About this trial
This study seeks to provide insight on psilocybin's effects on mechanisms of chronic pain among patients with co-morbid chronic low back pain and depression (CLBP+D).
Participants will receive either a single high-dose of psilocybin (25mg absolute dose) or methylphenidate (40mg absolute dose). Participants will be asked to complete assessments of pain, depressive symptoms, and more general questionnaires regarding the participants experiences during the experimental sessions and the associated enduring effects.
Eligibility criteria
Qualifiers
21 to 80 years old
Have given written informed consent
Report low back pain as ongoing problem ≥ 3 months and any low back pain on at least half of the days over the past 6 months (consistent with NIH Consensus Recommendations for defining CLBP; other chronic pain problems can be present, but CLBP must be reported as primary)
Report at least moderate depression symptoms Grid-Hamilton Depression Rating Scale (GRID-HAMD) ≥ 17
Disqualifiers
Lifetime history of serious psychiatric (other than depression) or neurological disorders, including bipolar disorder, psychosis, or seizure disorder
History (past 2 years) of severe substance use disorder or current (past six months) substance use disorder of moderate severity
Clinically significant suicidal ideation (e.g. with strong intent or means) within past 6 months or history (past 5 years) of suicide attempt
Medical condition incompatible with psilocybin administration (e.g., cardiovascular)
Trial design
Treatments tested in this trial
- Psilocybin
- Methylphenidate
Treatment groups
Sponsors and collaborators
Johns Hopkins University
Lead sponsor
National Center for Complementary and Integrative Health (NCCIH)
Collaborator