Phase IIb randomised, double-blind trial (n=96) comparing two doses of psilocybin (25 mg vs 5 mg) plus psychological support; two doses given one month apart with outcomes over 33 weeks in adults with severe GAD.
Open-label, single-group Phase II pilot (n=38) testing two IV ketamine infusions (0.5 mg/kg each, 40 min, at H0 and H24) plus Good Psychiatric Management in adults with severe BPD; primary outcome at day 9 (BSL-23).
Phase II, assessor-blinded, randomised controlled trial (n=30) of a single 25 mg oral synthetic psilocybin dose given with either standard psychological support or psychological support plus MBCT in adults with PTSD.
This Phase I, open-label, dose-escalation trial (n=10) will evaluate the safety and psychological effects of a combined psilocybin and D-Serine formulation; cohort 1 will receive psilocybin 15 mg with D-Serine 5 g, and if safe cohort 2 will receive psilocybin 25 mg with D-Serine 7 g.
Open-label, randomised, parallel pilot RCT (n=30) comparing ketamine (0.5 mg/kg IV x4 over 2 weeks) plus MBCT versus MBCT alone for adults with comorbid chronic pain and PTSD.
This Phase I, open-label trial (n=30) will study the psychological and biological effects of MDMA-assisted therapy in mental health providers in training, with a single experimental MDMA session (120 mg initial oral dose with optional 40 mg supplemental dose 1.5–2 hours later), plus preparatory and integration sessions.
Phase I open-label single-cohort IV study (n=4) assessing safety and PK of a single TRP-8803 (psilocin besylate) infusion (5 mg loading over 20 min then 5 mg over 120 min) with psychedelic-assisted psychotherapy in healthy adults.
Open-label, randomised Phase I trial (n=20) assessing safety and tolerability of single 25 mg or split 12.5 mg+12.5 mg oral psilocybin in people with chronic stroke; secondary outcomes explore motor recovery.
This double-blind, placebo-controlled, crossover trial (n=48) will study the effects of psilocybin (15 mg) on memory, cognition, and brain function in healthy adults.
This open-label, randomised controlled Phase II trial (n=30) will test a six-week Fly-In-Fly-Out Psilocybin-Assisted Therapy (FIFO-PAT) programme for major depressive disorder (MDD), using a single 25 mg oral dose of psilocybin alongside psychotherapy and either a virtual-reality (VR) integration tool or journaling.
This randomised, quadruple-blind, placebo-controlled Phase II trial (n=50) will assess the effects of ketamine (52.5mg/70kg; 0.75 mg/kg IM, four doses over two weeks) on opioid craving and withdrawal symptoms in adults newly entering methadone treatment for opioid use disorder.
This quadruple-blind, randomised controlled trial (n=76) will study the effects of psilocybin (25mg or 1mg) combined with Acceptance and Commitment Therapy (ACT) in adult survivors of intimate partner violence (IPV) with post-traumatic stress disorder (PTSD).
Phase II, single-group, open-label study (n=35) of a single 25 mg oral psilocybin dose with psychotherapy for cisgender women with PTSD secondary to sexual assault.
This open-label Phase I trial (n=15) will assess the feasibility and safety of a single 25 mg dose of pharmaceutical-grade psilocybin combined with psychotherapy in women aged 18–45 with chronic pelvic pain (CPP) who have not responded to at least one conventional treatment.
This randomised, double-masked Phase I/II trial (n=20) will study the safety, tolerability, and efficacy of psilocybin (10mg vs 30mg) across four sessions for the treatment of obsessive-compulsive disorder (OCD).
This open-label Phase I/II trial (n=12) will study the effects of oral ketamine (beginning at 35 mg/70 kg and increasing to 140 mg/70 kg) in combination with prolonged exposure therapy for the treatment of post-traumatic stress disorder (PTSD).
This randomised, double-blind, low-dose comparator-controlled Phase IIb trial (n=87) will study the effects of different doses of psilocybin (PEX010; 1-10-25mg) delivered during a psilocybin-assisted psychotherapy (PAP) session in individuals with adjustment disorder following a cancer diagnosis.
Phase III double-blind, randomised, placebo-controlled trial (n=30) testing IV ketamine 0.5 mg/kg given during ECT sessions 2, 4 and 6 in hospitalised adults with treatment-resistant MDD.
Phase III, quadruple-blind, randomised, placebo-controlled trial (n=330) of CYB003 (8 mg and 16 mg; two dosing sessions ~3 weeks apart) as adjunctive treatment for major depressive disorder.
This Phase II open-label trial (n=15) will study the effects of psilocybin (25 mg) administered in the context of Psilocybin-assisted Existential, Attachment and Relational (PEARL) therapy for caregivers of patients with advanced cancer.
This Phase I randomised, single-blind trial (n=20) will study the effects of multiple low doses of psilocybin (MLS101) on brain activity, safety, tolerability, and pharmacokinetics in healthy adult volunteers.
This open-label fixed-dose trial (n=10) aims to determine the safety and feasibility of MDMA-assisted psychotherapy (80-120mg) for adolescents with treatment-resistant post-traumatic stress disorder (PTSD).
Early Phase I, randomised, placebo-controlled single-session study (n=48) testing a low (13 µg) dose of LSD versus placebo under known versus uncertain drug-identity instructions (balanced placebo design).
This open-label Phase II trial (n=30) will investigate the feasibility, safety, and antidepressant effects of oral ketamine (starting at 1 mg/kg, up to 2 mg/kg) in adults with bipolar depression.
This randomised, double-blind, placebo-controlled Phase IV trial (n=50) will study the effects of a single low-dose intravenous esketamine (0.2 mg/kg; ~14 mg/70 kg over 40 minutes) combined with oral duloxetine (60 mg/day) on depression in patients with postherpetic neuralgia.
This randomised, double-blind, placebo-controlled Phase II trial (n=60) will study the feasibility, safety, and acceptability of oral ketamine (60–180 mg, administered twice weekly) as a treatment for adults with long-standing anorexia nervosa and comorbid treatment-resistant depression.
This open-label, single-arm Phase IV trial (n=47) will evaluate the efficacy and safety of esketamine nasal spray (flexibly dosed at 56mg or 84mg) in Korean adults with treatment-resistant depression (TRD).
This Phase I open-label trial (n=12) will investigate the safety, feasibility, and initial efficacy of intravenous psilocin (TRP-8803), administered in two doses (ranging from 6.7 mg to 15 mg) two weeks apart, paired with psychedelic-assisted psychotherapy for adults with binge eating disorder (BED).
This Phase II randomised, quadruple-blind, placebo-controlled trial (n=200) will assess the safety and efficacy of intranasal SLS-002 (ketamine, 78mg) for post-traumatic stress disorder (PTSD) in active-duty service members and veterans.
This open-label, randomised crossover trial (n=25) will investigate the effects of intravenous (IV) ketamine (35 mg/70 kg; 0.5 mg/kg over 1 hour) combined with self-selected music, therapist-selected music, or silence on chronic noncancer pain.
This Phase I, double-blind, active-controlled trial (n=40) will investigate the safety and potential therapeutic effects of co-administered MDMA and psilocybin in military Veterans diagnosed with post-traumatic stress disorder (PTSD).
This open-label Phase II trial (n=100) will study the safety, tolerability, and potential therapeutic effects of psilocybin (2 x 25 mg oral doses, taken at least 3 weeks apart) in the biological children of genocide survivors who are living with mood and anxiety disorders.
This randomised, quadruple-blind, placebo-controlled Phase III trial (n=90) will study the effectiveness, safety, and tolerability of psilocybin (25 mg)–assisted therapy compared to an active placebo (1 mg psilocybin) in individuals with treatment-resistant depression associated with bipolar II disorder.
This open-label, Phase II trial (n=20) will investigate the feasibility, safety, and effects of psilocybin-assisted psychotherapy for cancer survivors experiencing depression and/or anxiety.
This Phase IIa, placebo-controlled, double-blind trial (n=50) will study the safety, tolerability, and preliminary efficacy of a 3 mg dose of psilocybin (oral solution) in adults with generalised anxiety disorder (GAD).
This interventional single-group feasibility study (n=20) will assess 8 weekly ACT sessions combined with clinic IV ketamine infusions for adults (18–70) with alcohol use disorder and treatment-resistant depression.
This randomised, triple-blind, placebo-controlled Phase I crossover trial (n=24) will compare the acute effects of two enantiomers of MDMA—R-MDMA (300 mg) and S-MDMA (100 mg)—in healthy adult participants.
This randomised, double-blind, placebo-controlled Phase III trial (n=60) will investigate the efficacy and safety of subcutaneous ketamine (35-70mg/70kg, twice weekly for four weeks) as an add-on treatment for adolescents experiencing a major depressive episode with suicidal ideation and/or behaviour.
Open-label Phase II pilot (n=20) testing feasibility, safety and preliminary efficacy of high-intensity inpatient MDMA-assisted psychotherapy for treatment-refractory PTSD; two MDMA sessions (80+40 mg; 120+60 mg) integrated into a four-week inpatient programme with manualised preparatory and integrative therapy.
This Phase II, randomised, placebo-controlled, double-blind, parallel-group single-centre trial (n=75) will assess the effects of a single IV ketamine infusion (0.8 mg/kg) combined with real-time fMRI neurofeedback versus sham NFT and placebo in people with alcohol use disorder.
Open-label, single-arm Phase I pilot (n=20) assessing a single 10 mg oral dose of psilocybin in adults with chronic pain who have implanted sensing-capable DBS devices; neural, sensory, and cognitive effects measured.
This randomised, double-blind, placebo-controlled Phase III trial (n=140) will evaluate the efficacy and safety of a single oral dose of MM120 (100 µg LSD D-tartrate) for the treatment of major depressive disorder (MDD).
This open-label, Phase II/III trial (n=36) will study the effects of ketamine (0.5 mg/kg IV infused over 40 minutes, four infusions over two weeks) on suicidal ideation in individuals with major depressive disorder (MDD).
Double-blind, placebo-controlled, 4-period crossover study (n=24) testing 20 mg psilocybin and 100 mg MDMA alone and combined in healthy adults to assess subjective and autonomic effects.
This randomised, placebo-controlled, quadruple-masked trial (n=112) will investigate whether the antidepressant effects of DMT (2 mg/min over 20 minutes; total ~40 mg) in patients with MDD depend on the subjective psychedelic experience by comparing DMT vs placebo under propofol sedation or no sedation.
This randomised, placebo-controlled, triple-blind Phase I crossover trial (n=24) will compare the acute and subacute effects of LSD (150µg), psilocybin (30mg), and DMT (up to 2 mg/min intravenous infusion) in healthy adults, with all sessions standardised using ketanserin (20 mg IV) to end the psychedelic experience after three hours.
This double-blind, randomised, placebo-controlled trial (n=40) will investigate the persisting effects of a single dose of psilocybin (1-30mg) on structural plasticity in healthy older adults.
Open-label single-group study (n=10) assessing feasibility, safety, and preliminary efficacy of a single 25 mg oral psilocybin dose with preparatory and integration therapy for UCSD physicians with burnout.
This open-label, early Phase I trial (n=10) will investigate the effects of a single intravenous ketamine infusion (0.5 mg/kg over 40 minutes) on glutamatergic activity and synaptic strength in individuals with treatment-resistant major depressive disorder (MDD).
Phase II, single-group supportive-care study (n=20) of low-dose oral psilocybin (source: Psilocybe mexicana) given twice weekly for 4 weeks (8 doses) with preparatory and integration psychotherapy in cancer patients with chronic opioid-treated pain.
This randomised, triple-blind, placebo-controlled Phase II mechanistic trial (n=40) will assess a single 16 mg oral dose of CYB003 versus placebo on brain activity and connectivity in participants with MDD and moderate-to-severe anxiety.
Randomised controlled feasibility trial (n=40) comparing a 21-day meditation-based DIPP versus a music-based DIPP control, each followed by a supervised 25 mg psilocybin session at University College London.
This Phase IIa, multi-centre, double-blind, randomised, placebo-controlled trial (n=60) will investigate the safety, tolerability, and efficacy of EMP-01 in adults with social anxiety disorder (SAD). Participants will be randomised 1:1 to receive two administrations of either 225 mg EMP-01 or placebo on Day 1 and Day 29, with the primary endpoint assessed at Day 43.
Randomized Phase III pilot trial (n=31) comparing standard IV ketamine (0.5 mg/kg over 45 minutes, 4 sessions) versus ketamine with concurrent immersive VR in adults with treatment-resistant depression.
Randomised, triple-blind, placebo-controlled, parallel-group Phase II trial (n=30) comparing single IV ketamine 0.5 mg/kg versus saline infusion in adults with treatment-resistant depression; primary outcomes include central and peripheral GABA and glutamate changes and change in MADRS at 24 hours.
This open-label Phase I trial (n=15) will investigate the effects of psilocybin (25mg) on brain function and cognitive control in healthy adults, using electroencephalogram (EEG) and transcranial magnetic stimulation (TMS).
Open-label, single-arm early Phase I pilot (n=20) assessing feasibility and tolerability of a single 25 mg oral psilocybin dose to promote abstinence in adults receiving residential treatment for methamphetamine dependence.
Double-blind, adaptive, two-stage, multi-site, Phase II randomised trial (up to 480 consented to yield 240 randomized) comparing single moderate (20 mg) and high (30 mg) doses of oral psilocybin with low-dose (1 mg) control in OUD patients on methadone.
Randomised, quadruple-masked Phase II trial (n=24) comparing single low (1 mg) vs high (25 mg) PEX010 psilocybin doses to study motivation/reward and cognitive flexibility circuits in people with opioid use disorder.
Quadruple-blind, randomised, low-dose controlled Phase II trial (n=108) comparing two escalating psilocybin doses (15 mg then 25 mg) versus two low doses (1 mg) in palliative patients with COPD, ALS, MS, or APD and co-morbid depression.
This Phase II, double-blind, placebo-controlled trial (n=40) will investigate the safety, effectiveness, and lasting effects of psilocybin (25mg) combined with psychological support (Psi-PS) in military veterans and first responders with both alcohol use disorder (AUD) and post-traumatic stress disorder (PTSD).
This triple-blind, placebo-controlled trial (n=30) will investigate the effects of a sub-hallucinogenic dose of psilocybin (5 mg) combined with Imagery Re-Scripting (ImRS) on cognitive processes and self-harm behaviour in young people aged 16–25.
This open-label, Phase I trial (n=15) will assess the safety and efficacy of psilocybin (25mg) alongside psychotherapy for treating demoralization syndrome in patients with advanced-stage cancer.
This Phase I, randomised, placebo-controlled, triple-masked, crossover design trial (n=60) will investigate the safety, tolerability, electrophysiological effects, and efficacy of dimethyltryptamine (DMT) in individuals with major depressive disorder (MDD) and healthy controls.
Non-randomised, parallel interventional study (n=40) testing sequences of HRT, MeRT, ibogaine and 5‑MeO‑DMT in Special Operations Forces veterans with PTSD and cognitive difficulties following TBI.
This open-label trial (n=24) will assess the feasibility of psilocybin therapy in patients with Amyotrophic Lateral Sclerosis (ALS) experiencing depressed mood. Participants will undergo an 8-week treatment course, including two psilocybin sessions (15 mg in week 4 and 15 or 25 mg in week 6), with follow-up assessments at 1, 3, and 6 months post-treatment.
This open-label, Phase III long-term extension trial (n=468 estimated) assesses the safety and long-term efficacy of CYB003 in participants with MDD; participants may receive up to three 16 mg CYB003 medicine sessions ~3 weeks apart while continuing stable antidepressant therapy.
This open-label, proof-of-concept trial (n=8) will investigate the feasibility and effects of combining intranasal esketamine (28-84mg) with Prolonged Exposure (PE) therapy for the treatment of post-traumatic stress disorder (PTSD). Participants will receive 10 sessions of PE in a massed format over two weeks, alongside esketamine administered six times (three times per week) approximately one hour after specific PE sessions.
This randomised, double-blind, placebo-controlled trial (n=175) will investigate the efficacy of stellate ganglion block (SGB) and ketamine infusion, both separately and in combination, in treating PTSD and TBI-associated headache.
Open-label, interventional single-group study (n=100) delivering six IV ketamine infusions over two weeks (induction; 0.2–0.5 mg/kg initial titrated to 1.0 mg/kg; ~40 min per infusion) followed by up to six maintenance infusions every 3–6 weeks for Australian veterans with TRD and PTSD.
This open-label, Phase II trial (n=20) will study the effects of a single intravenous (IV) dose of ketamine (35mg/70kg; 0.5 mg/kg over 40 minutes) on cognitive flexibility in adolescents and young adults (ages 16–26) medically hospitalised for anorexia nervosa or atypical anorexia nervosa.
Phase I interventional study (n=50) comparing ketamine pharmacokinetics and pharmacodynamics in postpartum cesarean patients versus healthy controls using a 12-hour infusion (0.18 mg/kg/hr x1 h loading then 0.05 mg/kg/hr x11 h maintenance).
Triple-blind, placebo-controlled, within-subjects study (n=50) testing whether various psychoactive substances (psilocybin, ketamine, DXM, DMT, MDMA, THC) produce experiences similar to classic psychedelics across up to six single-dose sessions.
This observational cohort study (n=200) will assess whether a speech-based machine learning algorithm can predict treatment response to psychiatric interventions, specifically repetitive transcranial magnetic stimulation (TMS) and Spravato (esketamine) nasal spray.
Double-blind, placebo-controlled randomised trial (n=1670) testing low-dose intraoperative and postoperative esketamine versus placebo to prevent postoperative delirium in high-risk elderly patients undergoing major non-cardiac surgery.
This open-label trial (n=30) will study the feasibility of administering a single dose of psilocybin (25mg) to adults with mild to moderate depression or anxiety who have shown limited improvement with brief psychological intervention.
This interventional trial (n=141) will investigate whether transcutaneous auricular VNS (taVNS) after a single 25 mg psilocybin dose enhances antidepressant effects in adults with major depressive episodes.
This open-label trial (n=10) will investigate the effects of a single dose of MDMA on social cognition in adults with Borderline Personality Disorder (BPD).
Open-label, single-arm early-phase I study (n=12) testing a single 25 mg oral dose of psilocybin for individuals with prolonged grief disorder to assess feasibility and symptom change.
Randomised, quadruple-blind, placebo-controlled parallel trial (n=60) testing whether 5-HT2A blockade with pimavanserin (34 mg) alters the subjective and antidepressant effects of a single 25 mg oral dose of psilocybin in people with MDD.
This interventional, randomised, double-blind, triple-masked crossover study (n=16) will assess dose-response and the role of 5-HT2A receptors on psilocybin effects using single oral doses (5, 10, 20, 40 mg), a 40 mg ketanserin pretreatment condition, and placebo.
This quadruple-blind, placebo-controlled trial (n=36) will investigate the role of stress response in shaping the positive effects of psilocybin (25mg or 1mg) by using metyrapone (750mg) to suppress cortisol production.
This triple-blind, randomised, placebo-controlled trial (n=60) will study the role of neuroplasticity in the behavioural effects of psilocybin in individuals with mild declines in emotional wellbeing. Participants will receive one of four medication combinations (25 mg or 1 mg psilocybin with IV midazolam or IV saline).
Triple-blind, randomised, parallel-group Phase II trial (n=36) testing a single 25 mg vs 1 mg PEX010 psilocybin dose (2:1) in individuals on MAT for opioid use disorder to assess neural and clinical outcomes including urine drug screens and MAT adherence.
Open-label, single-group Phase II trial (n=15) of psilocybin-assisted therapy in US military veterans with PTSD: two oral psilocybin sessions (15 mg then 25 mg) plus preparatory and integration psychotherapy.
This randomised, blinded, Phase III trial (n=156) will investigate MDMA-assisted psychotherapy (weight-based dosing with supplemental doses) versus dexamfetamine-, lorazepam-, diphenhydramine-, or placebo-assisted psychotherapy for social anxiety in autistic young people.
This open-label, early Phase I trial (n=10) will assess the feasibility, safety, and preliminary efficacy of ketamine-assisted group therapy for Spanish-speaking adults with depression.
Non-randomised, single-group Phase II trial (n=10) assessing safety and acceptability of up to two 25 mg oral psilocybin administrations with therapeutic support in individuals with Bipolar II depression and suicidal ideation (second dose optional, 4 weeks apart).
Open-label, interventional mechanistic trial (n=120) using intravenous ketamine (0.5 mg/kg over 40 minutes, max 60 mg; three alternate-day infusions in MDD participants) to study molecular and connectome correlates of rapid antidepressant and anti-suicidal effects.
Single-site, randomised, controlled RCT (n=70) comparing ketamine-assisted psychotherapy (KAP) to standard medical ketamine (KET) for MDD over four weeks; ketamine doses personalised 0.3–1.0 mg/kg.
Single-arm pilot feasibility trial (n=12) of intramuscular ketamine (0.50–0.75 mg/kg IM, 3 doses ~once weekly) combined with manualised psychotherapy (7 sessions) for publicly insured patients with moderate-to-severe methamphetamine use disorder who have or are at-risk for HIV.
Randomised, quadruple-blind Phase II trial (n=86) comparing a single 25 mg oral dose of PEX010 (psilocybin) versus a 1 mg active placebo, both with cognitive behavioural therapy, for adults with stimulant use disorder.
This double-blind, placebo-controlled crossover trial (n=24) will investigate low-dose MDMA (25 mg or 50 mg) effects on oxytocin in patients with arginine vasopressin deficiency and matched healthy controls.
Triple-blind, placebo-controlled pilot RCT (n=10) assessing feasibility of psilocybin-assisted psychotherapy for severe IBS: single 25 mg oral psilocybin vs 100 mg niacin (active placebo) during guided psychotherapy with preparatory and integration sessions.
This interventional feasibility study (n=32) will evaluate the impact of oral psilocybin (10mg) combined with a 12-week group-based programme tailored for firefighters.
This Phase I/II randomised, triple-blind, placebo-controlled trial (n=20) will study the effects of sublingual 5-MeO-DMT (6 mg, administered weekly for four weeks) on anxiety, depression, and cognitive function in individuals with mild to moderate Alzheimer's disease.
Observational prospective study (n=200) using computer tasks, MEG/EEG and MRI to assess how serotonergic psychedelics (psilocybin, DMT, LSD, etc.) alter brain information processing in people receiving these compounds through Yale clinical trials.
This open-label, Phase I trial (n=12) will investigate the effects of different methods of esketamine administration (28 mg nasal spray vs. 28 mg oral solution) with and without CYP3A4 inhibitors (grapefruit juice or cobicistat) on drug absorption and metabolism.
Phase 1b single-group interventional study (n=20) testing a single 25 mg dose of psilocybin with manualized psychotherapy to reduce fear of cancer recurrence in women with early breast cancer or ovarian cancer in remission.
Single-masked, randomised controlled trial (n=60) comparing psilocybin (two high-dose oral sessions, 5–6 g each, six weeks apart), CBT (8–10 sessions), psilocybin-assisted CBT, and routine care in adults with MDD.
Pilot sequential study (n=44 planned; initial n=5 open-label pilot) assessing feasibility, acceptability, and safety of four twice-weekly IV ketamine infusions (0.5 mg/kg) followed by a brief narrative intervention versus minimally enhanced usual care in Veterans with chronic low back pain and depression.
Phase III, randomised, open-label, non-inferiority study (n=400) comparing IV racemic ketamine (up to 60 mg per infusion, max 8 lifetime doses) versus intranasal esketamine (56–84 mg per dose) for treatment-resistant depression.
This double-blind, placebo-controlled trial (n=45) will study the safety and efficacy of two dosage levels of intravenous (2R,6R)-Hydroxynorketamine (RR-HNK) in adults with obsessive-compulsive disorder (OCD).
