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AgingPhase 1NCT06367738

Investigating the Persisting Effects of a Single Dose of Psilocybin on Structural Plasticity in Healthy Older Adults

A Phase 1 study testing Psilocybin in people with Aging, run by University of California, Berkeley at 1 site in United States.

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

Participants in this study will undergo a series of non-invasive tests and activities designed to understand how a single dose of psilocybin might influence cognition and emotional well-being in healthy older adults. Read more about this study

Who is it for?
Ages 60 to 85 yearsHealthy volunteers can take part
Conditions the study is for
Aging
What is being tested?
Psilocybin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteUnited States
Study dates
Nov 2025to 30 Dec 2027
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 60 to 85 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Are 60-85 years of age at time of Informed Consent Form signing. Are able and willing to adhere to study requirements, including attending all study visits, preparatory and follow-up sessions, and completing all study evaluations.
  • Are able to swallow capsules. Women of childbearing potential (WOCBP) must agree to practice an effective means of birth control throughout the duration of the study.
  • Have normal or corrected-to-normal vision as determined by the study staff. Written informed consent obtained from and ability for subject to comply with the requirements of the study.
  • Have an identified support person and agree to be accompanied home (or to an otherwise safe destination) by the support person, or another responsible party, following dosing.
  • Agree to inform the investigators within 48 hours of any new or changed medical conditions during the course of their study participation.
  • Have access to a quiet space and a computer to perform online assessments.

Who cannot join

  • Breastfeeding, have a positive pregnancy test at screening or at any point during the course of the study, or unwilling to practice birth control during participation in the study.
  • Have a current psychiatric disorder, general medical condition, or other problem or abnormality that, in the opinion of the study clinician or PI, could compromise safety, render them unsuitable for the study, or would make them unable to comply with study activities.
  • Have MRI contraindications (e.g., metal implants, pacemakers, claustrophobia etc.) as determined by an MRI contraindications questionnaire.
  • Have a history of recent, clinically significant suicidal ideation or behavior.
  • Have a history of a psychotic disorder, bipolar disorder (type I or II), or a dissociative disorder (determined by history).
  • History of Hallucinogen Persisting Perception Disorder (HPPD). History of a seizure disorder in adulthood, central nervous system (CNS) metastases or current symptomatic CNS infection.
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  • History of intracerebral hemorrhage, embolic stroke, transient ischemic attack (TIA), or history of any aneurysmal vascular disease (including thoracic and abdominal aorta, intracranial and peripheral arterial vessels) or arteriovenous malformation.
  • History of valvulopathy or pulmonary hypertension. Uncontrolled hypertension (Systolic BP>139mmHG or Diastolic BP>89mmHG) or tachycardia (average HR>90bpm) averaged over at least two measurements.
  • Clinically significant cardiovascular disease (e.g., history of myocardial infarction or congestive heart failure); or baseline QT/QTc>500msec; or baseline QT/QTc 451-500msec with repeat QT/QTc >500msec.
  • Poorly controlled diabetes mellitus (e.g., history of an episode of severe hypoglycemia or hospitalization for hyperglycemia on the current diabetes regimen).
  • Inadequate hepatic function as determined by total bilirubin or alkaline phosphatase >3x institutional upper limit of normal; or AST or ALT >6x institutional upper limit of normal. However, participants with Gilbert syndrome are allowed to enroll.
  • Inadequate renal function as determined by eGFR < 30 mL/min/1.73 m2 (based on the MDRD equation) or CrCl < 30 mL/min (based on the C-G equation).
  • The regular use of psychotropic medications, such as antidepressants (i.e., SSRIs, tricyclic antidepressants, and monoamine oxidase inhibitors), antipsychotics, and mood stabilizers.
  • Concomitant dosing of psilocybin with known UGT1A10 and UGT1A9 inhibitors (e.g., diclofenac and probenecid) will be avoided. [There is no exclusion criterion based on the use of medications or substances that are inhibitors or inducers of CYP450 enzymes.]
  • The use of Prohibited Medications:
  • Serotonin Reuptake Inhibitors (SSRIs and SNRIs) Tricyclic Antidepressants (TCAs) Monoamine Oxidase Inhibitors (MAOIs) Atypical antidepressants (e.g., mirtazapine, trazodone, buspar) Antipsychotics/Neuroleptics (typical and atypical) Anti-epileptics or mood stabilizers (e.g., lithium, valproate) (does not include gabapentin used for non-epilepsy conditions) Efavirenz (Sustiva, in Atripla) Lorcaserin Over-the-counter supplements intended to affect mood or anxiety (e.g., 5HT-P, SAMe or St. John's Wort).
  • Other drugs associated with the serotonin syndrome (e.g., ondansetron) used within 48 hours of study drug administration.
  • Vasoactive drugs (e.g., sildenafil, sumatriptan, calcium channel blockers) used within 48 hours of study drug administration.
  • Unable to agree to the following required Lifestyle Modifications: Patients will be asked to refrain from consuming alcohol, cannabinoids, prescription analgesics/stimulants/benzodiazepines, and any recreational drugs for 48 hours before, the day of, and for 48 hours after study drug administration. Participants will be advised to consume their usual amount of coffee, tea, or other caffeine-containing beverages on the morning of their Medication Visits.
  • Recent and lifetime use of psychedelics (e.g. psilocybin, LSD, mescaline), entactogens (e.g. MDMA), or dissociative anesthetics (e.g. ketamine) above a predetermined threshold.
  • Has been diagnosed with any disease that impairs motor function (e.g., Parkinson's disease) At high risk of falls as determined by study physician considering medical history, screening of recent symptoms and medications, and functional mobility testing.

