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Basic SciencePhase 1NeuroPharm2NCT03289949

The Neurobiological Effect of 5-HT2AR Modulation

A Phase 1 study testing Psilocybine and Ketanserin in people with Basic Science, run by Gitte Moos Knudsen at 1 site in Denmark.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The investigators wish to investigate neurobiological effects of serotonin 2A receptor modulation in healthy volunteers, contrasting effects of an agonist (psilocybin) and an antagonist (ketanserin). Magnetic resonance imaging (MRI) and positron emission tomography (PET) will be used as neuroimaging tools. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Basic Science
What is being tested?
Psilocybine and Ketanserin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteDenmark
Study dates
3 Mar 2017to 1 Jun 2030
Phase
Phase 1
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • 1) Healthy individuals above 18 years of age.

Who cannot join

  • Presence of or previous primary psychiatric disease (DSM axis 1 or WHO ICD-10 diagnostic classifications) or in first-degree relatives.
  • Previous or present neurological condition/disease, significant somatic condition/disease or intake of drugs suspected to influence test results.
  • Non-fluent Danish language skills.
  • Vision or hearing impairment.
  • Previous or present learning disability.
  • Pregnancy.
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  • Breastfeeding.
  • Contraindications in regard to MRI scanning.
  • Alcohol or drug abuse.
  • Allergy to test drugs.
  • Participation in studies in which participant has received more than 10 mSv of radiation or other significant exposure to radiation.
  • Abnormal ECG or intake of QT prolonging medication.
  • Previous significant side-effects in regard to hallucinogenic drugs.
  • Use of hallucinogenic drugs 6 months previous to inclusion.
  • Blood donation 3 months before and after project participation
  • Body weight under 50 kg.
  • Plasma ferritin levels outside normal range
  • Presence of or previous primary psychiatric disease (DSM IV axis 1 or WHO ICD-10 diagnostic classifications).
  • Presence of or previous primary psychiatric disease with psychosis symptoms or hypomania (DSM IV axis 1 [drug/alcohol abuse/dependence, schizophrenia and other psychoses] or WHO ICD-10 diagnostic classifications [F10-29, as well as F30-39 with psychotic symptoms, F60]) in first-degree relatives (parents or siblings).
  • Previous or present neurological condition/disease, significant somatic condition/disease or intake of drugs suspected to influence test results.
  • Non-fluent Danish language skills or pronounced vision or hearing impairment.
  • Previous or present learning disability.
  • Pregnancy.
  • Breastfeeding.
  • Contraindications in regard to MRI scanning.
  • Alcohol or drug abuse.
  • Allergy to test drugs.
  • Abnormal ECG or intake of QT prolonging medication.
  • Previous significant side-effects in regard to hallucinogenic drugs.
  • Previous use of hallucinogenic drugs.
  • Body weight under 45 kg.
  • Ethical concerns regarding the administration of a psychedelic drug.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Gitte M Knudsen, Professor contact

+45 35456720

gmk@nru.dk

Patrick M Fisher, PhD contact

+45 35456714

patrick.fisher@nru.dk

Denmark1 site, 1 recruiting
  • Neurobiology Research Unit, Rigshospitalet

    Copenhagen, 2100

    Gitte M Knudsen, Professor

    Patrick M Fisher, PhD, +4535456714, patrick.fisher@nru.dk

    Recruiting

Other trials in Denmark

About this study

The investigators wish to investigate neurobiological effects of serotonin 2A receptor modulation in healthy volunteers, contrasting effects of an agonist (psilocybin) and an antagonist (ketanserin). Magnetic resonance imaging (MRI) and positron emission tomography (PET) will be used as neuroimaging tools.

Read the detailed description

This project applies an experimental medicine strategy coupled with human functional and molecular neuroimaging to elucidate the effects of 5-HT2A receptor (5-HT2AR) modulation on brain function and mood in healthy individuals. We compare psilocybin (5-HT2AR agonist) and ketanserin (5-HT2AR antagonist) effects on brain function to identify neural mechanisms mediating the clinical effects of psilocybin and, more broadly, to establish this comparative strategy as a pathway for delineating pharmacological effects on the brain in humans.

Conditions
Basic Science
Being tested
Psilocybine, Ketanserin

What participants receive

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

  • PsilocybineDrug

    Also called Psilocybin

    Oral dose of psilocybine.

  • KetanserinDrug

    Also called Ketensin

    Oral dose of ketanserin.