Triple-blind, randomised, placebo-controlled Phase II feasibility trial (n=30) testing single-dose psilocybin 25 mg versus active placebo dextromethorphan 400 mg with psychological support in adults with chronic neuropathic pain.
Open-label Phase I study (n=20) assessing feasibility, tolerability and safety of psilocybin (10 mg safety dose then 25 mg treatment dose) with manualised psilocybin-assisted therapy in autistic adults with treatment-resistant depression.
This open-label trial (n=50) will assess the safety and efficacy of psilocybin-assisted psychotherapy in patients with treatment-resistant major depressive disorder (TRD) in an Australian clinical setting. Participants will receive two doses of psilocybin (25mg each) alongside a structured programme of preparatory and integration psychotherapy sessions over approximately 16–18 weeks.
Phase I single-group study (n=15) testing a second psilocybin-assisted group therapy session (oral psilocybin with optional booster) for anxiety/distress in partial responders with metastatic cancer.
Single-group interventional study (n=10) testing a single 25 mg oral dose of psilocybin with pre/post MRI in patients with treatment-resistant depression to assess effects on the positive valence system.
This open-label observational trial (n=20) will investigate the effects of intravenous ketamine on treatment-resistant bipolar depression, with an interventional component of functional magnetic resonance imaging (fMRI).
This randomised, quadruple-blind, placebo-controlled trial (n=24 planned; 16 actual reported) will evaluate the safety, tolerability, and pharmacokinetics of multiple doses of MLS101 (a low-dose psilocybin formulation) in healthy adult participants.
Open-label proof-of-concept trial (n=12) of two psilocybin sessions (25 mg then 25 mg or 35 mg) with psychological support for treatment-seeking people with Cannabis Use Disorder across a 12‑week course.
This observational cohort study (n=30) will explore how veterans aged 65 and older enrolled in VA healthcare perceive ketamine-assisted psychotherapy (KAP) for depression and end-of-life distress.
This Phase III randomised, double-blind, placebo-controlled trial (n=220) will study the efficacy, safety, and tolerability of CYB003 (16mg), a synthetic psilocybin analogue, compared to placebo as an adjunctive treatment for major depressive disorder (MDD).
This interventional trial (n=600) will evaluate whether cognitive training can enhance or extend the rapid antidepressant effects of ketamine in patients already receiving ketamine treatment as part of their clinical care.
Open-label single-group early phase I feasibility study (n=100) of flexible-dose (5–50 mg) intranasal ketamine self-administration over 8 weeks for depression and anxiety in palliative cancer patients.
Open-label single-group interventional study (n=4) assessing a single 25 mg oral dose of psilocybin with MRI pre/post to evaluate neural correlates of cognitive control in patients with PNES.
This randomised, quadruple-blind, placebo-controlled trial (n=40) will evaluate the safety, feasibility, and efficacy of psilocybin-assisted therapy in adults aged 18–65 with persistent post-concussion symptoms (PPCS). Participants will receive either a high dose (25mg) or a low dose (1mg) of psilocybin and undergo 5–6 weekly sessions of BrainACT, an adapted form of Acceptance and Commitment Therapy (ACT) for individuals with acquired brain injury.
This Phase I/II randomised, triple-blind, placebo-controlled trial (n=40) will investigate the safety, tolerability, and potential therapeutic effects of sublingual 5-MeO-DMT (6 mg, 9 mg, or 12 mg) in individuals with elevated symptoms of anxiety and depression. Participants will receive one dose per week for four weeks, with monitoring throughout the trial.
This double-blind, randomised, placebo-controlled trial (n=120) will investigate the interaction between psilocybin (up to 25 mg, oral) and the context of its administration in healthy volunteers with moderate-to-lower-than-average mental well-being.
This triple-blind, active placebo-controlled crossover trial (n=40) will assess nebulized ketamine (1.5 mg/kg; ~105 mg/70 kg) versus active placebo midazolam (0.03 mg/kg; ~2.1 mg/70 kg) for reduction of depressive symptoms in adult psychiatric inpatients with moderate to severe MDD.
Phase I randomised, blinded crossover PK/bioavailability study (n=34) comparing R-107-H (3×60 mg) versus R-107-P (3×60 mg) in healthy volunteers under fasting conditions.
Open-label, within-subjects dose optimisation trial (n=60) in U.S. veterans with PTSD investigating the optimal number of MDMA-Assisted Therapy cycles (one MDMA session + three integration sessions).
Open-label, randomised feasibility trial (n=24) comparing psilocybin microdosing alone versus microdosing plus meditation in healthy adults; four supervised microdoses over two weeks.
This single-arm, Phase I/II pilot trial (n=30) will test psilocybin-assisted psychotherapy (25mg x 2 doses, 4 weeks apart) for treatment-resistant obsessive-compulsive disorder (OCD), body dysmorphic disorder (BDD), and anorexia nervosa (AN).
This randomised, quadruple-blind, placebo-controlled Phase I/II trial (n=50) will investigate the antidepressant, psychedelic, and adverse effects of Psilocybe cubensis mushrooms (equivalent to 30 mg of psilocybin) with or without daily fluoxetine (20mg) in adults with treatment-resistant depression.
Open-label, non-randomised Phase IV pilot (n=20) evaluating safety and feasibility of manualised 4-session CBT with three adjunctive subcutaneous ketamine doses (weekly, weeks 2–4) for adults with methamphetamine use disorder.
This randomised, quadruple-blind, placebo-controlled Phase III trial (n=60) will study the early effects of ketamine compared to placebo as an adjunctive therapy with venlafaxine in inpatients with severe unipolar major depressive disorder (MDD).
Randomised, crossover study (n=30) comparing 15 mg oral psilocybin with placebo in healthy volunteers to assess effects on brain synchrony and cognition during film viewing.
This interventional trial (n=50) will explore mechanisms of psilocybin in migraine and healthy controls using a randomized, parallel, quadruple-blind design with oral psilocybin 10 mg versus 2.5 mg THC control.
This double-blind, randomised, Phase II trial (n=90) will evaluate the efficacy of psilocybin-assisted therapy (25 mg x2) versus niacin (250 mg x2) plus therapy to reduce heavy drinking days in people with Alcohol Use Disorder.
This open-label, Phase II trial (n=16) will assess the feasibility, tolerability, and preliminary efficacy of psilocybin (25 mg) therapy for adults with chronic neuropathic pain and treatment-resistant depression (TRD).
This open-label, proof-of-concept pilot study (n=12) will assess the efficacy and safety of midomafetamine (MDMA)-assisted therapy (MDMA-AT) with three monthly experimental dosing sessions (80 mg first; 120 mg second and third; optional 50% supplemental dose).
Randomized, double-blind, placebo-controlled crossover Phase II trial (n=50) testing IV (2R,6R)-HNK infusions (0.25→2.0 mg/kg, up to four infusions over 2 weeks) versus saline placebo in treatment-resistant MDD.
This observational pilot study (n=10) will examine salivary oxytocin levels during a single dose of LSD as part of psychedelic-assisted psychotherapy (PAP) for anxiety disorders or depression.
Open-label, non-randomised single-group fMRI study (n=10) testing a single oral 20 mg psilocybin dose versus baseline to assess changes in brain response to food choice and reward in healthy adults.
This Phase II interventional trial (n=12) will evaluate the effects of psilocybin (25 mg) with and without risperidone (1 mg) on synaptic density in adults with treatment-resistant depression (TRD).
This interventional trial (n=5) investigates the safety and feasibility of ketamine-assisted psychotherapy in adolescents with posttraumatic stress disorder (PTSD).
This randomised, double-blind, placebo-controlled trial (n=120) will study the efficacy of intravenous (IV) ketamine versus IV midazolam in treating adults with moderate to severe methamphetamine use disorder (MUD).
Open-label, single-group feasibility study (n=20) evaluating group psilocybin-assisted therapy (two psilocybin sessions) for low-income adults with major depression in Oregon.
Open-label, single-arm proof-of-concept study (n=30) evaluating neurobiological effects of a single 25 mg oral psilocybin dose with accompanying psychotherapy in treatment-resistant bipolar depression (BD-II).
This interventional trial (n=12) will assess the feasibility and acceptability of administering a single 25 mg oral dose of psilocybin to healthy Māori volunteers in a marae setting under clinical supervision (open-label, single-group, Phase I).
This open-label trial (n=15) will evaluate the feasibility, tolerability, safety, and efficacy of psilocybin-assisted (25mg) cognitive processing therapy for chronic Posttraumatic Stress Disorder (PTSD).
This interventional controlled study (n=20) will evaluate GPM-Complex psychotherapy with or without 2–5 MDMA-assisted sessions (initial 80 mg with optional 40 mg supplemental dose) for treating PTSD in individuals with co-occurring BPD.
This Phase I, open-label trial (n=6) investigates how psilocybin (COMP360; 10mg) is absorbed, distributed, metabolised, and excreted in healthy male volunteers aged 30-55.
This double-masked, active placebo-controlled, single-dose randomised trial (n=80) will investigate the effects of intravenous (IV) ketamine versus remimazolam for depression in Veterans with Parkinson’s disease (PD).
This randomised, open-label, parallel arm trial (n=40) will examine the potential synergy between psilocybin (25 mg, single dose) and 8 weeks of mindfulness training versus psilocybin alone in healthy adults.
This double-blind, randomized, placebo-controlled Phase II trial (n=200) investigates the therapeutic neural mechanisms of psilocybin (30mg) in patients with alcohol use disorder (AUD).
This open-label, Phase Ib clinical trial (n=50) will investigate the safety, feasibility, and tolerability of a single dose of oral psilocybin (25 mg) in individuals with functional impairment due to psychiatric symptoms, including mood, anxiety, trauma, or addiction.
Randomized, double-blind, parallel Phase II trial (n=30) testing psilocybin-assisted psychotherapy (25 mg, two sessions) versus niacin placebo for depression and/or anxiety in patients with advanced cancer.
This randomised, double-blind, midazolam-controlled, multicentre trial (n=98) will investigate the efficacy and safety of low-dose subcutaneous ketamine in adults with bipolar depression.
Randomised, parallel-arm trial (n=6 actual) comparing concurrent behavioural activation therapy plus intranasal esketamine versus esketamine alone for treatment-resistant depressive episodes in MDD or BD.
Prospective case-control observational study (n=150) comparing single-dose IV ketamine (0.5 mg/kg), ketamine plus midazolam, and saline placebo in patients undergoing caesarean section to evaluate postpartum depression and postoperative outcomes.
This open-label randomized trial (n=50) will assess the safety of ketamine plus propofol sedation versus standard-of-care analgosedation in ICU patients with severe TBI.
Open-label, single-group Phase II study (n=65) evaluating safety, tolerability, and pharmacokinetics of Ketamine HCl PR tablets (start 40 mg BID; may increase to 80 mg BID) in adults with CRPS-related pain.
This Phase II open-label trial (n=15) will study Psilocybin-assisted Existential, Attachment and Relational (PEARL; 25mg) therapy for patients with advanced cancer.
Single-group interventional Phase II study (n=40) of psilocybin therapy for refractory Anorexia Nervosa in young adults with two dosing sessions (20 mg then up to 30 mg) plus preparatory and integration therapy.
Double-blind, randomized 1:1:1 Phase 2b dose-comparison trial (n=84) comparing single oral 25 mg, 10 mg and 1 mg PEX010 plus psychotherapy for adjustment disorder due to an incurable cancer diagnosis.
Phase I, open-label, non-randomised dose-escalation study (n=9) assessing safety and PK of a single 140-minute IV infusion of TRP-8803 (psilocin; 7.5, 14, or 20.5 mg) in healthy adults.
Randomised, triple-blind, parallel-group trial (n=204) testing a single 0.2 mg/kg IV esketamine injection versus 5 ml 0.9% saline in females undergoing surgical abortion with sleep disturbance.
This double-blind, active-controlled study (n=36) aims to evaluate the preliminary clinical efficacy, safety, tolerability, and pharmacokinetics of CYB004 (DMT) in participants diagnosed with Generalized Anxiety Disorder (GAD) with depressive symptoms.
Randomized, parallel-group pilot (n=20) testing psilocybin therapy (25 mg initial; second dose conditional up to 40 mg) for adults with chronic PTSD on an SSRI, comparing trauma-focused psychotherapy versus standard psychological support.
This randomised, triple-blind, placebo-controlled crossover trial (n=18) will investigate the acute analgesic (anti-pain) effects of N,N-dimethyltryptamine (DMT) on experimentally induced acute nociceptive pain, hyperalgesia, and allodynia in healthy participants.
Randomised, quadruple-blind, parallel-group trial (n=116) assessing intraoperative IV esketamine 0.3 mg/kg versus saline on consciousness measures in patients with prolonged disorders of consciousness undergoing surgery under sevoflurane anaesthesia.
Randomised, quadruple-blind, Phase II trial (n=60) comparing ketamine (0.5 mg/kg IV, 6 infusions over 3 weeks) plus CBASP or TAU versus placebo plus CBASP in patients with stage-2 treatment-resistant chronic depression.
Single-group interventional study (n=20) conducting repeated neurocognitive and neurobiological measurements in unipolar depressed patients, with a ketamine substudy using a single 0.5 mg/kg IV infusion.
Prospective randomised pilot trial (n=30) comparing outpatient IV ketamine (0.5 mg/kg/hr) vs ketamine+magnesium vs magnesium control in military patients with chronic neuropathic pain; PTSD outcomes are secondary.
Open-label case series (n=25) assessing feasibility of Perinatal SMILES (interpersonal psychotherapy plus two subcutaneous ketamine doses ~24 h apart) to improve post-cesarean mood in low-income women.
Double-blind, active-control randomised study (n=40) comparing a single 25 mg psilocybin dose to 40 mg methylphenidate in people with chronic low back pain and depression to assess safety, feasibility and effects on pain-related mechanisms.
Phase III randomised, parallel-group trial (n≈23) comparing one vs two 25 mg psilocybin-assisted therapy sessions for treatment-resistant depression with preparatory and integration therapy.
Randomised, quadruple‑blind, active‑placebo controlled Phase II trial (n=100) comparing a single 25 mg oral dose of psilocybin to 1 mg in patients with cancer‑related MDD (age 20–80).
This open-label, prospective trial (n=150) will investigate the safety, tolerability, analgesic effect, and feasibility of intranasal sufentanil/ketamine (CT001) in paediatric patients with moderate or severe pain attending an acute care setting, such as an emergency department following an injury.
This interventional trial, led by The George Institute, aims to compare the effectiveness of two formulations of ketamine (esketamine (Spravato®) and racemic ketamine), in treating treatment-resistant depression (TRD).
Multicentre, randomised, non-inferiority, parallel-group open-label trial (n=340) comparing six adjunctive IV esketamine infusions (0.2 mg/kg, 40-minute infusion, three times/week) versus six ECT sessions over two weeks for reduction of suicidal ideation in depressive episodes.
Open-label, single-group feasibility study (n=10) of two 25 mg psilocybin sessions given two weeks apart with supportive psychotherapy for treatment-resistant OCD.
Open-label feasibility study (n=100) of two 25 mg psilocybin sessions with preparatory and integration psychotherapy for hospitalized patients with treatment-resistant depression.
This parallel assignment interventional trial (n=34 planned; 1 enrolled per registry) assesses whether pre‑treatment presentation and a post‑treatment follow-up improve expectation and response to esketamine for depressive episodes.
This open-label interventional trial (n=20) will assess the effects of a single dose of psilocybin (25 mg COMP360) on rumination and its neural correlates in individuals with major depressive disorder (MDD).
This double-blind, randomized, placebo-controlled trial (n=35) will investigate the impact of psilocybin (5–10 mg) on pain perception in fibromyalgia patients.
Open-label, single-group Phase I feasibility study (n=10) of psilocybin-assisted psychotherapy (one 5 mg then two 25 mg oral doses) for body image disturbance in women with prior anorexia nervosa.
This randomized, controlled trial (n=1254) investigates the effect of an intensified pharmacological treatment (including ketamine/esketamine and clozapine) for schizophrenia, major depressive disorder (MDD), and bipolar depression in subjects who experienced a first-time treatment failure on their first-line treatment.
Open-label, randomised, parallel trial with blinded raters (n=418) comparing early-intensified pharmacological treatment including esketamine or ketamine (twice-weekly for 4 weeks) plus a second-line antidepressant versus treatment as usual in adults (18–65) with MDD and first-line treatment failure.
This observational cohort study will characterise the temporal profile of the anti-nociceptive effect of an intravenous ketamine bolus using the Nociception Analgesia Index (ANI).
Double-blind, randomized, placebo-controlled Phase II outpatient trial (n=90) evaluating CLE-100 (oral esketamine) 1 tablet once daily adjunctive to standard antidepressant therapy for 4 weeks in adults with MDD and inadequate response to ≥2 antidepressants.
This double-blind, randomized, placebo-controlled, parallel-group laboratory trial (n=63) conducted by Yale University aims to determine the effects of DMT (14-21mg/70kg/min) infusions, in conjunction with psychotherapy, on Alcohol Use Disorder (AUD).
Randomised, double-dummy, triple-blind, placebo-controlled, parallel groups trial (n=90) investigating sublingual LSD microdosing (2–20 µg, start 8 µg) twice weekly for 8 weeks versus active placebo (caffeine or methylphenidate) in people with MDD.
This Phase III, randomised, triple-blind, multicentre trial (n=240) compares single oral psilocybin 25 mg, psilocybin 5 mg, and inactive placebo in adults with Major Depressive Disorder using a Set and Setting psychosocial support protocol.
This Phase I interventional, randomized, quadruple-blind, placebo-controlled study (planned n=80; ACTUAL 24) will assess safety, tolerability and pharmacokinetics of low-dose psilocybin (MLS101) in healthy adults using SAD and MAD cohorts.
This pilot, double-blind, placebo-controlled randomised clinical trial (n=50) led by Brigham and Women's Hospital assesses safety and preliminary efficacy of IV ketamine (0.8 mg/kg over 40 minutes) for individuals with opioid use disorder and suicidal ideation in the emergency department.
Randomised, quadruple-blind, parallel Phase II trial (n=40) comparing IV ketamine 0.5 mg/kg vs midazolam 0.045 mg/kg twice weekly for 3 weeks in Veterans with mild–moderate TBI and comorbid PTSD and MDD to evaluate efficacy and safety.
This open-label trial (n=15) will assess feasibility, safety and preliminary efficacy of MDMA-assisted therapy (three monthly MDMA sessions with preparatory and integrative therapy) for postpartum people with co-occurring PTSD and Opioid Use Disorder.
Randomised, triple-blind Phase I factorial trial (n=108 planned) testing whether adjunctive taVNS enhances the long-term beneficial effects of a single open-label 25 mg psilocybin dose in medically healthy adults with modest reductions in wellbeing.
Randomised, quadruple‑blind, parallel Phase II trial (n=40) comparing a single 25 mg oral psilocybin dose versus a 1 mg active‑placebo with psychological support to treat anhedonia in treatment‑resistant MDD.
Open-label, single-arm Phase II proof-of-concept trial (n=16) evaluating two 25 mg psilocybin doses delivered with motivational enhancement/supportive therapy for adults with moderate–severe Cannabis Use Disorder.
This Phase II parallel assignment interventional trial (n=150) is conducted by Stanford University. The study aims to comprehend how ketamine functions in the brain to reduce symptoms of Obsessive-Compulsive Disorder (OCD).
This randomized, double-blinded, crossover trial (n=30) aims to characterise the effects of low doses of LSD on behavioural and neural indicators of feedback and feedforward signalling in perceptual decision-making.
Randomised, parallel-group trial (n=60) comparing MDMA-Assisted Therapy (three 8‑hour MDMA sessions with preparatory/integration therapy) versus an intensive somatic experiential therapy (SEA-IT) in male veterans with PTSD and moral injury.
This double-blind, controlled trial (n=90) aims to investigate the effect of a single high dose of psilocybin therapy (30mg) versus a very low dose (1mg) as an adjunctive therapy to individuals undergoing standard-of-care outpatient buprenorphine treatment for Opioid Use Disorder (OUD).
This placebo-controlled, double-blind, parallel-group interventional trial (n=120) aims to explore the effects of combining ketamine with real-time functional magnetic resonance imaging (fMRI) neurofeedback training in individuals with cocaine use disorder (CUD).
Randomized, parallel Phase II trial (n=92) comparing one versus two psilocybin doses (25 mg) with psilocybin-assisted psychotherapy in adults with treatment-resistant depression; first dose randomised 1 mg vs 25 mg, second dose open-label 25 mg.
Randomized, open-label, active-comparator controlled trial (n=20) comparing psilocybin-assisted psychotherapy (25 mg oral) vs ketamine-assisted psychotherapy (200 mg oral) in males with moderate or severe alcohol use disorder.
This randomised, double-blind, placebo-controlled crossover trial (n=20) conducted by the University Hospital in Basel, Switzerland, aims to investigate the effects of ketanserin, olanzapine, and lorazepam administered after LSD (150µg) on the acute response to LSD in healthy subjects.
This early Phase I interventional trial (n=10) will assess the neurophysiological effect of ketamine in patients with severe Traumatic Brain Injury (TBI).
This interventional trial (n=10) will explore the impact of audiovisual stimuli using virtual reality on the tolerability and effectiveness of ketamine/esketamine treatment for depressive episodes.
This interventional trial (n=120) aims to explore the neural circuit-specific mechanisms of ketamine's effect on anhedonia and anxiety in individuals with major depressive disorder (MDD).
Phase I, randomised, single-blind crossover FDG-PET study (n≈17) assessing acute cerebrometabolic effects of an oral harmine+DMT formulation versus placebo in healthy male volunteers.
This observational cohort study (n=450) will compare the long-term effectiveness, safety, and patient satisfaction of intravenous (IV) ketamine versus intranasal esketamine (Spravato) for treating major depressive disorder (TRD).
Randomized, double-blinded, midazolam-controlled crossover trial (n=40) testing single IV ketamine (0.5 mg/kg over 40 minutes) versus midazolam (30 µg/kg) in treatment-resistant depression to identify predictors of rapid and sustained response.
This open-label randomized waitlist-controlled pilot study (n=14) tests two 25 mg oral doses of TRP-8802 (psilocybin) with psychotherapy in adults with treatment-resistant IBS.
This double-blind, randomized, placebo-controlled trial (n=62) aims to determine the feasibility and preliminary clinical efficacy of psilocybin-assisted therapy (30mg) as a complementary intervention during inpatient rehabilitation for severe alcohol use disorder (AUD).
This double-blinded, randomized, placebo-controlled, parallel-arm pilot trial (n=20) will investigate the efficacy of intravenous ketamine (0.5 mg/kg IV) versus saline for emergency department treatment of suicidal ideation in adolescents.
Phase II, randomised, quadruple-blind trial (n=110) comparing i-CBT plus six IV ketamine infusions versus i-CBT plus six IV midazolam infusions to reduce suicidality in treatment-resistant depression.
Randomized, quadruple-blind Phase III parallel pilot (n=20) evaluating MDMA-assisted Massed Prolonged Exposure (one MDMA medicine session plus 12 90-minute PE sessions) in US veterans with PTSD; doses randomized (exact doses not disclosed).
This interventional trial (n=400) investigates the effect of esketamine infusion during laparoscopic sleeve gastrectomy on postoperative depressive symptoms among obese patients.
Single-group study (n=12) of a single oral psilocybin dose (20–25 mg, weight-based) assessing synaptotrophic effects with pre/post [11C]-UCB-J PET and fMRI in detoxified individuals with opioid use disorder (OUD).
