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Cancer Related Major Depression Treated With a Single Dose of Psilocybin

Phase 2
Recruiting
Conditions
MDD
Interventions
Registration Number
NCT06319378
Lead Sponsor
Section for Affective Disorders; Northern Stockholm Psychiatry
Brief Summary

The goal of this randomized placebo controlled trial is to compare the antidepressant effect of a single oral dose of psilocybin 25 mg compared to 1 mg in 100 patients with cancer related major depressive disorder. The main question it aims to answer is:

The primary objective of this study is to evaluate the efficacy of a single 25 mg oral dose of psilocybin for major depressive disorder (MDD) compared to an active placebo (psilocybin 1 mg) assessed as the difference between groups in changes in depressive symptoms, in the following Population: 20-80 (inclusive) years old, current depressive episode (according to Patient Health Questionnaire (PHQ-9)

≥10), \>1 month after cancer diagnosis, with at least 12 months of life expectancy, willingness to abstain from other psychotherapeutic or antidepressant treatments during the study (wash out time 5 half-lives).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
psilocybin 25 mg (active)psilocybin 25 mg sod-
psilocybin 1 mgpsilocybin 1 mg sod-
Primary Outcome Measures
NameTimeMethod
MADRS at day 42day 42

Montgomery Asberg Depression Rating Scale (MADRS) total score (0-60, smaller equals better)

Secondary Outcome Measures
NameTimeMethod
GAD-7 at Day 42Day 42

General Anxiety Disorder 7 (GAD-7) (0-21, lower equals better)

MADRS day 8day 8

Montgomery Asberg Depression Rating Scale (MADRS) total score (0-60, smaller equals better)

MADRS-S at all evaluations between Day 0 and Day 42 (Mixed Models for Repeated Measures (MMRM) x1)Day 42

Montgomery Asberg Depression Rating Scale self rating (MADRS-S) (0-54, smaller equals better)

SDS at Day 180 (ANCOVA x3)Day 180

Sheehan Disability Scale (SDS) (0-10, smaller equals better)

EQ-5D-5L at Day 90 and Day 180 (ANCOVA x6)Day 90 and Day 180

Euroqol 5 Dimension scale (EQ5D-5L), 0-1, higher equals better

AQOL-6D at Day 90 and Day 180 (ANCOVA x2)Day 90 and Day 180

Assessing Quality of Life 6 dimensions (AQOL-6D) (0-99, smaller equals better)

HADS at Day 42Day 42

Hospital Anxiety and Depression Scale (HADS) (0-42, smaller equals better)

SDS at Day 42Day 42

Sheehan Disability Scale (SDS) (0-10, smaller equals better)

AQOL-6D at Day 42 (ANCOVA x1)Day 42

Assessing Quality of Life 6 dimensions (AQOL-6D) (0-99, smaller equals better)

CGI at Day 90 and Day 180 (ANCOVA x6)Day 90 and Day 180

Clinical Global Impression (CGI), (1-7, smaller equals better)

CGI at Day 8 and Day 42 (analysis of covariance (ANCOVA) x6)Day 8 and 42

Clinical Global Impression (CGI), (1-7, smaller equals better)

MADRS at Day 90 and Day 180 (ANCOVA x2)Day 90 and Day 180

Montgomery Asberg Depression Rating Scale (MADRS) total score (0-60, smaller equals better)

MADRS-S at all evaluations between Day 43 and Day 180 (MMRM x1)between Day 43 and Day 180

Montgomery Asberg Depression Rating Scale self rating (MADRS-S) (0-54, smaller equals better)

GAD-7 at Day 180 (ANCOVA x3)Day 180

General Anxiety Disorder 7 (GAD-7) (0-21, lower equals better)

EQ-5D-5L at Day 8 and Day 42 (ANCOVA x6)Day 8 and 42

Euroquol 5 Dimension scale (EQ5D-5L), 0-1, higher equals better

HADS at Day 180 (ANCOVA x3)Day 180

Hospital Anxiety and Depression Scale (HADS) (0-42, smaller equals better)

Trial Locations

Locations (4)

Norra Stockholms Psykiatri

🇸🇪

Stockholm, Sweden

Psykiatriska Kliniken, Akademiska Sjukhuset

🇸🇪

Uppsala, Sweden

region Västra Götaland

🇸🇪

Göteborg, Sweden

Örebro sjukhus

🇸🇪

Örebro, Sweden

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