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CancerEarly Phase 1NCT00957359

Psilocybin Cancer Anxiety Study

A Early Phase 1 study testing Psilocybin and Niacin in people with Cancer, run by NYU Langone Health at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of this double-blind, placebo-controlled pilot study is to assess the efficacy of psilocybin administration (4-phosphoryloxy-N,N-dimethyltryptamine), a serotonergic psychoactive agent, on psychosocial distress, with the specific primary outcome variable being anxiety associated with cancer. Read more about this study

Who is it for?
Ages 18 to 76 years
Conditions the study is for
Cancer
What is being tested?
Psilocybin and Niacin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
29 participants
Where
1 siteUnited States
Study dates
Feb 2009to 6 Sep 2018
Phase
Early Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 76 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age: 18-76
  • Current or historical diagnosis of cancer
  • Projected life expectancy of at least one year
  • DSM-IV diagnoses: Acute Stress Disorder, Generalized Anxiety Disorder, Anxiety Disorder due to cancer, Adjustment Disorder with anxious features
  • Any stage of cancer diagnosis

Who cannot join

  • Epilepsy
  • Renal disease
  • Diabetes
  • Abnormal liver function
  • Severe cardiovascular disease
  • Malignant Hypertension
Show all 10Show fewer
  • Baseline blood pressure must be less than or equal to 140/90
  • Personal history or immediate family members with schizophrenia, bipolar affective disorder, delusional disorder, schizoaffective disorder or other psychotic spectrum illness
  • Current substance use disorder
  • Medication contraindications: anti-seizures medications, insulin, oral hypoglycemics, clonidine, aldomet, cardiovascular medications, anti-psychotics (first and second generation), anti-depressants and mood stabilizers

Trial locations and contacts

1 site in 1 country.

United States1 site
  • NYU College of Dentistry Bluestone Center for Clinical Research

    New York, New York, 10010

Other trials in United States

About this study

Official title: Effects of Psilocybin on Anxiety and Psychosocial Distress in Cancer Patients

The primary objective of this double-blind, placebo-controlled pilot study is to assess the efficacy of psilocybin administration (4-phosphoryloxy-N,N-dimethyltryptamine), a serotonergic psychoactive agent, on psychosocial distress, with the specific primary outcome variable being anxiety associated with cancer. Secondary outcome measures will look at the effect of psilocybin on symptoms of pain perception, depression, existential/psychospiritual distress, attitudes towards disease progression and death, quality of life, and spiritual/mystical states of consciousness. In addition, a secondary objective of the study is to determine the feasibility of administering psilocybin to this patient population, with regards to the following issues: safety, patient recruitment, consent for treatment, and retention. The duration of the proposed investigation will be long enough to administer the drug one time to each of thirty-two patients and to conduct follow-up assessments. This study is separate but similar to a recently completed study at the Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, run by a psychiatrist, Dr. Charles Grob. Although the outcomes measures would be similar to those used as in the Grob study, the proposed dose of psilocybin is higher at 0.3mg/kg and the total subjects for the study would be 32 instead of 12. The study utilizes a cross-over design at 7 weeks and includes prospective follow-up of 6 months duration. This study has been approved by the Bellevue Psychiatry Research Committee, the NYU Oncology PRMC Committee, the Food and Drug Administration (FDA) through the issuance of an IND (77,138), the New York University School of Medicine Institutional Review Board (NYU IRB), the Health and Hospitals Corporation (HHC)-New York University (NYU) Clinical Translational Science Institute (CTSI), the NYU Bluestone Center for Clinical Research, and the Drug Enforcement Agency (DEA) through the issuance of a schedule I license.

It is hypothesized that a one time experience with psilocybin will occasion dramatic shifts in consciousness and awareness that will lead to short-term (ie hours to days) and long-term (up to 6 months in this study, following the administration of the second dosing, either psilocybin or placebo) improvement in anxiety, depression, and pain associated with advanced cancer. The exact mechanism of action is unclear but based on studies done in the 60's using serotonergic hallucinogens in patients with advanced cancer, improvements in anxiety levels, mood and pain were reported. However, a treatment model developed by the famous British psychiatrist Humphrey Osmond, offers one possibility. In this model, serotonergic hallucinogens' therapeutic mechanism lies in their ability to allow the individual to access novel dimensions of consciousness and their efficacy or lack thereof relies on whether a transcendent and mystical state of awareness is attained. Another possible mechanism relates to what Dobkin de Rios and Grob have described as 'managed altered states of consciousness,' where the power of suggestibility, occurring in a safe setting, allows one to transcend a particular state of consciousness (i.e. anxiety and depression associated with advanced illness) as a means to facilitate emotional discharge and to manage irreconcilable conflict.