Trial locations and contacts

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

United States1 site, 1 recruiting
  • University of California, Berkeley

    Berkeley, California, 94720

    BCSP Research Staff, 669-244-2436, bcspresearchsubjects@berkeley.edu

    Recruiting

Other trials in United States

About this study

Participants in this study will undergo a series of non-invasive tests and activities designed to understand how a single dose of psilocybin might influence cognition and emotional well-being in healthy older adults. After providing written informed consent, eligible participants, aged between 60 and 85, will be randomly assigned to receive a dose of psilocybin ranging from a microdose to a moderate-to-high dose. Anatomical magnetic resonance imaging (MRI) and diffusion weighted imaging (DWI) will be used to assess changes in brain structure, while functional magnetic resonance imaging (fMRI) will be used to quantify changes in functional brain activity.

Read the detailed description

The investigators will use cognitive exams, perceptual tasks, brain imaging, peripheral psychophysiology, and surveys to investigate the persisting effects of psilocybin on cognition, predictive coding, and affect in healthy older adults (60-85 years old). The investigators will measure changes in these measures by comparing baseline to one-week and one-month post-treatment. Participants will be randomly assigned to receive a dose of psilocybin in a range from microdose to moderate-to-high dose (1-30 milligrams).

Anatomical magnetic resonance imaging (MRI) and diffusion weighted imaging (DWI) will be used to assess changes in brain structure, while functional magnetic resonance imaging (fMRI) will be used to quantify changes in functional brain activity. The investigators will assess whether changes in these brain measures underlie observed changes in cognition, predictive coding and affect.

Conditions
Aging
Being tested
Psilocybin

What participants receive

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

Study groups in NCT06367738
Study groupRoleWhat they receive
Psilocybin Level 1ExperimentalThe effects of different doses of psilocybin (1 - 10 mg) will be compared.
Receives: Drug: Psilocybin
Psilocybin Level 2ExperimentalPsilocybin (11 - 20 mg) will be administered.
Receives: Drug: Psilocybin
Psilocybin Level 3ExperimentalPsilocybin (21 - 30 mg) will be administered.
Receives: Drug: Psilocybin

What is being measured

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

  1. MRI measurements of brain structure

    Diffusion-weighted MRI will be used to measure mean diffusivity in prefrontal cortex and hippocampus.

    Measured: Baseline, week 1, and week 4

Secondary outcomes (33)
  1. Amplitude and pattern of fMRI cortical responses

    Functional magnetic resonance imaging (fMRI) responses to visual stimuli, diffusion-weighted MRI, and T1-weighted anatomical MRI will be used.

    Measured: Baseline, week 1, and week 4

  2. Vagus nerve reactivity

    Change from baseline visit on peripheral psychophysiology will be recorded using a validated task to assess vagus nerve activation during a baseline measurement compared to activation measured while viewing emotionally evocative video clips.

    Measured: Baseline, week 1, and week 4

  3. Perceptual measurements

    Perceptual measurements will be used to assess the effects of doses of psilocybin on participants' abilities to update visual prior expectations based on new information.

    Measured: Baseline, week 1, and week 4

  4. Penn Conditional Exclusion Test (PCET)

    A validated set-shifting measure of cognitive flexibility.

