About this trial
The primary purpose of this study is to preliminarily estimate the efficacy of psilocybin-facilitated treatment for fibromyalgia. Investigators will assess the impact of psilocybin-facilitated treatment on pain, fatigue, and other fibromyalgia symptoms, in addition to the level of functioning and quality of life. Investigators will also evaluate potential mediators of treatment (e.g., treatment expectations, pain characteristics, personality, beliefs/cognitions, emotions). Investigators hypothesize psilocybin treatment will significantly reduce symptom severity in fibromyalgia patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female age 25-65;
Widespread musculoskeletal pain for ≥12 months;
Symptoms meeting the American College of Rheumatology (ACR) 2016 revisions to the 2010/2011 Fibromyalgia Diagnostic Criteria;
Participant completes daily report during baseline period (at least 80% completion rate);
Disqualifiers
Males;
Use of opioid medications in the last 60 days;
Regular use of any anti-inflammatory medication (e.g., aspirin, ibuprofen, naproxen);
Use of blood thinning medication;
Trial design
Parallel
Treatments tested in this trial
Psilocybin
Drug0.36 mg/kg will be administered orally to participants
Dextromethorphan
Drug2.6 mg/kg of active placebo will be administered orally to participants
Treatment groups
Trial outcomes
Primary outcomes
Change in daily self-reported pain severity
Daily pain severity will be measured using a visual analog scale rated from 0 ('no pain at all') to 100 ('severe pain')
Secondary outcomes
Patient Global Impression of Change (PGIC)
The PGIC is a single-item Likert scale with seven response options from 1 ('very much improved') to 7 ('very much worse').
Change in self-reported pain severity (Brief Pain Inventory [BPI])
Pain severity scores will be calculated as a composite of the four pain severity items scored from 0 ('no pain') to 10 ('pain as bad as you can imagine') on the BPI
Change in self-reported pain interference (Brief Pain Inventory [BPI])
Pain interference scores will be calculated as the mean of the seven pain interference items scored from 0 ('does not interfere') to 10 ('completely interferes') on the BPI.
Sponsors and contacts
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