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5 Methoxy N,N Dimethyltryptamine

Phase 1

Healthy Volunteers | Small molecule | Other |GH Research PLC|Last Updated: Aug 7, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials4
Total Enrollment184
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06511947Pharmacokinetics of GH001 Delivered Via a Proprietary Aerosol Delivery Device in Healthy SubjectsPHASE1 RECRUITING 52Aug 1, 2024Feb 1, 2025Aug 7, 20241 United Kingdom
NCT05753956Safety and Pharmacokinetics of GH002 in Healthy VolunteersPHASE1 COMPLETED 64Dec 22, 2022Nov 29, 2023Jan 25, 20241 Netherlands
NCT05163691Pharmacokinetics of GH001 in Healthy VolunteersPHASE1 COMPLETED 46Jun 21, 2021Nov 22, 2021Dec 20, 20211 Netherlands
NCT04640831Safety of GH001 in Healthy VolunteersPHASE1 COMPLETED 22Mar 13, 2019Oct 4, 2019Aug 15, 20231 Netherlands
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Study Endpoints
Primary Endpoints
Serum PK parameters of mebufotenin - maximum observed concentration (Cmax)
Up to 6 hours

For PK analyses, blood samples will be collected before and up to 6 hours after the administration of GH001 to determine mebufotenin serum concentrations.

Serum PK parameters of mebufotenin - time of maximum observed concentration (Tmax)
Up to 6 hours

For PK analyses, blood samples will be collected before and up to 6 hours after the administration of GH001 to determine mebufotenin serum concentrations.

Serum PK parameters of mebufotenin - terminal elimination half-life (t1/2)
Up to 6 hours

For PK analyses, blood samples will be collected before and up to 6 hours after the administration of GH001 to determine mebufotenin serum concentrations.

Serum PK parameters of mebufotenin - area under the serum concentration-time curve from time zero to the last quantifiable concentration (AUC0-t)
Up to 6 hours

For PK analyses, blood samples will be collected before and up to 6 hours after the administration of GH001 to determine mebufotenin serum concentrations.

Serum PK parameters of mebufotenin - area under the serum concentration-time curve extrapolated to infinity (AUC0-∞)
Up to 6 hours

For PK analyses, blood samples will be collected before and up to 6 hours after the administration of GH001 to determine mebufotenin serum concentrations.

Serum PK parameters of mebufotenin - terminal elimination rate constant (λz)
Up to 6 hours

For PK analyses, blood samples will be collected before and up to 6 hours after the administration of GH001 to determine mebufotenin serum concentrations.

Serum PK parameters of mebufotenin - apparent total body clearance (CL/F)
Up to 6 hours

For PK analyses, blood samples will be collected before and up to 6 hours after the administration of GH001 to determine mebufotenin serum concentrations.

Serum PK parameters of mebufotenin - apparent steady-state volume of distribution (VSS/F)
Up to 6 hours

For PK analyses, blood samples will be collected before and up to 6 hours after the administration of GH001 to determine mebufotenin serum concentrations.

Serum PK parameters of mebufotenin - Cmax/AUC0-∞
Up to 6 hours

For PK analyses, blood samples will be collected before and up to 6 hours after the administration of GH001 to determine mebufotenin serum concentrations.

Safety and tolerability: incidence of treatment-emergent adverse events
Up to 7 days

Adverse events reported in the study and coded by MedDRA.

Safety and tolerability: clinically significant changes from baseline in electrocardiogram (ECG), vital signs, spirometry and safety laboratory assessments
Up to 7 days

Percentage of subjects with clinically significant changes\* from baseline in ECG (heart rate, RR, QT, PR, and QRS intervals, and QTcF). Percentage of subjects with clinically significant changes\* from baseline in vital signs (systolic and diastolic blood pressure, respiration rate, heart rate, peripheral oxygen saturation, body temperature). Percentage of subjects with clinically significant changes\* from baseline in spirometry (forced expiratory volume in 1 second \[FEV1\] and forced vital capacity \[FVC\]). Percentage of subjects with clinically significant changes\* from baseline in safety laboratory assessments (hematology, biochemistry, and urinalysis). \*Clinically significant changes as determined by the principal investigator

Safety and tolerability: assessment of sedation (Modified Observer's Assessment of Alertness and Sedation [MOAA/S]) following each dose and as part of the discharge evaluation on Day 0
Postdose, up to discharge on dosing day (Day 0)

The MOAA/S will be completed before and after GH001 dosing. Scored from 0 (deep sedation) to 5 (alert).