Phase I interventional study (n=100) using ketamine-induced gamma band potentiation (GBP) in healthy, MDD and TRD groups to prognose 4-week antidepressant outcome across an induction course.
This triple-blinded, randomised, active placebo-controlled trial (n=34) will investigate IV ketamine (0.8 mg/kg, four infusions over two weeks) versus midazolam in adults with moderate depression and alcohol use disorder admitted for inpatient addiction therapy.
This double-blind, placebo-controlled trial (n=65) will assess the efficacy and safety of LSD (25μg) every 3 days for 3 weeks versus placebo in treating chronic cluster headaches (CCH).
This Phase IV interventional trial (n=40) aims to investigate the efficacy and safety of MDMA (84-100mg) in combination with Prolonged Exposure therapy (PE) for individuals with posttraumatic stress disorder (PTSD).
This randomised, controlled clinical trial (n=128) aims to investigate whether a single dose of psilocybin administered with motivational enhancement therapy (MET) can reduce heavy drinking in patients with alcohol use disorder (AUD).
Randomised, quadruple-blind, parallel pilot trial (n=30) testing two oral administrations of psilocybin (25 mg) versus inactive 1 mg control, given 3 weeks apart, for AUD with comorbid depression alongside usual care.
This open-label, single-group assignment trial (n=15) aims to assess the feasibility, safety, and preliminary efficacy of psilocybin-assisted therapy for opioid-refractory pain in patients with advanced cancer.
This open-label trial (n=24) aims to investigate the impact of a single dose of psilocybin (25mg), administered with therapeutic support, on the default mode network (DMN) in individuals with Functional Neurological Disorder (FND).
Phase II, randomised 2x2 factorial study (n=100) testing COMP360 psilocybin (25 mg vs 1 mg) combined with active or sham accelerated iTBS (SAINT/SNT) in treatment-resistant MDD.
This single-arm, open-label trial (n=14) will investigate the effects of Ketamine Assisted Psychotherapy (KAP) on individuals with Post Traumatic Stress Disorder (PTSD).
This randomized, double-blind, placebo-controlled study (n=160) aims to evaluate the safety, tolerability, and efficacy of Psilocybin-Assisted Psychotherapy (APEX-002-A02) in treating severe depression among adults with Post-Traumatic Stress Disorder (PTSD).
This interventional trial (n=30) will assess the efficacy and safety of MDMA-assisted psychotherapy for PTSD with 2–3 oral MDMA medicine days (120 mg + 60 mg top-up typical) alongside preparatory and integration psychotherapy.
Randomised Phase II neuroimaging crossover trial (n=50) testing oral psilocybin 25 mg versus microcrystalline cellulose placebo in participants with depressive disorder; two treatment sessions with MRI assessments and supportive psychotherapy.
This double-blind, placebo-controlled Phase II trial (n=50) will investigate the effects of intravenous ketamine infusions on patients with depressive symptoms in the intensive care unit (ICU).
This interventional trial (n=50) conducted by the University of Kansas Medical Center will assess the feasibility and safety of administering a single dose of ketamine to acutely suicidal patients in the Emergency Department.
Double-blind, controlled trial (n=90) comparing a single high-dose psilocybin session (30 mg) versus a very low dose (1 mg) as adjunctive therapy to standard buprenorphine treatment for OUD.
This PhaseII interventional trial (n=40), titled “MDMA-Assisted Cognitive Behavioral Therapy (CBT) Compared With Methamphetamine-Assisted CBT in Obsessive-Compulsive Disorder (OCD): A Phase II Study,” aims to assess the safety and preliminary effectiveness of MDMA-assisted cognitive behavioral therapy in participants diagnosed with obsessive-compulsive disorder (OCD).
This phenomenological exploration trial (n=15) aims to investigate the transient dissociative state induced by esketamine in patients with depressive disorder.
Randomized, quadruple-blind, parallel-group trial (n=30) testing single oral psilocybin doses (1–30 mg) combined with zolpidem, modafinil, both, or placebo for adults with chronic low back pain.
This observational cohort study (n=128) will evaluate the sustained effectiveness of intravenous (IV) ketamine for suicidal ideation in adults experiencing a suicidal crisis due to major depressive disorder.
This observational, case-only study (n=25) will investigate the self-administered therapeutic use of psychedelics in people with psychiatric disorders.
This Phase II interventional trial (n=60) aims to investigate whether psilocybin affects synaptic vesicular density (SVD) in individuals with amnestic Mild Cognitive Impairment (aMCI) compared to healthy participants.
This double-blind, randomized, dose-response trial (n=15) aims to assess the pharmacokinetic and pharmacodynamic profiles of RE02, a psychedelic drug, in healthy subjects.
This interventional trial (n=3) will assess the efficacy and safety of esketamine for the treatment of Rett Syndrome (RTT) in children aged 5 to 10 years.
This single-arm, open-label trial (n=15) assesses feasibility, acceptability and safety of psilocybin-assisted supportive psychotherapy (single 25 mg oral psilocybin session) for prolonged grief disorder in bereaved cancer carers.
Early‑Phase interventional dose-ranging study (n=40) assessing LSD single doses (25–200 µg) to quantify 5‑HT2A receptor occupancy in healthy participants using [11C]CIMBI‑36 PET/MR.
This randomised controlled trial (n=45) evaluates a 55-minute psychedelic-like VR intervention (Psyrreal) versus a non-psychedelic VR analogue and a conditional waitlist in adults with clinical depression.
Open-label pilot, single-arm Phase II study (n=10) evaluating safety and feasibility of an 8-week psilocybin-assisted psychotherapy intervention (25 mg plus optional 37.5 mg) to support opioid tapering in adults with chronic pain.
Open-label, non-randomised Phase I single-group study (n=20) testing psilocybin-assisted psychotherapy (initial 15 mg oral dose, up to 45 mg) for treatment-resistant depression in patients on stable psychotropic medication.
This open-label trial (n=0; withdrawn) was designed to investigate the viability of ketamine-assisted psychotherapy in treating emotional distress related to cancer.
This naturalistic, open-label, single-arm intervention trial (n=162) conducted by Royal North Shore Hospital assesses add-on intranasal esketamine (Spravato) for adults with major depressive disorder.
Open-label, parallel-group, randomised trial (withdrawn; ACTUAL n=0) comparing adjunctive intranasal esketamine versus adjunctive aripiprazole in veterans with treatment-resistant depression over up to 6 months; primary endpoint remission at 6 weeks.
Pilot double-blind, placebo-controlled randomised clinical trial (n=50) testing a single IV ketamine infusion (0.8 mg/kg over 40 minutes) versus saline in adults with severe alcohol use disorder seeking inpatient detoxification in the ED to assess safety and preliminary efficacy.
This Phase I intervention trial (n=120) investigates whether stimulating the serotonin system influences pro-social behaviour compared to stimulating the dopamine system in healthy individuals; single-dose psilocybin (15 mg), MDMA (100 mg) or methylphenidate (60 mg) in a double-blind randomized parallel design.
This observational cohort study (n=40), conducted by Yale University, aims to explore the long-term effects of ketamine for treating depression in Parkinson's disease (PD) and assess the impact of Cognitive Behaviour Therapy (CBT) on maintaining the effects of ketamine.
This open-label trial (n=15) will assess the safety and tolerability of a single sub-anesthetic (0.5 mg/kg) intravenous ketamine treatment in individuals aged 50–90 with mild cognitive impairment and depression (MCI-D).
This uncontrolled, single-arm, naturalistic study (n=162) aims to evaluate the positioning of Esketamine Treatment (PoET) for symptom management in adults with major depressive disorder (MDD).
This interventional trial (n=60) aims to assess the efficacy and safety of MDMA-Assisted Cognitive-Behavioural Conjoint Therapy (CBCT) compared to CBCT alone in dyads where one member has Post-Traumatic Stress Disorder (PTSD).
This open-label clinical trial (n=12) aims to assess the feasibility of ketamine-assisted psychotherapy (KAP) for adults with non-operable gastrointestinal (GI) cancers suffering from existential distress.
Double-blind, randomised, controlled perioperative trial (n=200) evaluating a single subanesthetic esketamine dose to reduce postoperative anxiety and depression in adolescents undergoing elective surgery.
Double-blind, randomised, parallel Phase II trial (n=293) of oral psilocybin microdosing (4 mg, 11 doses over six weeks) versus caffeine (60 mg) for moderate major depressive disorder.
Open-label Phase II single-group study (n=14) assessing ascending inhaled DMT (15 mg then 60 mg on a single day) for patients with partial response in depression.
Open-label single-group pilot (n=16 dyads, 8 PTSD+ veterans and their partners) testing MDMA-assisted bCBCT: 8-session therapy with two full-day MDMA sessions for PTSD+ veterans to evaluate preliminary effectiveness on PTSD and relationship functioning.
Non-randomised single-group pilot (n=16) assessing IV ketamine 0.5 mg/kg (40-minute infusions, four weekly doses) combined with Radically Open DBT in adults with treatment-resistant depression.
Randomised, parallel-group trial (n=60) comparing oral ketamine plus Behavioural Activation Therapy (BAT) vs oral ketamine plus treatment as usual in adults with treatment-resistant major depressive disorder; oral ketamine initial 0.5 mg/kg (up to 2 mg/kg) sipped over 30–60 minutes.
Randomized, open-label, single-blind, non-inferiority Phase IV comparative effectiveness trial (n=1500) comparing ECT versus subanesthetic IV ketamine (0.5 mg/kg) for rapid treatment of acute suicidal depression.
This open-label, non-randomized Phase IIa trial (n=18) evaluates the feasibility and safety of MDMA-assisted group therapy for treating PTSD in veterans. Conducted by the Portland VA Research Foundation, the study employs a unique treatment package comprising two once-monthly open-label MDMA sessions combined with non-drug preparatory and integrative therapy, both individual and group-based.
This randomized, double-blind, single-site Phase II trial (n=40) will investigate MDMA-assisted therapy’s safety and preliminary efficacy compared with low dose d-amphetamine-assisted therapy on the severity of PTSD symptoms in veterans with at least moderate PTSD severity.
Open-label, Phase I dose-ranging safety study (n=12) in healthy adults testing single oral doses of SM-001 (0.5, 1.0, 2.0 mL/kg) to assess safety and plasma biomarkers.
This Phase IV interventional trial (n=60) aims to investigate the effectiveness of intraoperative ketamine in reducing postoperative depressive symptoms in patients undergoing lumbo-peritoneal shunt insertion.
This non-randomized trial (n=100) investigates the psychological, cognitive, and physiological effects of a single session of psychedelic drug exposure with either psilocybin or MDMA in a group setting.
This Phase II interventional trial (n=120) explores the effectiveness of MDMA-assisted (80–160 mg per session, with possible supplemental doses) prolonged exposure therapy (COPE) versus niacin control in individuals with comorbid PTSD and alcohol use disorder.
This randomised, blinded, placebo-controlled, parallel-group pilot and feasibility trial (n=400) will investigate the efficacy and safety of using esketamine for the treatment of patients with severe acute brain injury. It will specifically focus on cortical spreading depolarisations (SDs) in TBI, aSAH, or ICH.
This quadruple-masked, randomised, multi-centre Phase II study (n=225) investigates the efficacy and safety of a single intranasal dose of BPL-003, combined with psychological support, in patients with treatment-resistant depression (TRD).
Randomised parallel Phase I/II pilot (n=24) comparing a single 15 mg versus 25 mg oral psilocybin dose paired with physiotherapy for refractory motor FND to assess safety and preliminary efficacy.
Randomised interventional trial (n=60) comparing psilocybin-assisted psychotherapy with family-member involvement versus PAP with therapists only; two 25 mg oral psilocybin sessions 3 weeks apart in adults with treatment‑resistant MDD.
Phase I single-group intervention (n=30) evaluating enhanced psilocybin microdosing (0.15–0.33 g dosing; monthly 1–1.5 g maintenance) for chronic conditions including PTSD, chronic depression, MS, HIV and Long COVID.
This Phase I interventional study (n=64) assesses feasibility of a resilience-focused 10-week community of practice programme incorporating one group-administered psilocybin-assisted therapy session for patients with end-of-life distress.
Single-blind, non-randomised, single-group repeated-measures study (n=15) testing IM 5‑MeO‑DMT (3, 6, 9 mg) and saline placebo across four sessions to assess MEG/fMRI markers and wellbeing.
This randomized, interventional trial (n=30) will compare MDMA-assisted Cognitive Processing Therapy (three MDMA sessions plus preparatory and integration therapy) versus standard Cognitive Processing Therapy for Veterans with severe PTSD.
This open-label, Phase II trial (n=18) will investigate the safety and preliminary effectiveness of MDMA-assisted therapy (MDMA-AT) in military veterans with co-occurring Alcohol Use Disorder (AUD) and Post-Traumatic Stress Disorder (PTSD).
Phase I/II single-group trial (n=55 actual) of oral psilocybin plus group and individual therapy for anxiety and/or depression in patients with metastatic cancer to assess safety and side effects.
This double-blind, randomised, controlled trial (n=280) will investigate the efficacy of ketamine-assisted psychological therapy in severe alcohol use disorder (AUD) patients.
Randomised, parallel Phase II trial (n=162) comparing two ketamine IV doses (0.2 mg/kg and 0.5 mg/kg; two infusions) vs midazolam (active comparator) combined with week-long trauma-focused psychotherapy for chronic PTSD.
This open-label pilot trial (n=20) aims to evaluate the tolerability and feasibility of LSD microdosing in patients with major depressive disorder (MDD).
This observational cohort study (n=540) aims to gather unified data from a large cohort of patients with Major Depressive Disorder (MDD) undergoing various treatment (including ketamine & esketamine) options to identify optimal biomarkers for depression treatments at the individual patient level.
This randomised, double-blind, 3-arm Phase II trial (n=160) compares three 25 mg psilocybin sessions vs two 25 mg psilocybin + one placebo session vs three placebo sessions, all paired with preparatory and integrative psychotherapy for treatment-resistant depression.
This double-blind, randomised, parallel Phase II trial (n=32) compares single-dose MDMA-assisted therapy (120 mg, optional 60 mg supplemental) versus methylphenidate-assisted therapy (20 mg, optional 10 mg supplemental) for depressive and anxiety symptoms in people with advanced-stage cancer.
Early Phase I randomised crossover study (n=33 actual) testing whether MDMA (100 mg) produces greater prosocial effects when administered with a familiar versus unfamiliar partner in healthy volunteers.
This interventional trial (n=12) assesses safety and tolerability of psilocybin-assisted physiotherapy (three oral sessions, 5-20 mg Williams design) in healthy volunteers.
This Phase II, single-center trial (n=56) investigates the efficacy, safety, and tolerability of up to two doses of psilocybin (25mg) administered at an interval of 9 to 10 weeks in patients with Major Depressive Disorder (MDD) and cancer.
Open-label, non-randomised interventional study (n=5) assessing safety and feasibility of three cycles of MDMA-assisted psychotherapy (87 mg initial dose + 43.5 mg supplemental) in patients with PTSD.
This open-label, Phase IV interventional trial (n=205) compares mescaline sodium enteric-coated tablets versus morte-mescaline, each given with glucocorticoids, for treatment of adult lupus nephritis in real-world settings with induction and maintenance phases.
This observational cohort study (n=20) aims to investigate the impact of a combined protocol of subanesthetic ketamine infusions (SKI) and bilateral cervical sympathetic blocks (CSB) on ageing in Special Operations Forces (SOF) members undergoing treatment for PTSD/TBI.
Observational prospective study (n=8 actual enrolled) assessing EEG, pupillometry and belief-updating before and after clinically prescribed esketamine (intranasal 28–84 mg) in people with MDD.
Single-group, single-blind Phase I interventional study (n=30) of psilocybin-assisted psychotherapy with three oral dosing sessions (1 mg then 25 mg ×2) given every two weeks in adults with treatment-resistant anorexia nervosa.
This double-blind, placebo-controlled proof-of-concept trial (n=60) aims to investigate whether the antidepressant effects of psilocybin are dependent on its psychedelic effects. Participants with treatment-resistant depression (TRD) will be randomly assigned to one of three groups: 1) psilocybin 25 mg plus risperidone 1 mg; 2) psilocybin 25 mg plus placebo; and 3) placebo plus risperidone 1 mg.
Adaptive Phase IIa/IIb study (n=70) with open-label dose-finding (30/50/70 mg oral MSP-1014.OX) followed by a double-blind, randomised, placebo-controlled proof-of-concept single-dose study with preparatory and integration psychotherapy in MDD patients with partial/no SSRI response.
Phase I open-label single-group study (n=10) assessing safety, tolerability and pharmacokinetics of a single oral L-130 capsule (psilocin mucate; reported 4 mg) in healthy male volunteers under fasting conditions.
This double-blind, placebo-controlled feasibility trial (n=40) investigates Psychedelic Microdosing-Assisted Meaning-Centred Psychotherapy (PA–MCP) in advanced-stage cancer patients. Led by Dr Lisa Reynolds at The University of Auckland, the study evaluates LSD microdosing (starting at 8 µg, twice weekly for 6 weeks; 13 doses total) alongside Meaning-Centred Psychotherapy.
Open-label Phase II multi-site study (n=18) assessing three sessions of MDMA-assisted psychotherapy (80–120 mg oral MDMA with supplemental half-doses) with preparatory and integrative therapy and caregiver involvement in female participants with AN‑R or BED.
Interventional single-group study (n=8) assessing acceptability, feasibility, safety, and preliminary efficacy of Psilocybin-Assisted Psychotherapy (two 25 mg oral sessions) plus Cognitive Processing Therapy in military veterans with PTSD.
This open-label trial (n=30) aims to explore the safety and preliminary effectiveness of MDMA-assisted therapy in Israeli veterans with PTSD and moral injury from special forces undercover units.
This double-blinded, randomized, placebo-controlled, parallel-arm pilot trial (n=20) will investigate the efficacy of intravenous ketamine for emergency department treatment of suicidal ideation (SI) in adolescents.
Open-label, Phase IIa single-dose study (n=13) evaluating safety, tolerability, and pharmacodynamic effects of a single intranasal dose of BPL-003 with relapse-prevention psychological support in patients with Alcohol Use Disorder.
This randomised, double-blind, placebo-controlled Phase I trial (n=32) assesses safety, tolerability, PK and PD of single-ascending oral doses of EMP-01 (ar-MDMA) in healthy adults across four cohorts (75–225 mg).
This interventional pilot study (n=4; target n=5) tests a single oral microdose (30 mg ayahuasca alkaloids co-formulated with l‑epicatechin complex) in healthy adults aged 25–60 to assess blood neurotransmitters, IL-6, safety, and mood.
Single-group pilot interventional study (n=7) evaluating IM ketamine administered weekly for three weeks combined with brief motivational enhancement therapy for tobacco use disorder.
Randomised Phase I study (n=16) comparing PK/PD and safety of six varying doses of a fixed-combination of DMT and harmine across six study days in healthy volunteers with continuous psychological support.
Phase I, double-blind, randomised, placebo-controlled crossover in healthy volunteers (n=25) comparing inhaled DMT 60 mg with a 1 mg placebo-like inhalation across two sessions on the same day.
This observational study (n=3) aims to observe the safety and tolerability of arketamine or placebo in patients with treatment-resistant depression (TRD) over a period of 12 months following their participation in a previous clinical trial (PCN-101-21).
Open-label, single-arm Phase II multicentre study (n=6 actual) evaluating inhaled GH001 individualized dosing regimen (up to three escalating doses 6, 12, 18 mg in one day) in adults with bipolar II disorder experiencing a major depressive episode.
This crossover intervention trial (n=30) conducted by Yale University investigates whether pre-treatment with perampanel attenuates ketamine's anti-suicidal and antidepressant effects (ketamine 0.5 mg/kg IV).
This observational trial (n=100) will study the metabolic effects of esketamine (administered nasally) in patients with treatment-resistant major depressive disorder (TRD) and healthy controls, using an untargeted metabolomic approach.
This open-label trial (n=10) will examine low-dose psilocybin as a safe treatment alternative for Fragile X Syndrome (FXS), aiming to improve markers of cognition, communication, mood, behaviour, neuroinflammation, serotonin levels in exosomes, and neuroplasticity.
Prospective observational cohort (n=80) comparing acute treatment courses of IV ketamine (0.5 mg/kg infusion) versus IN esketamine (56 mg then 84 mg) in adults with treatment-resistant major depressive disorder and suicidal ideation.
Randomized crossover, Phase I healthy volunteer study (n=36) testing IV DMT boluses (5–25 mg range, with placebo) to establish dose–response for subjective and autonomic effects.
Double-blind, randomised, single-ascending-dose Phase I study (n=48) comparing single oral ascending doses of Lucid-201 (1,2,4,6 tablets by cohort) with 100 mg niacin active placebo in healthy volunteers and patients with mild-to-moderate depressive symptoms to assess safety, PK and PD.
Open-label, ascending-dose, within-subject tolerability study (n=20) of MDMA (40, 80, 120 mg) in clinically stable patients with schizophrenia to assess psychotic symptom response at 24 hours.
Open-label interventional parallel study (n=96) comparing depressed patients treated with esketamine (Spravato) with healthy volunteers using fMRI emotional tasks, behavioural measures and biological profiling.
This is a single-arm, open-label Phase II clinical trial (n=15) investigating the anti-depressive effects of GH001 in postpartum depression (PPD) patients.
Adaptive, non-randomised Phase I healthy volunteer study (target n=15) testing IV psilocybin 2 mg (2‑ or 10‑minute infusions) with or without 0.2 mg oral clonidine to identify regimens that permit dosing during sleep.
Double-blind, placebo-controlled, randomised single-dose cohorts (n=64 across cohorts A–G) and an open-label multiple-dose cohort (J) investigating safety and serum pharmacokinetics of IV GH002 (5‑MeO‑DMT) in healthy volunteers.
This double-blind, placebo-controlled trial (n=40) aims to investigate the potential neurophysiological synergy effects between mindfulness meditation and psychedelics, particularly Ayahuasca, on experienced meditators.
Prospective observational study (n=120) assessing belief-updating in TRD patients before and 24 hours after a single antidepressant dose; a 60-patient subset will undergo fMRI (ketamine or monoaminergic treatments in routine care).
This treatment trial (n=40) aims to enhance depression relief among patients already undergoing esketamine treatment by introducing computer-based cognitive training.
This terminated diagnostic trial (n=1) aimed to measure the effects of ketamine infusion on cyclic AMP (cAMP) signalling in the brain using [11C]-(R)-Rolipram.
Phase III, randomised, double-blind, parallel-group study (n=568) comparing two administrations of COMP360 psilocybin at 25 mg, 10 mg and 1 mg in adults with treatment-resistant depression.
Open-label single-group study (n=12) giving four psilocybin doses (10 mg then three 25 mg sessions, ≥7 days apart) to healthy volunteers with repeated MRI to map brain and physiological correlates.
This Phase II interventional trial (n=102) randomises adults with MDD and up to four prior treatment failures to single-dose COMP360 (25 mg, 10 mg or 1 mg) with psychological support to assess safety, tolerability, pharmacokinetics and efficacy.
Single-blind, randomised, parallel extension (withdrawn) assessing maintenance of improvement over 3 months (n=0) with intranasal esketamine (56 or 84 mg, 8 doses) plus Almond Therapy versus esketamine plus treatment as usual in participants with TRD.
This Phase II/III randomized pilot trial (n=24) conducted by The University of Texas Health Science Center at San Antonio aims to assess the feasibility of administering 100mg intramuscular (IM) ketamine alongside a Crisis Response Plan for patients with acute suicidal ideation in the Emergency Department.
Open-label, crossover study (n=14) assessing IM and IV SPL026 (DMT) in healthy participants with varying psychedelic experience (Part A crossover IM→IV; Part B single IM).
