40 Participants NeededMy employer runs this trial

Psilocybin Therapy for Depression

(PSI-PD Trial)

SH
GS
Overseen ByGerard Sanacora, MD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores the potential of psilocybin, a compound in certain mushrooms, to help people with Parkinson's Disease who also experience depression. The study evaluates how psilocybin may improve depressive symptoms and overall well-being. Participants will receive psilocybin in a controlled setting across two sessions. Those diagnosed with Parkinson's Disease and experiencing moderate or greater depression might be a good fit for this trial. As a Phase 2 trial, this research focuses on measuring the treatment's effectiveness in an initial, smaller group, offering participants a chance to contribute to important early findings.

Do I have to stop taking my current medications for the trial?

You may need to stop taking certain medications before participating in the trial. Specifically, you must avoid medications that could interact with psilocybin, such as MAO inhibitors, certain antidepressants, and opioids, for a specified period before the psilocybin sessions. It's best to discuss your current medications with the research team to determine what's safe.

Is there any evidence suggesting that psilocybin therapy is likely to be safe for humans?

Research has shown that psilocybin is usually well-tolerated, though some safety concerns exist. In one study, two serious side effects were reported, including a condition where individuals continue to see or hear things after the drug has worn off. Another study found that psilocybin often causes nausea. Despite this, many participants handled the treatment well overall.

While psilocybin has been linked to a higher risk of certain side effects, these effects can vary from person to person. Researchers have studied the treatment for its potential benefits in treating depression, with some studies showing it can be safe and effective in the long term. As psilocybin's role in treating depression is explored, it's crucial to consider both its promising effects and potential risks.12345

Why do researchers think this study treatment might be promising for depression?

Unlike traditional antidepressants that often take weeks to show effects, psilocybin has the potential to provide relief from depression in just a single session. This treatment is unique because it uses psilocybin, a psychedelic compound that targets serotonin receptors in the brain, which might help reset neural pathways associated with depression. Researchers are excited about psilocybin because it offers a novel approach to depression treatment with the possibility of long-lasting positive effects after just one or two doses, compared to daily medication regimens.

What evidence suggests that psilocybin might be an effective treatment for depression in Parkinson's Disease?

Research has shown that psilocybin, a compound in certain mushrooms, may help treat depression. In one study, a single dose significantly reduced depression symptoms for three weeks. Another study found that psilocybin eased symptoms, with effects lasting up to a year for most participants. A review of several studies also found that psilocybin improved depression symptoms. In a long-term follow-up, 67% of patients responded well to the treatment and remained free from depression more than five years later. This trial will evaluate the effects of psilocybin in two separate administration sessions, where participants will receive one dose ranging from low ("microdose") to high in a monitored setting. These findings suggest that psilocybin might offer both quick and lasting relief from depression.14678

Who Is on the Research Team?

SH

Sophie Holmes, PhD

Principal Investigator

Yale University

Are You a Good Fit for This Trial?

This trial is for adults diagnosed with both Parkinson's Disease and depression. Participants should be able to safely take psilocybin, as determined by the study team. People with certain medical or psychiatric conditions that could make participation unsafe may not be eligible.

Inclusion Criteria

Comfortable speaking and writing in English
Agree to consume approximately the same amount of caffeine-containing beverages before psilocybin administration sessions
Have a score ≥20 on the Beck Depression Inventory-2 (BDI-2), consistent with moderate or greater depressive symptom severity, at Baseline
See 11 more

Exclusion Criteria

Pregnancy, lactation, or intention to become pregnant within 3 months of entry
Current psychiatric symptoms warranting immediate treatment as determined by study staff
High risk of self-harm/suicide as per Columbia-Suicide Severity Rating Scale (C-SSRS) risk screen
See 28 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Preparation and Integration

Participants undergo psychotherapy sessions before and after each psilocybin administration session

4-6 weeks

Psilocybin Administration Session 1

Participants receive one dose of psilocybin ranging from low to high in a monitored setting

1 day
1 visit (in-person)

Psilocybin Administration Session 2

Participants receive a second dose of psilocybin ranging from low to high in a monitored setting

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

3 months

What Are the Treatments Tested in This Trial?

Interventions

  • Psilocybin

Trial Overview

The study is testing whether a single dose of psilocybin, given under supervision, can help improve depression symptoms in people who have Parkinson's Disease.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: Psilocybin Administration Session 2Experimental Treatment1 Intervention
Group II: Psilocybin Administration Session 1Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Yale University

Lead Sponsor

Trials
1,963
Recruited
3,046,000+

Michael J. Fox Foundation for Parkinson's Research

Collaborator

Trials
117
Recruited
537,000+

Citations

1.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/41848690/

Efficacy and Safety of Psilocybin in Treatment-Resistant ...

Psilocybin, 25 mg, was linked to adverse events, predominantly acutely, and was associated with higher reports of suicidal ideation on dosing ...

Short-Term and Late-Term Effects of Psilocybin on Major ...

These results suggest that psilocybin may provide a rapid and relatively long-lasting antidepressant effect on major depressive disorder, ...

Psilocybin Treatment for Major Depression Effective for Up ...

The researchers reported that psilocybin treatment in both groups produced large decreases in depression, and that depression severity remained ...

Efficacy and safety of psilocybin in the treatment of Major ...

From 5419 search results, three RCTs involving 389 patients were included. Psilocybin significantly reduced symptoms compared to placebo at Day 8 (MD = -7.42; ...

Five-year outcomes of psilocybin-assisted therapy for ...

Participants reported enhanced empathy, self-acceptance, and improved interpersonal relationships. No severe adverse events were reported.

Efficacy and Safety of Psilocybin in Treatment-Resistant ...

The treatment was well tolerated by most participants, although safety signals were observed. While overall this constituted an inconclusive trial, these ...

Single-Dose Psilocybin for a Treatment-Resistant Episode ...

Psilocybin at a single dose of 25 mg, but not 10 mg, reduced depression scores significantly more than a 1-mg dose over a period of 3 weeks but was associated ...

Psychedelics Research and Psilocybin Therapy

2022 (Milestone) : Psilocybin Treatment for Major Depression May be Effective for Up to a Year. Previous studies by Johns Hopkins Medicine researchers showed ...