Safety and tolerability: change from baseline in Clinician Administered Dissociative States Scale (CADSS)
From baseline up to 7 days

The CADSS comprises 19 subjective items, ranging from 0 'not at all' to 4 'extremely. Summed together, these subscales form a total dissociative score. Combined score ranges from 0 to 76.

Safety and tolerability: assessment of subject discharge readiness at discharge on Day 0
Postdose, at discharge on dosing day (Day 0)

Assessment of Discharge Readiness on the administration day by the principal investigator, using the Clinical Assessment of Discharge Readiness (CADR).

Safety and tolerability: Columbia-Suicide Severity Rating Scale (C-SSRS) categorization.
Up to 7 days

A detailed questionnaire assessing both suicidal behaviour and suicidal ideation.

Safety and tolerability: Change from baseline in Brief Psychiatric Rating Scale (BPRS).
From baseline up to 7 days

A scale to measure psychiatric symptoms. Each symptom is rated 1-7 and a total of 18 symptoms are scored. Combined score ranges from 18 to 126 and a higher score means a worse outcome.

Safety and tolerability: incidence of treatment emergent adverse events
Up to 7 days

Adverse events reported in the study and coded by MedDRA.

Safety and tolerability: local tolerance (injection site reactions)
Up to discharge on dosing day

Local infusion site findings will be assessed as none, mild, moderate and severe for the following signs and symptoms of the applicable site: dryness, redness, swelling, pain, tenderness, and itching and other.

Safety and tolerability: Clinically significant changes from baseline in ECG, vital signs and safety laboratory assessments
Up to 7 days

Clinically significant changes in ECG include any significant change in rate or rhythm as determined by the principal investigator

Safety and tolerability: Assessment of subject-discharge readiness at discharge on Day 0
Up to discharge on dosing day

Assessment of Discharge Readiness on the administration day by the Principal Investigator, using the Clinical Assessment of Discharge Readiness (CADR).

Safety and tolerability: Columbia-Suicide Severity Rating Scale (C-SSRS) categorization based on the Columbia Classification Algorithm of Suicide Assessment (C-CASA).
Up to 7 days

A detailed questionnaire assessing both suicidal behaviour and suicidal ideation.

The pharmacokinetic (PK) parameters derived from laboratory assay results of the systemic levels of 5-MeO-DMT
Up to 6 hours

For PK analyses, blood samples will be collected before and up to 6 hours after the administration of GH002 to determine 5-MeO-DMT serum concentrations.

The pharmacokinetic (PK) parameters derived from laboratory assay results of the systemic levels of 5-MeO-DMT and bufotenine
up to 4 hours

For PK analyses, blood samples will be collected before and up to 4 hours after the administration of GH001 to determine 5-MeO-DMT and bufotenine serum concentrations.

The safety and tolerability of GH001
up to 7 days

The safety and tolerability of GH001 is judged by the Study Safety Group based on a combined analysis of reported adverse events, clinical observation, and safety laboratory analyses.

The dose-related psychoactive effects of GH001 as evaluated by a Visual Analogue Scale
Retrospectively assessed at 3 hours

