Established comparator
Extended-release naltrexone provides an active comparator in the randomized portion of the proposed study.
The clinical study
The proposed IBOCare Phase 1/2a study brings medically supervised ibogaine research together with a year of continuing recovery support.
The public study record
ClinicalTrials.gov · NCT07871877
The IBO-CARE registration sets out the planned study design, eligibility criteria, outcome measures and recruitment status.
Read the study registrationWhy this study
Early observations raise important questions. Careful research is how we find reliable answers.
Published observational research has reported changes in opioid withdrawal and craving after ibogaine. These studies do not establish long-term effectiveness or prove that ibogaine caused the outcomes.
Research has also documented important cardiac risks, including QT interval prolongation. Those risks make specialist screening, monitoring and independent oversight essential to the proposed study.
Read the original studies: withdrawal and craving (2018) · cardiac safety (2021).
The proposed design
60 planned participants, ages 18–65.
One proposed Colorado clinical site.
Extended-release naltrexone provides an active comparator in the randomized portion of the proposed study.
Compared with Group A in a proposed double-blind, double-dummy design to support a fair comparison.
A separate proposed pathway for people unable to complete a longer opioid-free waiting period.
Everyone receives the same planned preparation, monitored admissions, psychological support, monthly visits and 12 months of digital recovery support.
Design summary from the foundation’s donor briefing. The protocol may change through regulatory and ethics review.
Safety is the design
Participant safety informs screening, monitoring, oversight and decisions about continuing.
Cardiology review, laboratory tests and exclusion criteria for people at elevated cardiac risk.
The proposed plan includes continuous telemetry and serial ECGs after each dose, extended when needed.
A proposed five-member safety board with a cardiologist chair and an independent medical monitor.
Predefined cardiac and clinical thresholds to pause dosing for an individual or a study group.
The participant journey
Explore the proposed journey, from initial screening to a full year of follow-up.
Medical, cardiac and psychiatric evaluation, followed by informed consent. The study team will determine eligibility. Participants are prepared for the planned admissions and issued study devices.
Screening is an assessment, not a guarantee of enrollment.
The proposed protocol includes three clinical admissions. Each later session proceeds only after a safety review. Cardiac monitoring continues for at least 72 hours after dosing and longer when needed.
Safety findings guide every decision about further dosing.
Weekly online psychological support is planned through the first three months, alongside the study’s other care and safety measures.
Participants receive overdose education, naloxone and access to standard treatment.
SENTINEL combines daily wellbeing check-ins, a study phone and wearable, and monthly clinic visits. Alerts go to a named clinician; technology does not make care decisions alone.
My E Health is the proposed platform behind digital support and data services.
From readiness to results
The donor briefing models a 39-month programme. These are planned phases, not announced treatment dates.
Regulatory and ethics review, required permissions and site preparation.
Carefully sequenced first doses and safety-board review.
Planned enrollment and treatment with interim safety review.
A full year of care and follow-up data for every participant.
Analysis, publication and recommendations for next steps.
Read the evidence
A 50-participant study that supports further controlled investigation.
2021 · SAFETY STUDYAn open-label study reporting QTc prolongation and other adverse effects.
2024 · PHARMACOLOGYAn investigation of drug exposure, metabolism and safety effects.
These are independent published studies, not results from IBOCare. The IBO-CARE trial registration is linked above; no study results are posted in that record.
Hope, with a way forward
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