ClinicalTrials.gg
CompletedNCT05741710IMPACT-1Updated Apr 15, 2026Results posted

A Study to Assess the Use of Methylone in the Treatment of PTSD

A Phase 1/2 interventional study of Methylone and Placebo in Post Traumatic Stress Disorder, sponsored by Transcend Therapeutics. Completed at 16 sites in 3 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-04-15.

Sponsored by Transcend Therapeutics (part of Otsuka Holdings Co., Ltd.) · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
79
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study is evaluating the safety, tolerability, and efficacy of methylone in adults with PTSD. The study will be conducted in two parts.

  • Part A is open-label and will enroll up to 15 participants with PTSD
  • Part B is randomized (1:1), double-blind, placebo-controlled and will enroll up to 64 participants with PTSD

Eligible participants will enter a 4-week Treatment Period where they will receive methylone once weekly for 4 weeks (4 treatment sessions). Following the Treatment Period, participants will enter a 6-week Follow-up Period which includes 3 reflection visits (Week 4, 5, and 6) and a final study visit at Week 10.

02

Conditions studied

  • Post Traumatic Stress Disorder

Keywords

  • methylone
  • PTSD
  • IMPACT-1
  • Transcend Therapeutics
03

In context

Stress Disorders, Post-Traumatic

2,682 studies on the registry are indexed under Stress Disorders, Post-Traumatic; 601 are open to participants now.

This study's enrollment of 79 is above the median of 69 across 2,196 interventional studies indexed under Stress Disorders, Post-Traumatic.

Browse Stress Disorders, Post-Traumatic studies →

Lead sponsor

Transcend Therapeutics is the lead sponsor of 7 studies on the registry; 3 are open to participants now.

First submitted before Transcend Therapeutics became part of Otsuka Holdings Co., Ltd..

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Meets the criteria for current moderate to severe PTSD diagnosis, with a symptom duration of at least 6 months
  • CAPS-5 score of ≥35 at Screening.
  • Failed at least one treatment for PTSD (either psychotherapy or pharmacological treatment).
  • Proficient in reading and writing in local language sufficient to complete questionnaires.
  • Free from any other illness or disease

Exclusion criteria

Exclusion Criteria:

  • Primary diagnosis of any other disorder
  • (BMI) \<18 kg/m2 or ≥40 kg/m2.
  • Smokes an average of >10 cigarettes and/or e-cigarettes per day
  • Uncontrolled hypertension at Screening
  • Use of a psychedelic (e.g., LSD, psilocybin, DMT, mescaline), or entactogens such as MDMA, within 12 months of Screening.
  • Use of an SSRI or other antidepressant within 8 weeks of screening.
  • Current or previous history of cardiovascular/cerebrovascular conditions.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
79 participants (actual)

Study arms

  • Experimental
    Methylone

    Drug: Methylone

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • Methylone capsules, given orally, once a week for 4 weeks

  • DrugPlacebo

    Placebo capsules to match methylone, given orally, once a week for 4 weeks. NOTE: Placebo is only in Part B

06

What researchers measure

Primary outcomes

  1. Change From Baseline in CAPS-5 Total Severity Score

    CAPS-5 is a structured interview designed to assess PTSD symptoms severity. The total severity score ranges from 0 to 80, with a higher score indicating more severe symptoms.

    Time frame: up to 10 weeks

07

Results

Posted Apr 15, 2026

Participant flow

Participant flow — Overall Study
MilestoneOpen-label TSND-201 (Part A)Blinded TSND-201 (Part B)Blinded Placebo (Part B)
Started143233
Completed133029
Not completed124

Outcome measures

PrimaryChange From Baseline in CAPS-5 Total Severity Score

CAPS-5 is a structured interview designed to assess PTSD symptoms severity. The total severity score ranges from 0 to 80, with a higher score indicating more severe symptoms.

