solvonisTHERAPEUTICS in partnership with
A trial observation brief for Solvonis Therapeutics

An MDMA-derivative for PTSD deserves the endpoint package Lykos didn't have.

MDMA-class trials face an open-label problem no PRO can solve alone. Videra Health is the multimodal observation platform that surfaces vocal, facial, linguistic, and somatic signal across the session and beyond — the objective evidence layer that wins regulatory and payer conversations.

See how we'd observe Aydia

The Asset

Aydia

Solvonis' MDMA-derivative program for PTSD, positioned to address the regulatory pathway questions Lykos' MDMA-assisted therapy could not.

IndicationPost-Traumatic Stress Disorder
PhaseEarly clinical development
ClassMDMA-derivative entactogen
Mechanism5-HT/NE/DA releaser
SettingIn-clinic with psychological support
DifferentiatorDesigned for post-Lykos regulatory bar
Why we're paying attention

Aydia is positioned to learn from the Lykos CRL.

The post-Lykos opportunity

Aydia is Solvonis' MDMA-derivative program for PTSD. The therapeutic mechanism is established. What's open is regulatory pathway: how to design a trial that delivers the endpoint package the FDA wants and the payer evidence the market demands.

The functional unblinding problem that hit Lykos. The therapist fidelity question the FDA wanted answered. The objective behavioral endpoints traditional PROs cannot deliver. All documented, all addressable in trial design.

Design for what Lykos couldn't deliver

The Lykos CRL named specific issues: functional unblinding evidence, therapist conduct documentation, objective behavioral endpoints. Aydia trials can deliver all three from Phase 2 forward — but only if observation is architected in, not retrofitted.

The advantage is real. The execution requires the right measurement stack from day one.

2nd-Gen
MDMA derivative positioned post-Lykos
PTSD
Lead indication with documented MDMA-class efficacy
Phase 1+
Stage where endpoint architecture compounds most
In the News

We've followed Aydia since the Solvonis pipeline announcement.

From founding to the post-Lykos opportunity.

The observation problem

The Lykos lesson, applied to Aydia from the start.

MDMA-class trial design challenges are observable problems. Architecting observation into Aydia's trials closes them all.

Gap 1: Functional Unblinding

MDMA-class trials cannot be blinded subjectively.

Patients know they received an entactogen. The fix is not pretending otherwise — it is generating objective behavioral endpoints that survive the unblinding. Videra delivers that layer.

Gap 2: Therapist Fidelity

Therapist conduct was a named FDA concern with Lykos.

Observable session records make therapist conduct measurable, auditable, and defensible. The FDA cannot ask Aydia's investigators questions Lykos couldn't answer if Solvonis has the recordings.

Gap 3: Objective Symptom Trajectories

CAPS-5 at scheduled visits misses between-visit change.

PTSD recovery happens between visits. Continuous vocal, facial, and linguistic capture surfaces the symptom trajectories driving durability claims and payer access.

Gap 4: Pre-Launch Patient ID

PTSD patients are dramatically undertreated.

Building Aydia's referral funnel starts now. Video-based PTSD screening deployed across primary care surfaces the patient population before commercial launch.

Three ways Videra observes Aydia

Purpose-built for the regulatory bar Lykos exposed.

Our platform pairs in-clinic AI hardware with multimodal behavioral analytics and a custom algorithm engine, already proven in TDScreen and Check on Mom. Here's how each maps to Aydia.

01 · Ambient Monitoring

An AI-powered video cart that creates the audit trail Lykos lacked.

A clinical-grade camera and directional audio rig that drops into any Aydia trial site in minutes. Every therapist-participant interaction recorded at the same fidelity, every session reviewable. The defensible record the FDA expects.

