About this trial
The goal of this clinical trial is to learn whether it is possible to use psilocybin in combination with motivational support therapy to treat moderate-to-severe methamphetamine use disorder (MeUD) in people with HIV who are seeking to stop using methamphetamine. The main questions it aims to answer are:
* Do people with HIV and MeUD find psilocybin with motivational support therapy feasible and acceptable as a potential treatment? * Is psilocybin safe and tolerable among people with HIV and MeUD?
Participants will:
* Be randomly assigned to receive a single monitored dose of either 25 mg (higher dose) or 5 mg (lower dose) psilocybin * Have 3 preparation and 3 integration motivational support therapy visits before and after the psilocybin dosing session. * Report their methamphetamine use prior to, during, and up to 3 months following the intervention * Optionally receive one additional open-label 25 mg psilocybin session after the 4-week assessment, if eligible
Eligibility criteria
Qualifiers
Age 25 to 64
Diagnosed with HIV at least 3 months ago
Moderate-to-severe methamphetamine use disorder
Uses methamphetamine regularly and identifies it as their primary drug
Disqualifiers
History of any primary psychotic disorder (e.g., schizophrenia or schizoaffective disorder), bipolar I disorder, or certain other psychiatric conditions as determined by study assessment
Current moderate-to-severe opioid, alcohol, or sedative use disorder (Note: people on stable doses of buprenorphine or methadone may be eligible)
Currently taking certain medications that may interact with psilocybin
Recent use of a psychedelic drug
Trial design
Treatments tested in this trial
- Psilocybin 5 mg
- Psilocybin 25 mg
- Motivational Support
Treatment groups
Sponsors and collaborators
Nicky Mehtani, MD, MPH
Lead sponsor
University of California, San Francisco
Sponsor institution
National Institute on Drug Abuse (NIDA)
Collaborator