Companies
Lykos Therapeutics
Summary
Lykos Therapeutics is the commercial entity that took over the MDMA-assisted therapy for PTSD approval path from MAPS and remains the focal company in the FDA midomafetamine saga.
Why it matters
Lykos is the clearest live test case for whether a modern psychedelic-assisted therapy can satisfy FDA standards on efficacy, safety, trial integrity, and clinical delivery.
Research notes
Context, reporting, and structured background for this dossier.
Lykos Therapeutics was created to handle the commercialization path for MDMA-assisted therapy for PTSD after the research program incubated inside MAPS. That makes it the company most directly associated with the first serious attempt to push a psychedelic-assisted therapy through the modern FDA approval process.
Regulatory position
In June 2024, the FDA's Psychopharmacologic Drugs Advisory Committee reviewed NDA 215455 for midomafetamine capsules. The agency briefing package shows how far the program advanced, but the FDA later issued a Complete Response Letter rather than approving the drug, leaving Lykos in a redesign-and-rebuild position rather than a launch position.
The practical takeaway is that Lykos is no longer just a company profile, it is also a case study in the regulatory standards psychedelic sponsors will be judged against.
Trial footprint
The core public trial record around Lykos includes the two multi-site Phase 3 PTSD studies MAPP1 (NCT03537014) and MAPP2 (NCT04077437), plus the open-label extension study MAPPUSX (NCT04714359). Those registry records matter because they pin the program to concrete study IDs, status pages, and protocol-era metadata rather than only company narrative.
What to watch
For now, the central questions are whether Lykos can define a credible new Phase 3 path, how FDA concerns about evidence and oversight get addressed, and whether the company can convert a pioneering psychedelic program into an approval-grade submission. Until that happens, Lykos remains important less as a commercial winner and more as the sector's clearest regulatory stress test.
Citations and source links
Source material used to ground or extend this dossier.
- June 4, 2024 meeting of the Psychopharmacologic Drugs Advisory Committee
Official FDA advisory committee page for the midomafetamine review.
- FDA briefing document for NDA 215455 (midomafetamine capsules)
Agency background package for the Lykos application.
- NCT03537014
MAPP1, a multi-site Phase 3 study of MDMA-assisted therapy for PTSD.
- NCT04077437
MAPP2, a second multi-site Phase 3 MDMA/PTSD study.
- NCT04714359
MAPPUSX, the open-label extension study following the Phase 3 program.
Related entities
Other dossiers that help connect this page to the wider reporting record.
- MDMA
MDMA (3,4-methylenedioxymethamphetamine) is an entactogen under investigation for PTSD treatment. Lykos Therapeutics' application for FDA approval was rejected in August 2024. Rela…
- MDMA-Assisted Therapy
MDMA-assisted therapy is a treatment model combining MDMA administration with structured psychotherapy for PTSD. Typically 2-3 sessions of 8 hours each. Developed primarily by MAPS…
- FDA
The U.S. Food and Drug Administration is the gatekeeper for psychedelic drug development in the United States, from IND clearance through advisory committee review and any eventual approval or rejection.
- MAPS (Multidisciplinary Association for Psychedelic Studies)
MAPS is the nonprofit organization that incubated and sponsored the modern MDMA-assisted therapy for PTSD program before the commercial approval effort moved into Lykos Therapeutics.