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CYP2D6 and the pharmacokinetics of ibogaine

The role of CYP2D6 in the pharmacokinetics of ibogaine in healthy volunteers

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12613000324718
Acronym
N/A
Enrollment
21
Registered
2013-03-22
Start date
2013-07-01
Completion date
2013-09-15
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Since 1962 a network of lay experimental drug users have reported that ibogaine at high doses decreases opioid withdrawal symptoms in opioid dependent subjects. It is likely that the majority of the effects of ibogaine in humans are produced by the metabolite noribogaine rather than ibogaine itself. The conversion of ibogaine into noribogaine is mainly via an enzyme called CYP2D6. This enzyme belongs to the cytochrome P450 family and is involved in the metabolism of many drugs in the body. The study aims to characterize conversion of ibogaine to noribogaine based on measures of CYP2D6 activity, using single low doses of ibogaine dosed to healthy volunteers.

Interventions

- Cohort B will consist of volunteers who receive once daily oral doses of paroxetine capsules (Days 2 to 3- paroxetine 10mg and Days 4 to 15- paroxetine 20mg) to induce a CYP2D6 poor metabolizer phenotype. - Subjects will recieve a single oral dose of ibogaine 20mg on Day 8. Ibogaine will be given open label. - All subjects will also receive a single oral dose of dextromethorphan 30mg on Days 1 and 7 to determine their in vivo CYP2D6 phenotype. - All days mentioned in dosing are inclusive of

- Cohort B will consist of volunteers who receive once daily oral doses of paroxetine capsules (Days 2 to 3- paroxetine 10mg and Days 4 to 15- paroxetine 20mg) to induce a CYP2D6 poor metabolizer phenotype. - Subjects will recieve a single oral dose of ibogaine 20mg on Day 8. Ibogaine will be given open label. - All subjects will also receive a single oral dose of dextromethorphan 30mg on Days 1 and 7 to determine their in vivo CYP2D6 phenotype. - All days mentioned in dosing are inclusive of the days listed above.

Sponsors

University of Otago
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
20 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

Healthy volunteers, drug free, good general health, normal screening lab tests and ECG

Exclusion criteria

Significant medical history, drug use

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026