-Caveat Lector-

washingtonpost.com
Results Retracted On Ecstasy Study

By Rick Weiss
Washington Post Staff Writer
Saturday, September 6, 2003; Page A03

Scientists at Johns Hopkins University who last year published a frightening and
controversial report suggesting that a single evening's use of the illicit drug
ecstasy could cause permanent brain damage and Parkinson's disease are
retracting their research in its entirety, saying the drug they used in their
experiments was not ecstasy after all.

The retraction, to be published in next Friday's issue of the journal Science,
has reignited a smoldering and sometimes angry debate over the risks and
benefits of the drug, also known as MDMA.

The drug is popular at all-night raves and other venues for its ability to
reduce inhibitions and induce expansive feelings of open-heartedness. But some
studies have indicated that the drug can at least temporarily damage neurons
that use the mood-altering brain chemical serotonin. Some users also have spiked
fevers, which rarely have proven fatal.

Last year's research, involving monkeys and baboons, purported to show that
three modest doses of ecstasy -- the amount a person might take in a one-night
rave -- could cause serious damage to another part of the brain: neurons that
use the brain chemical dopamine.

Two of 10 animals died quickly after their second or third dose of the drug, and
two others were too sick to take the third dose. Six weeks later, dopamine
levels in the surviving animals were still down 65 percent. That led Hopkins
team leader George Ricaurte and his colleagues to conclude that users were
playing Russian roulette with their brains.

Advocates of ecstasy's therapeutic potential, including a number of scientists
and doctors who believe it may be useful in treating post-traumatic stress
disorder or other psychiatric conditions, criticized the study. They noted that
the drug was given in higher doses than people commonly take and was
administered by injection, not by mouth. They wondered why large numbers of
users were not dying or growing deathly ill from the drug, as the animals did,
and why no previous link had been made between ecstasy and Parkinson's despite
decades of use and a large number of studies.

The answer to at least some of those questions became clear with the retraction,
which is being released by Science on Sunday evening but was obtained
independently by The Washington Post. Because of a mislabeling of vials, the
scientists wrote, all but one of the animals were injected not with ecstasy but
with methamphetamine, or "speed" -- a drug known to damage the dopamine system.

The researchers said they discovered the mistake when follow-up tests gave
conflicting results, and they offered evidence that the tubes were mislabeled by
the supplier, identified by sources as Research Triangle Institute of North
Carolina. A spokesman for the company said last night that he did not know
whether the company had erred.

The error has renewed charges that government-funded scientists, and Ricaurte in
particular, have been biased in their assessment of ecstasy's risks and
potential benefits.

Rick Doblin, president of Multidisciplinary Association for Psychedelic Studies,
a Sarasota, Fla.-based group that funds studies on therapeutic uses of
mind-altering drugs and is seeking permission to conduct human tests of MDMA,
said the evidence of serotonin system damage is weak.

"The largest and best-controlled study of the effect of MDMA on serotonin showed
no long-term effects in former users and minimal to no effects in current
users," he said.

Una McCann, one of the Hopkins scientists, said she regretted the role the false
results may have played in a debate going on last year in Congress and within
the Drug Enforcement Administration over how to deal with ecstasy abuse.

"I feel personally terrible," she said. "You spend a lot of time trying to get
things right, not only for the congressional record but for other scientists
around the country who are basing new hypotheses on your work and are writing
grant proposals to study this."

But she and Ricaurte emphasized last night that the retraction had not changed
their feelings about the danger of taking ecstasy.

"I still wouldn't recommend it to anybody," McCann said.



� 2003 The Washington Post Company

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