This open-label trial (n=35) will assess the electroencephalographic (EEG) responses before, during, and after four weekly low-dose (60 mg) intravenous ketamine infusions in patients with major depressive disorder (MDD).
This open-label, single-arm trial (n=30) aimed to evaluate the effect of length of time on selective serotonin reuptake inhibitors (SSRIs) on the response to psilocybin-assisted therapy in individuals with mild-moderate Major Depressive Disorder (MDD).
Observational cohort study (n=500) evaluating real-world home and clinic ketamine treatment plans for people with chronic conditions (pain, depressive and anxiety disorders) and the effect of adjunct therapies.
Double-blind, randomised, active placebo-controlled parallel study (n=126) testing two LSD doses (150 µg; second session 150 or 250 µg) versus low-dose active placebo (10 µg) for alcohol use disorder.
Open-label, randomised, parallel two-arm Phase I study (n=24) comparing 8-week MBSR vs 8-week MBSR plus a single 25 mg psilocybin-assisted group psychotherapy session for frontline healthcare providers with depression and burnout.
This neuroimaging trial (n=24) investigates the effects of one high dose of psilocybin (25mg) in those with depression. It specifically investigates the synaptic density (synapses are the connections between brain cells; neurons). The aim is to assess the relationship between the antidepressant and neurotrophic (growth within brain) effects of psilocybin.
Single-group Phase II study (n=15) testing two doses of oral psilocybin (15 mg then 25 mg, two sessions ~2 weeks apart) with preparatory and integration psychotherapy in US military Veterans with PTSD.
This double-blind, placebo-controlled crossover trial (n=60) investigates the effects of LSD on neural synchrony, prosocial behavior, and relationship quality in healthy romantic couples.
This RCT (n=24) does a direct comparison, the first one in a double-blind trial, of MDMA, psilocybin, and 2C-B (10/20/30 mg) plus placebo in a six-period crossover in healthy subjects.
This double-blind, placebo-controlled trial (n=54) will administer 5-MeO-DMT intramuscularly in varying doses (single 0.5–13 mg and multiple-dose combinations) in healthy adults to assess pharmacokinetics, safety, and tolerability.
This single-arm trial (n=15) aims to assess the safety, tolerability, and feasibility of using psilocybin (25mg) in combination with psychotherapy for methamphetamine use disorder.
Open-label Phase I study (n=24 planned; 18 enrolled) single 27.5 mg IV SPL026 (DMT fumarate) 10-minute infusion in adults with major depressive disorder, comparing patients on stable SSRI versus those not on pharmacotherapy; primary outcomes: safety, PK/PD and exploratory efficacy.
Open-label, single-group proof-of-concept study (n=15 actual) assessing simultaneous administration of oral aspirin (486 mg) + oral ketamine (80 mg) as an adjunct to oral antidepressant therapy in outpatients with treatment-resistant depression.
Randomised, double-blind, crossover neuroimaging study (n=67) comparing single doses of psilocybin 2 mg and 5 mg versus placebo in adults with and without Autism Spectrum Disorder to probe serotonin system regulation.
Single-group interventional study (n=48) assessing effects of personal psychedelic experience (MDMA, LSD, psilocybin) on therapists' therapeutic attitude and related capacities during SÄPT training.
Phase III randomised, double-blind, placebo-controlled trial (n=255) comparing a single 25 mg COMP360 psilocybin dose plus psychological support versus placebo in adults with treatment-resistant depression (Part A).
Single-arm, open-label interventional study (n=20 planned, ACTUAL registry count=5) of psilocybin-assisted interpersonal therapy for treatment-resistant major depression; two psilocybin doses plus eight psychotherapy sessions.
Early Phase I, randomized, triple-blind, placebo-controlled trial (n=250 MDD; +60 healthy controls) testing a single sub‑anesthetic IV ketamine infusion (0.5 mg/kg) versus saline to assess glutamate stress response, anhedonia, decision-making, and emotion processing.
This study aims to investigate the effects of repeated dosing of oral psilocybin on obsessive-compulsive disorder (OCD) symptomatology in a randomized, waitlist-controlled design with blinded independent ratings, and assess psychological mechanisms that may mediate psilocybin's therapeutic effects on OCD.
This observational, naturalistic study (n=1000), conducted by the Psychedelic Data Society (with the Quantified Citizen app), is set to explore the relationship between substance use and personality profiles.
Double-blind, randomized, parallel Phase II/III RCT (n≈300 estimated) comparing a single 25 mg oral dose of psilocybin plus psychotherapy versus a single 100 mg niacin active placebo plus psychotherapy in outpatients with advanced cancer to treat anxiety, depression and existential distress.
Phase I, non-randomised, sequential 3-session psilocybin-assisted psychotherapy study (n=30) using 3+3 dose-escalation sequences (doses 15→45 mg) to evaluate safety, tolerability, and preliminary efficacy for PTSD.
Double-blind trial (n=60) testing single ascending and repeated IV DMT infusions (bolus + 6-h infusion) in healthy volunteers to assess safety and tolerability.
Single-group mechanistic feasibility study (n=19) administering up to 10 mg psilocybin (COMP360) on two occasions to people with OCD to assess cognitive inflexibility, neuroplasticity, and symptom changes.
Phase I open-label randomised two-way crossover PK study in healthy volunteers (n=14) comparing 25 mg COMP360 as a single 25 mg capsule versus five 5 mg capsules in the fed state.
This interventional trial (n=100) aims to investigate the long-term maintenance effects of ketamine and esketamine on reducing suicide risk in patients with Major Depressive Disorder (MDD) and suicidal ideation (SI).
Single-blind, randomised Phase II trial (n=6, terminated) comparing Almond Therapy plus intranasal esketamine to Treatment as Usual plus intranasal esketamine over 28 days; esketamine given twice-weekly for 8 doses (56 mg initial, then 56 or 84 mg).
Randomised, double-blind, placebo-controlled Phase II trial (n=90) testing a single 25 mg dose of psilocybin plus psychological support versus placebo in treatment-seeking adults (20–70 yrs) with alcohol use disorder.
This open-label single-group assignment trial (n=20) aims to evaluate the feasibility, tolerability, and preliminary effectiveness of MDMA-assisted therapy for adjustment disorder (AD) in 10 dyads of cancer patients and their concerned significant others (CSOs).
This observational trial (n=30) will investigate the neurocomputational model of ketamine treatment response predictions in treatment-resistant depression (TRD).
Open-label Phase I single-group study (n=8) comparing oral (25 mg) and IV (5 mg) psilocybin in healthy adults to assess bioavailability, subjective effects and safety.
This open-label trial (n=30) will test whether the MDMA-assisted psychotherapy protocol is also effective in treating PTSD incurred by healthcare workers during the Covid pandemic.
Multicenter, quadruple-blind, Phase II randomized controlled trial (n=100) comparing a single oral dose of psilocybin plus brief existential psychotherapy versus a single oral dose of ketamine plus the same psychotherapy for demoralization in patients near end of life (≤2 years expected).
Open-label Phase I interventional study (n=24 planned; registry reports 18 actual) testing single IV doses of SPL026 (DMT fumarate) in MDD patients on SSRIs versus those not on SSRIs to assess safety and tolerability.
Open-label, single-group Phase II study (n=15) of psilocybin-assisted psychotherapy for treatment-resistant depression: two 25 mg oral dosing sessions (6 weeks apart) with preparatory and integrative therapy over 12 weeks.
This randomised, double-blind, placebo-controlled trial (n=0, withdrawn) aimed to assess the efficacy of micro-dosed psilocybin (PSIL428) in reducing anxiety and/or depression levels in adults.
Single-group feasibility study (n=0, withdrawn) assessing esketamine nasal spray with clinician-directed CBT supported by the Mindset app plus oral antidepressant in participants with treatment-resistant depression.
This interventional trial (n=500) designated as Ketamine Therapy Experiential Education Study (KTEES1), sponsored by Integrative Psychiatry Institute, investigates the effects of low-dose ketamine, administered intramuscularly to clinicians within a psychedelic-assisted therapy (PAT) training programme.
Observational prospective cohort (n=140) collecting real-world safety and tolerability data on ketamine treatment (IV, intranasal, oral) in adult psychiatric inpatients with a range of diagnoses including MDD, PTSD, OCD and others.
Phase I/II study (n=62 estimated) testing two fixed psilocybin doses (10 mg then 25 mg, one month apart) combined with either 12-session PA-CBT or 6-session minimal supportive therapy in adults with major depressive disorder to assess feasibility, acceptability and preliminary efficacy.
Open-label, single-group Phase II study (n=10) assessing a single 25 mg oral dose of psilocybin for adults with MDD and co-occurring BPD to evaluate safety and efficacy.
Open-label, single-group Phase I study (n≈11) assessing safety, feasibility, and acceptability of a single 25 mg oral psilocybin dose with supportive psychotherapy and multidisciplinary palliative care in cancer survivors with demoralization and chronic pain.
This adaptive, randomised, double-blind, placebo-controlled trial (n=48) evaluated the safety, pharmacokinetics (PK), and pharmacodynamics (PD) of single ascending intravenous doses of GM-2505 (second-gen, shorter duration, 5-HT2A agonist) in healthy volunteers.
Randomised, double-blind, placebo-controlled, parallel-group Phase II trial (n=56) testing a single subcutaneous MIJ821 injection plus standard care versus placebo in participants with treatment-resistant depression (TRD).
Single-group, open-label Phase I study (n=9 actual) assessing tolerability and efficacy of low-dose IV ketamine infusions for Levodopa-Induced Dyskinesia in Parkinson's disease.
This interventional trial (n=0, withdrawn) aimed to investigate the brain activity effects of psychedelic medicines, specifically psilocybin or MDMA, in healthy volunteers.
This open-label trial (n=20) will take EEG measures on participants who receive two doses of psilocybin (up to 25mg). Next to the brain measures, participants will be studied up to six months later.
This open-label trial (n=60) aims to assess the efficacy and safety of repeated subanesthetic maintenance doses of intravenous (IV) ketamine in patients with treatment-resistant bipolar depression (TRBD) over a period of twelve weeks.
Open-label, non-randomised feasibility study (n=30) of three weekly IM ketamine sessions (with optional small supplemental dose) combined with preparatory and integration psychotherapy for adults with treatment-resistant depression.
This Phase III interventional trial (n=140) evaluates whether continuous low-dose ketamine infusion reduces morphine consumption by ≥25% at 48 hours in severe trauma patients versus placebo.
Double-blind, randomised, multi-site trial (n=66) comparing two psilocybin sessions (30 mg; second session 30 or 40 mg) versus active placebo niacin (150 mg; second session 150 or 200 mg) plus CBT for smoking cessation.
Randomised, parallel-group Phase II study (n=32 actual) comparing COMP360 psilocybin 25 mg versus 1 mg with psychological support in adults with anorexia nervosa to evaluate efficacy and safety.
Randomized, double-blind, comparator-controlled crossover trial (n=30) testing low-dose IV ketamine (0.5 mg/kg, 40 min infusion) versus midazolam in patients with OCD at the Medical University of Vienna.
Double-blind, randomised, placebo-controlled single-ascending subcutaneous dose PK and safety study in healthy volunteers (n≈48; cohorts of 8, 6 active + 2 placebo) of FT-104 HCl (psilocybin formulation).
Phase I/II, randomized, triple-blind, placebo-controlled ascending-dose IV study (Part 1, HVs) and Phase IIa open-label IV study in MDD (Part 2); single IV doses of ELE-101 (psilocybin) with PK/PD and safety assessment.
This Phase I/II randomised, double-blind, placebo-controlled trial (n=57) studied the safety, tolerability, pharmacokinetics and pharmacodynamics of multiple ascending oral doses of CYB003, a synthetic psilocybin analogue, in healthy participants and those with major depressive disorder (MDD).
This observational cohort study (n=100) aims to assess the efficacy of psychedelics, including psilocybin, MDMA, LSD, and ketamine, for improving measures of wellness.
Randomised, triple-masked, crossover Phase I study (n=20) comparing oral psilocin (17.5 mg), sublingual psilocin (2.18–4.36 mg), and oral psilocybin (25 mg) in healthy adults with preparatory and integration sessions.
Randomised, double-blind, placebo-controlled parallel study (n=60) comparing a single IV ketamine infusion (0.5 mg/kg) to saline in patients with treatment-resistant depression to assess effects on autobiographical memory, emotional and reward processing, and brain connectivity.
This is a Phase II, multi-centre, randomized, double-blind, parallel-group, dose-finding study to assess the effect of four doses of MM-120 (25, 50, 100 or 200 μg LSD freebase-equivalent) for the treatment of anxiety symptoms in subjects diagnosed with generalized anxiety disorder (GAD).
This double-blind, placebo-controlled trial (n=140) investigates the efficacy and safety of ketamine in rapidly reducing severe suicide risk among youth aged 14-30 who have attempted suicide.
Double-blind, placebo-controlled Phase II trial (n=160) evaluating 25 mg psilocybin plus psychotherapy versus placebo in adults with Alcohol Use Disorder (AUD) over 24 weeks.
Non-randomised, sequential Phase I inhaled DMT study (n=27) in healthy volunteers; two ascending inhaled doses given in fixed order on the same day, 2 hours apart.
This Phase I/II interventional trial (n=96) will investigate the use of intravenous ketamine for the rapid reduction of suicidality in paediatric patients presenting with suicidal ideation (SI) in the emergency department (ED).
This placebo-controlled trial (n=56) will investigate the efficacy and safety of high-dose intravenous ketamine infusion in treating Chronic Daily Headaches (CDH) syndrome.
Randomised, double-blind, placebo-controlled Phase I trial (n=38) assessing safety, tolerability, PK and PD of IV and IM SPL028 (deuterated DMT fumarate) in healthy participants; optional Part B (MDD) did not take place.
This Phase II, open-label, non-randomized, 3-cohort study assesses the feasibility and safety of MDMA-assisted group therapy for the treatment of PTSD in veterans
Phase I, randomised, placebo-controlled crossover study (n=60; 25 MDD patients, 35 healthy controls) assessing IV subanaesthetic ketamine (0.5 mg/kg) vs saline during MRI to investigate effects on aesthetic processing and role in antidepressant/anhedonia mechanisms.
This open-label fMRI study will assess the effects of a single dose of psilocybin on rumination and the neural correlates of rumination in individuals with treatment-resistant major depressive disorder.
Open-label, crossover Phase I study (target n=30, actual enrolment 14) assessing safety, blood levels and effects of SPL026 (DMT fumarate) given IM and IV in healthy psychedelic-experienced (Part A) and little/no-experience (Part B) participants.
Open-label feasibility single-group study (n=4) of MAPS manualised MDMA-assisted psychotherapy for treatment-refractory PTSD with three MDMA-assisted sessions (initial 80 mg; supplemental half-dose at 1.5–2 h; sessions 2–3 may use 80–120 mg).
Non-randomised, parallel interventional study (n=24) testing a single 25 mg oral psilocybin session with preparatory and integration counselling for distress in persons with inoperable pancreaticobiliary cancer; paired family-member observational arm.
This therapeutic exploratory trial (n=30, withdrawn), sponsored by MAPS Europe B.V., Netherlands, aimed to assess the long-term safety and persistence of effectiveness of manualized MDMA-assisted therapy for the treatment of posttraumatic stress disorder (PTSD).
This open-label pilot study (n=30) aims to examine the effect of intravenous (IV) ketamine treatment on acute suicidality (SI) in patients with bipolar depression (BD).
Open-label single-group study (n=17) assessing two oral psilocybin doses (15 mg, then 25 mg at 2 weeks) plus psychotherapy for adults with fibromyalgia.
Randomised, quadruple-blind, placebo-controlled crossover study (n=45) testing single oral high (100 µg) versus low dose LSD in healthy volunteers to assess effects on neuroplasticity.
Randomised, double-blind, parallel trial (n=120) comparing two IM ketamine sessions with psychotherapy versus a naturalistic comparator in people with terminal illness; primary outcomes are STAI‑trait and DADDS.
Randomised, triple-blind, crossover early-phase study (n=43) comparing single oral MDMA 125 mg, methamphetamine 20 mg, and placebo in healthy volunteers to assess social motivation, social ability, and neural indices of social function.
Crossover, randomised Phase I study (n=80) using single oral doses of psilocybin (range 0-14 mg) to investigate effects on visual perception and brain representations using fMRI in healthy volunteers.
This double-blind, placebo-controlled crossover trial (n=30) tests intravenous subanesthetic ketamine (TCI to 0.75 µg/ml) versus saline in patients with disorders of consciousness, with TMS-EEG and multimodal imaging assessments.
Phase II, double-blind, randomized, quadruple-masked RCT (n=72) testing four IV ketamine infusions (0.5–0.75 mg/kg over 40 minutes) versus midazolam (0.02–0.03 mg/kg) as adjunctive treatment for moderate to severe treatment-resistant bipolar depression.
This double-blind, placebo-controlled therapeutic exploratory trial (n=60; PROUD) tests a two-week adjunctive subanaesthetic ketamine regimen (0.5 mg/kg IV) to improve retention in opioid-substitution treatment and prevent relapse in patients with opioid-use disorder.
This double-blinded, placebo-controlled feasibility trial (n=32) investigates the potential of a postoperative low-dose ketamine infusion to prevent depressive symptoms in neurosurgical patients with a history of depression.
Randomized parallel-arm placebo-controlled experimental medicine study (n=60) testing a single sub-anaesthetic IV infusion of ketamine 0.5 mg/kg versus saline in people with treatment-resistant depression to assess autobiographical memory, emotional processing and decision-making.
Open-label single-group proof-of-concept study (n=20) of psilocybin-assisted treatment for PTLD with two dosing sessions (15 mg, then 15 mg or 25 mg) plus psychological support.
Single-group, Phase I study (n=12) assessing two oral psilocybin doses (25 mg; second dose 25 or 50 mg) with behavioural support for adults with methamphetamine use disorder.
Open-label, single-group Phase II study (n=22) assessing a single 25 mg oral dose of COMP360 psilocybin administered with supportive psychological conditions in participants with PTSD.
This observational trial (n=13) was conducted by the University Hospital, Strasbourg, France. The study aimed to assess the tolerance and potential synergistic effect of combining intranasal esketamine with non-selective MAOIs in patients with depression and anxiety disorders.
This observational cohort study (n=1756) aims to collect long-term outcomes from the RSI trial (NCT05277896). It was conducted by Vanderbilt University Medical Center and led by Jonathan Casey, MD, MSc.
Phase I open-label randomized, two-period crossover PK study (n=14) comparing oral MDMA 100 mg under fed versus fasted conditions in healthy volunteers to assess food effects on bioavailability and safety.
This single-group assignment trial (n=6) aims to evaluate the feasibility and preliminary efficacy of ketamine as a treatment for patients with Opioid Use Disorder (OUD) and comorbid depression (OUDCD).
Randomized, triple-blind, placebo-controlled crossover Phase II study (n=50) testing weekly 2 mg oral psilocybin microdoses versus placebo in adults with major depressive disorder.
Retrospective observational chart review (n=250) of outpatient induction-phase IV racemic ketamine for treatment-resistant major depressive disorder at a single Canadian centre.
This randomized controlled trial (n=140) investigated the impact of a single subanesthetic dose of ketamine (35mg/70kg) administered intravenously during the induction of propofol/fentanyl anesthesia on acute mood states in women undergoing fractional curettage.
Double-blind, randomised, placebo-controlled, within-subject study (n=20) testing six low/microdoses of oral psilocybin (0, 1, 2, 5, 8, 10 mg) in healthy volunteers to identify doses that improve mood, cognition and sleep without hallucinogenic effects.
This open-label feasibility study (n=21) will assess the combination of IV ketamine with Mindfulness-Based Cognitive Therapy (MBCT) for the treatment of depression.
Open-label Phase 1 parallel PK study (n=16; 8 moderate hepatic impairment, 8 matched controls) assessing single oral 80 mg MDMA to determine effects of hepatic impairment on MDMA/MDA exposure and need for dose adjustment.
Randomised, double-blind, parallel-group trial (n=12 actual) testing IV low-dose ketamine 0.5 mg/kg versus active placebo (midazolam 0.045 mg/kg) in adolescents (13–19) with treatment-resistant depression.
This open-label Phase II pilot study (n=20), registered on ANZCTR with the trial acronym MASKOT, investigates the safety and tolerability of sub-anaesthetic ketamine in young people with methamphetamine use disorder seeking treatment to reduce their methamphetamine use.
This double-blind, placebo-controlled, full cross-over trial (n=30) will study the effects of psilocybin (10mg/70kg) on brain activity and thought dynamics in healthy volunteers.
Randomised, parallel-group Phase II trial (n=80) comparing oral ketamine (1.5 mg/kg) versus active control midazolam (0.05 mg/kg) given in weeks 3 and 5 within a 6‑week group mindfulness programme for moderate–severe Alcohol Use Disorder.
Randomised, double-blind, two-period crossover Phase I study (n=24) testing whether 6-week paroxetine pretreatment reduces 5-HT2A receptor expression and subjective response to a single 0.1 mg oral LSD dose in healthy volunteers.
Double-blind, randomised, placebo-controlled early Phase I trial (n=30) testing a single low-dose IV ketamine 0.2 mg/kg (min 10 mg, max 20 mg) versus saline in adolescents (12–18) with treatment-resistant depression and suicidal ideation in the emergency department.
Randomised, phase IV trial (n=500) comparing four esketamine concentrations added to postoperative PCIA versus no esketamine for postpartum depression and analgesia after cesarean section.
This study will investigate whether psilocybin administered under supportive conditions can reduce illicit opioid use and improve quality of life in individuals with Opioid Use Disorder (OUD) in Methadone Maintenance Treatment (MMT) who are concurrently using other opioids illicitly.
Randomised, double-blind Phase I study (n=60) evaluating single oral doses of KUR-101 versus placebo and oxycodone in healthy adults to assess safety, PK/PD, analgesic and respiratory effects.
Randomised Phase I single ascending-dose intranasal study (n=62) evaluating safety, tolerability and pharmacokinetics of BPL-003 (5‑MeO‑DMT) in healthy adults.
Randomized, open-label delayed-treatment Phase 2 study (n=20) assessing two MDMA-assisted therapy sessions (80 mg initial ±40 mg supplemental; second session may be 120 mg initial ±40 mg) plus preparatory/integrative psychotherapy for adults with generalized social anxiety disorder.
This double-blind, randomized, placebo-controlled trial (n=93) aimed to assess the safety and efficacy of IV ketamine (PCN-101) in treating Treatment-Resistant Depression (TRD).
This crossover, subject-blinded, clinical trial (n=0, withdrawn) aimed to correlate changes in brain activity with the reduction in suicidal ideation (SI) in response to a single intramuscular dose of ketamine.
Double-blind, randomised, parallel RCT (n=43) testing a single IV ketamine infusion (0.5 mg/kg over 40 min) with brief mindfulness training versus academic exercises in adults with unipolar depression.
Randomised, double-blind, placebo-controlled Phase II trial (n=180 planned) assessing once-daily KET01 prolonged-release ketamine tablets (120 mg or 240 mg) versus placebo as add-on therapy in outpatients with treatment-resistant depression.
This study aims to explore the safety and tolerability of a single dose of psilocybin (25mg) administered under supportive conditions to adult participants with TRD and chronic suicidal ideation.
Phase II randomised, quadruple-blind trial (n=12 actual) comparing four IV ketamine infusions (0.5 mg/kg each over 40 minutes across two weeks) versus midazolam in adolescents (13–17) with TRD and recent suicide event to assess reduction in suicidal ideation.
This interventional, randomised pilot feasibility study (n=44, age 18-65) aims to assess the potential of single-dose interventions (including ketamine) in reducing re-admissions for hospitalised patients with severe alcohol use disorder (AUD).
