Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 and up

MDMA-assisted cognitive behavioral therapy for obsessive-compulsive disorder

Official title: MDMA-Assisted Cognitive Behavioral Therapy (CBT) Compared With Methamphetamine-Assisted CBT in Obsessive-Compulsive Disorder (OCD): A Phase II Study

Run by Stanford University · NCT05783817 · Data updated 2026-11-12

This trial will test whether MDMA combined with cognitive behavioral therapy can help adults with OCD have fewer symptoms.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment40 (estimated)
SponsorStanford University
Academic / other
Locations1 site (Palo Alto, California)
StatusRecruiting
StartedSeptember 10, 2025
Main results expectedDecember 1, 2026
Study endsDecember 1, 2026
Registry record updatedMarch 5, 2026
Trial IDNCT05783817 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (age ≥18) with diagnosed OCD and Y-BOCS ≥16 who have failed at least one first-line treatment, can tolerate a medication-free period of about one month, are not pregnant or breastfeeding, weigh at least 48 kg, and can attend in-person visits at Stanford.

Probably not a fit

People who are pregnant or nursing, unable to stop psychotropic medications, weigh under 48 kg, or cannot travel to the study site are unlikely to qualify or benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 2 interventional study tests 3,4-methylenedioxymethamphetamine (MDMA) given alongside structured cognitive behavioral therapy in adults with moderate-to-severe OCD. Participants must meet diagnostic criteria for OCD with a Y-BOCS score of at least 16, have failed at least one prior first-line treatment, and be off psychotropic medications for at least one month. Treatment involves supervised MDMA dosing sessions paired with CBT and regular safety monitoring, with symptom scales used to measure preliminary effectiveness. The trial is conducted in-person at Stanford University Medical Center with follow-up visits to track outcomes and adverse events.

Why it matters

Potential benefit: If successful, this approach could offer a new treatment option that reduces OCD symptoms and helps people who have not responded to standard therapies.

How similar studies have gone: MDMA-assisted psychotherapy has produced strong positive results in PTSD trials and small pilot studies, but applying MDMA specifically to OCD is a novel approach with limited prior data.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. At least 18 years old
2. Fluent in speaking and reading the predominantly used or recognized language of the study site
3. Able to swallow pills
4. Meet the criteria for OCD diagnosis
5. YBOCS total score of at least 16
6. Not on psychotropic medications 1 month prior to study enrollment
7. Able to tolerate a treatment-free period
8. Able to tolerate study procedures
9. Failed at least 1 prior trial of standard first-line OCD treatment
10. Agree to the following lifestyle modifications: comply with requirements for fasting and refraining from certain medications prior to the Experimental Session, not enroll in any other interventional clinical trials during the duration of the study, and commit to medication dosing, therapy, and study procedures.

Exclusion Criteria:

1. Pregnant or nursing, or able to become pregnant and are not practicing an effective means of birth control
2. Weigh less than 48 kilograms (kgs)
3. Any current problem which, in the opinion of the investigator or study physician, might interfere with participation

Where it's running

  • Stanford University Medical Center
    Palo Alto, California, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.