  • Verifies dosing protocol adherence and consistent administration across sites
  • Standardizes facilitator language and post-dose check-ins
  • Generates a defensible session record for regulators, monitors, and post-hoc review
  • HIPAA-compliant, end-to-end encrypted; data never leaves the secure pipeline
See it in action. Videra Monitoring Stand reference →
PROTOCOL: VERIFIED Site #042 · Session 14 VIDERA MONITORING STAND Same setup. Same angles. Every site. Every session.
VoiceVitals · Live capture● Recording
00:00T+18 min00:60
Vocal affect tone↑ 32% vs. baseline
Speech rate variabilityNormalized at T+45
Facial expressivity (FACS)Peak T+22 min
Linguistic sentiment+1.8σ shift sustained
02 · Multimodal AI Endpoints

ASSESS turns Aydia sessions into FDA-defensible objective endpoints.

Multimodal analysis of voice, video, and language during and after the entactogenic session. The objective behavioral endpoints that survive functional unblinding. The PTSD symptom trajectories between visits.

  • Objectively capture onset, peak, and resolution of the psychoactive window
  • Augment MADRS and HAM-D with continuous, between-visit behavioral data
  • Built on 1M+ patient interactions across 300+ behavioral health facilities
  • Designed for 21 CFR Part 11, HIPAA, and SOC 2 Type II environments
Proof point: Check on Mom. Live AI video screener for postpartum depression →
03 · Custom Algorithms

The same engine that built TDScreen can build Aydia's evidence dossier.

For Aydia, that means objective response biomarkers, therapist fidelity scoring, and PTSD durability prediction — the exact data set the FDA wanted from Lykos.

  • Identify objective behavioral endpoints that survive functional unblinding
  • Stratify likely responders vs. non-responders earlier in treatment
  • Feed regulatory submissions, label expansion, and payer dossiers
  • Live algorithms today: TDScreen (AUC 0.89, J Clin Psychiatry) and Check on Mom
Proof point: TDScreen. AI that outperforms trained clinician raters, in production →
LIVE · IN MARKET

TDScreen

AI-powered tardive dyskinesia screening built on the AIMS standard. AUC 0.89 vs. trained raters, peer-reviewed in J Clin Psychiatry.

tdscreen.ai →

LIVE · IN MARKET

Check on Mom

Conversational AI + video screener for postpartum depression. Used in real homes, on real devices, validated against clinical frameworks.

checkonmom.ai →

PROPOSED · AYDIA

A "Aydia Evidence Dossier"

Multimodal AI model trained on Phase 2-3 Aydia data, generating objective endpoints, therapist fidelity records, and durability predictions designed for the post-Lykos FDA bar.

Strategic Alignment

Where Solvonis is headed, and how Videra fits.

Aydia's path to a Lykos-proof Phase 3, mapped to Videra capabilities in production.

Solvonis Therapeutics's Priority
How Videra Accelerates
Build Phase 2-3 with FDA-defensible objective endpoints
ePRO+ with VoiceVitals delivers objective behavioral endpoints that survive functional unblinding
Document therapist conduct to FDA-defensible standards
QAview ambient monitoring creates auditable session records at every site
Generate durable functional outcome data for payer access
Behavioral-health network captures PTSD functional outcomes between visits
Establish PTSD patient identification ahead of launch
EngageEntry video-based screening surfaces PTSD patients in primary care
Build the launch-ready evidence and infrastructure layer
EngageEntry for screening, SignalSort for response monitoring, InsightTranscribe for KOL sentiment
Built on real-world data

Not a pitch. A platform.

Videra's network isn't our customer base. It's the living dataset that powers every algorithm we build. For Solvonis Therapeutics, that means real clinical depth and peer-reviewed validation.

300+
Behavioral health facilities
1M+
Patient interactions analyzed
0.89
AUC for TDScreen (J Clin Psychiatry, 2025)
94%
Patient program completion rate
HIPAA Compliant SOC 2 Type II 21 CFR Part 11 ready End-to-End Encrypted

Let's explore what this could look like for Aydia.

We'd welcome a 30-minute session to walk Solvonis through a tailored, protocol-by-protocol proposal for Aydia's clinical development plan.

Your Videra contact
Ryan Roberts
Videra Health
ryan@viderahealth.com viderahealth.com →