Proof-of-concept randomised clinical trial (n=30) of psilocybin-enhanced psychotherapy (two oral doses 25–30 mg) versus treatment-as-usual among veterans in residential treatment for methamphetamine use disorder.
Terminated single-group Phase II study (n=5) of intramuscular ketamine (0.5→1.5 mg/kg, up to 60 mg) weekly for 8 weeks with psychotherapy for adults (18–64) with MDD and opioid use disorder in remission.
Phase I interventional study (n=60) testing a single oral psilocybin 19 mg dose with vs without an 8‑week guided meditation programme to assess effects on brain connectivity (fMRI & EEG) in healthy adults.
Randomised, parallel-group Phase II trial (n≈72) of two-dose psilocybin-assisted psychotherapy (25 mg, optional escalation to 30 mg) versus diphenhydramine active-placebo (75 mg, optional escalation to 100 mg) in adults with GAD; two dosing sessions three weeks apart with preparatory and integrative therapy.
This double-blind placebo-controlled pilot study (n=20) conducted by the University of California, San Diego aims to investigate the safety and efficacy of psilocybin (25mg) in treating chronic phantom limb pain (PLP).
Randomised, double-blind, parallel-group study (n=30) testing a single oral dose of psilocybin (0.36 mg/kg) versus active placebo (dextromethorphan 2.6 mg/kg) for fibromyalgia.
Double-blind, randomised Phase II trial (n=44) comparing single oral low doses of psilocybin (5 mg, 10 mg) versus placebo to assess effects on pain tolerance and painfulness in fibromyalgia patients and healthy volunteers.
This study measures the safety and efficacy of repeated low dose MM-120 as treatment for ADHD in adults: a multi-center, randomized, double-blind, placebo-controlled trial.
Double-blind, randomized, parallel-group Phase III study (n=30) comparing single 25 mg oral psilocybin + psychotherapy vs 250 mg niacin active placebo with pre- and post-dose psychotherapy for depression and burnout in frontline healthcare clinicians.
This supportive care single-group study (n=200) will test whether regular use of the Apollo wearable (TVS) improves sustained remission rates from PTSD following MDMA-assisted psychotherapy.
Double-blind, randomised, placebo-controlled crossover Phase I study (n=17) comparing single oral methylone 200 mg, MDMA 100 mg, and placebo in healthy volunteers to assess abuse potential, subjective and physiological effects, and pharmacokinetics.
Randomised, parallel-group prevention trial (n=80) testing a single low-dose IV esketamine infusion (0.3 mg/kg over 40 min) versus saline to prevent postoperative depression after cardiac surgery.
Randomised, double-blind factorial trial (n=24) testing three repeated microdoses of LSD (20 µg; three dosing days) versus placebo in healthy volunteers to assess effects on mood, sleep, neuroplasticity and related biomarkers.
Randomised, double-blind, placebo-controlled parallel trial (n=51 actual) testing repeated IV ketamine infusions (0.5 mg/kg, six 40-minute infusions) for depression in people with Parkinson's disease.
Open-label Phase II feasibility study (n=12) of manualized MDMA-assisted psychotherapy for moderate-to-severe MDD, with up to two experimental oral MDMA sessions (supplemental dose allowed) and clinician-rated MADRS change at ~12 weeks as primary outcome.
Randomised, parallel-group Phase II trial (n=30) comparing immediate vs delayed point-of-care psilocybin for treatment-resistant depression; single dosing with up to two repeat doses permitted for relapse.
This observational cohort study (n=30) evaluated the safety and efficacy of Ibogaine-Magnesium Therapy in veterans with sequelae of repeated blast exposure.
Randomised, double-blind, placebo-controlled crossover Phase II trial (n=34) comparing repeated low oral doses of psilocybin (5 mg) and ketamine (35 mg) versus placebo in people with Parkinson’s disease to assess effects on affect, cognition and biological markers.
This open-label pilot trial (n=25) will assess the safety, tolerability, and clinical effects of intranasal ketamine (IN) treatment in patients with Ultra-Resistant Depression (URD) who have not responded to convulsive therapy.
Randomized, double-blind, active-placebo crossover imaging trial (n=56) comparing IV ketamine 0.5 mg/kg vs active placebo midazolam 0.045 mg/kg (three infusions per treatment period) in adults 18–55 with treatment-resistant depression.
This is a single-center Phase IIa open-label study to assess the efficacy and safety of a dose of psilocybin in subjects with hyperphagia resulting in overeating during both dosing sessions
This prospective, randomized, double-blinded, parallel-group trial (n≈72) compares intraoperative esketamine 0.2 mg/kg versus saline adjunct to general anaesthesia to assess postoperative depression, gut microbiota, and bispectral index in female breast cancer patients.
A multi-centre, Phase II, randomized, double-blind, active placebo-controlled trial of sub‑anesthetic IV ketamine vs midazolam in patients with Parkinson's disease and levodopa‑induced dyskinesia (n=30).
This open-label Phase II trial (n=10) investigates the safety and efficacy of MDMA-assisted Cognitive Processing Therapy (CPT) for Posttraumatic Stress Disorder (PTSD).
This Phase I open-label trial (n=14) studied the safety of psilocybin when administered to healthy participants enrolled in a psychedelic-assisted therapy training programme. Participants ingested 25 mg of psilocybin extract, and vital signs, including heart rate, blood pressure, temperature, and ECG, were monitored.
Randomised, double-blind, quadruple-masked crossover study (n=27) in adults with treatment-resistant depression testing IV ketamine 0.5 mg/kg (40 min) with oral naltrexone 50 mg or placebo pretreatment to assess acute glutamate, functional connectivity and cerebral blood flow effects.
Observational pilot survey (n=~102 actual) collecting anonymous self-reported data on intentions, experiences and demographics from people who attended entheogen therapy centres or retreats in the past five years.
This placebo-controlled, randomised trial (n=90) investigates the efficacy of a single infusion of ketamine combined with magnesium sulphate in treating refractory chronic cluster headache (CCH).
This parallel-group, randomised, quadruple-blind, controlled trial (n=104 planned; 63 actual) compares up to eight IV ketamine infusions (0.05 mg/kg) versus midazolam (0.045 mg/kg) in inpatients with major depressive episodes.
Open-label observational study (n=36) collecting EEG and genetic data from patients with treatment-resistant MDD receiving intramuscular ketamine as standard of care.
Randomised, double-blind, crossover Phase III pilot (n=20) comparing IV esketamine (Ketanest S) versus active placebo (diphenhydramine) for negative and depressive symptoms in patients with schizophrenia-spectrum disorders.
This double-blind, placebo-controlled randomized multicentre clinical trial (n=100) aims to investigate the safety and feasibility of using ketamine as an adjunct to a standard sedative strategy in Traumatic Brain Injury (TBI) patients.
This double-blind, placebo-controlled trial (n=24) aims to evaluate the effectiveness of ketamine treatment compared to midazolam over three consecutive days in patients with difficult-to-treat depression.
Open-label, single-arm pilot study (n=12) of two supervised oral psilocybin sessions (10 mg then 25 mg, ~2 weeks apart) for depression and anxiety in people with Parkinson's disease; primary outcomes safety, tolerability, and feasibility.
This interventional study, named PREDICT and conducted by Maastricht University, aims to comprehensively evaluate the acute and subacute effects of 2C-B compared to psilocybin and a placebo.
Open-label, non-randomised parallel-group study (n=16) testing six sub-anaesthetic IV ketamine infusions plus 12-week online CBT versus treatment as usual in participants with refractory PTSD.
This double-blind, placebo-controlled crossover trial (n=30) investigated the effects of MDMA (100mg) compared to placebo on feelings of closeness and mood in semi-structured dyadic conversations.
Multi-centre Phase I/II open-label, single-arm feasibility study (n=20) of psilocybin microdosing (1–3 mg/day, Mon–Fri for up to 4 weeks) to treat psychological distress in patients with advanced illness under palliative care.
This parallel assignment, single-blind clinical trial (n=396) evaluates IV esketamine (0.25 mg/kg) versus saline prior to modified electroconvulsive therapy (MECT) for patients with severe depression.
This longitudinal, randomized controlled trial (n=0, withdrawn) compares the efficacy of Electroconvulsive Therapy (ECT) and intranasal esketamine in patients with Treatment-Resistant Depression (TRD).
Randomised, Phase I parallel study (n=18) testing single and repeated oral psilocybin (10 mg) vs diphenhydramine placebo across two sessions ~7 days apart to assess effects on migraine headache burden and mechanisms.
Double-blind, placebo-controlled, randomised crossover neuroimaging study (n=20) testing single oral MDMA 1.5 mg/kg versus niacin 250 mg in adults with PTSD to assess mPFC and amygdala activation.
This double-blinded, randomised controlled trial (n=100) aims to assess the feasibility, tolerability, and safety of intermittent theta burst stimulation (iTBS) and oral ketamine (OK) as a combination treatment for Post-Traumatic Stress Disorder (PTSD).
This multi-site open-label study assesses the efficacy and safety of 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy in participants who were enrolled in a parent study for the treatment of posttraumatic stress disorder (PTSD).
This open-label trial (n=200) investigates the efficacy of a single ketamine infusion combined with music for suicidal ideation (SI) during a depressive episode.
This single-centre, prospective, randomized, double-blind, crossover trial (n=50) aims to compare the efficacy of ketamine and esketamine in ambulatory patients treated for fibromyalgia syndrome in a pain clinic.
Randomized, single-blind, crossover neuroimaging study (n=11) comparing single-dose psilocybin 25 mg vs methylphenidate 40 mg in healthy adults to map acute and 1-week effects on functional brain networks.
Randomized, double-blind, placebo-controlled single-dose and open-label multiple-dose Phase I study in healthy volunteers (n=46) assessing inhaled GH001 (5‑MeO‑DMT) at 6, 12 and 18 mg for pharmacokinetics, safety and psychoactive effects.
This open-label, dose-ranging clinical trial (n=50) aims to determine the feasibility, tolerability, and safety of weekly oral ketamine for PTSD over six weeks with follow-up assessments.
Double-blind, randomized, placebo-controlled Phase II trial (n=112) testing a single 75 mg intranasal ketamine dose versus 4.0 mg intranasal midazolam in adults (18–70) with acute suicidality to assess anti‑suicidal efficacy and safety.
Open-label, single-group pilot (n=16) testing six IV ketamine infusions (0.5 mg/kg) combined with five-session Written Exposure Therapy (WET) to improve and maintain PTSD symptom improvement in chronic PTSD.
Cross-sectional observational survey (n=102 actual responses to date) collecting insights from first responders and military personnel on need for, use of, and interest in medical marijuana or psychedelic-assisted therapy programmes.
This study is designed to compare the effectiveness of two medications, Ketamine and Midazolam, for rapidly relieving suicidal thoughts in people suffering from depression.
Pilot dosing, single-arm Phase 1 study (n=8 actual) evaluating single 25 mg psilocybin combined with repeated IV midazolam boluses to determine a midazolam regimen that permits a psychedelic experience while inducing amnesia for it in healthy volunteers.
This Phase I/Phase II interventional trial (n=60) aims to evaluate Ketamine Assisted Psychotherapy (KAP) as an adjunct to the Mindfulness-Oriented Recovery Enhancement (MORE) intervention for Opioid Use Disorder (OUD).
Randomised, quadruple-blind, parallel study (n=336) testing prophylactic IV esketamine (0.25 mg/kg) after cord clamp plus esketamine-supplemented PCIA versus saline to prevent postpartum depression after elective cesarean section.
The primary aim of this study is to assess the safety and tolerability of one 25 mg dose of psilocybin in participants with anorexia nervosa based on adverse events, vital signs, ECGs and laboratory tests; secondary aims explore symptoms, body image, anxiety and weight (n=16).
Naturalistic, prospective observational study (n=90) assessing subcutaneous ketamine (0.5 mg/kg initial; clinician-led escalation to 0.75–1.0 mg/kg) for reducing suicide risk and depressive symptoms in patients with depressive episodes, with a healthy control group.
Open-label, single-group pilot (n≈21) testing psilocybin-assisted psychotherapy with three dosing sessions (max 25 mg) in adults with chronic anorexia nervosa.
The prospective study will address the critical need for more precise characterizations of the acute visual effects of the drug psilocybin by measuring the impact of acute psilocybin intoxication on a perceptual task known as visual surround suppression, compared to an active placebo control.
Phase I randomised, triple‑blind, placebo‑controlled 5‑period crossover in healthy volunteers (n=23) comparing single oral MDMA, MDA, lysine‑MDMA, lysine‑MDA and placebo.
This randomized, controlled pragmatic trial (n=70) assesses the value of adding edupression.com® as a therapy adjunct to esketamine nasal spray in therapy-resistant depressive (TRD) patients.
Open-label single-group long-term extension (n=183) assessing long-term safety and tolerability of intranasal esketamine plus SSRI/SNRI in participants with treatment-resistant major depressive disorder who completed prior esketamine study.
Interventional, sequential Phase II dose-escalation study (n=37) assessing safety and EEG biomarkers of RL-007 (cohorts 10–80 mg, TID) with within-cohort placebo sequences in adults with schizophrenia.
This prospective, randomised, open-label trial (n=5) compared the analgesic efficacy and safety of a proprietary oral aspirin+ketamine formulation (AOK; ketamine 0.85 mg/kg + aspirin 324 mg) to Nurtec (rimegepant 75 mg ODT) in adult ED patients with acute headache.
Double-blind, randomised, placebo-controlled parallel study (n=90) testing a single 25 mg oral dose of psilocybin vs placebo, with a brief motivational interviewing intervention, in adults with MDD and co-occurring AUD; all participants receive a second unblinded 25 mg psilocybin dose after primary endpoints.
This open-label pilot study (n=5) aims to investigate whether a two-part outpatient procedure, utilising a modified ketogenic diet followed by a series of titrated ketamine infusions, can lead to improvements or remission of chronic anorexia nervosa in adults who have experienced symptoms for at least three years despite undergoing treatment involving at least two different modalities.
Randomised, double‑blind, placebo‑controlled Phase I/II two‑part study (n=66 actual) of IV SPL026 (DMT fumarate): single‑dose, dose‑escalation in healthy volunteers; patients with MDD receive dose 1 randomised vs placebo and an open‑label second dose 2 weeks later.
Phase I/2a randomized study (n=116) with single-ascending oral ibogaine doses (3–12 mg/kg) in healthy volunteers followed by a double-blind, placebo-controlled single-dose proof-of-concept in opioid-dependent patients for medically supervised opioid withdrawal.
Randomised, triple-blind, active placebo-controlled Phase II study (n=144) comparing oral psilocybin 25 mg and 5 mg versus nicotinamide placebo in patients with treatment-resistant major depression, two dosing sessions with psychotherapeutic support.
Open-label single-group pilot (n=20) with weekly psychological support and two psilocybin sessions (15 mg/70 kg at week 4; 15 or 25 mg/70 kg at week 6) for depression in people with MCI or early Alzheimer’s disease.
Fixed-order, open-label, dose-escalation interventional study (n=30 estimated) testing two IV DMT doses (0.1 mg/kg and 0.3 mg/kg) in healthy and depressed participants to assess safety and dose-related neurophysiological effects.
Randomized, triple-blind Phase IV trial (n=200) testing a single IV ketamine 0.5 mg/kg infusion plus computer-based cognitive training versus sham training and treatment-as-usual in medically hospitalized suicidal patients.
Phase II randomised, quadruple-blind parallel trial (n=75 actual) of IV ketamine (0.5 mg/kg weekly ×3) vs active placebo (midazolam 0.045 mg/kg) combined with Prolonged Exposure therapy for Veterans with PTSD.
Rater-blinded, randomised controlled trial (n=100) in patients with major depression and suicidal ideation; all receive esketamine and are randomised 1:1 to computer-assisted/in-person CBT (20 sessions over 16 weeks) versus treatment-as-usual to assess feasibility, safety, and efficacy for relapse prevention.
This open-label trial (n=25-50) investigates the effects of low-dose oral ketamine on depressive symptomatology in individuals aged 16 years and older diagnosed with treatment-resistant depression (TRD).
Open-label, single-group Phase II study (n=27 actual) assessing a single 25 mg oral psilocybin dose under supportive conditions for adults with treatment-resistant depression.
Single-group proof-of-concept IV ketamine study (n=5) testing a single 0.5 mg/kg (40 min) infusion in patients with comorbid major depressive episode and alcohol dependence.
This non-interventional study will serve as the long-term follow-up (LTFU) protocol for MDMA-assisted therapy clinical trials and will measure persistence of effectiveness using the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) as a measure of PTSD symptom severity
Open-label, randomised, Phase II pilot RCT (n=20) comparing psilocybin 25 mg with Visual Healing versus standard set and setting in adults with moderate–severe alcohol use disorder to assess feasibility, safety and tolerability.
Open-label pilot study (n=12) of a single oral 25 mg dose of psilocybin for adults with treatment-resistant body dysmorphic disorder with follow-up over 3 months.
Randomised, double-arm (esketamine vs saline) parallel trial (n=435 actual) testing a single intra-operative IV esketamine infusion 0.2 mg/kg over 40 minutes to treat perioperative depressive symptoms in adults undergoing major surgery.
Randomised, double-blind, parallel study (n=90) testing a single IV low dose esketamine 0.25 mg/kg versus saline to prevent postoperative depression and reduce pain in women undergoing radical mastectomy.
This randomized, double-blind, placebo-controlled crossover trial (n=30) called OxyMA aims to investigate the changes in circulating oxytocin levels in response to the oxytocin system stimulator MDMA in patients with diabetes insipidus and healthy controls.
Placebo-controlled, double-blind randomized naturalistic microdosing study (n=34) testing two 0.5 g dried Psilocybe cubensis sessions versus matched placebo in healthy microdosing volunteers with EEG, cognitive, behavioural and self-report outcomes.
Open-label, single-group Phase II feasibility study (n=10) administering a single oral dose of psilocybin 25 mg to people with alcohol use disorder to assess safety, feasibility and psilocin pharmacokinetics.
Open-label single-group Phase I study (n=10) assessing safety of two oral psilocybin doses added to a stable buprenorphine-naloxone regimen in adults with opioid use disorder.
Randomised, single-blind (assessors) parallel trial (actual n=32) comparing curated music versus no music during six 40-minute IV ketamine infusions (0.5 mg/kg) in treatment-resistant depression; primary outcome is systolic blood pressure change during infusions.
Phase I randomised, double-blind IV infusion study in healthy volunteers (n=74): SAD (6 cohorts, 0.1–4.0 mg/kg single 40-min infusions), MAD (2 cohorts, 1.0–2.0 mg/kg on Days 1,4,7,10), plus CSF cohort; PK, qEEG and safety-focused assessments.
Randomised, double-blind, placebo-controlled Phase I single ascending dose IV infusion study (n=50) assessing safety, PK/PD and tolerability of target-controlled DMT infusion in healthy smokers.
This open-label interventional trial (n=12) explored the feasibility of offering psilocybin therapy in a group setting to patients with cancer. The study aimed to decrease the therapist-to-subject ratio, implementing a 1:1 ratio with a group size of six patients.
Phase 1, open-label, single-group study (n=150) assessing psychological effects and safety of a single 120 mg MDMA dose (optional 60 mg supplemental) paired with preparatory and integrative therapy sessions in healthy volunteers and therapists in training.
Single-group interventional study (n=15 actual) tracking neurobiological targets in unipolar depression with a subsample receiving a single IV ketamine infusion (0.5 mg/kg over 40 min).
This open-label, randomized study will assess the comparative effectiveness of two versus three active MDMA-assisted sessions in U.S. military veterans with at least moderate chronic PTSD treated in an outpatient VA treatment clinic (n=26 actual enrollment); MDMA 120 mg + supplemental 60 mg with manualized psychotherapy.
Therefore, this study aims to explore the difference in the efficacy and safety of esketamine as an adjuvant therapy and positive control drug-pregabalin in patients with chronic visceral pain comorbid depression.
The study design is a double-blind, randomized, active-control trial of adolescents (ages 13-18 years) with recent suicidal behaviors (suicide attempt or increased suicidal ideation). All participants will be treated through a suicide prevention IOP (typically 6-8 weeks), as well as clinically indicated psychosocial and/or psychopharmacological treatments. Ketamine/midazolam treatment will occur twice weekly during the first two weeks of the study, followed by weekly assessments through week 12.
Randomised, double-blind, parallel healthy volunteer study (n=70) testing a single IV ketamine infusion (0.5 mg/kg) versus placebo to examine effects on reward learning and memory.
Randomised Phase III trial (n=25) comparing a single IV ketamine infusion (0.5 mg/kg) plus a 6-week venlafaxine regimen versus venlafaxine alone in severe major depressive disorder (MADRS ≥20).
Randomised, double‑blind, parallel pilot study (n=40 planned) comparing a single preoperative IV ketamine infusion (0.5 mg/kg over 40 min) versus midazolam (0.045 mg/kg) to improve perioperative depressive symptoms in surgical patients with a history of MDD.
Open-label, single-group Phase II study (n=15 actual) evaluating a single 25 mg dose of psilocybin with supportive therapy in adults with BP-II current depressive episode.
We propose a clinical trial of intramuscular ketamine in depressed ED patients with high-risk suicidality, which if successful would support a novel, easy-to-use, scalable intervention for busy emergency clinicians to implement.
This completed double-blind, placebo-controlled trial (n=24) aimed to investigate the effects of co-administering MDMA with LSD in healthy subjects. The study, conducted by the University Hospital in Basel, Switzerland, assessed the acute subjective and autonomic effects of LSD alone and in combination with MDMA.
This non-randomized, single-group assignment trial (n=50) aims to investigate the glutamatergic mechanisms of psychosis and target engagement using ketamine hydrochloride in healthy volunteers.
Single-site, open-label Phase II study testing feasibility of MDMA given with manualized psychotherapy for combat-related, treatment-resistant PTSD in US veterans (first 10 eligible to receive medication; up to 50 consented).
Prospective observational study (n=85 actual) collecting saliva genetic samples from adults who previously received IV ketamine for treatment-resistant depression to correlate genetic biomarkers with treatment response.
The effect of psilocybin on major depressive disorder (MDD) symptom severity and synaptic density - a single dose randomized, double blind, placebo-controlled Phase IIb positron emission tomography study.
Pragmatic, randomised, controlled, parallel-group pilot (n=24 planned; 3 actual) of twice-weekly ketamine (0.5 mg/kg) vs midazolam (0.045 mg/kg) infusions interleaved with ECT for a major depressive episode to assess trial processes for a future definitive trial.
Randomized, double-blind (Part 2) placebo-controlled Phase II study (n=164 actual) of intranasal SLS-002 (90 mg, twice weekly for 2 weeks; 4 doses) plus standard of care versus placebo plus standard of care in adults with MDD at imminent risk of suicide.
Randomised, parallel-group Phase II study (n=21 actual) testing intranasal ketamine (60 mg) twice weekly for 4 weeks versus saline placebo in patients with co-occurring opioid use disorder on buprenorphine and treatment-resistant major depressive disorder.
This randomized, double-blinded, placebo-controlled trial (n=100) tests whether a single 25 mg oral psilocybin capsule reduces heavy drinking days in patients with alcohol use disorder.
Randomised, parallel pilot study (n=25 actual) testing ketamine 0.5 mg/kg by subcutaneous injection or 40-minute IV infusion versus saline placebo to prevent postpartum depression after cesarean, with 42-day follow-up.
Randomised, placebo-controlled feasibility trial (n=60) testing psilocybin with psychological support in adults aged 25–80 with treatment-resistant depression.