Time frame:
up to 10 weeks
Reported as:
Least squares mean · points
Change From Baseline in CAPS-5 Total Severity Score
pointsOpen-label TSND-201 (Part A)Blinded TSND-201 (Part B)Blinded Placebo (Part B)
Change From Baseline in CAPS-5 Total Severity Score-36.2 ± 3.87-23.3 ± 2.84-13.6 ± 2.95
Statistical analysis
  • Blinded TSND-201 (Part B) vs Blinded Placebo (Part B) · Mixed Models Analysis · p = 0.011

Adverse events

Collected over From enrollment until end of follow-up, up to 10 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All TSND-201 (Part A & B)0/46 (0%)1/46 (2.2%)43/46 (93.5%)
Placebo (Part B)0/33 (0%)0/33 (0%)24/33 (72.7%)
Most frequent serious events
Most frequent serious events
EventAll TSND-201 (Part A & B)Placebo (Part B)
SeizureNervous system disorders1/460/33
Most frequent other events
Showing 10 of 26
Most frequent other events
EventAll TSND-201 (Part A & B)Placebo (Part B)
HeadacheNervous system disorders27/4614/33
Decreased appetiteMetabolism and nutrition disorders20/463/33
NauseaGastrointestinal disorders13/467/33
DizzinessNervous system disorders13/463/33
InsomniaPsychiatric disorders13/460/33
Blood pressure increasedInvestigations12/460/33
Dry mouthGastrointestinal disorders11/461/33
FatigueGeneral disorders9/464/33
Feeling of relaxationGeneral disorders4/466/33
BruxismPsychiatric disorders8/460/33

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Open-label TSND-201 (Part A)Blinded TSND-201 (Part B)Blinded Placebo (Part B)Total
Mean42.4 ± 11.4445.1 ± 10.6042.2 ± 10.3443.1 ± 10.9
Sex: Female, Male
Sex: Female, Male(Participants)Open-label TSND-201 (Part A)Blinded TSND-201 (Part B)Blinded Placebo (Part B)Total
Female10192049
Male4131330
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Open-label TSND-201 (Part A)Blinded TSND-201 (Part B)Blinded Placebo (Part B)Total
American Indian or Alaska Native0000
Asian0112
Native Hawaiian or Other Pacific Islander0000
Black or African American0022
White13292971
More than one race0202
Unknown or Not Reported1012
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Open-label TSND-201 (Part A)Blinded TSND-201 (Part B)Blinded Placebo (Part B)Total
Hispanic or Latino1023
Not Hispanic or Latino7262861
Unknown or Not Reported66315
08

Study locations

16 sites
  • Mountain View Clinical Research
    Denver, Colorado 80209, United States
  • Clinical Neuroscience Solutions - Jacksonville
    Jacksonville, Florida 32256, United States
  • Accel Research Sites
    Maitland, Florida 32751, United States
  • Sunstone Therapies
    Rockville, Maryland 20850, United States
  • Boston Clinical Trials
    Boston, Massachusetts 02131, United States
  • Cenexel HRI
    Berlin, New Jersey 08009, United States
  • The Rivus Wellness & Research Institute
    Oklahoma City, Oklahoma 73112, United States
  • Cedar Clinical Research
    Murray, Utah 84107, United States
  • Tallaght Adult Mental Health Services
    Dublin, Ireland
  • La Nua Day Hospital Mental Health Centre
    Galway, Ireland
  • Mirabilis Health
    Belfast, Northern Ireland, United Kingdom
  • Cambridge University Hospitals NHS Foundation Trust
    Cambridge, United Kingdom
  • Glasgow Clinical Research Facility, QEUH
    Glasgow, United Kingdom
  • Clerkenwell Health
    London, United Kingdom
  • King's College
    London, United Kingdom
  • Oxford Health NHS Foundation Trust
    Oxford, United Kingdom
09

References and documents

Publications

  • Jones A, Warner-Schmidt J, Kwak H, Stogniew M, Mandell B, Ching THW, Stein MB, Kelmendi B. Efficacy and Safety of the Neuroplastogen TSND-201 for the Treatment of PTSD: A Randomized Clinical Trial. JAMA Psychiatry. 2026 May 1;83(5):469-477. doi: 10.1001/jamapsychiatry.2025.4625. PubMed 41706459 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05741710
Responsible party
Sponsor
First posted
Feb 23, 2023
Start date
Mar 1, 2023
Primary completion
Feb 19, 2025
Completion
Feb 19, 2025
Results posted
Apr 15, 2026
Last update
Apr 15, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Methylone

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