/01/2024.
11/02/2022: The recruitment start date has been changed from 01/02/2022 to 02/02/2022.
26/01/2022: Trial's existence confirmed by the London - Brent Research Ethics Committee.