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临床试验/ACTRN12623000832673
ACTRN12623000832673招募中1 期

Investigating the safety, feasibility and acceptability of psilocybin-assisted psychotherapy in treatment resistant depression.

St. Vincent's Hospital, Sydney0 个研究点目标入组 20 人开始时间: 2023年8月3日最近更新:
适应症

试验速览

阶段
1 期
状态
招募中
发起方
入组人数
20

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Non-randomised trial
主要目的
Treatment
盲法
Open (masking not used)

入排标准

年龄范围
18 Years 至 75 Years(—)
性别
All

入选标准

  • · Male and female participants 18 - 75 years of age.
  • · Have given written informed consent.
  • · Currently under the care of a psychiatrist who is able to provide a referral and willing to maintain ongoing oversight of their patient’s clinical care and treatment management throughout the duration of the study.
  • · Have a DSM-5 diagnosis of Major Depressive Disorder and currently experiencing a major depressive episode, as confirmed by the study psychiatrist.
  • · Failed to clinically respond to two different classes of antidepressant medication treatment (despite adequate dose compliance and minimum treatment duration of 6 weeks) during the current major depressive episode.
  • · Have baseline MADRS score greater than or equal to 20.
  • · Able to maintain stable psychotropic medications (including stable dose) from time of first psilocybin dose to last psilocybin dose, and at a dose not exceeding the recommended upper dose limit according to the Australian Medicines Handbook.
  • · Concurrent psychotherapy is allowed if the type and frequency of the therapy has been stable for at least 4 weeks prior to screening and is expected to remain stable until the final dose of psilocybin.
  • · Will have accompanied transport home after treatment sessions and availability of a friend or family member and home-like environment for the 24 hours following psilocybin dosing.
  • · Able to engage with psychotherapy.
  • · Able to be followed up for entire duration of the study (i.e., planning to remain in Sydney for the duration of the study).
  • · In good general medical health as confirmed by study doctor assessment supported with information from GP/referring psychiatrist.
  • · Agree to refrain from using any alcoholic beverages or nicotine, within 24 hours of each drug administration. The exception is caffeine.
  • · Agree to only take medications on the mornings of drug sessions that have been approved by the study psychiatrist.
  • · Agree to refrain from taking any non-prescription drugs, nutritional supplements, or herbal supplements for one week before each psilocybin administration unless approved by the study psychiatrist.
  • · Have none or limited lifetime use of hallucinogens (none in last 12 months).
  • · Worked or studied in a context requiring some proficiency in spoken English (to ensure validity of neuropsychological testing).
  • · Adequate clinical, ongoing support from own treating psychiatrist and other mental health clinicians, including safety plan in the event of becoming acutely suicidal, as determined by the study psychiatrist.

排除标准

  • · Women who are pregnant, intend to become pregnant during the study or who are currently nursing.
  • · Have any significant cardiovascular conditions including uncontrolled hypertension.
  • · Have epilepsy or a history of seizures.
  • · Have history of any substance use disorder (except nicotine or caffeine) within the past 12 months.
  • · Currently taking MAOIs, lithium or any other medication that may interfere with the study drug as determined by the study psychiatrist.
  • · Current or lifetime history of meeting DSM-5 criteria for any psychotic disorders (including mood disorders with psychotic features), or bipolar I or II disorder.
  • · Have a known first or second-degree relative with any psychotic disorder, or bipolar I or II disorder.
  • · Significant suicide risk within the past year, as judged by study psychiatrist and informed by C-SSRS.
  • · Have any condition preventing establishment of rapport and safe psilocybin treatment, as determined by the study psychiatrist.

研究者

发起方
St. Vincent's Hospital, Sydney

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