Psilocybin Efficacy With or Without Pimavanserin Pretreatment

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age21-65
SponsorJohns Hopkins University

About this trial

Twenty healthy adults (≥21 years old) will be enrolled to evaluate the efficacy of a single oral dose of psilocybin (25 mg) administered with or without pretreatment using oral pimavanserin (34 mg) or placebo. Outcome assessments will occur at 1 week and 1 month following psilocybin administration.

The purpose of this study is to clarify the receptor-level mechanisms underlying psilocybin's effects on mood and well-being, along with the associated neurophysiologic signatures. These mechanisms will be examined using psychometric scales, autonomic and fMRI-based neurophysiologic markers, and integrated pharmacokinetic/pharmacodynamic modeling.

Eligibility criteria

Qualifiers

Age 21 to 65 years old

Provision of written informed consent

Fluency in English

At least high school level of education

Disqualifiers

Non-English speakers and those with language or hearing impairments

Left-handedness (assessed by the Edinburgh Handedness Inventory)

Any lifetime history of psychedelic use, including serotonergic compounds (e.g., psilocybin, LSD, mescaline, DMT, 5-MeO-DMT) and nontraditional psychedelics (e.g., MDMA, ketamine, ibogaine)

History of psychiatric diagnosis in adulthood (≥18 years), including, but not limited to, major depressive disorder, bipolar disorder I and II, psychotic disorders, and substance use disorder.

Trial design

Treatments tested in this trial

  • Psilocybin
  • Pimavanserin
  • Inactive Placebo

Treatment groups

20 Participants
are divided into 2 treatment groups

Sponsors and collaborators