Conditions
Cancer
Being tested
Psilocybin, Niacin
Keywords
Cancer, Anxiety, Depression, Hallucinogens
Medical subject headings
Neoplasms, Anxiety Disorders, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PsilocybinDrug

    Also called 4-phosphoryloxy-N,N-dimethyltryptamine

    Psilocybin is a serotonergic hallucinogen that will be administered once at a dose of 0.3mg/kg

  • NiacinDrug

    Psilocybin and niacin will be administered in identically appearing opaque, size 0 gelatin capsules with approximately 180ml of water. The niacin dose will be 250mg

Study groups in NCT00957359
Study groupRoleWhat they receive
PsilocybinExperimentalDrug intervention
Receives: Drug: Psilocybin; Drug: Niacin
NiacinActive comparatorActive control
Receives: Drug: Psilocybin; Drug: Niacin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. HADS Anxiety

    Hospital Anxiety and Depression Scale (HADS) used for measuring anxiety; Scored on a scale of 0-21 (higher score more anxiety)

    Measured: 2-4 weeks prior to drug administration

  2. HADS Anxiety

    Hospital Anxiety and Depression Scale (HADS) used for measuring anxiety; Scored on a scale of 0-21 (higher score more anxiety)

    Measured: 1 day prior to drug administration 1

  3. HADS Anxiety

    Hospital Anxiety and Depression Scale (HADS) used for measuring anxiety; Scored on a scale of 0-21 (higher score more anxiety)

    Measured: 1 day post drug administration 1

  4. HADS Anxiety

    Hospital Anxiety and Depression Scale (HADS) used for measuring anxiety; Scored on a scale of 0-21 (higher score more anxiety)

    Measured: 6 weeks post drug administration 1

  5. HADS Anxiety

    Hospital Anxiety and Depression Scale (HADS) used for measuring anxiety; Scored on a scale of 0-21 (higher score more anxiety)

    Measured: 1 day prior to drug administration 2

  6. HADS Anxiety

    Hospital Anxiety and Depression Scale (HADS) used for measuring anxiety; Scored on a scale of 0-21 (higher score more anxiety)

    Measured: 6 weeks post drug administration 2

  7. HADS Anxiety

    Hospital Anxiety and Depression Scale (HADS) used for measuring anxiety; Scored on a scale of 0-21 (higher score more anxiety)

    Measured: 26 weeks post drug administration 2

  8. State-Trait Anxiety Inventory (STAI) State

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 2-4 weeks prior to drug administration/ Baseline

  9. STAI State

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 1 day prior to drug administration 1

  10. STAI State

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 1 day post drug administration 1

  11. HADS Depression

    0-21 (higher score more depression)

    Measured: 2-4 weeks prior to drug administration/ Baseline

  12. STAI State

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 6 weeks post drug administration 1

  13. STAI State

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 1 day prior to drug administration 2

  14. STAI State

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 1 day post drug administration 2

  15. STAI State

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 6 weeks post drug administration 2

  16. STAI State

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 26 weeks post drug administration 2

  17. STAI Trait

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 2-4 weeks prior to drug administration/ Baseline

  18. STAI Trait

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 1 day prior to drug administration 1

  19. STAI Trait

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 1 day post drug administration 1

  20. STAI Trait

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 6 weeks post drug administration 1

  21. STAI Trait

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 1 day prior to drug administration 2

  22. STAI Trait

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 1 day post drug administration 2

  23. STAI Trait

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 6 weeks prior to drug administration 2

  24. STAI Trait

    STAI scores 20-80 (higher score more anxiety). Commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).

    Measured: 6 weeks post drug administration 2

  25. HADS Depression

    0-21 (higher score more depression)

    Measured: 1 day prior to drug administration 1

  26. HADS Depression

    Hospital Anxiety and Depression Scale (HADS) used for measuring depression; Scored on a scale of 0-21 (higher score more depression)

    Measured: 1 day post drug administration 1

  27. HADS Depression

    Hospital Anxiety and Depression Scale (HADS) used for measuring depression; Scored on a scale of 0-21 (higher score more depression)

    Measured: 6 weeks post drug administration 1

  28. HADS Anxiety

    0-21 (higher score more anxiety)

    Measured: 1 day post drug administration 2

  29. HADS Depression

    Hospital Anxiety and Depression Scale (HADS) used for measuring depression; Scored on a scale of 0-21 (higher score more depression)

    Measured: 1 day post drug administration 2

  30. HADS Depression

    Hospital Anxiety and Depression Scale (HADS) used for measuring depression; Scored on a scale of 0-21 (higher score more depression)

