Safety and Tolerability Trial of Psilocybin in Healthy Older Adults

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age65-85
SponsorUniversity of Colorado, Denver

About this trial

This study plans to learn more about the safety and tolerability of psychedelic administration (psilocybin) in healthy older adults ages 65-85.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Aged 65-85 years & be male, female, or non-binary

Generally healthy

Have an identified support person

Capacity to Consent

Disqualifiers

Unstable medical condition

Risk for hypertensive crisis (screening blood pressure >140/90 mmHg)

Significant central nervous system (CNS) pathology

Primary psychotic or affective psychotic disorders

Trial design

Design model

Single group

Treatments tested in this trial

  • Psilocybin (Usona Institute)

    Drug

    Evaluate the safety and tolerability of psychedelic administration in two cohorts of healthy older adults. * Cohort 1a Psilocybin Moderate Dose: 2 doses of oral psilocybin (10mg and then 25mg) 30 days apart. * Cohort 1b Psilocybin High Dose: 2 doses of oral psilocybin (15mg and then 30mg) 30 days apart.

Treatment groups

40 Participants
are divided into 1 treatment group
Group A: PsilocybinExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Adverse Events

Frequency and severity of adverse events; Proportion of participants who complete the intervention, do not advance to the second dose, and who withdraw early from the trial

Time frame
up to 14 weeks

Secondary outcomes

1

Total drug exposure (Area Under the Curve, AUC)

Total drug exposure measured with blood samples - Pharmacokinetics

Time frame
Two separate medication administration days 30 days apart (Week 2 & Week 6 of study participation)
2

Elimination Half-life

Elimination Half-life measured with blood samples - Pharmacokinetics

Time frame
Two separate medication administration days 30 days apart (Week 2 & Week 6 of study participation)
3

Maximum concentration (Cmax)

Maximum plasma concentration (Cmax) measured with blood samples - Pharmacokinetics

Time frame
Two separate medication administration days 30 days apart (Week 2 & Week 6 of study participation)
4

Minimum concentration (Cmin)

Minimum plasma concentration (Cmin) measured with blood samples - Pharmacokinetics

Time frame
Two separate medication administration days 30 days apart (Week 2 & Week 6 of study participation)

Other outcomes

1

Psychedelic Experience (Exploratory)

Psychedelic Experience: Mystical Experience Questionnaire 4-item (Range: 0-20 (4 items × 0-5 each; higher score predicts greater improvement in clinical outcomes); Persisting Effects Questionnaire-4 (Range: 0-32 (4 items × 0-8 each; drug experience measuring meaningfulness, spiritual significance, psychologically challenges, \& personal psychological insights gained); Challenging Experience Questionnaire 7-item (Range: 0-42 (7 items × 0-5 each; higher score indicates more challenging experiences related to psychedelic administration); Emotional Breakthrough Inventory (Range: 0-100, 6 items, higher score indicates emotional breakthroughs in psychedelic experiences \& predicts post-psychedelic changes in well-being); Awe Experience Scale (Range: 30-210, 30 items × 1-7 each, six factors: vastness, need for accommodation, altered time perception, self-diminishment, connectedness, physical sensation; Stanford Expectations of Treatment Scale Range: 0-24, positive \& negative expectations

Time frame
Enrollment/Baseline study visit, Week 2, and Week 6 of study participation
2

Well-being & Participant Feedback (Exploratory)

Brief Inventory of Thriving (Brief Inventory of Thriving, Range: 10-50 (10 items × 1-5 each, strongly disagree → strongly agree; Higher scores = greater overall psychological well-being / "thriving" \& Participant Feedback Questionnaire, 6 questions, strongly disagree → strongly agree, higher score indicates more positive experience with the study

Time frame
Enrollment/Baseline study visit, Week 2, Week 6, Week 10, and Week 14 of study participation
3

Pain (Exploratory, optional)

Pain intensity and tolerance in response to acute noxious stimuli both intensity and the unpleasantness of the sensation. Pin prick task involves the dorsum of the hand to be pricked twice, followed by 2 trains of 10 pricks, 1/second, and 0-100 pain ratings will be collected from 0-10. Cold pressor tasks involves participants submerging their hand in cold water up to 3 minutes and rating pain intensity and unpleasantness every 30 seconds on a 0-100 scale.

Time frame
Enrollment/Baseline study visit, Week 2, and Week 6 of study participation

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Colorado, Denver

Lead sponsor

National Institute on Aging (NIA)

Collaborator

University of California, San Francisco

Collaborator

Emory University

Collaborator

Dana-Farber Cancer Institute

Collaborator

NYU Langone Health

Collaborator

University of Nebraska

Collaborator