TABLE 2

Pharmacodynamic effects

Values are mean ± S.E.M. of peak changes from baseline (ΔEmax) or peak effects (Emax) in 16 subjects.

Placebo–PlaceboBupropion–PlaceboPlacebo–MDMABupropion–MDMAMain Effect of MDMAMain Effect of BupropionBupropion × MDMA Interaction
F1,15P valueF1,15P valueF1,15P value
Vital signs
 SBP (mm Hg)Emax9.3 ± 1.59.4 ± 1.533.1 ± 2.5***27.7 ± 1.5***91.22<0.0012.76NS2.62NS
 DBP (mm Hg)Emax5.3 ± 0.96.1 ± 1.317.7 ± 1.3***16.9 ± 1.4***72.17<0.0010.00NS0.50NS
 Heart rate (beats/min)Emax5.6 ± 1.16.6 ± 1.530.2 ± 3.1***18.5 ± 2.2***,###57.97<0.00112.380.00313.970.002
 Body temperature (°C)Emax0.39 ± 0.070.31 ± 0.050.63 ± 0.090.66 ± 0.07*18.26<0.0010.19NS0.71NS
Pupillometry
 Pupil size (mm)Emax6.90 ± 0.146.90 ± 0.177.74 ± 0.13***7.76 ± 0.14***103.06<0.0010.04NS0.06NS
Hormones
 Prolactin (mU/l)ΔEmax−219 ± 34−211 ± 50441 ± 191**388 ± 196**16.450.0010.11NS0.09NS
 Cortisol (nmol/l)ΔEmax−414 ± 37−425 ± 81150 ± 51***106 ± 48***63.08<0.0010.20NS0.26NS
 Oxytocin (pg/ml)ΔEmax−0.9 ± 0.6−1.0 ± 0.486 ± 15***79 ± 17***44.56<0.0010.11NS0.10NS
 Epinephrine (nmol/l)ΔEmax0.04 ± 0.020.03 ± 0.030.5 ± 0.1***0.4 ± 0.07***48.68<0.0010.72NS0.20NS
 Norepinephrine (nmol/l)ΔEmax−0.32 ± 0.130.10 ± 0.120.96 ± 0.19***0.33 ± 0.12*,#20.94<0.0011.89NS9.570.007
 Dopamine (nmol/l)ΔEmax0.03 ± 0.02−0.01 ± 0.020.08 ± 0.030.06 ± 0.032.61NS1.60NS0.84NS
List of complaints (total score)
 Acute adverse effects≤5 h2.2 ± 0.72.6 ± 1.015.9 ± 1.8***15.1 ± 1.0***97.57<0.0010.07NS0.50NS
 Subacute adverse effects≤24 h1.3 ± 0.62.4 ± 0.88.4 ± 1.5***7.9 ± 1.2***33.38<0.0010.14NS1.12NS
Subjective effects
 Visual Analog Scale (%max)
 Any drug effectΔEmax0.3 ± 0.31.4 ± 1.075 ± 5***84 ± 3***508.82<0.0012.81NS2.35NS
ΔAUEC0–8h0.2 ± 0.23.6 ± 3.3191 ± 22***261 ± 26***,#118.97<0.0017.340.026.560.02
 Good drug effectΔEmax3.1 ± 3.10.9 ± 0.969 ± 5***77 ± 5***236.03<0.0010.93NS2.62NS
ΔAUEC0–8h1.6 ± 1.60.5 ± 0.5167 ± 23***244 ± 35***,#62.26<0.0016.710.026.690.02
 Drug highΔEmax0.0 ± 0.00.2 ± 0.263 ± 7***76 ± 5***167.20<0.0013.67NS3.66NS
ΔAUEC0–8h0.0 ± 0.00.1 ± 0.1131 ± 26***188 ± 37***,#29.43<0.0015.220.045.220.04
 Drug likingΔEmax2.4 ± 2.43.3 ± 3.372 ± 6***76 ± 6***242.54<0.0010.85NS0.38NS
ΔAUEC0–8h1.2 ± 1.22.5 ± 2.5173 ± 22***245 ± 39***,#61.50<0.0014.570.0494.610.049
 StimulatedΔEmax0.0 ± 0.00.4 ± 0.461 ± 8***68 ± 7***102.27<0.0010.64NS0.56NS
ΔAUEC0–8h0.0 ± 0.00.4 ± 0.4144 ± 27***193 ± 40***28.69<0.0013.74NS3.69NS
  • AUE, area under the effect-time curve; DBP, diastolic blood pressure; NS, not significant; SBP, systolic blood pressure.

  • * P < 0.05, **P < 0.01, ***P < 0.001 compared with placebo-placebo; #P < 0.05; ###P < 0.001 compared with placebo-MDMA.