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Major Depressive Disorder (MDD)Phase 2NCT07405606

Psilocybin-assisted Therapy for Comorbid Major Depressive Disorder and Alcohol Use Disorder

A Phase 2 study testing Psilocybin 25 mg in people with Major Depressive Disorder (MDD) and Alcohol Use Disorder (AUD), run by Centre for Addiction and Mental Health at 1 site in Canada.

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 goal of this clinical trial is to determine the safety and efficacy of psilocybin assisted Therapy (PAT) in individuals with comorbid Major Depressive Disorder (MDD) and Alcohol Use Disorder (AUD). Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Psilocybin 25 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
1 siteCanada
Study dates
23 Mar 2026to Jun 2028
Phase
Phase 2
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Be between the ages of 18-65
  • Must be deemed to have capacity to provide informed consent;
  • Ability to read and communicate in English, such that their literacy and comprehension is sufficient for understanding the consent form and study questionnaires, as evaluated by study staff obtaining consent;
  • Stated willingness to comply with all study procedures;
  • Be deemed in health compatible with the study procedures according to study physician;
  • Ability to take oral medication and be willing to adhere to the PAT regimen;
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  • Individuals who are capable of becoming pregnant: use of highly effective contraception for at least 1 month prior to screening and agreement to use such a method during study participation;
  • Fulfil Diagnostic and Statistical Manual of Mental Disorders (5th Edition) (DSM-5) criteria for a primary diagnosis of current single or recurrent episodes of MDD of at least moderate severity but without psychotic features and a comorbid AUD diagnosis (moderate or severe) using the SCID-5;
  • A score of at least 14 on the Hamilton Depression Rating Scale for Depression (HAMD);
  • Participants should not be interested in initiating standard pharmacotherapies for MDD or AUD. The need to start/resume standard pharmacotherapies will be reassessed at Week 6.
  • Individuals who are willing to and tapered off current antidepressant or IMAOs, antipsychotic and anti-alcohol/anti-craving medications for a minimum of 2-weeks (or more depending on the medication) prior to Baseline (V2) and for the duration of the study and whose physician confirms that it is safe for them to do so;
  • Individuals who are willing to and have tapered off current inhibitors of 5'-diphospho-glucuronosyltransferase (UGT)1A9 and 1A10, aldehyde dehydrogenase inhibitors (ALDHs) and alcohol dehydrogenase inhibitors (ADHs) for a minimum of 2-weeks (or more depending on the medication) prior to Baseline (V2) and for the duration of the study and whose physician confirms that it is safe for them to do so;
  • Agreement to adhere to Lifestyle Considerations (section 4.5) throughout study duration.

