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The Trip Report

Ep #30 Nick Gillespie: Reflection on the FDA’s Rejection of MDMA Assisted Therapy

Aug 22, 2024
Nick Gillespie, Editor at Large of Reason Magazine, joins psychiatrist Dr. Carlene MacMillan to dissect the FDA's recent rejection of MDMA-assisted therapy. They explore the regulatory landscape, questioning the adequacy of current systems for evaluating innovative treatments. Gillespie critiques the FDA's role in maintaining existing power structures rather than prioritizing public health. They also discuss the biases in drug approval processes and advocate for reform, highlighting the potential of psychedelics for personal growth beyond trauma healing.
01:01:06

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Quick takeaways

  • The FDA's rejection of MDMA-assisted therapy reveals significant flaws in the regulatory process for novel, non-traditional treatments.
  • Critics accuse the FDA of prioritizing corporate interests and maintaining existing power structures over public health and innovation.

Deep dives

Challenges of Regulatory Approval

The regulatory approval process for novel therapies like MDMA-assisted psychotherapy is extremely complex and presents significant challenges. Obtaining FDA approval often requires extensive trials, which can take years and involve substantial financial investments, with estimates suggesting a typical timeline of 10 to 12 years and costs reaching around $3 billion. The recent rejection of MDMA-assisted therapy by the FDA highlights issues within this process, including potential deficiencies in the application from MAPS and LICO, such as missing data and unreported adverse events. The difficulties faced by these outsider organizations seeking approval, as opposed to traditional pharmaceutical companies, underscore the inherent barriers in a system not designed for transformative, non-conventional therapies.

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