Feasibility study testing the protocol of single dose of psilocybin given to people who have had little improvements with brief psychological intervention
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.
Detailed Description
Open-label, non-randomised, single-group feasibility study (n=30) administering a single morning oral dose of psilocybin 25 mg with 8 hours monitoring to adults with moderate depression or anxiety who had limited benefit from brief psychological interventions.
Screening includes one two-hour session; acute measures at ~4 hours, subacute at 24 hours, and outcomes at 6 and 12 weeks. Primary outcomes include recruitment and retention at dosing and follow-up and composite depression/anxiety scores (DASS-21, BAI, BDI-2).
Study Protocol
Preparation
Dosing
Integration
Therapeutic Protocol
Study Arms & Interventions
Psilocybin 25 mg
experimentalSingle-group open-label administration of oral psilocybin 25 mg with psychological support and monitoring.
Interventions
- Psilocybin25 mgvia Oral• single dose
Morning administration with 8-hour monitoring; review of prior brief therapy content (ACT components) during session.
Participants
Inclusion Criteria
- 1. Capable of understanding and signing an informed consent form.
- 2. Aged 25 - 60 years on the day of consent.
- 3. Psychiatric history: Clinical interviews and assessments by referral agent - psychologists at student health/community mental health teams/private clinics.
- 4. Participants with anxiety: Baseline scores of moderate to severe anxiety according to DASS-21 criteria and clinical assessment from referral agent (psychologist).
- 5. Participants with depression: Baseline scores of moderate to severe depression according to DASS-21 criteria and clinical assessment from referral agent (psychologist).
Exclusion Criteria
- To be included in the study, participants must meet none of the following exclusion criteria:
- 1. Female participants who are or intend to become pregnant, or are lactating.
- 2. Participants who, in the opinion of the investigator, do not understand the information and procedures of the study, or would not be compliant with them (in particular the study restrictions and risks involved).
- 3. Any participant for whom the investigator believes, for any reason, that participation would not be an acceptable risk.
- 4. Participants with cardiovascular conditions.
- 5. Current use of antidepressants, anxiolytics, MAOIs, thyroxine or stimulants (amphetamine/methylphenidate).
- 6. Participants with severe, acute or chronic medical illnesses.
- 7. Participants with a history of schizophrenia, psychosis, bipolar disorder, borderline personality disorder, or seizure disorders.
- 8. Participants with a family history of schizophrenia, psychosis, or bipolar disorder.
- 9. Participants with current active suicidal ideation.
- 10. Substance abuse disorder, current or within the last 6 months.
Study Details
- StatusNot yet recruiting
- PhasePhase II
- Typeinterventional
- DesignNon-randomized
- Target Enrollment30 participants
- TimelineStart: 2025-02-01End: 2026-03-31
- Compound
- Topic