Psilocybin Therapy for Methamphetamine Use Disorder and HIV

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age25-64
SponsorNicky Mehtani, MD, MPH

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

30 Participants
are divided into 2 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