Psychedelic therapies under scrutiny: What’s next after Lykos’ MDMA rejection?

The FDA has firmly told Lykos Therapeutics, “Not so fast!” on their MDMA-assisted therapy for PTSD, rejecting their New Drug Application (NDA) due to issues with trial methodology (hello, “functional unblinding”) and safety risks. Essentially, they said, “Your data is about as sturdy as a house of cards in a hurricane. Try again.” This means MDMA therapy won’t be hitting the market anytime soon, leaving Lykos and the broader psychedelic community shaking their heads and staring at their calendars.

The FDA’s decision, while a bummer for some, isn’t a total buzzkill. Companies like Compass Pathways and MindMed are still in the game, tweaking their trial designs to avoid similar pitfalls. The FDA has made it clear that they want rock-solid proof of safety and effectiveness before giving the green light to any psychedelic therapies. Investors are now playing it cool, favoring the more established players who can navigate these choppy regulatory waters.

This setback is a wake-up call, emphasizing the need for rigorous research designs, better blinding in trials, and bulletproof safety and efficacy data. Companies are now scrambling to find ways to measure participant expectations, illustrate dose-response relationships, and use active placebos to address the unique challenges posed by psychedelics.

Three main strategies are emerging: simplifying therapy protocols, finding ways to minimize the “trip” effects (looking at you, Delix Therapeutics, AbbVie, and Intra-Cellular Therapies), or fully embracing and clearly defining assisted therapy, sometimes with a splash of AI magic.

In summary, the FDA’s thumbs-down on Lykos’ MDMA therapy has thrown the psychedelic drug market into a spin, but it’s also laying



Reference: https://www.labiotech.eu/trends-news/psychedelic-therapy-fda-rejection-impact/


Published Date: 2024-09-06