ClinicalTrials.gg
CompletedNCT06215261IMPACT-2Updated Oct 30, 2026Results posted

An Evaluation of the Safety and Efficacy of Methylone for the Treatment of PTSD

A Phase 2 interventional study of Methylone in Post Traumatic Stress Disorder, sponsored by Transcend Therapeutics. Completed at 12 sites in 3 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-10-30.

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

Updated Oct 30, 2026Results postedStudy documents posted+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
62
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

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

  • Part A is open-label and will enroll up to 15 participants with PTSD
  • Part B is randomized (1:1:1), single-blind and will enroll up to 45 participants with PTSD

Eligible participants will enter a 3-week Treatment Period (Part A) or 4-week Treatment Period (Part B) where they will receive methylone once weekly. Following the Treatment Period, participants will enter a 6-week Follow-up Period (Part A) or 8-week Follow-up Period (Part B).

02

Conditions studied

  • Post Traumatic Stress Disorder

Keywords

  • Methylone
  • IMPACT-2
  • PTSD
  • Neuroplastogen
  • TSND-201
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 62 is below 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 70 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 criteria for severe PTSD diagnosis, with a symptom duration of at least 6 months.
  • Tried 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) \<18kg/m2 or ≥40 kg/m2.
  • Smokes an average of >10 cigarettes and/or e-cigarettes per day.
  • Uncontrolled hypertension at Screening.
  • Use of prohibited concomitant medications or therapies.
  • 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 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
62 participants (actual)

Study arms

  • Experimental
    TSND-201 Low Dose

    Part B only

    Drug: Methylone

  • Experimental
    TSND-201 Mid Dose

    Part B only

    Drug: Methylone

  • Experimental
    TSND-201 High Dose

    Part B only

    Drug: Methylone

Interventions

  • Methylone capsules, given orally, once a week for 3 weeks (Part A) or 4 weeks (Part B)

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Clinician-Administered PTSD Scale for the DSM-5 (CAPS-5) Total Severity Score

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

    Time frame: 9 weeks (Part A) / 12 weeks (Part B)

Secondary outcomes

  1. Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

    The MADRS is a 10-item, clinician-rated scale designed to assess severity of depression. The total score ranges from 0 to 60, with a higher score indicating more severe depression.

    Time frame: 9 weeks (Part A) / 12 weeks (Part B)

  2. Change From Baseline in PTSD Checklist for DSM-5 (PCL-5)

    The PCL-5 is a 20-item, patient-rated scale designed to measure severity of PTSD symptoms. The total score ranges from 0 to 80, with a higher score indicating more severe PTSD symptoms.

    Time frame: 9 weeks (Part A) / 12 weeks (Part B)

  3. Change From Baseline in Sheehan Disability Scale (SDS)

    The SDS is a 3-item, patient-rated scale designed to measure disability and impairment across three domains: work/school, social life, and family life/home responsibilities. Each domain is scored from 0 to 10, with higher scores representing greater disability. Total scores range from 0 to 30, with higher scores representing greater disability.

    Time frame: 9 weeks (Part A) / 12 weeks (Part B)

  4. Incidence of Treatment-emergent Adverse Events (TEAEs)

    Types and rates of adverse events (Results are presented in the Adverse Events section)

    Time frame: 9 weeks (Part A) / 12 weeks (Part B)

07

Results

Posted Oct 30, 2026

Participant flow

Participant flow — Overall Study
MilestonePart A (150 mg Once a Week x 3)Part B (50 mg Once a Week x 4)Part B (100 mg Once a Week x 4)Part B (150 mg Once a Week x 4)
Started15171515
Completed15141314
Not completed0321

Outcome measures

PrimaryChange From Baseline in Clinician-Administered PTSD Scale for the DSM-5 (CAPS-5) Total Severity Score

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

Time frame:
9 weeks (Part A) / 12 weeks (Part B)
Reported as:
Mean · score on a scale
Change From Baseline in Clinician-Administered PTSD Scale for the DSM-5 (CAPS-5) Total Severity Score
score on a scalePart A (150 mg Once a Week x 3)Part B (50 mg Once a Week x 4)Part B (100 mg Once a Week x 4)Part B (150 mg Once a Week x 4)
Change From Baseline in Clinician-Administered PTSD Scale for the DSM-5 (CAPS-5) Total Severity Score-24.9 ± 9.74-26.7 ± 17.68-26.5 ± 10.89-32.9 ± 11.73
SecondaryChange From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

The MADRS is a 10-item, clinician-rated scale designed to assess severity of depression. The total score ranges from 0 to 60, with a higher score indicating more severe depression.