Randomised, placebo-controlled, triple-blind three-period crossover trial (n=40) in healthy men testing whether BI 409306, BI 425809 or lamotrigine reverse ketamine-induced cognitive deficits.
The aim of the project is to assess brain network dynamics, self-referential information processing and prosociality and learning following the modulation of the serotonin-system by serotonergic-psychoactive compounds.
This two-part observational trial (n=50) will evaluate the safety and efficacy of intravenous ketamine infusions (1.5–2 mg/kg over 3–4 hours) in reducing pain among patients diagnosed with fibromyalgia.
Open-label, single-group Phase I study (n=21) testing transmucosal ketamine 0.5 mg/kg (two weekly doses) for treatment of post-stroke depression to assess feasibility, safety and exploratory antidepressant effects.
Feasibility, single-group psilocybin-assisted psychotherapy pilot (n≈15) delivering one 25 mg oral psilocybin session with preparatory and integration therapy for demoralization in hospice patients.
Phase IV, double-blind, randomised, parallel-group trial (n=477) comparing esketamine nasal spray 56 mg and 84 mg versus placebo twice weekly for 4 weeks in adults with treatment-resistant depression, primary outcome change in MADRS from baseline to Day 28.
Prospective observational registry (n=1000) collecting biomarker and clinical outcome data from patients receiving ECT, TMS/dTMS, racemic ketamine infusions, or intranasal esketamine for treatment‑resistant depression and OCD.
Phase I, randomised double‑blind placebo‑controlled single‑dose PK study (n=44) with an integrated open‑label food‑effect crossover (25 mg) assessing safety, tolerability, PK and QTcF of COMP360 (psilocybin) in healthy volunteers.
Randomised, double-blind, placebo-controlled 2×2 factorial mechanistic study (n=120) testing 25 mg IV DMT vs placebo combined with alcohol memory reactivation in non-treatment-seeking hazardous/harmful drinkers.
This Phase-II RCT (n=20) in Spain randomises methadone-maintained patients to fixed ibogaine (6×100 mg) or ascending ibogaine doses (100→600 mg across six administrations) given when opioid withdrawal appears to support methadone detoxification.
This pilot completed single-group study (n=25) assessed safety and feasibility of IV ketamine (0.5 mg/kg infused over 40 minutes) in older adults with treatment-resistant depression, with twice-weekly infusions for 4 weeks and optional weekly continuation for responders.
This interventional trial (n=23 actual) randomised sequential study tests IV S-ketamine (0.2 mg/kg and 0.4 mg/kg) versus an active comparator (clonidine + magnesium) for fibromyalgia.
Single-group, Phase IV study (n=9) of four 0.5 mg/kg IV ketamine infusions over two weeks in adults with current MDD to measure synaptic density changes using [11C]UCB-J PET.
Open-label Phase II pilot (n=10) assessing feasibility of oral S-ketamine (Ketanest-S) to treat depression and demoralization in patients with advanced cancer receiving palliative care.
This open-label, interventional trial (n=19) explored the effectiveness of 25mg of psilocybin as adjunctive therapy to SSRI use in participants with treatment-resistant depression (TRD).
Randomized, double-blind, parallel-group Phase II trial (n=144) comparing 25 mg psilocybin vs 5 mg psilocybin (low-dose active placebo) vs nicotinamide 100 mg in adults (25–65) with treatment-resistant major depression, delivered with psychotherapy.
Phase II, single-center, fixed-dose, open-label study (n=30) testing a single 25 mg oral dose of psilocybin in adults with MDD and a malignant neoplasm to assess safety, tolerability and preliminary efficacy.
This randomised, double-blind, placebo-controlled Phase 3 study (n=121) compares three sessions of MDMA-assisted psychotherapy (initial 80–120 mg with supplemental half-dose 40–60 mg) versus placebo with identical therapy in adults with moderate PTSD.
This Phase III interventional trial (n=676) evaluated flexibly dosed esketamine nasal spray versus quetiapine XR, both with a continuing SSRI/SNRI, in participants with treatment-resistant major depressive disorder.
Observational case-control study (n=60; 30 TRD, 30 healthy controls) assessing EEG and behavioural measures 24 hours after a subanesthetic ketamine injection given as part of clinical care.
To explore whether intravenous ketamine followed by buprenorphine produces more rapid and sustained anti-suicidal effects than ketamine followed by placebo; randomized, parallel-group study (n=60).
Randomised, quadruple-blind, factorial trial (n=150) comparing S-ketamine 0.25 mg/kg and ketamine 0.5 mg/kg versus propofol+saline during ECT in adults with depressive disorders to evaluate short-term efficacy and safety.
The primary objective of this study is to assess the long-term efficacy of psilocybin with respect to use of new antidepressant treatment, hospitalisations for depression, suicidality, and depressive severity rated using the Montgomery and Asberg Depression Rating Scale (MADRS) over a total of 52 weeks (compared across the 1 mg, 10 mg and 25 mg psilocybin groups from COMP 001).
This pilot Phase I, randomized, single-dose, 6-sequences, 3-period, crossover bioavailability study (n=17) of MELT-100 (midazolam and ketamine sublingual tablet) and intravenous midazolam or ketamine in healthy volunteers has been completed.
Randomised, double-blind, placebo-controlled crossover study (n=25) testing a single 20 mg oral psilocybin dose versus placebo in healthy volunteers, measuring perturbational complexity index (PCI) with TMS/hd-EEG.
Observational long-term follow-up (n=24) of participants from PSIL201 (psilocybin or niacin) using web surveys and telephone interviews over 24 months.
Observational prospective cohort collecting outcomes after low-dose IV ketamine infusions for treatment-resistant depression in admitted adult patients.
This open-label, lead-in Phase II study is intended to gather supportive data on the safety and effectiveness of manualized MDMA-assisted psychotherapy as a treatment for PTSD, with two open-label MDMA-assisted therapy sessions per participant (flexible dosing 80–180 mg per session).
This open-label, randomised, four-way crossover, single dose study (n=16) aimed to investigate the safety, tolerability, and pharmacokinetics of different oral thin film (OTF) formulations of (S)-ketamine for sublingual administration in healthy participants.
Double-blind, randomized, placebo-controlled follow-up (n=364) assessing whether a single immediate postpartum IV infusion of low-dose esketamine (0.2 mg/kg) reduces incidence of maternal depression at 2 years postpartum in women with prenatal depressive symptoms.
This study is designed to investigate whether low-dose s-ketamine administered after childbirth can reduce the incidence of postpartum depression in parturients with prenatal depression.
Randomised, parallel-group prevention trial (n=364) testing a single low-dose S-ketamine infusion (0.2 mg/kg IV) after childbirth to reduce postpartum depression in women with prenatal depression.
Randomised, double-blind, placebo-controlled Phase II parallel trial (n=60) testing a single oral 25 mg dose of psilocybin versus placebo in patients with alcohol use disorder who completed withdrawal within 6 weeks.
This randomised, placebo-controlled trial (n=60) investigates the feasibility of using a single dose of psilocybin (25mg) as a treatment for adults with treatment-resistant major depressive disorder (TRD).
Double-blind, placebo-controlled, 4-period crossover study (n≈32) comparing single doses of LSD 100 µg, psilocybin 20 mg, mescaline 300/500 mg and placebo in healthy volunteers to characterise acute subjective, physiological and neural effects.
The primary objective of this Phase 1 double-blind, randomized, placebo-controlled study in healthy non-smoking volunteers is to assess safety and tolerability of single-day (SAD) and multiple-day (MAD) oral dosing of 18-MC HCl.
Retrospective, single-group effectiveness study (n=1806) assessing Ketamine‑Assisted Psychotherapy (4–6 ketamine sessions plus psychotherapy) for depression, anxiety, and PTSD with follow-up to 6 months.
Phase I, randomized, double-blind, placebo-controlled study in healthy volunteers assessing single ascending IV doses of PCN-101 (arketamine) and a crossover relative safety comparison with esketamine (15 mg IV).
This double-blind, randomised controlled trial (n=200) aims to evaluate the attitudes of Australian psychologists, psychiatrists, and mental health researchers towards MDMA-assisted psychotherapy for the treatment of PTSD.
Phase I single-group study (n=10) assessing neuroanatomical effects of intravenous ketamine in patients with treatment-resistant depression using pre- and post-treatment fMRI and perfusion measures.
This double-blind, randomized trial (n=60) conducted by Maastricht University Department of Psychology and Neurosciences, explores the effects of repeated doses of LSD (15µg) on mood, cognition, and neuroplasticity in healthy volunteers.
This parallel-group, double-blinded, randomised controlled trial (n=35) investigates a single 25 mg oral psilocybin dose plus structured psychotherapy versus active placebo (100 mg niacin) for depression and anxiety in terminally ill patients.
Randomised, triple-blind, placebo-controlled add-on study (n=70) testing whether oral perampanel (8 mg) blocks the antidepressant effects of intravenous ketamine (0.5 mg/kg) in adults with treatment-resistant major depressive disorder.
Open-label, single-group pilot study (n=10) assessing prophylactic effects of low-dose psilocybin (0.14 mg/kg oral) given in three weekly sessions for chronic cluster headache with fMRI and psilocin sampling.
Randomised, parallel, placebo-controlled Phase III ED trial (n=62) testing a single IV ketamine infusion (0.5 mg/kg over 40 minutes) versus saline to reduce suicidal ideation in acutely suicidal military-affiliated adults.
The investigators propose to assess the efficacy, feasibility, tolerability and safety of N-methyl-D-aspartate antagonist augmentation of ECT using ketamine.
Randomized, placebo-controlled, double-blind crossover PET/MR study (n=65) comparing IV racemic ketamine and IV esketamine versus placebo in healthy adults to investigate pharmacodynamic differences using [18F]FDG PET/MR.
An open label study to assess the safety, tolerability, and effects of intranasal ketamine in combination with rTMS for patients with treatment-resistant major depressive disorder (TRD).
Results of the study and of 5 years follow up of depressed patients who participated in the study during 2014-2015. We will locate the participants and will interview them will use the same questionnaires to evaluate their depressive symptoms. We will also measure the time to relapse.
Open-label naturalistic study (n≈80) assessing repeated IV (0.5 mg/kg), intranasal, and oral (2.0–2.5 mg/kg) ketamine twice weekly for 4 weeks in patients with treatment-resistant mood disorders.
Retrospective chart review (n=891) of adults treated with IV ketamine for MDD, bipolar disorder, PTSD, or OCD at a Canadian clinic to characterise outcomes and safety.
The SevereBD study will test the hypothesis that NRX-101 is superior to lurasidone alone in maintaining remission from symptoms of depression, clinical relapse, and suicidal ideation/behavior over a six-week period of twice-daily oral dosing in patients stabilized with ketamine (n=72; 2:1 randomization).
This randomized, double-blind, placebo-controlled trial (n=80) will study the effects of repeated microdoses of lysergic acid diethylamide (LSD) on creativity and brain activity in healthy adult males. Participants will receive either 10 µg of LSD or a placebo, dissolved in water in 1 ml oral syringes, taken once every three days for a total of 14 doses over a 41-day regimen.
Randomised, double-blind, parallel-group Phase I/II study (n=19 actual) comparing IV ketamine 0.5 mg/kg weekly ×4 versus placebo in patients with major depressive disorder and advanced cancer receiving palliative care.
The aim of the study is to investigate the safety of GH001 (containing 5-methoxy-dimethyltryptamine; 5-MeO-DMT), and to investigate its effects on severity of depressive symptoms, and its dose-related psychoactive effects in patients with Treatment-Resistant Depression (TRD).
The primary aim of this study is to investigate the role of acute serotonin release in the effects of fear extinction. MDMA will be used as pharmacological tool to induce serotonin release in this study.
Randomised, double-blind, placebo-controlled ED trial (n=29) testing a single low-dose IV ketamine infusion (0.5 mg/kg over 40 minutes) for acute depression or suicidal ideation.
Double-blind, randomised, parallel-group Phase II study (n=104 actual) comparing a single 25 mg oral dose of psilocybin to a single 100 mg oral dose of niacin (active placebo) in participants with MDD, assessed to Day 43 post-dose.
Non-randomised, crossover Phase I study (n=15 actual) in healthy volunteers assessing the effect of a 2 g kratom tea on CYP3A4 (midazolam) and CYP2D6 (dextromethorphan) probe pharmacokinetics.
Randomised, early-phase diagnostic parallel study (n=11) comparing ketamine versus methohexital induction during ECT, using dcEEG to examine infra-slow/slow-wave characteristics in patients with major depressive episodes.
The Psychedelics and Wellness Study (PAWS) is an anonymous cross-sectional online survey of adults (18+) who have taken a psychedelic at least once, assessing relationships between past psychedelic use and measures of mental wellness (planned n=5,000; actual enrolled=3,234).
Randomised, double-blind, placebo-controlled parallel trial (n=67) of six IV ketamine infusions (0.5 mg/kg) over 3 weeks in veterans with comorbid PTSD and MDD to probe neuroanatomy and executive functioning.
Double-blind, randomised 2×2 crossover study in healthy adults (n=22) testing IV Delta-9-THC (0.015 mg/kg) and IV ketamine (0.2 mg/kg) alone and combined with EEG and psychotomimetic outcomes.
This open-label, non-randomised feasibility study (n=32) investigates low-dose individually-tailored subcutaneous ketamine infusions (0.1–0.4 mg/kg over 2 hours) given weekly by response for depression in palliative care patients with advanced life-limiting illnesses.
This interventional trial (n=24) investigates the effects of ketamine (26–52 mg/70 kg) on mood and eating-disorder cognitions in enduring anorexia nervosa (AN).
Open-label, single-group Phase I pilot (n=22) testing up to four oral psilocybin sessions (initial 20 mg, titratable to 30 mg) in adults with chronic anorexia nervosa to assess safety and preliminary efficacy.
Double-blind, randomised clinical trial (n=45) comparing intraoperative ketamine infusion (0.5 mg/kg over 40 minutes) versus saline in patients with major depressive disorder undergoing non-cardiac surgery.
Open‑label, single‑arm Phase II proof‑of‑concept study (n=20) evaluating intranasal ketamine spray (sub‑anesthetic doses, product up to 75 mg) for acute treatment of chronic cluster headache in adults.
Randomized, triple-blind, crossover study (n=22) testing single oral MDMA 1.5 mg/kg versus placebo on affective touch responses across a range of autistic traits.
Patients who suffer from MDD received ketamine (2014-15) in open study will be addressed and there depression mood will be evaluated using the rating scale that were used in the original research. In addition time of relapse and questions about their medications and drug use will be performed.
Randomised, double-blinded, placebo-controlled Phase II trial (n=60) testing intravenous ketamine (Ketamin Inresa) with CBASP versus placebo+CBASP and ketamine+treatment-as-usual for chronic, treatment-resistant depression in Germany.
Double-blind, randomised, parallel-group RCT (n=24 adolescents) comparing six 0.5 mg/kg IV ketamine infusions (2/week for 3 weeks) versus six midazolam infusions; primary outcome CDRS at Day 18; 6-month open extension offers ketamine to midazolam non-responders.
Randomised, triple-masked, two-period crossover healthy volunteer study (n=27) comparing 14-day escitalopram pretreatment versus placebo before a single oral psilocybin 25 mg session to assess subjective, physiological and gene-expression effects.
This study will explore whether the use of a medication, ketamine, can help patients who come to the ER with thoughts of suicide by improving their mood and reducing thoughts of suicide.
Randomised double-blind Phase II trial (n=59) comparing psilocybin versus escitalopram for major depressive disorder, assessing efficacy and mechanisms.
Randomised, parallel Phase III trial (n=140) of low-dose subcutaneous ketamine (starting 0.6 mg/kg, titrated up to 0.9 mg/kg; weekly ×4) versus low-dose midazolam in 16–25-year-olds with moderate-to-severe major depressive disorder.
Open-label, single-group biomarker pilot (n=9) testing intranasal ketamine (40 mg, mucosal atomization) in treatment-resistant depression with MRI and blood assays before and after treatment.
This study will test the hypothesis that that NRX-100 is superior to placebo in achieving rapid reduction in symptoms of depression and suicidal ideation in patients with Severe Bipolar Depression and Acute Suicidal Ideation or Behavior within 24 hours of administration.
Prospective observational cohort (n=20) assessing neurobiological effects of intranasal ketamine in adolescents and adults with Bipolar Disorder — Fear of Harm phenotype; off-dose and 2–3 h post-dose neuroimaging/EEG comparisons.
Randomised, parallel Phase I study (n=8) testing three IV ketamine doses (0.3, 0.5, 0.7 mg/kg) to examine relationships between hydroxynorketamine (HNK) serum levels, depressive symptoms, and glutamate/GABA changes.
Observational prospective cohort (n=7) evaluating change on psychological screening tools before, after, and 30 days following a six-infusion ketamine series in paramedics with work-related PTSD.
Triple-blind, randomised, parallel trial (n=56) testing four repeated very low doses of LSD (13 µg or 26 µg) versus placebo in healthy adults 18–40 to assess mood, cognitive performance and responses to emotional tasks.
Phase IIa, multi-centre, randomized, double-blind, placebo- and active-comparator-controlled study (n=66) evaluating single IV infusions of MIJ821 (multiple dose cohorts) versus ketamine and placebo in adults with treatment-resistant depression; primary outcome MADRS at 24 hours.
Randomised, crossover Phase II study (n=1) testing single IV ketamine infusions 0.5 mg/kg and 0.2 mg/kg in postpartum depression to assess safety, pharmacokinetics and antidepressant efficacy.
Double-blind crossover trial (n=12) investigating repeated oral psilocybin (two sessions; low 0.0143 mg/kg or 1 mg and high 0.143 mg/kg or 10 mg) versus placebo for post-traumatic headache.
The aim of the study is to investigate the safety of GH001 (containing 5-methoxy-dimethyltryptamine; 5-MeO-DMT), and its dose-related psychoactive effects in healthy volunteers.
Double-blind, placebo-controlled crossover trial (n=23) assessing oral ketamine given twice daily for 5 days (cohort doses 0.75 mg/kg and 1.5 mg/kg) vs placebo in females aged 6–12 with Rett syndrome.
Randomized double-blind placebo-controlled parallel Phase II study (n=55) of a single oral moderate dose psilocybin (0.215 mg/kg) plus short-term focused psychotherapy versus placebo in adults with mild-to-moderate MDD.
Randomised, double‑blind, parallel group Phase II trial (n=60) comparing a single oral dose of psilocybin 25 mg versus ketamine 250 mg and midazolam 5 mg in patients with treatment‑resistant depression, primary endpoint MADRS at 24 hours.
This is a feasibility study and the goal of this project is to evaluate whether peak ACC GABA and glutamate, quantified as a CSF-corrected absolute concentration percent change from baseline, is associated with clinical remission, Montgomery Asberg Depression Rating Scale (MADRS) total score of <10, to the anti-glutamatergic antidepressant ketamine. As MRS is expensive, we also aim to study a correlation between change in peripheral metabolites (GABA and glutamate) and central GABA and glutamate levels.
Randomized, double-blind, placebo-controlled Phase II parallel study (n=70) comparing IV MIJ821 (0.16 and 0.32 mg/kg; weekly or bi-weekly) versus placebo and an active ketamine comparator in treatment-resistant depression.
Randomized, triple-blind, parallel trial (n=36) evaluating two IV infusions of ketamine (0.5 mg/kg each) versus placebo in patients with treatment-resistant MDD and suicidality.
Randomised, parallel, active placebo-controlled Phase II/III trial (n=120 planned) assessing single IV ketamine (0.3 mg/kg) plus midazolam versus placebo plus midazolam for acute pain and depressive symptoms in ED patients.
Randomized, double-blind, parallel study (withdrawn) testing IV ketamine 0.5 mg/kg infusion over 40 min in adults with treatment-resistant major depressive disorder (actual n=0).
Double-blind, randomised, placebo-controlled crossover study (n=30) testing oral LSD pulse regimen (3 × 100 µg over 3 weeks) versus placebo in patients with cluster headache.
Randomised, blinded Phase I study (n=15) comparing low-dose (100 µg/kg) and high-dose (300 µg/kg) psilocybin to lorazepam (1 mg) in participants with moderate–severe OCD; dosing weekly with masked exposure across phases.
Phase I single-blind sequential study (n=14) assessing PK, safety and antidepressant effects of SHX-001 ketamine transdermal patch (20 mg low, 40 mg high) versus placebo in adults with MDD.
Longitudinal, open-label, dose-ranging extension study (n=8) evaluating oral ketamine (0.5–3.0 mg/kg oral liquid, individualized dosing) for chronic suicidal ideation across two phases (OKTOS-E and OKTOS-M).
Posttraumatic stress disorder (PTSD) is a debilitating psychiatric disorder that can develop after a traumatic life experience that severely reduces the quality of life. This multi-site, double-blind, placebo-controlled, randomized Phase III study assessed the efficacy and safety of MDMA-assisted psychotherapy compared to psychotherapy with placebo in participants diagnosed with at least moderate PTSD.
Counter-balanced crossover study (n=13) testing whether perampanel (6 mg oral) pre-treatment blocks IV ketamine antidepressant effects in treatment-resistant depression; outcomes include fMRI connectivity, CMRO2 and clinical scales at 24 hours.
Add-on substudy (n=45) to a Phase III MDMA-assisted psychotherapy trial collecting salivary DNA at baseline and after treatment to assess epigenetic changes related to PTSD symptom change.
This study aims to investigate the effects of oral psilocybin on OCD symptomatology and provide the first evidence of the neural mechanism that may mediate psilocybin's purported therapeutic effects on OCD.
Randomised, multi-centre, crossover trial (n=240) comparing IV ketamine (0.5 mg/kg IV over 40 minutes, thrice weekly initial course) versus electroconvulsive therapy (ECT) in patients referred for ECT for severe depression.
This multi-site, open-label, Phase II, lead-in study assesses the safety and effect of 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy in participants diagnosed with at least severe posttraumatic stress disorder (PTSD).
Double-blind, randomised, parallel-group trial (n=48) comparing a single 0.5 mg/kg ketamine infusion versus active placebo midazolam 0.045 mg/kg in adults with treatment-resistant depression to assess antidepressant and antisuicidal effects.
This study aims to openly test the long-term safety, tolerability and effectiveness of repeated administration of IM/SC ketamine for treatment resistant MDD.
Open-label, non-randomised Phase II study (n=40) of weekly supervised oral ketamine (start 0.5 mg/kg, titrate to 3.0 mg/kg) over six weeks for patients with chronic suicidal ideation.
Randomised, crossover neuroimaging study (n=10) comparing IV S-ketamine 0.25 mg/kg versus saline placebo in adults 20–60 to investigate glutamatergic mechanisms relevant to MDD.
Double-blind, randomised, placebo-controlled Phase II trial (n=88) in Poland testing inhaled esketamine (inhalation powder) versus placebo in adults 18–65 with treatment-resistant bipolar depression to assess efficacy, safety and pharmacokinetics.
Double-blind, randomised, placebo-controlled Phase II trial (n=128) testing a single 50 mg intranasal ketamine dose versus 4.5 mg intranasal midazolam to reduce acute suicidality in adults (18–70).
Open-label Phase III single-arm study (n=40) evaluating neurobiological and clinical predictors of antidepressant response to a single ketamine infusion in patients with moderate–severe depression without psychotic symptoms.
Single-group Phase II study (n=22) of intranasal ketamine (three doses on Days 1, 4, 7; 50 mg → 50–100 mg → 50–150 mg) for treatment of moderate–severe major depressive disorder in cancer patients receiving palliative care.
Double-blind, randomised, placebo-controlled crossover Phase I study (n=18) with two dosing sessions ~4 weeks apart comparing placebo, low-dose psilocybin (0.1 mg/kg) and medium-dose psilocybin (0.3 mg/kg) in people with major depressive disorder to assess neuroplasticity and symptom change.