Study groups in NCT03289949
Study groupRoleWhat they receive
Project 1: Occupancy of psilocybin/ketanserinOtherAfter baseline MRI \& 5-HT2AR PET-imaging, participants will be allocated to undergo either one oral dose of psilocybine or one oral dose of ketanserin. After drug administration, participants will undergo two CIMBI-36 PET scans.
Receives: Drug: Psilocybine; Drug: Ketanserin
Project 2: Long term effects of psilocybinOtherAfter baseline MRI \& CIMBI-36 PET-imaging, participants will receive one dose of oral psilocybine intervention. One and 12 weeks after dosing, participants will undergo post-intervention PET-scan. Subproject B: After baseline MRI \& UCB-J PET-imaging, participants will receive one dose of oral psilocybine intervention. One week after dosing, participants will undergo post-intervention UCB-J PET-scan. Subproject C: After baseline MR imaging, participants will receive one dose of oral psilocybine (25 mg) or placebo. One month after dosing, participants will undergo a post-intervention MRI scan.
Receives: Drug: Psilocybine
Project 3: Functional connectivityOtherAfter baseline MRI scanning and CIMBI-36 PET, participants will undergo one psilocybine-intervention fMRI scan and one ketanserin-intervention fMRI scan. If P2 shows there are long term effects of psilocybine on 5-HT2AR levels, psilocybine will be fixed as the second intervention. If not, interventions will be randomized.
Receives: Drug: Psilocybine; Drug: Ketanserin

What is being measured

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

  1. Psilocin/ketanserin blood concentrations and 5-HT2A receptor occupancy (i.e., binding potential).

    The investigators aim to model relations psilocin/ketanserin blood drug concentrations and receptor occupancy, using C11-Cimbi-36 PET imaging.

    Measured: Change in Cimbi-36 binding potential from baseline PET to intervention PET 1 and PET 2 scans (same day for psilocybin, and two consecutive days for ketanserin).

  2. Effects of psilocybin on Cimbi-36 binding potential at baseline and at one and twelve weeks

    Cimbi-36 PET scan binding potential at baseline and at one-week post psilocybin, and potentially also at 12 weeks post psilocybin.

    Measured: Change in Cimbi-36 binding potential from baseline to one week post psilocybin (and potentially also at 12 weeks after psilocybin).

  3. Effects of psilocybin and ketanserin on brain function assessed with fMRI and PET

    Correlations between blood levels of ketanserin and psilocin and the estimated associated receptor occupancy with functional MRI neuroimaging data, including resting state networks. Changes in synaptic density will be assessed with 11C-UCB-J PET scans before and 1 week after psilocybin intervention.

    Measured: Changes in functional connectivity (fMRI) from Baseline MR to intervention MR scans for ketanserin (one or three weeks after baseline MR) and psilocybin (one or three weeks after baseline)

  4. Effects of psilocybin on UCB-J binding potential at baseline and at one week

    Project 2, Subproject B. UCB-J PET scan binding potential at baseline and at one-week post psilocybin.

    Measured: Change in UCB-J binding potential from baseline to one week post psilocybin.

  5. Effects of psilocybin on brain function assessed with fMRI at baseline and one month

    Project 2, Subproject C. Resting-state and task-based fMRI measures at baseline and one month post psilocybin.

    Measured: Change in fMRI measures from baseline to one month post psilocybin

  6. Anxiety Outcome Measure 1: Acute psychological effects as assessed using Challenging Experiences Questionnaire (CEQ).

    Differences in CEQ scores between groups (psilocybin with music compared to psilocybin without music). Effects are measured on a Likert-scale ranging from 0 (Not all all) to 5 (Extremely; More than ever). Higher scores thus reflect a more challenging experience. Project 2, Subproject C. PsiloZonic.

    Measured: Immediately post-intervention.

  7. Anxiety Outcome Measure 2: Acute psychological effects as assessed using 5D-Altered States of Consciousness (5D-ASC) scale.

    Differences in 5D-ASC anxiety scores between groups (psilocybin with music compared to psilocybin without music). Effects are measured on a Visual analogue scale (VAS) scale ranging from 0 (No, not more than usually) to 100 (Yes, much more than usually). Higher scores on dimension anxiety thus reflect more anxiety. Project 2, Subproject C. PsiloZonic.

    Measured: Immediately post-intervention.

  8. Anxiety Outcome Measure 3: Acute psychological effects as assessed using Extended Subjective Drug Intensity (eSDI) scale.