Time frame:
9 weeks (Part A) / 12 weeks (Part B)
Reported as:
Mean · score on a scale
Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
score on a scalePart A (150 mg Once a Week x 3)Part B (50 mg Once a Week x 4)Part B (100 mg Once a Week x 4)Part B (150 mg Once a Week x 4)
Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score-15.3 ± 10.61-15.2 ± 13.33-14.3 ± 10.33-22.9 ± 10.38
SecondaryChange From Baseline in PTSD Checklist for DSM-5 (PCL-5)

The PCL-5 is a 20-item, patient-rated scale designed to measure severity of PTSD symptoms. The total score ranges from 0 to 80, with a higher score indicating more severe PTSD symptoms.

Time frame:
9 weeks (Part A) / 12 weeks (Part B)
Reported as:
Mean · score on a scale
Change From Baseline in PTSD Checklist for DSM-5 (PCL-5)
score on a scalePart A (150 mg Once a Week x 3)Part B (50 mg Once a Week x 4)Part B (100 mg Once a Week x 4)Part B (150 mg Once a Week x 4)
Change From Baseline in PTSD Checklist for DSM-5 (PCL-5)-30.4 ± 14.35-29.1 ± 18.37-33.1 ± 9.81-39.8 ± 14.84
SecondaryChange From Baseline in Sheehan Disability Scale (SDS)

The SDS is a 3-item, patient-rated scale designed to measure disability and impairment across three domains: work/school, social life, and family life/home responsibilities. Each domain is scored from 0 to 10, with higher scores representing greater disability. Total scores range from 0 to 30, with higher scores representing greater disability.

Time frame:
9 weeks (Part A) / 12 weeks (Part B)
Reported as:
Mean · points
Change From Baseline in Sheehan Disability Scale (SDS)
pointsPart A (150 mg Once a Week x 3)Part B (50 mg Once a Week x 4)Part B (100 mg Once a Week x 4)Part B (150 mg Once a Week x 4)
Change From Baseline in Sheehan Disability Scale (SDS)-11.4 ± 8.32-12.4 ± 7.63-10.2 ± 9.20-16.2 ± 7.32
SecondaryIncidence of Treatment-emergent Adverse Events (TEAEs)

Types and rates of adverse events (Results are presented in the Adverse Events section)

Time frame:
9 weeks (Part A) / 12 weeks (Part B)
Reported as:
Mean · Change from baseline at endpoint

Results for this outcome have not been posted.

Adverse events

Collected over From first dose to end of study, up to 9 weeks in Part A and 12 weeks in Part B. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Part A (150 mg Once a Week x 3)0/15 (0%)1/15 (6.7%)15/15 (100%)
Part B (50 mg Once a Week x 4)0/17 (0%)0/17 (0%)17/17 (100%)
Part B (100 mg Once a Week x 4)0/15 (0%)0/15 (0%)14/15 (93.3%)
Part B (150 mg Once a Week x 4)0/15 (0%)0/15 (0%)14/15 (93.3%)
Most frequent serious events
Most frequent serious events
EventPart A (150 mg Once a Week x 3)Part B (50 mg Once a Week x 4)Part B (100 mg Once a Week x 4)Part B (150 mg Once a Week x 4)
CellulitisInfections and infestations1/150/170/150/15
Most frequent other events
Showing 10 of 42
Most frequent other events
EventPart A (150 mg Once a Week x 3)Part B (50 mg Once a Week x 4)Part B (100 mg Once a Week x 4)Part B (150 mg Once a Week x 4)
NauseaGastrointestinal disorders11/153/177/154/15
HeadacheNervous system disorders6/159/177/155/15
DizzinessNervous system disorders5/153/176/153/15
FatigueGeneral disorders2/156/174/154/15
ParaesthesiaNervous system disorders4/156/174/153/15
Sensory disturbanceNervous system disorders0/151/175/152/15
Feeling abnormalGeneral disorders1/153/171/155/15
Dry mouthGastrointestinal disorders5/151/175/153/15
Pre-existing condition improvedGeneral disorders0/152/173/154/15
Time perception alteredPsychiatric disorders0/150/172/154/15

