Psilocybin-assisted Therapy for Post-Traumatic Stress Disorder

(PsiPTSD Trial)

Not yet recruiting at 2 trial locations
PK
CC
CT
Overseen ByChantel T Debert, MD MSc FRCPC
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: University of Calgary
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial investigates whether psilocybin, a psychedelic compound, can reduce PTSD symptoms in survivors of intimate partner violence. Participants will receive either a high or low dose of psilocybin, combined with Acceptance and Commitment Therapy, which focuses on mindfulness and behavior change. The study aims to determine if psilocybin can enhance quality of life and mental functions like mood and thinking skills. This trial may suit those who have experienced intimate partner violence, have had PTSD for over six months, and have limited past use of psychedelic drugs. As a Phase 2 trial, this research measures the treatment's effectiveness in an initial, smaller group, allowing participants to contribute to significant findings.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications. It's best to discuss this with the trial coordinators or your doctor.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that psilocybin, a substance found in some mushrooms, is generally safe when used with psychological support. Studies have found that a 25 mg dose is well-tolerated, with no serious harm reported. In earlier research, participants showed some improvement in symptoms of depression and PTSD (post-traumatic stress disorder).

For the smaller 1 mg dose, research is less detailed, but it is likely even more tolerable due to its lower amount. Both doses are under study to better understand their safety and effects. Current evidence suggests that therapy with psilocybin might be a promising way to reduce PTSD symptoms and improve overall well-being.12345

Why do researchers think this study treatment might be promising for PTSD?

Unlike standard PTSD treatments like SSRIs or cognitive behavioral therapy, psilocybin-assisted therapy uses psilocybin, a psychedelic compound, to help patients process their trauma in a new way. Researchers are excited because psilocybin targets serotonin receptors in the brain, potentially leading to rapid and profound shifts in mood and perception. Additionally, psilocybin's effects can occur after just one or two administrations, offering a faster-acting alternative to traditional methods that usually require ongoing sessions. This unique approach could provide a transformative experience that helps patients find relief more quickly.

What evidence suggests that this trial's treatments could be effective for PTSD?

This trial will compare the effects of different doses of psilocybin on PTSD symptoms. Research has shown that psilocybin, a substance found in some mushrooms, might help reduce PTSD symptoms. Studies have found that just one dose, combined with therapy, can effectively lessen these symptoms. Early results suggest that people feel better mentally after receiving psilocybin in a controlled therapy setting. Evidence also indicates that psilocybin might improve the quality of life and cognitive abilities in people with PTSD. While more research is needed, these findings are encouraging for those considering this treatment.13467

Who Is on the Research Team?

PK

Pamela Kryskow, MD, CCFP

Principal Investigator

Medical Lead, Psychedelic-assisted Therapy Graduate Program, Vancouver Island University, Medical Director, Roots to Thrive Society

SD

Shannon Dammes, RN, MPH

Principal Investigator

Professor, Health Sciences, Vancouver Island University, and Visioning and Development Lead, Roots to Thrive Society

Pv

Paul van Donkelaar, PhD

Principal Investigator

Professor, Faculty of Health and Social Development, School of Health and Exercise Sciences

JG

Jodie Gawryluk, PhD

Principal Investigator

Associate Professor, Department of Psychology, University of Victoria

SS

Sandy Shultz, PhD

Principal Investigator

Director, Centre for Trauma and Mental Health Research, Vancouver Island University

LM

Leah Mayo, PhD

Principal Investigator

Parker Psychedelics Research Chair and Assistant Professor, Department of Psychiatry, University of Calgary, Cumming School of Medicine

ZW

Zachary Walsh, PhD

Principal Investigator

Professor, Department of Psychology, University of British Columbia

Are You a Good Fit for This Trial?

Adults aged 18-65 who have survived intimate partner violence and suffer from chronic PTSD can join this trial. They must complete a two-part screening, attend assessments, psychoeducation sessions, and ACT therapy post-psilocybin administration. Those with certain health conditions or on conflicting medications may be excluded.

