Effects of Psilocybin Microdosing on Cognition, Mood and Quality of Life: A Pilot Study
试验速览
- 阶段
- 1 期
- 状态
- 尚未招募
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Penn Conditional Exclusion Test
研究概览
简要总结
This study is being conducted to evaluate how of 30 days of intermittently microdosed psilocybin affects mood, cognition, subjective well-being and structural/functional MRI results compared to a placebo. Investigators hypothesize that compared to placebo, 30 days of intermittently microdosed psilocybin will produce observable changes in mood, cognition, subjective well-being and MRI, in the absence of psychedelic experiences.
详细描述
This study is being conducted to evaluate the effects of 30 days of intermittently microdosed psilocybin in a parallel arm double-blind manner on mood, cognition, subjective well-being and structural/functional MRI compared to placebo, using validated psychological assessments and cognitive tests. Investigators hypothesize that compared to placebo, 30 days of intermittently microdosed psilocybin will produce observable changes in mood, cognition, subjective well-being and MRI, in the absence of psychedelic experiences.
Demonstrating significant results in a population of healthy psychedelic non-users will establish a strong precedent for studying the effects of microdosing psychedelics in patient populations, such as those with treatment-resistant depression. Showing that microdosing minimizes risk of adverse outcomes with psychedelic treatment while maintaining beneficial effects would provide useful information relevant to clinical research in psychedelic-assisted psychotherapy. In addition to investigating claims that microdosing psychedelics may improve cognition and mood, this study also aims to test the hypothesis that these effects including those measurable at a brain level may persist beyond the course of the 30 days of the study. There are few to no studies that assessed the longevity of psychedelic effects on the majority of the above measures, so the proposed study may further establish the longer-term benefits of microdosing. The use of structural and functional magnetic resonance imaging (fMRI) will elucidate the mechanisms by which microdosing may be exerting its effects on mood and cognition. Because this is a relatively understudied area, information gleaned from this study will provide service in informing the field in general.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- Double (Participant, Care Provider)
入排标准
- 年龄范围
- 21 Years 至 40 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •No history of psychedelic use
- •Able to read, speak, and understand English
- •Able and willing to provide written informed consent, and willing to commit to study protocol
- •Women of childbearing potential must be on a highly effective birth control method
排除标准
- •Positive screen for recreational drugs or alcohol on test day will result in rescheduling the appointment
- •Current mood, developmental, or psychotic disorders (e.g., schizophrenia, affective disorders) per DSM-V
- •Current or past alcohol or substance use disorder per DSM-V
- •IQ <70 on the Weschler Abbreviated Scale of Intelligence
- •Serious medical, neuro-ophthalmological, or neurological illness (e.g., cancer, seizure disorders, encephalopathy)
- •Current pregnancy, breastfeeding, or ineffective birth control methods
- •History of head trauma with loss of consciousness lasting >30 minutes or concussion in last 30 days
- •Any medical/neurological condition that could compromise neurocognitive performance (e.g., epilepsy, multiple sclerosis, fetal alcohol syndrome)
- •Anyone deemed unsafe to study personnel for any reason; e.g., suicidal ideation
- •Focal brain lesion seen on structural MRI
- •MRI contraindications (e.g., implanted metallic object, severe claustrophobia)
研究组 & 干预措施
Psychedelic group
An imperceptible dose of psilocybin in capsules will be administered to subjects three times weekly for four weeks. Assessments will be conducted once weekly. After 30 days of a steady dose of psilocybin, subjects will be re-assessed with baseline measures.
干预措施: Psliocybin (Drug)
Placebo group
An dose of placebo in capsules, identical to the active, will be administered to subjects three times weekly for four weeks. Assessments will be conducted once weekly. After 30 days of a steady dose of psilocybin, subjects will be re-assessed with baseline measures.
干预措施: Placebo (Drug)
结局指标
主要结局
Penn Conditional Exclusion Test
时间窗: From enrollment to end of treatment at 8 weeks.