Multicentre, double-blind, randomised, placebo-controlled Phase II trial (n=88) evaluating inhaled esketamine (three dose levels) versus placebo for treatment-resistant depression; primary endpoint MADRS change at Day 14; includes PK assessments on Day 1 and Day 11.
This interventional trial (n=27), led by Maastricht University with sponsorship from the Department of Psychology and Neurosciences, involves exploring the dose-response relationship in LSD-induced subjective and cognitive effects in healthy volunteers.
Open-label, single-group feasibility study (n=20 planned; 2 MDMA-assisted psychotherapy sessions per participant) of MDMA-assisted psychotherapy in detoxified patients with Alcohol Use Disorder.
Randomised, double-blind, parallel trial (n=90) testing a single 0.5 mg/kg IV ketamine infusion over 2 hours versus saline in patients aged ≥60 undergoing ophthalmologic surgery to assess depressive symptoms.
This study aims to compare the response of ketamine IM versus active control in treatment-resistant depression (TRD [primary outcome]) and find safety and tolerability of ketamine IM, evaluate changes in life quality, cognition and suicidal risk (secondary outcomes).
Randomised, double-blind Phase III trial (n=252) comparing flexible-dose intranasal esketamine (56–84 mg, twice weekly for 4 weeks, up to 8 doses) plus a newly initiated oral antidepressant versus oral antidepressant plus intranasal placebo in adults with treatment-resistant depression; primary outcome MADRS change at 28 days.
This observational cohort study (n=500) aims to assess the impact of ketamine injections on analgesia and mood in chronic pain patients with associated mood disorders.
This study is conducted as a feasibility study for a pivotal Phase IIb/3 clinical trial and the primary outcomes for this Phase II study were blood levels of NRX-101, in order to confirm pharmaco-kinetics with remission from depression, as measured by BISS-derived MADRS and relapse as secondary outcomes.
This proposed single-centre, double-blinded, randomized clinical trial of adult patients with depression presenting for gynaecologic surgery compares severity of depressive symptoms between patients receiving and not receiving ketamine as part of their general anaesthetic (n=50).
Double-blind randomised Phase III trial (n=30) testing eight IV ketamine infusions (0.5 mg/kg over 40 minutes, twice weekly) versus saline in adults 18–65 with treatment-resistant major depressive disorder, assessing clinical response and pgACC glutamate/GABA changes by H1-MRS.
This study aims to assess the efficacy and safety of intranasal esketamine as maintenance antidepressant therapy in patients who have demonstrated clinical improvement with off-label intravenous racemic ketamine for treatment-resistant depression.
Randomized, double-blind, parallel Phase II trial (n=60) comparing a single oral 25 mg psilocybin dose, intranasal 125 mg ketamine, and a no-treatment group in participants with severe major depressive disorder; outcomes include depression severity and fMRI biomarkers.
Randomised, triple-blind, crossover Phase I study (n=80) comparing placebo and three microdoses of LSD (6.5, 13, 26 µg) in healthy volunteers to assess effects on depressed mood.
Open-label, single-group pilot (n=30) testing one oral psilocybin session combined with ten-session manualised group psychotherapy for demoralization in long-term AIDS survivors.
Open-label Phase II single-arm study (n=0 anticipated) of manualized MDMA-assisted psychotherapy for severe PTSD; three monthly MDMA sessions (80–180 mg per session, oral, with supplemental half-dose) plus preparatory and integrative non-drug psychotherapy.
Randomized, parallel-group study (n=154 actual) testing intravenous subanesthetic ketamine with or without adjunctive computer-based cognitive training for treatment-resistant depression; mechanistic outcomes (fMRI, IAT, cognitive flexibility) and clinical outcomes (MADRS acute; QIDS over 12-month follow-up).
Randomised, triple-blind, parallel trial (n=0) comparing lithium versus placebo given for 2 weeks prior to three IV ketamine infusions (0.5 mg/kg over 100 minutes) in adults with treatment-resistant depression.
The present randomised crossover study (n=16) in healthy volunteers used escalating single oral doses of LSD (25–200 µg) with a placebo arm and a ketanserin (40 mg) pre-treatment to probe the role of the 5-HT2A receptor in LSD-induced altered states.
This study is designed to investigate whether low-dose ketamine administered during cesarean delivery can decrease the incidence of postpartum depression in parturients with prenatal depression.
This multi-site, open-label, Phase II lead-in study (n=38) assesses safety and efficacy of three sessions of MDMA-assisted therapy (flexible MDMA dosing 80–120 mg with optional supplemental half-dose) in participants with at least severe PTSD.
This double-blind, randomized, psychoactive placebo-controlled trial (n=147) assessed the efficacy and safety of 3 fixed doses (28 mg, 56 mg, and 84 mg) of intranasal esketamine in addition to comprehensive standard of care for rapidly reducing the symptoms of major depressive disorder (MDD), including suicidal ideation, in pediatric subjects.
Randomized, double-blind, placebo-controlled Phase I study (n=34) evaluating the effect of a single 100 mg MDMA dose versus inactive placebo on acoustic startle response in healthy volunteers.
Randomised, quadruple-blind, parallel-group pilot trial (n=25) of four once-weekly IV ketamine infusions (0.05 mg/kg) versus midazolam infusions (0.045 mg/kg) as adjunctive treatment for inpatients with acute depressive episodes to assess trial processes and preliminary outcomes.
Randomised, double-blind, placebo-controlled five-site trial (n=51) testing oral brexpiprazole (up to 3 mg/day) versus placebo combined with intranasal ketamine (40 mg, six administrations over 4 weeks) added to stable antidepressant therapy for adults with TRD.
Comparative randomised, open-label, parallel-group trial (n≈403) of ECT (3×/week, up to 9 sessions) versus ketamine infusion (0.5 mg/kg IV, 2×/week, up to 6 sessions) for treatment-resistant depression with patient-reported outcomes as primary measures.
Single-group pilot study (n=13) assessing neural and emotional processing changes after a single oral psilocybin dose (25 mg/70 kg) in healthy volunteers to evaluate mechanisms related to potential abuse liability.
This double-blind, randomized, placebo-controlled trial (n=226) aimed to assess the efficacy and safety of intranasal esketamine 84 milligrams (mg) in addition to comprehensive standard care for rapidly reducing Major Depressive Disorder (MDD) symptoms, including suicidal ideation, in adults at imminent risk for suicide.
Double-blind, randomised, placebo-controlled Phase III trial (n=226) testing intranasal esketamine 84 mg twice weekly for 4 weeks plus standard of care versus intranasal placebo plus standard of care for rapid reduction of MDD symptoms including suicidal ideation in adults at imminent suicide risk.
This study aims to determine whether ketamine could improve the depressive symptom of perioperative patients. It will also examine the safety for administrating ketamine as an antidepressant intraoperatively and effects on anxiety, postoperative pain, and delirium (n=84).
Double-blind, placebo-controlled randomized crossover (n=46) testing two single-dose LSD 200 µg sessions versus two placebo sessions in patients with anxiety with or without life-threatening illness.
Phase I randomized, double-blind crossover study (n=150) of IV ketamine (0.5 mg/kg; crossover with saline placebo) in patients with MDD and healthy volunteers; includes a metabolites substudy (single 0.5 mg/kg IV infusion) and a Phase III randomised repeated-dose comparison (0.5 vs 0.1 mg/kg twice weekly).
This interventional trial (n=60), conducted by the University Maastricht (UM), investigates the effects of psilocybin (12mg/70kg) on cognitive flexibility, specifically divergent thinking and goal-directed behaviour.
Non-randomised sequential experimental-medicine study (estimated n=200) using single oral doses of psilocybin and ketanserin to probe 5-HT2A receptor effects in healthy volunteers with PET and MRI outcomes.
Randomized, parallel-group Phase II study (n=40) comparing nitroprusside versus placebo co-administration with ketamine (0.5 mg/kg IV over 40 minutes) in patients with major depression to assess antidepressant and psychotomimetic effects.
Open-label, single-group study (n=11 actual) delivering up to 6 IV ketamine infusions (0.5 mg/kg, 40 min; once or twice weekly) to Veterans with major depressive disorder to assess safety, tolerability and longer-term effects.
Randomised, double-blind, crossover study (n=14) comparing low (0.0143 mg/kg) and high (0.143 mg/kg) oral psilocybin versus placebo in adults with migraine.
Single-arm, Phase IV biomarker study (n=75) of three IV ketamine infusions (0.5 mg/kg over 100 minutes) for adults with treatment-resistant unipolar or bipolar depression to develop blood-based predictive and change biomarkers.
Open-label proof-of-concept feasibility study (n=20) assessing safety, tolerability, and acceptability of MDMA-assisted psychotherapy (oral MDMA capsules) in detoxified patients with alcohol use disorder.
Randomised, quadruple-blind, crossover study (n=28) of single oral doses of LSD (100 µg), MDMA (125 mg) and d‑amphetamine (40.3 mg) versus placebo in healthy volunteers to assess emotion processing and fMRI amygdala responses.
The goals of this study are: 1) to investigate the efficacy of combining ketamine with intensive cognitive behavioral therapy (CBT) to sustain the antidepressant effects of ketamine; and 2) to determine ketamine's delayed effects on learning and memory, and to explore the relationship between any ketamine-induced changes in learning and memory and duration of antidepressant efficacy, with and without CBT augmentation.
The primary purpose of this study is to see if it is safe to give patients with cancer a low dose of the FDA approved anesthetic drug ketamine at the same time they receive radiation, chemotherapy, and/or surgery for their cancer treatment to treat depression and its effects
The primary objective of this study is to determine the effectiveness of serial infusions of intravenous (IV) ketamine in adults with treatment-resistant depression (TRD).
Randomised, triple-blind, crossover Phase I study (n=25 actual) testing three oral sessions of placebo, low-dose or high-dose psilocybin (three sessions 5 days apart) for cluster headache.
This randomised, double-blind, active placebo-controlled crossover trial (n=30) investigates the short-term efficacy of ketamine for patients with treatment-resistant depression (TRD).
Double‑blind, randomised, parallel‑group Phase II trial (n=60) comparing oral ketamine versus oral midazolam in adults (18–64) with a major depressive episode to assess antidepressant efficacy.
Open-label, single-group study (n=9) assessing low-dose IV ketamine (0.5 mg/kg over 40 minutes) on cortical neurophysiological function in treatment-resistant depression.
Randomised, parallel-group, Phase II trial (n=96) comparing three sessions of ketamine (0.8 mg/kg IV over 45 minutes) versus placebo, each combined with either manualised psychological therapy or simple alcohol education in recently detoxified participants with alcohol use disorder.
Phase I/II, single-group, open-label study (n=12 dyads) combining CBCT with two MDMA-assisted therapy sessions (75–100 mg, optional supplemental half-doses) to assess safety and change in PTSD symptoms in participants with chronic PTSD and their partners.
Double-blind, randomised controlled add-on trial (n=128) testing oral S‑ketamine (vs placebo) TID for 6 weeks in patients with treatment-resistant major depressive disorder.
KetaPal is a placebo-controlled randomized trial designed to demonstrate the antidepressant action of ketamine in palliative care situations. Half of participants will receive Ketamine and Milnacipran in combination, while the other half will receive a Placebo and Milnacipran in combination.
Double-blind, randomised crossover trial (n=16 actual) testing whether naltrexone 50 mg (vs placebo) given 45 min prior blocks the antidepressant effect of ketamine 0.5 mg/kg IV in adults with treatment-resistant major depressive disorder.
This double-blind, placebo-controlled parallel-group Phase III trial (n=128) evaluates oral S-ketamine capsules as add-on treatment over 6 weeks for patients with treatment-resistant major depressive disorder (TRD).
This double-blind, randomised, controlled trial (n=183), known as the Ketamine for Adult Depression Study (KADS), explored the effectiveness of ketamine therapy in treating patients with treatment-resistant depression (TRD).
The primary purpose of this study is to see if it is safe to give patients with pancreatic or head and neck cancer a low dose of the FDA approved anesthetic drug ketamine at the same time they receive radiation and/or chemotherapy for their cancer treatment to prevent depression and its effects.
Randomised, placebo-controlled trial in active-duty military patients hospitalised for suicidal thinking (planned n=40) comparing a single IV bolus of ketamine 0.2 mg/kg versus placebo, with acute monitoring and follow-up to 10 weeks.
The objective of the current program of research will be to test whether intranasal ketamine treatment is more effective than placebo in reducing suicidal ideation in suicidal patients presenting for acute treatment in emergency department settings.
Double-blind, randomised, placebo-controlled Phase II trial (n=120) evaluating a single intravenous ketamine infusion versus placebo in patients with treatment-resistant depression and bipolar depression, with biomarker and relapse endpoints.
Open-label single-group study (n=8) testing a single 0.5 mg/kg IV ketamine infusion over 40 minutes to delineate physiological and cognitive biomarkers in treatment-resistant anxious versus non-anxious depression.
Open-label, long-term extension Phase III safety study (n≈1148) of esketamine nasal spray (flexible 28–84 mg dosing) in participants with treatment-resistant depression, induction twice weekly for 4 weeks then individualised maintenance.
Two-stage trial (n=60): open-label six IV ketamine infusions (0.5 mg/kg over 40 min) followed by double-blind randomised maintenance D-cycloserine versus placebo (titrated to 1000 mg/day) in ketamine responders to prevent relapse in TRD.
Randomised, double-blind crossover study (n=36) comparing single doses of MDMA (0.75 mg/kg and 1.5 mg/kg), methamphetamine (20 mg) and placebo in healthy volunteers to assess prosocial effects.
Randomized, quadruple-blind PET study (n≈74) comparing (S)-ketamine 0.25 mg/kg i.v. vs saline to assess ketamine binding to SERT with [11C]DASB in severe depression.
Single-blinded, randomised, crossover trial (n=17) in treatment-resistant depression comparing etomidate- vs ketamine-general anaesthesia with ECT and ketamine alone; ketamine ~2 mg/kg IV across six treatment sessions per participant.
Open-label single-group MRI study (n=25) assessing IV ketamine 0.5 mg/kg (40-min infusion) in patients with major depressive disorder to examine brain predictors of antidepressant response.
Randomized controlled study (n=48) comparing etomidate vs ketamine anesthesia with and without pre-emptive hyperventilation to assess effects on ECT seizure duration, cerebral desaturation and remission of depressive symptoms in patients with Major Depressive Disorder.
Open-label, single-group Phase II study (n=5) of IV ketamine 0.5 mg/kg weekly ×4 plus a single IM naltrexone 380 mg injection for patients with major depressive disorder and alcohol use disorder.
Randomised, parallel, Phase IV study (n=45) comparing intranasal ketamine (50 mg split into 5 doses) versus IV ketamine (0.2 mg/kg) for Major Depressive Disorder.
Randomised, triple-blind, placebo-controlled crossover trial (n=23) testing whether a single 6 mg oral dose of sirolimus alters the antidepressant response to two ketamine infusions (0.5 mg/kg IV over ~40 minutes) in participants with antidepressant-resistant depressive symptoms.
The purpose of this prospective randomized clinical trial is to determine if patients receiving ketamine as part of general anesthesia during ECT rather than standard of care will have improvement in symptoms of depression after a course of ECT treatments (n≈50).
Pilot double-blind randomized inpatient trial (n=9 actual) comparing IV ketamine (0.5 mg/kg) + TAU vs midazolam (0.045 mg/kg) + TAU, six infusions over two weeks, for reducing suicidal ideation in MDD and bipolar depression.
Randomised, double-blind, parallel study (n=12) testing a single 0.5 mg/kg IV ketamine dose at induction of anaesthesia versus no ketamine in female surgical patients with depressive symptoms.
Randomised, controlled, parallel-group, pilot clinical trial of ketamine vs. midazolam for depression relapse prevention in persons at high risk. The main purpose of the pilot study is to assess trial processes to help inform a future definitive trial.
This non-randomised trial (n=25) investigates the effects of ketamine on anxiety ratings in patients with anxiety disorders, specifically Generalized Anxiety Disorder (GAD) or Social Phobia (SP).
This Phase I study explored the safety, tolerability, pharmacokinetics, and pharmacodynamics of low doses of Lysergic Acid Diethylamide (LSD) ranging from 50 µg to 100 µg in healthy volunteers (n=32).
The purpose of this study is to examine the effectiveness of a single infusion of ketamine (KET), to determine which dose is optimal 7 days after infusion using Bayesian Adaptive Randomization, and to learn about how ketamine works in the body and brain in persons with late-life treatment resistant depression.
Open-label, multicentre, single-group Phase III study (n=802) assessing long-term safety and efficacy of intranasal esketamine plus an oral antidepressant in adults with treatment-resistant depression.
Randomized, double-blind, active-controlled Phase III study (n=139) in elderly participants with TRD testing intranasal esketamine (flexible 28–84 mg, twice weekly for 4 weeks) plus a new oral antidepressant versus intranasal placebo plus a new oral antidepressant.
Randomized, double-blind, active-controlled Phase III study (n=346) comparing fixed-dose intranasal esketamine (56 mg or 84 mg) plus a newly initiated oral antidepressant versus intranasal placebo plus a newly initiated oral antidepressant in adults with treatment-resistant depression.
The purpose of this study is to compare the efficacy and safety of switching treatment-resistant depression (TRD) subjects from a prior antidepressant treatment (to which they have not responded) to either intranasal esketamine plus a new oral antidepressant or switching to a new oral antidepressant plus intranasal placebo.
Randomised controlled trial (n=30) assessing IV ketamine 0.5 mg/kg (2 weekly infusions) versus IV scopolamine 4 µg/kg and saline placebo as add-on treatment in patients with major depressive disorder.
Phase I double-blind, placebo-controlled, randomised study (n=48) of very low-dose LSD (5, 10, 20 µg) or placebo given six times over 21 days in healthy volunteers aged 55–75.
Randomised, double-blind, parallel-group Phase II trial (n=40) comparing a single oral psilocybin dose (0.36 mg/kg) versus diphenhydramine 100 mg with CBT-based preparation and integration in adults seeking to stop cocaine use; includes MRI assessments.
This Phase IV, randomised, double-blind, placebo-controlled, parallel-group trial (n=72) evaluated intranasal ketamine vs placebo for suicidality in patients with severe major depression awaiting ECT.
This open-label trial (n=12), also known as PSILODEP-PILOT is the first to test psilocybin in patients in the UK. The study found psilocybin (10-25mg, x2) to be well-tolerated.
Parallel Phase II study (n=247) comparing neural-exosomal miRNAs in three MDD groups (recent attempt, suicidal ideation, no ideation) given a single IV ketamine infusion (0.5 mg/kg) and healthy controls with one-time blood draw.
Randomised, parallel RCT (n=62) in Veterans with treatment‑resistant depression comparing six IV ketamine infusions (0.5 mg/kg) over 12 days versus a single IV ketamine infusion (0.5 mg/kg) preceded by five midazolam infusions (0.045 mg/kg) as an active comparator.
Single-group Phase I study (n=16): four IV ketamine infusions (twice weekly over 2 weeks) combined with 16 CBT sessions over 8 weeks for depressive episodes.
Proof-of-concept randomised, placebo-controlled trial (n=48) testing low-dose ketamine (0.2 mg/kg; possible escalation to 0.5 mg/kg) as an adjunct to propofol-based anaesthesia for ECT in adults with major depressive disorder.
Randomised, quadruple-blind, crossover adolescent trial (n=17 actual) assessing single IV ketamine (0.5 mg/kg) versus active midazolam (0.045 mg/kg) for medication-refractory MDD or anxiety disorders with 2-week washout.
This study plas to investigate the feasibility and efficacy of open-label repeated intravenous administration of ketamine and scopolamine combined in this population of severely depressed, treatment-resistant patients. The results from this study could lead to the development of new strategies for the treatment of patients with TRD.
The investigators of this study plan to investigate the feasibility and efficacy of repeated doses of intranasal ketamine in severely depressed patients who are at least 65 years of age and experiencing suicidal ideation. The results of the study could lead to development of new strategies for treating depression.
The purpose of this study is to see whether ketamine, when given as repeated infusions, can produce quick and sustained improvement in depression and PTSD symptoms for individuals who have not had their symptoms effectively treated by current treatments.
Randomised, triple-blind, parallel pilot trial (n=6) comparing once-weekly IV ketamine 0.5 mg/kg vs midazolam 0.045 mg/kg for up to four weeks to prevent relapse after successful ECT in adults with major depressive disorder.
This Phase II pilot study is a randomized, double-blind, placebo-controlled study in 18 participants comparing the effects of MDMA-assisted therapy vs. placebo with therapy.
Randomised, wait-list controlled pilot (n=12) testing two psilocybin sessions (20 mg/70 kg then 20 or 30 mg/70 kg) in professional religious leaders to assess psychological, spiritual and prosocial changes.
Randomised, triple-blind, parallel Phase I trial (n=10) comparing ketamine versus placebo for patients with major depressive disorder and inadequate response to antidepressants.
Randomised, double-blind, placebo-controlled crossover fMRI study (n=25) testing single 100 µg oral LSD vs placebo and ketanserin (40 mg pretreatment) in healthy volunteers to probe 5-HT2A receptor contributions to self and personal meaning.
Randomised, parallel-group non-inferiority trial (n=198) comparing racemic ketamine IV infusions (0.5 mg/kg over 40 minutes, thrice weekly) with ECT in inpatients with severe MDD.
The purpose of this study is to determine whether subanesthetic dose of ketamine combined with propofol is superior to propofol anesthesia alone in improving cognitive function in depressive patients undergoing ECT
The investigators will compare 3 groups (ketamine + naltrexone vs ketamine alone vs placebo) in an 8-week randomised, double-blind, placebo-controlled trial (n=65) of repeated IV ketamine (0.5 mg/kg weekly x4) for comorbid MDD and AUD.
Randomised, quadruple-blind, parallel Phase II trial (n=99) comparing single IV ketamine infusions (0.1, 0.2, 0.5, 1.0 mg/kg) versus active placebo midazolam (0.045 mg/kg) in patients with treatment-resistant depression on stable antidepressant therapy.
Randomised, two-period crossover fMRI study (n=24) in healthy volunteers comparing single oral LSD (100 µg) with placebo to assess neuronal correlates of altered consciousness.
Open-label, single-arm Phase II pilot study (n=12) assessing a single fixed oral dose of ibogaine for reducing craving and opioid use in opioid-dependent patients with neuroimaging and electrophysiological secondary measures.
Randomised, double-blind, crossover Phase I study (n=12) comparing single oral mephedrone 200 mg, MDMA 100 mg, and placebo in healthy male volunteers to assess abuse liability and human pharmacology.
Randomised, double-blind, parallel-group Phase IV trial (n=60) comparing adjunctive IV ketamine 0.5 mg/kg versus saline combined with sevoflurane induction during ECT in patients with major depression.
Randomised, double‑blind, placebo‑controlled crossover study (n=40) testing a single oral psilocybin dose (18.2 mg/70 kg) versus placebo in healthy volunteers to model psychosis and assess fMRI/qEEG changes.
Several lines of evidence suggest that classic hallucinogens such as psilocybin can facilitate behaviour change in addictions such as alcohol dependence. The investigation is a multi-site, double-blind, active-controlled trial (n=95, 47 per group) contrasting the acute and persisting effects of psilocybin to those of diphenhydramine (placebo) in the context of outpatient alcoholism treatment.
Single-group, Phase I study (n=60) assessing IV ketamine infusions (0.5 mg/kg over 40 minutes, up to 4 sessions) in adults with major depression to identify neuroimaging and blood biomarkers of rapid response and relapse.