Inclusion Criteria

Minimum PCL-5 score of ≥ 33
At least 6 months since last IPV incident
I have experienced repeated abuse.
See 4 more

Exclusion Criteria

Active suicidal ideation or serious attempt within the past 1 year
Current pregnancy or nursing, trying to become pregnant
Current or recent (within 12 weeks) participation in a clinical trial
See 10 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2 parts
2 visits (in-person)

Baseline Assessment

Participants attend a baseline assessment consisting of clinical and behavioral outcome measures

1 day
1 visit (in-person)

Psychoeducation Preparation

Participants complete a psychoeducation preparation session(s) prior to psilocybin administration

1-2 sessions
1-2 visits (in-person)

Psilocybin Administration

Participants receive a single dose of psilocybin (either high dose 25mg or low dose 1mg) administered 24 hours prior to the first ACT session

1 day
1 visit (in-person)

Acceptance and Commitment Therapy (ACT)

Participants complete 5-6 weekly sessions of Acceptance and Commitment Therapy

5-6 weeks
5-6 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment with outcome measures repeated at 1-week, 4 weeks, 3 months (online only), and 6 months post-psilocybin administration

6 months
Online questionnaires at 1-week, 4 weeks, 3 months, and 6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Psilocybin
Trial Overview The trial is testing the effectiveness of psilocybin combined with Acceptance and Commitment Therapy (ACT) to alleviate PTSD symptoms in IPV survivors. Participants will receive either a high dose (25mg) or low dose (1mg) of psilocybin and undergo several weeks of ACT.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: High DoseExperimental Treatment0 Interventions
Group II: Low DoseActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Calgary

Lead Sponsor

Trials
827
Recruited
902,000+

Vancouver Island University

Collaborator

Trials
2
Recruited
140+

University of British Columbia

Collaborator

Trials
1,506
Recruited
2,528,000+

Published Research Related to This Trial

Psilocybin, a serotonergic psychedelic, has shown promise in treating various psychiatric disorders, including depression and substance use disorders, with 9 clinical trials conducted between 2000 and 2020.
The treatment is generally well tolerated with limited side effects, and some patients with treatment-resistant conditions have experienced significant long-term improvements after just a few sessions, indicating its potential efficacy.
[Treatment with psilocybin: applications for patients with psychiatric disorders].Breeksema, JJ., Koolen, MHB., Somers, M., et al.[2021]
A single dose of psilocybin significantly reduced fear responses in mice, indicating its potential to facilitate fear extinction, which is crucial for treating PTSD.
Psilocybin promoted hippocampal neuroplasticity by improving dendritic complexity, spine density, and levels of neuroplasticity-related proteins, suggesting it could enhance the effectiveness of exposure-based therapies for PTSD.
Psilocybin facilitates fear extinction in mice by promoting hippocampal neuroplasticity.Du, Y., Li, Y., Zhao, X., et al.[2023]
In a study of 27 patients with moderate to severe major depressive disorder, psilocybin-assisted treatment showed significant and lasting antidepressant effects, with 75% of participants experiencing a treatment response and 58% achieving remission after 12 months.
There were no serious adverse events related to psilocybin, indicating a favorable safety profile, and participants reported meaningful personal and spiritual experiences that correlated with increased well-being, although these did not directly predict improvements in depression.
Efficacy and safety of psilocybin-assisted treatment for major depressive disorder: Prospective 12-month follow-up.Gukasyan, N., Davis, AK., Barrett, FS., et al.[2022]

Citations

The Psychedelic Future of Post-Traumatic Stress Disorder ...Psychedelic compounds that alter cognition, perception, and mood are currently being examined for their efficacy in treating PTSD despite their current status ...
Evaluation of Psilocybin-assisted Psychotherapy (PaP) for ...PaP may similarly benefit the treatment of posttraumatic stress disorder (PTSD). Research indicates high treatment drop-out rates (approximately 30%) among PTSD ...
Psychedelic-Assisted Therapy for PTSDFinally, preliminary data suggests that a single administration of psilocybin along with group psychotherapy can decrease symptoms of PTSD in older long-term ...
Investigating the safety and tolerability of single-dose ...This was a Phase 2, nonrandomized, open-label, multicenter trial. Secondary outcomes were changes in PTSD symptoms (Clinician-Administered ...
Psychedelics Research and Psilocybin TherapyUpcoming studies will determine the effectiveness of psilocybin as a new therapy for opioid addiction, Alzheimer's disease, post-traumatic stress disorder (PTSD) ...
Safety and Tolerability of Psilocybin in Post-Traumatic ...The purpose of this study is to evaluate the safety, tolerability, and potential efficacy of psilocybin-assisted psychotherapy to reduce post-traumatic stress ...
News DetailsOpen-label Phase 2 study shows a single 25 mg COMP360 psilocybin dose was well tolerated, with no serious adverse events observed, ...
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