Visual Analogue Scale scored from 0-100

Secondary Endpoints
Pharmacodynamic assessment: The dose-related psychoactive effects of GH002 as evaluated by a Visual Analogue Scale
Up to 1 hour after dosing
Pharmacodynamic assessment: Challenging Experiences Questionnaire (CEQ)
Up to 1 hour after dosing
Pharmacodynamic assessment: 30-Question Mystical Experience Questionnaire (MEQ30)
Up to 1 hour after dosing
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1, Cohort AEXPERIMENTALA single dose inhaled dose of 6 mg GH001 administered via a proprietary aerosol delivery device in eight subjects.
Part 1, Cohort BEXPERIMENTALA single dose inhaled dose of 12 mg GH001 administered via a proprietary aerosol delivery device in eight subjects.
Part 1, Cohort CEXPERIMENTALA single dose inhaled dose of 18 mg GH001 administered via a proprietary aerosol delivery device in eight subjects.
Part 1, Cohort D (optional)EXPERIMENTALA single inhaled intermediate dose of 8, 9, 10, 14, 15, or 16 mg GH001 administered via a proprietary aerosol delivery device in eight subjects (optional cohort dependent on study safety group \[SSG\] review of PK, PD and safety data from Cohorts A, B, and C).
Part 1, Cohort E (optional)EXPERIMENTALA single inhaled intermediate dose of 8, 9, 10, 14, 15, or 16 mg GH001 administered via a proprietary aerosol delivery device in eight subjects (optional cohort dependent on SSG review of PK, PD and safety data from Cohorts A, B, and C).
Part 2, Cohort FEXPERIMENTALUp to three escalating inhaled doses of GH001 (doses as determined by Part 1, maximum single inhaled dose of 18 mg) administered via a proprietary aerosol delivery device in 12 subjects.
Cohort A: Dose A single doseEXPERIMENTALA single dose of GH002 or placebo administered by i.v. bolus injection (randomized as 6 active and 2 placebo subjects)
Cohort B: Dose B single doseEXPERIMENTALA single dose of GH002 or placebo administered by i.v. bolus injection (randomized as 6 active and 2 placebo subjects)
Cohort C: Dose C single doseEXPERIMENTALA single dose of GH002 or placebo administered by i.v. bolus injection (randomized as 6 active and 2 placebo subjects)
Cohort D: Dose D single doseEXPERIMENTALA single dose of GH002 or placebo administered by i.v. bolus injection (randomized as 6 active and 2 placebo subjects)
Cohort E: Dose E single doseEXPERIMENTALA single dose of GH002 or placebo administered by i.v. bolus injection (randomized as 6 active and 2 placebo subjects)
Cohort F: Dose F single doseEXPERIMENTALA single dose of GH002 or placebo administered by i.v. bolus injection (randomized as 6 active and 2 placebo subjects)
Cohort G: Dose G single doseEXPERIMENTALA single dose of GH002 or placebo administered by i.v. bolus injection (randomized as 6 active and 2 placebo subjects)
Cohort J: Individualized Dosing RegimenEXPERIMENTALAdministration of up to 3 doses of GH002 within a single day (doses to be confirmed following review of data from single-dose part)
Group A - 6 mg single-doseEXPERIMENTALA single, inhaled dose of GH001 6 mg or placebo (randomized as 8 active and 2 placebo subjects)
Group B - 12 mg single-doseEXPERIMENTALA single, inhaled dose of GH001 12 mg or placebo (randomized as 8 active and 2 placebo subjects)
Group C - 18 mg single-doseEXPERIMENTALA single, inhaled dose of GH001 18 mg or placebo (randomized as 8 active and 2 placebo subjects)
Group D - Individualized Dosing Regimen, 1-hour intervalEXPERIMENTALAdministration of up to 3 inhaled doses of GH001 within a single day (6 mg, followed by 12 mg, followed by 18 mg) with a 1-hour dose interval (8 subjects)
Group E - Individualized Dosing Regimen, 2-hour intervalEXPERIMENTALAdministration of up to 3 inhaled doses of GH001 within a single day (6 mg, followed by 12 mg, followed by 18 mg) with a 2-hour dose interval (8 subjects)
GH001 dose AEXPERIMENTAL -
GH001 dose BEXPERIMENTAL -
GH001 dose CEXPERIMENTAL -
GH001 dose DEXPERIMENTAL -
GH001 Individualized DosingEXPERIMENTAL -
Interventions
NameTypeDescription
5 Methoxy N,N DimethyltryptamineDRUGGH001 administered via inhalation
PlaceboDRUGGH002 placebo administered via i.v. bolus injection
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Eligibility Criteria
Age Range18 Years — 64 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Body mass index (BMI) in the range of 18.5 to 35 kg/m2 (inclusive) at screening * Good mental health in the opinion of the investigator. * Normal spirometry (FEV1 of \>80% of predicted and FVC of \>80% of predicted value) at screening. Exclusion Criteria: * Has known allergi...

Countries:United KingdomNetherlands
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06511947primaryCompletionDate: changed
LOWMay 24, 2026NCT06511947studyFirstPostDate: changed