    Measured: 6 weeks post drug administration 2

  31. HADS Depression

    Hospital Anxiety and Depression Scale (HADS) used for measuring depression; Scored on a scale of 0-21 (higher score more depression)

    Measured: 26 weeks post drug administration 2

Secondary outcomes (23)
  1. Death Anxiety Scale

    0-15 (higher score more death anxiety)

    Measured: 26 weeks post drug administration 2

  2. Death Anxiety Scale

    0-15 (higher score more death anxiety)

    Measured: 2 weeks post drug administration 1

  3. Death Transcendence Scale

    0-60 (higher score more death transcendence)

    Measured: 2-4 weeks prior to drug administration/ Baseline

  4. Hopelessness

    0-16 (higher score more hopeless)

    Measured: Baseline

  5. Death Anxiety Scale

    0-15 (higher score more death anxiety)

    Measured: 2-4 weeks prior to drug administration/ Baseline

  6. Death Transcendence Scale

    0-60 (higher score more death transcendence)

    Measured: 2 weeks post drug administration 1

  7. Hopelessness

    0-16 (higher score more hopeless)

    Measured: 2 weeks post drug administration 1

  8. Hopelessness

    0-16 (higher score more hopeless)

    Measured: 26 weeks post drug administration 2

  9. Demoralization Scale

    0-96 (higher score more demoralized)

    Measured: 2-4 weeks prior to drug administration/ Baseline

  10. Demoralization Scale

    0-96 (higher score more demoralized)

    Measured: 2 weeks post drug administration 1

  11. Demoralization Scale

    0-96 (higher score more demoralized)

    Measured: 26 weeks post drug administration 2

  12. QoL Physical Health Scale

    4-20 (higher score improved quality of life domain)

    Measured: 2-4 weeks prior to drug administration/ Baseline

  13. QoL Physical Health Scale

    4-20 (higher score improved quality of life domain)

    Measured: 2 weeks post drug administration 1

  14. QoL Physical Health Scale

    4-20 (higher score improved quality of life domain)

    Measured: 26 weeks post drug administration 2

  15. QoL Psychological Scale

    4-20 (higher score improved quality of life domain)

    Measured: 2-4 weeks prior to drug administration/ Baseline

  16. QoL Psychological Scale

    4-20 (higher score improved quality of life domain)

    Measured: 2 weeks post drug administration 1

  17. QoL Psychological Scale

    4-20 (higher score improved quality of life domain)

    Measured: 26 weeks post drug administration 2

  18. QoL Social Relationships Scale

    4-20 (higher score improved quality of life domain)

    Measured: 2-4 weeks prior to drug administration/ Baseline

  19. QoL Social Relationships Scale

    4-20 (higher score improved quality of life domain)

    Measured: 2 weeks post drug administration 1

  20. QoL Social Relationships Scale

    4-20 (higher score improved quality of life domain)

    Measured: 26 weeks post drug administration 2

  21. QoL Environment Scale

    4-20 (higher score improved quality of life domain)

    Measured: 2-4 weeks prior to drug administration/ Baseline

  22. QoL Environment Scale

    4-20 (higher score improved quality of life domain)

    Measured: 2 weeks post drug administration 1

  23. QoL Environment Scale

    4-20 (higher score improved quality of life domain)

    Measured: 26 weeks post drug administration 2

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Aug 2009 (estimated)
  2. Study startFeb 2009
  3. Primary completion6 Sep 2018
  4. Study completion6 Sep 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
29 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00957359
Sponsor's protocol ID
06-954
Status last verified
Sep 2020
First submitted
11 Aug 2009
Last updated
20 Oct 2020
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Agin-Liebes GI, Malone T, Yalch MM, Mennenga SE, Ponte KL, Guss J, Bossis AP, Grigsby J, Fischer S, Ross S. Long-term follow-up of psilocybin-assisted psychotherapy for psychiatric and existential distress in patients with life-threatening cancer. J Psychopharmacol. 2020 Feb;34(2):155-166. doi: 10.1177/0269881119897615. Epub 2020 Jan 9.

    PubMed 31916890
  • Ross S, Bossis A, Guss J, Agin-Liebes G, Malone T, Cohen B, Mennenga SE, Belser A, Kalliontzi K, Babb J, Su Z, Corby P, Schmidt BL. Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial. J Psychopharmacol. 2016 Dec;30(12):1165-1180. doi: 10.1177/0269881116675512.

    PubMed 27909164

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Psilocybin and Niacin in people with Cancer, run by NYU Langone Health at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Oct 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

HADS Anxiety (time frame: 2-4 weeks prior to drug administration). The study lists 31 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00957359, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Oct 2020.

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