    Measured: Baseline, week 1, and week 4

  5. California Verbal Learning Test, Second Ed. (CVLT-II)

    A validated measure of verbal learning and memory.

    Measured: Baseline, week 1, and week 4

  6. Visual Reproduction (from Wechsler Memory Scale-Third Edition)

    A validated measure assessing ability to reproduce complex designs after a brief exposure.

    Measured: Baseline, week 1, and week 4

  7. Logical Memory (from Wechsler Memory Scale-Third Edition)

    A validated measure of recognition and recall.

    Measured: Baseline, week 1, and week 4

  8. Recognition memory (REC)

    A measurement during the in-scanner continuous MST task to assess ability to correctly distinguish between previously presented objects and novel objects.

    Measured: Baseline, week 1, and week 4

  9. Lure discrimination index (LDI)

    A measurement during the in-scanner continuous MST task to assess ability to correctly distinguish between previously presented objects and similar lure objects.

    Measured: Baseline, week 1, and week 4

  10. Somatic Symptom Scale-8 (SSS-8)

    A validated 8-item 5-point Likert scale ("not at all" to "very much") questionnaire assessing how much a subject has been bothered by various somatic symptoms in the past week such as stomach or bowel problems, feeling tired or having low energy, and headaches.

    Measured: Baseline, week 1, and week 4

  11. RAND 36-Item Short Form Health Survey 1.0 (SF-36, 3-items)

    Selected 3 items from the validated 36-item questionnaire on self-reported health. The 3 items are 6-point Likert scale and assess perceived pain in the past week and overall health.

    Measured: Baseline, week 1, and week 4

  12. Brief version of the Pittsburgh Sleep Quality Index (B-PSQI)

    A validated 6-item questionnaire assessing aspects of sleep quality in the past week.

    Measured: Baseline, week 1, and week 4

  13. Ryff & Keyes Psychological Wellbeing - Purpose in Life subscale (PWB-PIL)

    A 7-item 6-point Likert scale ("Strongly disagree" to "Strongly agree") subscale from the validated 42-item Psychological Wellbeing questionnaire. This subscale assesses the degree to which a subject perceives their life to have purpose, direction, and meaningfulness.

    Measured: Baseline, week 1, and week 4

  14. Social Connectedness Scale - Revised (SCS-R)

    A validated 20-item 6-point Likert scale ("Strongly Disagree" to "Strongly Agree") questionnaire assessing how respondents view themselves socially and the degree to which they feel socially connected with others.

    Measured: Baseline, week 1, and week 4

  15. Specific Emotion Experience Questionnaire (SEEQ)

    A 20-item 7-point Likert scale ("Not at all" to "Extremely") assessing the extent to which subjects have experienced each of the 20 listed emotions in the past week.

    Measured: Baseline, week 1, and week 4

  16. Big Five Inventory-2-Extra Short Form (BFI-2-XS)

    A validated 15-item 5-point Likert scale ("Disagree Strongly" to "Agree Strongly") questionnaire assessing various dimensions of personality. The scale has 5 dimensions: extraversion, agreeableness, conscientiousness, neuroticism, and openness.

    Measured: Baseline, week 1, and week 4

  17. Spontaneous Self-Distancing Questionnaire (SSDQ)

    A validated 2-item questionnaire assessing a subject's tendency to self-distance when reflecting on recent painful or difficult experience.

    Measured: Baseline, week 1, and week 4

  18. Temporal Distancing Questionnaire (TDQ)

    A validated 8-item 7-point Likert scale ("Does not describe me" to "Describes me extremely well") questionnaire assessing how subjects respond to negative or unpleasant life events.

    Measured: Baseline, week 1, and week 4

  19. Emotion Regulation Questionnaire (ERQ)

    A validated 10-item 7-point Likert scale ("Strongly Disagree" to "Strongly Agree") questionnaire assessing how subjects regulate and manage their emotions.

    Measured: Baseline, week 1, and week 4

  20. Acceptance and Action Questionnaire (AAQ-II)

    A validated 7-item 7-point Likert scale ("Never True" to "Always True") questionnaire assessing a subject's level of psychological flexibility and their willingness to experience difficult thoughts and emotions.

    Measured: Baseline, week 1, and week 4

  21. Perseverative Thinking Questionnaire (PTQ)

    A validated 15-item 5-point Likert scale ("Never" to "Almost always") measurement of how subjects engage with negative thoughts or problems.

