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.
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