Neurocognition measure of reasoning \& problem solving in PennCNB. Scores will be transformed into z-scores. The key score will assess perseverative errors. Lowest score = 0, no max score. A higher score is correlated with worse performance, i.e. more perseverative errors.
EMAs w/ MindLamp
时间窗: From enrollment to end of treatment at 8 weeks.
NIH Toolbox Cognitive Battery
时间窗: From enrollment to end of treatment at 8 weeks.
Cognitive function will be assessed using the NIH Toolbox Cognition Battery, administered on an iPad.
The Complex Working Memory Span (CWMS) Task- fMRI measure
时间窗: From enrollment to end of treatment at 8 weeks.
CWMS Task assesses immediate plus delayed recall and working memory by assessing working memory capacity by presenting a list of stimuli to be recalled while simultaneously performing a secondary task. This task uses a fully crossed design which includes both same-domain CWMS conditions (e.g. verbal storage combined with verbal processing) as well as cross-domain CWMS conditions (e.g., verbal storage combined with spatial processing). BOLD signal Infrontal lobe.
NEO-Five-Factor-Inventory (NEO-FFI)
时间窗: From enrollment to end of treatment at 8 weeks.
The NEO-FFI is a self-description questionnaire with 60 items for the measurement of the "big five": neuroticism, extraversion, openness, agreeableness, and consciousness. It uses a 5-point Likert scale ranging from "completely disagree" to "fully agree.
Beck Depression Inventory
时间窗: From enrollment to end of treatment at 8 weeks.
This scale has a total of 21 items. Each item is scored from 0-3 points, and the total score ranges from 0-63 points. The higher the score, the higher the degree of depression.
Beck Anxiety Inventory
时间窗: From enrollment to end of treatment at 8 weeks.
Beck Anxiety Inventory is a 21-item self-reported questionnaire which measures the existenceand severity of symptoms of anxiety. Each of the 21 items on BAI tool represents an anxiety symptom. A total score of 0 - 7 is interpreted as a "Minimal" level of anxiety; 8 - 15 as "Mild"; 16 - 25 as "Moderate", and 26 - 63 as "Severe".
Harvard Flourishing Measure
时间窗: From enrollment to end of treatment at 8 weeks.
12 questions, rating from 0 to 10 per question, sum score to calculate the 'flourish measure' will be used.
Switching Stroop Test
时间窗: From enrollment to end of treatment at 8 weeks.
Stroop task measures response inhibition or response interference control. Participants will be shown a series of word colors that are either congruent or incongruent with the color of the word itself. The participant will be asked to respond to the color of the word and not the word itself. Responses are made with the keyboard. The incongruent condition is the more difficult condition of the two. Reaction time is recorded and a cost score is calculated, with shorter cost scores indicating better performance.
Flanker Inhibitory Control and Attention Test
时间窗: From enrollment to end of treatment at 8 weeks.
This test is designed to evaluate an individual's ability to concentrate their attention while inhibiting automatic response tendencies that could potentially hinder goal achievement. This is the percent correct outcome from this assessment.
Face Name Associated Memory Exam
时间窗: From enrollment to end of treatment at 8 weeks.
The score ranges from 0 to 130, with a higher score indicating better speed of processing.
9-hole pegboard dexterity test
时间窗: From enrollment to end of treatment at 8 weeks.
The Nine-Hole Peg Test (9HPT) is used to measure finger dexterity in patients with various neurological diagnoses. Time to complete the test as quickly as possible
Neurite Orientation Dispersion and Density Imaging (NODDI)
时间窗: From enrollment to end of treatment at 8 weeks.
Assessing synaptic plasticity in MRI
次要结局
- Complex Working Memory Span task(From enrollment to end of treatment at 8 weeks.)
- fMRI(From enrollment to end of treatment at 8 weeks.)
研究者
Godfrey Pearlson
Professor of Psychiatry and Neuroscience, Founding Director Olin Neuropsychiatry Research Center
Yale University