    Measured: Baseline, week 1, and week 4

  22. Brief Resilience Scale (BRS)

    A validated 6-item 5-point Likert scale ("Strongly Disagree" to "Strongly Agree") self-report measure of the ability to bounce back or recover from stress.

    Measured: Baseline, week 1, and week 4

  23. Apathy Evaluation Scale (AES) self-rated

    A validated 18-item 4-point Likert scale ("not at all" to "a lot") measure of self-reported apathy.

    Measured: Baseline, week 1, and week 4

  24. Perceived Stress Scale (PSS)

    A validated 10-item 5-point Likert scale ("never" to "very often") self-report measure of perceived stress.

    Measured: Baseline, week 1, and week 4

  25. Supernatural Belief Scale (SBS-6)

    Based on the validated 10-item Supernatural Belief Scale survey to measure tendency to believe in supernatural agents, entities, and events. This 6-item version has been adapted for cross-cultural use outside of a Western Christian context. The items are on a -4 to +4 scale ("Strongly Disagree" to "Strongly Agree").

    Measured: Baseline, week 1, week 4, and week 8

  26. Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS)

    A validated 40-item measure of different dimensions of religiousness and spirituality. Dimensions include: daily spiritual experiences, meaning, values/beliefs, forgiveness, private religious practices, religious and spiritual coping, religious support, religious/spiritual history, commitment, organizational religiousness, religious preference, and overall self-ranking.

    Measured: Baseline, week 1, week 4, and week 8

  27. Adapted version of the Credibility/Expectancy Questionnaire (CrEQ)

    A validated 6-item measure of subjective credibility and expectation for a given intervention with 9-point Likert scale and 0%-100% (in 10% increments) questions. The language of the survey will be adapted for this intervention to focus on how subjects think the intervention will impact their well-being.

    Blinding integrity will be assessed using a multiple-choice question asking subjects to guess the dose amount that they were given

    Measured: Week 4

  28. Mystical Experience Questionnaire-30 (MEQ30)

    A validated 30-item 6-point Likert scale ("none; not at all" to "extreme [more than any other time in my life]") self-report measure of mystical-type experiences.

    Measured: Week 4

  29. Challenging Experience Questionnaire (ChEQ)

    An empirically-derived validated 26-item 6-point Likert scale of the extent to which subjects experienced challenging experiences during a psychedelic experience. The scale has 7 factors: fear, grief, physical distress, insanity, isolation, death and paranoia.

    Measured: Week 4

  30. 11-Dimension Altered States Questionnaire (11D-ASC)

    A validated 56-item visual analog scale measure of multiple aspects of psychedelic experiences (e.g., Blissful state and Complex imagery) where a higher score indicates more intense subjective effects.

    Measured: Week 4

  31. Persisting Effects Questionnaire - 4-item (PEQ-4)

    A 4-item, 8-point self-report measure adapted from items developed by Griffiths et al. to assess the enduring effects of psilocybin. The 4-item version of the scale has been used in prior psilocybin trials. The items ask the participant to rate retrospectively the drug experience in terms of personal meaningfulness, spiritual significance, how psychologically challenging it was, and personal psychological insights gained. Ratings are made with respect to other life experiences (e.g., 1= "No more than routine, everyday experiences" to 8 = "The single most meaningful experience of my life")

    Measured: Week 4

  32. Narrative report of subjective experience

    Participants will write a narrative essay in response to writing prompts which will be scored using natural language processing.

    Measured: Week 4

  33. Dose Estimation Scale

    Descriptions of typical subjective experiences for the different dose amounts will be provided. Participants will then be asked to rate the certainty with which they believe they received a dose of psilocybin in that category. Certainty will be rated with a visual analog scale 0-100% where 0% is "not at all certain" and 100% is "completely certain".

    Measured: Week 4

Timeline

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

  1. First posted16 Apr 2024
  2. Study startNov 2025 (estimated)
  3. Primary completion30 Dec 2026 (estimated)
  4. Study completion30 Dec 2027 (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
Randomised
Intervention model
Single group
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06367738
Sponsor's protocol ID
2024-11-14799
Status last verified
Oct 2025
First submitted
11 Apr 2024
Last updated
21 Oct 2025
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Psilocybin in people with Aging, run by University of California, Berkeley 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 6 inclusion and 21 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 21 Oct 2025. 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?

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 BCSP Research Staff ((669) 244-2436, bcspresearchsubjects@berkeley.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

MRI measurements of brain structure (time frame: Baseline, week 1, and week 4). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Oct 2025.

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