    Differences in eSDI anxiety scores between groups (psilocybin with music compared to psilocybin without music). Effects are measured on a Likert-scale ranging from 0 (Not all all) to 10 (Very much). Higher scores on item anxiety thus reflect more anxiety. Project 2, Subproject C. PsiloZonic.

    Measured: During intervention.

  9. Transformative Experiences Outcome Measure 1: Acute psychological effects as assessed using Mystical Type Experiences Questionnaire (MEQ) scale.

    Differences in MEQ scores between groups (psilocybin with music compared to psilocybin without music). Effects are measured on a Likert-scale ranging from 0 (Not all all) to 5 (Extremely). Higher scores thus reflect a more profound mystical type experience. Project 2, Subproject C. PsiloZonic.

    Measured: Immediately post-intervention.

  10. Transformative Experiences Outcome Measure 2: Acute psychological effects as assessed using Psychological Insights Questionnaire (PIQ) scale.

    Differences in PIQ scores between groups (psilocybin with music compared to psilocybin without music). Effects are measured on a Likert-scale ranging from 0 (Not all all) to 5 (Extremely). Higher scores thus reflect more psychological insight. Project 2, Subproject C. PsiloZonic.

    Measured: Immediately post-intervention.

  11. Transformative Experiences Outcome Measure 3: Acute psychological effects as assessed using Emotional Breakthrough Questionnaire (EBI) scale.

    Differences in EBI scores between groups (psilocybin with music compared to psilocybin without music). Effects are measured on a Visual analogue scale (VAS) scale ranging from 0 (No, not more than usually) to 100 (Yes, much more than usually). Higher scores thus reflect more emotional breakthrough. Project 2, Subproject C. PsiloZonic.

    Measured: Immediately post-intervention.

  12. Persisting Effects Outcome Measure 1: Persisting psychological effects as assessed using Persisting Effects Questionnaire (PEQ) scale.

    Differences in PEQ scores will be assessed between groups (psilocybin with music compared to psilocybin without music). Effects are measured on a Likert-scale ranging from 0 (Not all all) to 5 (Extremely). Higher scores thus reflect more persisting effects. Project 2, Subproject C. PsiloZonic.

    Measured: One and three months post-intervention.

Timeline

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

  1. First posted21 Sep 2017
  2. Study start3 Mar 2017
  3. Primary completion1 Jun 2030 (estimated)
  4. Study completion1 Jun 2030 (estimated)

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
Phase 1
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Sequential
Masking
Single blind
Who is masked
Participant
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03289949
Sponsor's protocol ID
H-16026898
Acronym
NeuroPharm2
Status last verified
Dec 2024
First submitted
14 Sep 2017
Last updated
16 Dec 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Via database of Center for Integrated Molecular Brain Imaging (Knudsen et al 2016, NeuroImage) data will be available for neuroscience research community contingent on approval by scientific board.

Publications

  • Johansen A, Plaven-Sigray P, Madsen MK, Sondergaard A, Messel C, Geisler M, Nasser A, McCulloch DE, Beliveau V, Vassilieva A, Lund A, Lehel S, Ozenne B, Stenbaek DS, Fisher PM, Svarer C, Knudsen GM. Psilocybin's effect on human brain synaptic plasticity. Transl Psychiatry. 2026 Jul 15. doi: 10.1038/s41398-026-04285-y. Online ahead of print.

    PubMed 42457666
  • Brendstrup-Brix K, Ozenne B, Fisher PM, Stenbaek DS, Petersen AS, Armand S, McCulloch DE, Marstrand-Joergensen MR, Ulv Larsen SM, Johansen A, Jensen RH, Knudsen GM, Madsen MK. Effects of psilocybin on sleep quality and brain microstructure in chronic cluster headache. J Psychopharmacol. 2026 May 29:2698811261449380. doi: 10.1177/02698811261449380. Online ahead of print.

    PubMed 42212900

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Psilocybine and Ketanserin in people with Basic Science, run by Gitte Moos Knudsen at 1 site in Denmark.

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 1 inclusion and 32 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: looking for participants now, as of the sponsor's last update on 16 Dec 2024. 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 Denmark. 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?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Gitte M Knudsen, Professor (+45 35456720, gmk@nru.dk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Psilocin/ketanserin blood concentrations and 5-HT2A receptor occupancy (i.e., binding potential). (time frame: Change in Cimbi-36 binding potential from baseline PET to intervention PET 1 and PET 2 scans (same day for psilocybin, and two consecutive days for ketanserin).). The study lists 12 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 NCT03289949, 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 16 Dec 2024; AzTrials last refreshed its copy on 1 Nov 2026.

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