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High dose of psilocybin effective for treatment‐resistant depression

The Brown University Psychopharmacology Update December 27, 2022 DOI: 10.1002/pu.30970 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Phase 2b trial Peer reviewed
Population Adults with treatment-resistant depression
Intervention Psilocybin
Dose 25 mg, 10 mg, 1 mg
Duration 3-week follow-up
Topics Depression Psilocybin
Keywords Adverse effect Depression economics Hallucinogen Pharmacology Cognition
Key findings A single 25-mg dose of psilocybin significantly improved depressive symptoms at 3 weeks compared to a 1-mg control dose, while a 10-mg dose did not.

Abstract

Adults with treatment‐resistant depression who received a single 25‐mg dose of psilocybin saw significant improvement in depressive symptoms relative to a control dose at 3 weeks, a Phase 2b trial has found. A smaller 10‐mg dose of psilocybin did not result in significant improvement over the control dose of 1 mg, and adverse events were common in both of the higher‐dose groups. Study results were published in the Nov. 3, 2022 issue of The New England Journal of Medicine .

Comparable studies

Other non-randomized and open-label trials on psilocybin for depression, most cited first.

Study Year Design Participants
Psilocybin with psychological support for treatment-resistant depression: an open-label feasibility study. Patients with moderate-to-severe, unipolar, treatment-resistant major depression 2016 Open-label feasibility trial n = 12
Psilocybin with psychological support for treatment-resistant depression: six-month follow-up. Patients with severe, unipolar, treatment-resistant major depression 2017 Open-label trial n = 20
Quality of Acute Psychedelic Experience Predicts Therapeutic Efficacy of Psilocybin for Treatment-Resistant Depression Patients with treatment-resistant depression 2018 Clinical trial n = 20
Psilocybin therapy increases cognitive and neural flexibility in patients with major depressive disorder. Patients with major depressive disorder 2021 Open-label study n = 24
Increased amygdala responses to emotional faces after psilocybin for treatment-resistant depression. Individuals diagnosed with moderate to severe, treatment-resistant depression 2017 Open-label study n = 20

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