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Part A (150 mg Once a Week x 3)Part B (50 mg Once a Week x 4)Part B (100 mg Once a Week x 4)Part B (150 mg Once a Week x 4)Total
Mean44.5 ± 10.2344.5 ± 10.3740.3 ± 12.3844.0 ± 10.2643.0 ± 10.94
Sex: Female, Male
Sex: Female, Male(Participants)Part A (150 mg Once a Week x 3)Part B (50 mg Once a Week x 4)Part B (100 mg Once a Week x 4)Part B (150 mg Once a Week x 4)Total
Female1011121043
Male563519
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Part A (150 mg Once a Week x 3)Part B (50 mg Once a Week x 4)Part B (100 mg Once a Week x 4)Part B (150 mg Once a Week x 4)Total
American Indian or Alaska Native00101
Asian11103
Native Hawaiian or Other Pacific Islander01001
Black or African American13116
White1312101247
More than one race00224
Unknown or Not Reported00000
08

Study locations

12 sites
  • Segal Trials
    Lauderhill, Florida 33319, United States
  • Accel Research
    Maitland, Florida 32751, United States
  • CNS Healthcare
    Orlando, Florida 32801, United States
  • Uptown Clinical Research
    Chicago, Illinois 60640, United States
  • Sunstone Medical
    Rockville, Maryland 20850, United States
  • Redbird Research LLC
    Las Vegas, Nevada 89119, United States
  • Numinus
    Draper, Utah 84020, United States
  • Seattle NTC
    Bellevue, Washington 98004, United States
  • Swinburne University of Technology
    Hawthorn, Victoria 3122, Australia
  • Ramsay Clinic Albert Road
    Melbourne, Victoria 3004, Australia
  • Monarch Mental Health Group
    Melbourne, Victoria, Australia
  • Clerkenwell Health
    London, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

1 registry update since Sep 25, 2026
Results
Results posted
posted Oct 30, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • EditedChange fromFrom Baseline in Clinician-Administered PTSD Scale for the DSM-5 (CAPS-5) total severity scoreTotal Severity ScoreTime frame: 9 weeks (Part A) / 12 weeks (Part B)
Oct 30, 2026
Documents
Secondary outcomes
4 edited
What changed in the outcomes
  • EditedChange fromFrom Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) total scoreTotal ScoreTime frame: 9 weeks (Part A) / 12 weeks (Part B)
  • EditedChange fromFrom Baseline in PTSD Checklist for DSM-5 (PCL-5)Time frame: 9 weeks (Part A) / 12 weeks (Part B)
  • EditedChange fromFrom Baseline in Sheehan Disability Scale (SDS)Time frame: 9 weeks (Part A) / 12 weeks (Part B)
  • EditedIncidence of treatmentTreatment-emergent adverse eventsAdverse Events (TEAEs)Time frame: 9 weeks (Part A) / 12 weeks (Part B)
Oct 30, 2026
Show all 1 update
  1. Oct 30, 2026
    Results posted
    Primary outcomes 1 edited
    What changed in the outcomes
    • EditedChange fromFrom Baseline in Clinician-Administered PTSD Scale for the DSM-5 (CAPS-5) total severity scoreTotal Severity ScoreTime frame: 9 weeks (Part A) / 12 weeks (Part B)
    Secondary outcomes 4 edited
    What changed in the outcomes
    • EditedChange fromFrom Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) total scoreTotal ScoreTime frame: 9 weeks (Part A) / 12 weeks (Part B)
    • EditedChange fromFrom Baseline in PTSD Checklist for DSM-5 (PCL-5)Time frame: 9 weeks (Part A) / 12 weeks (Part B)
    • EditedChange fromFrom Baseline in Sheehan Disability Scale (SDS)Time frame: 9 weeks (Part A) / 12 weeks (Part B)
    • EditedIncidence of treatmentTreatment-emergent adverse eventsAdverse Events (TEAEs)Time frame: 9 weeks (Part A) / 12 weeks (Part B)
    + 2 other changes: index terms and verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT06215261
Responsible party
Sponsor
First posted
Jan 22, 2024
Start date
Apr 4, 2024
Primary completion
Sep 23, 2025
Completion
Sep 23, 2025
Results posted
Oct 30, 2026
Last update
Oct 30, 2026

Oversight

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

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Studies of the drug tested here: Methylone

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