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A Proposal to Study the Safety and Efficacy of Psilocybe cubensis in Preclinical and Clinical Studies as a Therapeutic Alternative for Major Depressive Disorder

Raul Escamilla, María Eva González-Trujano, Jesús M. González Mariscal, Jesús Martín Torres-Valencia, Héctor Guzmán-González, José Luis Vega, Anja Loizaga-Velder

Journal of Psychoactive Drugs August 18, 2023 DOI: 10.1080/02791072.2023.2246459 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Research project design with preclinical and clinical experimental components Peer reviewed
Population Healthy adults and patients with major depressive disorder
Topics Psilocybin Psychedelic-assisted therapy Depression
Keywords Major depression Psilocybe mushrooms Psychedelic medicine Mental health treatments Psilocybin therapy Depression research
Citations 7
Key findings Psilocybin is a novel and breakthrough therapy for major depression, but research in Mexican populations is lacking, and this proposal outlines a preclinical and clinical study design.

Abstract

The pharmacological treatment of depression consists of taking antidepressant drugs for prolonged periods; its modest therapeutic effect can often be associated with significant adverse effects, while its discontinuation can lead to relapses. Psilocybin is today a novel and breakthrough therapy for major depression. It is a natural alkaloid in Psilocybe mushrooms, which are endemic to Mexico. Research on a larger scale is lacking in various populations, including the Mexican people. This proposal contemplates the experimental design of a preclinical (toxicity and pharmacological evaluation of an extract in mice) and clinical study by including the chemical analysis of a species of Psilocybe cubensis mushroom to characterize its main constituents. The clinical study will consider the safety evaluation by exploring tolerated doses of Psilocybe cubensis by measuring pharmacokinetic parameters after oral administration in healthy adults and an open trial on a sample of patients with major depressive disorder to assess the safety and efficacy of fully characterized Psilocybe cubensis in a two-single doses treatment, (with assisted psychotherapy), compared with the traditional care model at the Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz in Mexico City. This report presents the design of a research project with preclinical and clinical experimental components.

Comparable studies

Other preclinical and animal studies on psilocybin and psychedelic-assisted therapy, most cited first.

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