Phase I single-group pharmacokinetics study (n=12) of oral psilocybin in healthy adults, ascending doses 0.3 → 0.45 → 0.6 mg/kg with attended dosing and overnight sampling.
Single-group interventional study (n=20) testing intravenous low-dose ketamine (0.5 mg/kg) for treatment-resistant depression, with MRS and inflammatory serum markers as secondary measures.
Double-blind, placebo-controlled study (n=40) using single or repeated all-day oral psilocybin sessions to examine acute and persisting effects on meditation, spirituality, well-being, prosocial attitudes and brain function in long-term meditators.
Open-label, non-randomised, single-infusion study (n=60) testing IV ketamine 0.5 mg/kg over 40 minutes in TRD patients stratified by family history of alcohol use disorder (FHP vs FHN) with 7T MRI measures.
Non-treatment, randomised, triple-blind pharmacology study (n=20) using oral capsules of placebo or varying doses of multiple psychoactive compounds to study effects on mood and performance in healthy volunteers.
Interventional study in MDD (n≈12–13) assessing SEPs/MEPs as markers of cortical plasticity after a single IV ketamine infusion (0.5 mg/kg over 40 minutes); includes an initial open-label cohort and a randomized, double-blind, placebo-controlled cohort.
Randomized, placebo-controlled parallel trial (n=35) testing a single oral dose of ayahuasca versus placebo in patients with treatment-resistant major depression.
Single-group, open-label Phase II study (n=12) of IV ketamine infusions (0.3 mg/kg/hr over 100 minutes) given thrice-weekly for up to 2 weeks with weekly continuation x4 for remitters, in hospitalised adults with treatment-resistant depression and elevated suicide risk.
This study will test the use of ketamine for treatment of depression in adolescents that have not responded to other treatments. We will also examine neurobiological mechanisms of treatment.
Double-blind, randomised crossover fMRI study (n=37) testing a single IV ketamine infusion (0.5 mg/kg over 40 min) versus saline in remitted depressed volunteers to examine early antidepressant effects on rumination and reward-related brain activity.
This double-blind, randomized, placebo-controlled exploratory pilot study assessed the safety and feasibility of 3,4-methylenedioxymethamphetamine (MDMA)-assisted therapy for social anxiety in MDMA-naïve adults on the autism spectrum.
This study measures biological and psychological processes that might help researchers to better understand what is taking place during low or medium dose and full dose MDMA-assisted psychotherapy treatment in people with PTSD.
Randomised, double-blind, parallel study comparing brief pulse ECT with ketamine infusion (0.5 mg/kg) versus ECT with saline in patients with major depression to assess clinical response and cognitive side effects.
Double‑blind, randomised, parallel Phase III trial (n=100) comparing daily oral sub‑anesthetic ketamine for 21 days versus placebo in patients after a suicide attempt; includes fMRI mechanistic substudy and a healthy volunteer crossover (n≈40) with IV ketamine.
This placebo-controlled, double-blind crossover trial (n=40) explores the potential therapeutic effects of a low dose (30–70 mg) of MDMA for treating tinnitus.
Randomized, double-blind, placebo-controlled multi-group study (n=140) using single oral doses of psilocybin (0.20–0.315 mg/kg) to probe neural and phenomenological signatures of self-dissolution in healthy volunteers and meditators.
Randomised, quadruple-blind, parallel Phase IV study (n=27) comparing ketamine (0.75 mg/kg IV) versus propofol (1 mg/kg IV) as anaesthetic agents for ECT in treatment-resistant major depressive disorder.
This randomised, double-blind, placebo-controlled trial (n=24) investigates the role of CYP2D6 in the pharmacokinetics of ibogaine (20mg) in healthy volunteers.
This is an open prospective study of a single, low dose (0.5 mg/kg) intravenous (IV) Ketamine in 10 adolescent subjects admitted to Nationwide Childrens Hospital following a serious suicide attempt and who meet criteria for major depression or bipolar disorder I, current episode depressed.
Randomized, double-blind crossover Phase II–III study (n≈46) comparing IV ketamine (0.5 mg/kg, 40 min) to active control midazolam (30 µg/kg, 40 min) in treatment-resistant major depressive disorder, with escalation to repeated infusion schedules to assess durability.
This single-blind, placebo-controlled crossover trial (n=30), sponsored by Prague Psychiatric Centre, investigated whether mTOR activation differentiates ketamine responders from non-responders in patients with major depression.
Randomised, double-blind, four-way crossover study (n≈20) examining single oral MDMA 75 mg, ketanserin 40 mg, their combination and double placebo to test the role of 5‑HT2A receptors in MDMA-induced prosocial behaviour.
Double-blind, placebo-controlled crossover trial (n=24) testing the role of the 5-HT2a receptor in MDMA-induced effects on social behaviour (MDMA 75 mg; ketanserin 40 mg; combination; placebo).
Randomised, triple‑blind, parallel‑group ED study (n=21) comparing a single IV bolus of ketamine 0.25 mg/kg versus diphenhydramine 25 mg for rapid antidepressant effects in patients with severe MDD.
Randomised, quadruple-blind, placebo-controlled crossover fMRI study (n=24) administering single doses of methylphenidate 60 mg, modafinil 600 mg, MDMA 125 mg, and placebo to healthy volunteers to assess emotion-processing and cognitive performance.
This study is designed to compare the effectiveness of two medications, Ketamine and Midazolam, for rapidly relieving suicidal thoughts in people suffering from bipolar depression.
Randomised multicentric parallel-arm Phase II study (n=60) testing single 0.5 mg/kg IV ketamine infusion versus saline placebo for treatment-resistant depression in Mexican clinical sites.
Randomized, double-blind, placebo-controlled Phase II study (n=6) comparing MDMA-assisted therapy (125 mg initial + 62.5 mg supplemental per experimental session, two blinded sessions) versus placebo with therapy in adults with chronic, treatment-resistant PTSD.
Mechanistic interventional study (n=36) using ketamine in healthy and depressed participants to examine glutamate/glutamine cycling and behavioural effects during 13C-MRS.
Randomized, double-blind, placebo-controlled Phase II study (n=34) testing repeated ketamine infusions over 1 week with nightly lithium (600–1200 mg) versus placebo pills in treatment-resistant major depressive disorder to assess efficacy and relapse prevention.
Randomised, double-blind, placebo-controlled crossover study (n=16) comparing single 200 µg oral LSD vs placebo in healthy adults to characterise acute physiological, endocrine and pharmacokinetic responses and assess long-term psychological effects.
Randomised, double-blind, placebo-controlled study (n=29 planned) assessing whether oral minocycline maintains antidepressant response after an open-label IV ketamine induction (0.5 mg/kg, six infusions) in patients with MDD and Bipolar II.
This is a pilot study to finalise methods (n=10). A basic-science, parallel study assessing psilocybin effects on psychology, behaviour and brain function in long-term meditators with day-long drug sessions.
Single-group treatment study (n=8) testing IV ketamine 0.5 mg/kg followed by an 8-week oral D-cycloserine maintenance course in patients with bipolar depression.
Randomized, double-blind, active placebo‑controlled Phase II pilot (n=10) comparing low (25 mg) versus full (125 mg) MDMA‑assisted psychotherapy across two experimental sessions in people with chronic, treatment‑resistant PTSD.
The purpose of this study is to determinate the effect of a pre-treatment with bupropion, a dopamine and norepinephrine transporter inhibitor, on the pharmacodynamics and pharmacokinetics of 3,4-methylenedioxymethamphetamine (MDMA, “Ecstasy”). The study will provide further understanding of the dopaminergic regulation of mood.
Randomised, triple-blind, placebo-controlled parallel trial (n=37) of IV ketamine infusions (6 infusions over 3 weeks, twice weekly) versus saline in treatment-resistant major depressive disorder.
Randomised Phase II crossover study (actual n=0) comparing ketamine plus lithium, ketamine alone, and placebo in adults (18–65) with bipolar depression.
Randomised, double-blind, Phase II dose-response study (n=29) comparing MDMA-assisted psychotherapy at 100 mg and 125 mg versus a 40 mg comparator in adults with chronic, treatment-resistant PTSD; three preparatory sessions, two experimental dosing sessions (up to 8 hours) with optional supplemental half-dose, and integration sessions.
Randomized, double-blind, placebo-controlled, parallel Phase II study (n=68) comparing IV ketamine 0.5 mg/kg given 2 or 3 times weekly for 4 weeks in patients with treatment-resistant major depressive disorder to determine optimal dosing frequency.
This study is dedicated to achieving better treatments for suicidal thoughts. Specifically, the investigators are studying the effect of a medication called ketamine to quickly treat suicidal thoughts and depression.
Double-blind, randomised, parallel pilot study (n=20) comparing a 100-hour IV ketamine infusion plus clonidine versus a 40-minute IV ketamine infusion (plus clonidine and a 100-hour saline infusion) in adults with treatment-resistant major depressive disorder.
Double-blind, randomised Phase II pilot study (n=14; includes 2-person open-label lead-in) comparing two MDMA-assisted psychotherapy sessions (125 mg vs 30 mg active placebo) plus 10 non-drug psychotherapy sessions in Australian war veterans with chronic, treatment-resistant PTSD.
This double-blind, placebo-controlled trial (n=180) investigated the potential benefits of ketamine augmentation during electroconvulsive treatment (ECT) to improve outcomes in depression (MDD).
This double-blind, placebo-controlled therapeutic exploratory trial (n=80) investigates the effectiveness of a single intravenous application of ketamine at subanaesthetic doses in patients with treatment-resistant major depression (TRD).
Randomised, placebo-controlled, double-blind crossover pilot study (n=21) testing up to 50% nitrous oxide in oxygen versus placebo (50% nitrogen/50% oxygen) for one hour in patients with major depressive disorder.
Crossover within-subject study (n=30) in healthy volunteers comparing single oral MDMA (75 mg), methylphenidate (40 mg), and placebo to assess effects on emotional and social cognition.
Randomized, double-blind, placebo-controlled study (n=5) testing a single oral dose of ketamine 0.5 mg/kg versus placebo for depression and anxiety in patients with cancer.
Randomized, parallel Phase II/III study (n=5) of intranasal ketamine (Ketalar) vs placebo in children aged 6–12 with treatment‑resistant pediatric bipolar disorder (Fear of Harm phenotype); four intranasal administrations at three‑day intervals.
This study is designed to look at the involvement of the glutamate system in depression using PET/fMRI; n=79 with a ketamine drug challenge during one PET scan.
Open-label pilot study (n=14) assessing IV ketamine (0.5 mg/kg over 45 min; twice weekly for 3 weeks) as augmentation for chronic suicidal ideation in severe treatment-resistant depression.
Randomised, quadruple-blind crossover ECT study (n=24) comparing sevoflurane anaesthesia versus ketamine 1 mg/kg IV bolus on QTc and Tp-e intervals in patients with major depression.
Randomised, placebo‑controlled, triple‑blind Phase II study (n=38) testing single IV ketamine doses (0.1–0.5 mg/kg) with MRI to measure glutamate and GABA in major depressive disorder; optional second 0.5 mg/kg infusion offered to non‑responders.
Single-group, Phase I–II study (n=35) evaluating a single IV ketamine infusion (0.5 mg/kg over 40 minutes) with four-hour monitoring in adults with major depressive disorder.
Open-label pilot study (N = 10) of two supervised oral psilocybin sessions combined with a 12-session MET behavioural intervention for alcohol dependence, assessing feasibility, safety, and preliminary drinking outcomes.
Randomised, quadruple-blind, parallel-arm trial (n=24) testing a single IV ketamine infusion (0.5 mg/kg, 40 min) versus midazolam (0.45 mg/kg, 40 min) for rapid reduction of suicidal ideation in adults hospitalized or presenting with SI.
This study will consist of a single session of MDMA-assisted therapy with a full dose of MDMA for people who took part in a study of MDMA-assisted therapy in people with posttraumatic stress disorder (PTSD) whose PTSD symptoms returned to higher levels at least a year after the first MDMA sessions. The single session will be performed by the same pair of therapists who performed the sessions in the first study. People will have a preparatory session, the MDMA-assisted session and three non-drug sessions afterward. Their PTSD symptoms and symptoms of depression will be measured at the start of this study and two and 12 months after the session.
This completed interventional, single-site Phase II study (n=20) evaluated intravenous ketamine given weekly for three weeks in patients with SSRI‑resistant depression.
This double-blind, placebo-controlled crossover trial (n=16) investigates whether pretreatment with memantine can prevent the memory impairment typically caused by MDMA in recreational users.
This randomised controlled trial (n=50) investigates the effects of low-dose intramuscular ketamine on depression ratings in individuals with major depressive disorder (MDD) and cancer in palliative care.
Randomised, parallel-group study (n=40) comparing ketamine versus standard anaesthetic (propofol) as the anaesthetic for ECT to assess depressive symptoms, number of ECT treatments required, and effects on memory.
Randomised, double-blind, placebo-controlled crossover in 16 healthy volunteers comparing single oral MDMA 125 mg with and without methylphenidate 60 mg (administered 1 h pre-dose).
The objective of this double-blinded placebo-controlled pilot study is to determine whether a single sub-anesthetic rapid IV bolus dose of ketamine administered to acutely depressed patients with or without suicidality has a significant rapid antidepressant effect in the acutely depressed population.
Randomised, quadruple-blind, crossover study (n=20) comparing a single intranasal ketamine dose (up to 50 mg) versus intranasal saline in treatment-resistant depression.
This study will compare the effects of methylenedioxymethamphetamine (MDMA) and placebo on mood and psychological experience in people trained to practice MDMA-assisted psychotherapy in a therapy-like setting.
Randomised, double-blind, placebo-controlled crossover Phase I study (n=16) testing pre-treatment with doxazosin versus placebo on physiological and subjective responses to a single oral MDMA 125 mg dose in healthy volunteers.
The study hypothesis was that depressed subjects receiving ECT with ketamine as the anesthetic agent would demonstrate a faster rate of improvement, defined as lower depression ratings after the second ECT than depressed patients receiving ECT with the usual anesthetic agent.
Randomised, double-blind, placebo-controlled crossover in 16 healthy volunteers testing carvedilol (50 mg) pre-treatment on the pharmacodynamics and pharmacokinetics of oral MDMA (125 mg).
This randomised controlled trial (n=24) investigates the rapid alleviation of depression in individuals with coexisting alcohol dependence (AUD), utilising ketamine at sub-anaesthetic doses (7-140mg/70kg intramuscular).
Double-blind, placebo-controlled, 4-way crossover study (n=20) testing single-dose oral MDMA (100 mg), alcohol (0.5 g/kg), and their combination on simulated driving and driving-related cognitive performance in experienced MDMA users.
The primary objectives of this study are to investigate the potential for ketamine anaesthesia to increase the antidepressant efficacy of Electroconvulsive therapy (ECT) and to decrease acute ECT-induced adverse cognitive effects.
Double-blind, randomised, six-condition crossover study (n=18) testing MDMA 75 mg with ketanserin 50 mg, pindolol 20 mg, and placebo to probe 5-HT2 and 5-HT1A contributions to MDMA-induced memory impairment and impulsivity in experienced MDMA users.
Prospective case–control observational study (n=39) comparing hangover symptoms after New Year's Eve between MDMA users, other drug users, and alcohol-only users.
Randomized, double-blind, dose-comparison Phase II study (n=26) testing 30 mg, 75 mg, and 125 mg MDMA HCl plus psychotherapy in veterans with chronic PTSD.
Within-subjects, double-blind, placebo-controlled study (n=65) testing MDMA (0, 0.75, 1.5 mg/kg, to 125 mg) with oxytocin (20 IU) as an active control in healthy volunteers to assess social and emotional processing.
Randomized double-blind, placebo-controlled crossover Phase I study (n=16) testing clonidine (150 µg) pre-treatment versus placebo on pharmacodynamics and pharmacokinetics of MDMA (125 mg) in healthy volunteers.
Double-blind, randomised, parallel pilot study (n≈31) comparing ketamine (1–2 mg/kg IV) versus methohexital (0.5–1 mg/kg IV) anesthesia during ECT for depressive episodes to assess speed of remission and cognitive side effects.
Ketamine has been proposed as a novel approach to induce rapid antidepressant response. In this pilot study (n=10) a single IV subanaesthetic ketamine infusion (0.5 mg/kg) was administered to treatment-resistant patients with major depressive disorder to assess clinical and brain-functional effects.
Placebo-controlled, double-blind, within-subject study (n=12) assessing acute and 24–48 h post-dose effects of a single 1.5 mg/kg oral MDMA dose on sleep, water homeostasis, and cognition in experienced users.
Randomised, quadruple-blind, parallel pilot study (n randomized) of two doses of psilocybin (25 mg vs 4 mg) given in two day-long psychotherapy sessions to treat anxiety in people with stage IV melanoma.
Phase I/II, randomised, double-blind, placebo-controlled study (n=60; terminated) assessing single-dose IV ketamine (Part 1) and AZD6765 (Part 2) versus placebo on BOLD pharmacoMRI signal in subjects with Major Depressive Disorder.
Randomised, double-blind crossover study (n=1 actual) comparing a single IV ketamine infusion (0.5 mg/kg) with single IV midazolam (0.045 mg/kg) for acute treatment of bipolar depression.
This study evaluates the effects of Salvinorin A (SA). SA is the active ingredient of the plant Salvia divinorum that is known to have been used by Mexican Indians as part of religious rituals. The purpose of this project is to understand what people experience when they consume Salvinorin A.
Randomised, Phase I fMRI study (n=128) comparing a single infusion of AZD6765, ketamine, and placebo in adults with depression to assess BOLD fMRI responses.
Randomised, double-blind, crossover Phase I study (n=16) testing duloxetine (120 mg, two pre-doses) versus placebo as a pretreatment to MDMA (125 mg) in healthy volunteers to assess pharmacodynamic, cardiovascular, and pharmacokinetic effects.
Randomised, double-blind, parallel study (n=75) testing varying psilocybin dose levels (very low→high) and intensity/frequency of support for spiritual practice across 2–3 sessions in healthy volunteers.
Randomised, double‑blind, crossover pharmacology study in healthy volunteers (n=16) testing reboxetine (8 mg, two doses) on subjective and cardiovascular effects of MDMA (125 mg).
The primary objective of this double-blind, placebo-controlled pilot crossover study (n=29) is to assess the efficacy of a single oral psilocybin dose (0.3 mg/kg) versus niacin (250 mg) on anxiety associated with cancer, with follow-up to 6 months.
Randomised, double‑blind, crossover study (n=13) administering MDMA (1.5 mg/kg) with and without citalopram (20 mg) in healthy volunteers to assess the role of serotonin in MDMA's emotional effects.
This study evaluates the effects of Salvinorin A (SA). SA is the active ingredient of the plant Salvia divinorum that is known to have been used by Mexican Indians as part of religious rituals. The purpose of this project is to understand what people experience when they consume Salvinorin A.
Double-blind, placebo-controlled, randomised crossover study (n=60) testing single-dose MDMA (75 mg) and metyrapone (750 mg) versus placebo in ecstasy users to assess memory performance and cortisol responses.
Randomised, parallel-group study (n=82 actual) comparing a single high-dose psilocybin session (30 mg/70 kg) plus CBT versus standard transdermal nicotine patch plus CBT for nicotine-dependent smokers.
This project aims to evaluate the potential rapid and sustained antisuicidal and antidepressant effects of a single intranasal dose of ketamine in inpatients during a mood episode in Major Depressive Disorder (MDD) or Bipolar Disorder (BD) with or without comorbid recent abuse of alcohol.
Single-group Phase I dose-ranging study (n=14) characterising subjective and behavioural effects of salvinorin A in healthy volunteers, administered via inhalation.
Randomized, parallel-group Phase II study (n=73) comparing a single IV ketamine infusion (0.5 mg/kg over 40 minutes) to active comparator midazolam (0.045 mg/kg) for treatment-resistant depression.
This randomized clinical trial will examine the frequency of treatment with ketamine in patients with treatment-resistant depression TRD without psychosis.
Randomised, double-blind, active-placebo controlled Phase II pilot (n=12) testing two LSD-assisted psychotherapy sessions (200 µg vs 20 µg) in people with anxiety related to potentially fatal illness.
As of May 21st, 2012, the purpose of this study is to test the antidepressant effect of ketamine when given repeatedly over a period of 1 week, as well as the use of Lithium as a relapse-prevention strategy for patients with treatment-resistant depression (TRD) who respond to an initial series of ketamine infusions.
Pilot randomised, triple-blind Phase II study testing MDMA-assisted psychotherapy in people with advanced-stage cancer and anxiety; Stage 1 randomised (full vs low MDMA doses) with optional Stage 2 open-label extension.
Randomised, quadruple-blind, crossover trial (n=56) in adults with cancer-related anxiety/depressive symptoms testing two oral psilocybin sessions (low vs high dose) as supportive care.
Randomised, triple-blind, placebo-controlled Phase II trial (n=14) of MDMA-assisted psychotherapy for PTSD comparing full dose (125 mg + optional 62.5 mg booster) versus low active placebo (25 mg + optional 12.5 mg booster) across three 8-hour therapy sessions.
Randomised, placebo-controlled parallel-group multi-centre trial (n=100; withdrawn) testing a single IV ketamine infusion (0.5 mg/kg over 40 minutes) versus saline placebo in treatment-resistant major depression.
Double-blind, randomised, placebo-controlled crossover study (n=16) in regular ecstasy and cannabis users assessing cardiovascular, cognitive and serotonergic effects of 100 mg oral MDMA, vapourised THC (4–6 mg) alone and combined.
Randomised, placebo-controlled crossover neuroimaging study (n=50) using oral dexfenfluramine (40–60 mg) challenge with [18F]-altanserin PET to compare 5-HT release capacity in current MDMA users, former users, and MDMA‑naïve controls.
This randomised, double-blind, placebo-controlled trial (n=26) aims to investigate the safety and efficacy of ketamine and riluzole in patients with treatment-resistant major depressive disorder. Additionally, the study will assess whether lamotrigine can mitigate ketamine-associated side effects.
Observational case-control study (n=18) comparing recreational MDMA users and healthy controls using SPECT with [123I]IBZM to assess dopaminergic function before and after a motorbike-riding computer task.
Double‑blind, randomised, placebo‑controlled crossover study (n=12) testing a single oral 75 mg dose of MDMA versus placebo on prospective and verbal memory in recreational MDMA users.
This randomised, quadruple-blind, crossover study (n=67) tests a single 35 mg/70 kg IV ketamine infusion (40 min) versus placebo for rapid antidepressant effects in major depressive disorder.
This double-blind cross-over trial (n=12) investigates the effects of psilocybin (14 mg/70 kg; 0.2 mg/kg) versus active niacin placebo on anxiety in advanced-stage cancer patients.
This Phase II, triple-blind, randomised, placebo-controlled study (n=23) evaluates MDMA-assisted therapy (125 mg + 62.5 mg) across two 8-hour sessions for chronic, treatment-resistant PTSD.
Randomised, double-blind, within-subject crossover study (n=187) examining acute MDMA effects and pharmacokinetics at placebo, 1.0 mg/kg and 1.6 mg/kg with concurrent fMRI and biological sampling.
This open-label trial (n=27) investigates how MDMA (105mg/70kg) is metabolised by the body and how differences in genes and sex (male/female) influence this.
This naturalistic observational study (n=225) investigates possible neurotoxic effects of recreational MDMA (ecstasy) on the human brain using imaging and cognitive measures.
This randomised, double-blind, placebo-controlled crossover trial (n=16) investigated the pharmacological interaction between pindolol (20 mg) and MDMA (1.6 mg/kg) in healthy male volunteers, specifically examining effects on cardiovascular function and adverse reactions.