About this trial
The purpose of this study is to determine the importance of the acute subjective experience induced by psilocybin (the primary component of "magic mushrooms") in facilitating positive outcomes. Participants in this study will be given psilocybin in combination with either a placebo or risperidone, an atypical antipsychotic that block the subjective effects of psilocybin.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Individuals of all sexes, gender identities, and ethnicities
Ages 18 to 65 years of age at the time of screening
Ability to read/write in English
Agree not to consume psychoactive drugs 24 hours before dosing sessions or consume psychedelics during duration of study participation
Disqualifiers
Any notable abnormality on electrocardiogram or routine medical blood or urinalysis laboratory tests
Current psychiatric diagnoses, such as: major depressive disorder, generalized anxiety disorder, panic disorder, social anxiety disorder, obsessive compulsive disorder, moderate to severe substance use disorders, eating disorders, personality disorders, post-traumatic stress disorder
Lifetime or current psychiatric diagnoses of: psychosis, schizophrenia, bipolar disorder
Family history: a first- or second degree relative with a history of schizophrenia or other psychotic disorders, bipolar I or II
Trial design
Factorial
Treatments tested in this trial
Psilocybin high-dose
DrugThe drug product (DP) PEX010 is a capsule for oral administration and is manufactured with DS PYEX (12.5-14.0% psilocybin), excipients, and HPMC capsules. The product is manufactured in two product strengths, and this represents the high-dose
Psilocybin low-dose
DrugThe drug product (DP) PEX010 is a capsule for oral administration and is manufactured with DS PYEX (12.5-14.0% psilocybin), excipients, and HPMC capsules. The product is manufactured in two product strengths, and this represents the low-dose.
Risperidone 1 MG
Drugrisperidone 1mg capsules
Placebo
Druginactive placebo
Treatment groups
Trial outcomes
Primary outcomes
Positive effects
Persisting Effects Questionnaire (PEQ) - 145 questions rated using a 6-point Likert scale from 0 to 6. There are 12 sub-scale themes assessing positive and negative changes in Attitudes About Life, Attitudes About Self, Mood Changes, Social Effects, Behavioural Changes, and Spirituality. Higher scores in the positive sub-scales indicate a better outcome, while higher scores in the negative sub-scales indicate a worse outcome.
Secondary outcomes
Stress reactivity
Stress reactivity will be assessed through heart rate variability
Biomarkers of stress and plasticity
cortisol, ACTH, BDNF
Mood
Mood will be assessed using the Positive and Negative Affect Schedule. The questionnaire has two sub-scales: the positive affect score (scores range from 10-50, higher scores represent better outcome) and the negative affect score (scores range from 10-50, higher scores represent worse outcome)
Well-being
Well-being will be assessed using the Warwick-Edinburgh Mental Wellbeing Scale. The total score ranges from 14-70; a higher score represents a better outcome.
Sponsors and contacts
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