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James G. Kahn

6 papers in the library · 149 citations · publishing 2022-2026

Papers

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Well-being as a primary endpoint in clinical trials: a call for consensus

npj Mental Health Research August 6, 2026 Elliot Marseille, Hannes Kettner, Tyrone J. Sgambati et al.

Abstract Psychiatric trials typically define success as symptom reduction, yet patients prioritize meaning, vitality, and functioning. This imbalance undervalues experiential benefits, distorting clinical, policy, and FDA decisions. Psychedelic trials illustrate this, where robust well-being gains sometimes accompany modest symptom effects. We argue well-being should be elevated to co-primary...

Assessing readiness for implementation of psychedelic-assisted mental health therapy, in low- and middle-income countries

Journal of Psychedelic Studies September 4, 2025 Kevin D. Lam, Caroline Griffin, S. Kantipudi et al. 1 citation

Mental health disorders (MHD) rank among the top 10 global causes of disease burden, with significant economic and social costs. Current treatments often have limited efficacy or tolerability, and there has been little recent innovation in treatments. In the past decade, clinical research on Psychedelic-Assisted Therapies (PAT) for treating MHD has increased in high-income countries, while most...

Psilocybin-assisted therapy for treatment-resistant depression in the US: a model-based cost-effectiveness analysis

Translational Psychiatry August 29, 2025 Anton L. V. Avanceña, Linh N. Vuong, James G. Kahn et al. 8 citations

Abstract Psilocybin-assisted therapy (PAT) has been shown in early trials to reduce the symptoms of treatment-resistant depression (TRD). This study evaluated the cost-effectiveness of PAT as a third-line treatment for major depressive disorder compared to standard of care (SOC). We used an individual-level, probabilistic simulation model that portrays representative US adults with TRD who...

Group psychedelic therapy: empirical estimates of cost-savings and improved access

Frontiers in Psychiatry December 6, 2023 Elliot Marseille, Manish Agrawal, Paul Thambi et al. 40 citations

Objective To compare group and individual psychedelic-assisted therapy in terms of clinician time, costs and patient access. Methods Using 2023 data from two group therapy trial sites, one using 3,4-Methylenedioxymethamphetamine (MDMA) to treat posttraumatic stress disorder (PTSD), and one using psilocybin to treat major depressive disorder (MDD), we compared overall variable costs, clinician...

The economics of psychedelic-assisted therapies: A research agenda

Frontiers in Psychiatry December 5, 2022 Elliot Marseille, Stefano Bertozzi, James G. Kahn 51 citations

After a long hiatus, psychiatry is undergoing a resurgence of interest in psychedelic drugs as therapy for a wide range of mental health disorders Accumulating clinical evidence suggests substantial potential for psychedelics used in a therapeutic context, as treatment for, among other disorders, depression, post-traumatic stress disorder (PTSD), and addictions to tobacco, opioids and alcohol....

Updated cost-effectiveness of MDMA-assisted therapy for the treatment of posttraumatic stress disorder in the United States: Findings from a phase 3 trial

PLoS One February 25, 2022 Elliot Marseille, Jennifer Mitchell, James G. Kahn 49 citations

Background Severe posttraumatic stress disorder (PTSD) is a prevalent and debilitating condition in the United States. and globally. Using pooled efficacy data from six phase 2 trials, therapy using 3,4-methylenedioxymethamphetamine (MDMA) appeared cost-saving from a payer’s perspective. This study updates the cost-effectiveness analysis of this novel therapy using data from a new phase 3...