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Issues in Clinical Trial Design—Lessons From the FDA’s Rejection of MDMA

Samuel T. Wilkinson, Gerard Sanacora

JAMA Psychiatry April 16, 2025 DOI: 10.1001/jamapsychiatry.2025.0442 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Viewpoint Peer reviewed
Topics MDMA
Keywords Clinical trial Blinding Clinical research Pharmacology
Citations 14
Key points The FDA rejected MDMA as a treatment for PTSD due to concerns about lack of blinding and clinical trial integrity.

Abstract

This Viewpoint explores potential justifications underlying the US Food and Drug Administration (FDA)’s rejection of methylenedioxymethamphetamine (MDMA) as a treatment for posttraumatic stress disorder, including lack of blinding and issues around the integrity of relevant clinical trials.

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