Who cannot join

  • Pregnant as assessed by a urine pregnancy test at Screening (V1) and Baseline (V2) or individual's that intend to become pregnant during the study or are breastfeeding;
  • Presence of a relative or absolute contraindication to psilocybin, including a drug allergy, recent stroke history, uncontrolled hypertension (over 160/100 mmHG), low or labile blood pressure, recent myocardial infarction, cardiac arrhythmic, severe coronary artery disease, or moderate to severe renal or hepatic impairment.
  • Diagnosis of cirrhosis, AST or ALT elevations > 3x upper limit of normal; significant abnormal liver function that would preclude administration of psilocybin based on the judgement of the QI (assessed notably by bilirubin, albumin, alkaline phosphatase, GGT, and INR functions)
  • Any DSM-5 lifetime diagnosis of a schizophrenia-spectrum disorder; obsessive-compulsive disorder, psychotic disorder (unless substance induced or due to a medical condition), bipolar I or II disorder, paranoid personality disorder, borderline personality disorder, or neurocognitive disorder as determined by medical history and the SCID-5 clinical interview;
  • Any first-degree relative with a diagnosis of schizophrenia-spectrum disorder; psychotic disorder (unless substance-induced or due to a medical condition); or bipolar I or II disorder as determined by the family medical history form and discussions with the participant;
  • Clinical Institute Withdrawal Assessment for Alcohol, revised (CIWA-Ar) score > 9, or any other indication that the participant may experience medically complicated withdrawal from alcohol, such as a score of ≥4 in the Prediction of Alcohol Withdrawal Severity Scale.
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  • Use benzodiazepines (with the exception of use of up to 2mg of lorazepam equivalent per day for insomnia and anxiety if it is not taken within 12 hours before the psilocybin dose (Week 2).
  • Have a DSM-5 diagnosis of substance use disorder (excluding alcohol, cannabis, tobacco and caffeine) within the preceding 6 months;
  • Presence of baseline prolonged QTc (more than 0.45 seconds for males and 0.47 seconds for females) or Torsade de Pointes as measured by the ECG or a history of long QTc syndrome or related risk factors;
  • Use of aldehyde dehydrogenase (ALDH) inhibitors and UDG modulators;
  • Use of hallucinogens in the past 5 years; or total hallucinogen use ≥10 times)
  • Current suicidality risk as indicated during the conduct of the Columbia Suicide Severity Rating Scale (C-SSRS) with concurrence after a study physician's evaluation if the response to C-SSRS questions 1 or 2 is "yes")
  • Any other clinically significant physical illness including chronic infectious diseases or any other major concurrent illness that, in the opinion of the investigator, may interfere with the interpretation of the study results or constitute a health risk for the participant if they take part in the study.
  • Participants that are responding to anti-alcohol or anti-craving medications

Trial locations and contacts

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

Canada1 site, 1 recruiting
  • Centre for Addiction and Mental Health

    Toronto, Ontario

    Bernard Le Foll, +14165358501 ext. 33111, bernard.lefoll@camh.ca

    Recruiting

Other trials in Canada

About this study

Official title: Psilocybin-assisted Therapy for Comorbid Major Depressive Disorder and Alcohol Use Disorder: A Pilot Randomized Clinical Trial

The goal of this clinical trial is to determine the safety and efficacy of psilocybin assisted Therapy (PAT) in individuals with comorbid Major Depressive Disorder (MDD) and Alcohol Use Disorder (AUD). The main question it aims to answer is:

  • What is the feasibility and safety of administering PAT in adults with MDD-AUD by evaluating recruitment, retention, tolerability, and safety?
Read more

Researchers will compare the psilocybin (25 mg) and placebo groups to see if there are any significant differences in frequency of dropouts or serious adverse events.

Participants will:

  • be randomized to receive either psilocybin (25 mg) or placebo
  • visit the site (in-person and remotely) for a total of 14 times to complete study tasks
  • receive psilocybin-assisted therapy (PAT) at five various timepoints
Being tested
Psilocybin 25 mg, Placebo
Keywords
depression, psilocybin, alcohol use disorder
Medical subject headings
Depressive Disorder, Major, Alcoholism, Depression

What participants receive

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

  • Psilocybin 25 mgDrug

    Participants will orally consume Psilocybin (25 mg) with water.

  • PlaceboDrug

    Participants will orally consume placebo matching the intervention with water.

Study groups in NCT07405606
Study groupRoleWhat they receive
Psilocybin (25 mg)ExperimentalParticipant is administered one oral capsule (25 mg psilocybin) with water.
Receives: Drug: Psilocybin 25 mg
PlaceboPlacebo comparatorParticipant is administered one oral capsule (0 mg psilocybin) with water.
Receives: Drug: Placebo

What is being measured

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

  1. Adherence

    Although all administration of psilocybin will be administered by qualified staff, the investigators will measure adherence through visit compliance (i.e., missed visits).

    Measured: Week 2 (Visit 4)

  2. Montgomery-Asberg Depression Rating Scale (MADRS)

    Used to assess changes in depressive symptoms on a 10-item scale with each item rated on a scale of 0-6. Higher scores indicate greater severity of symptoms.

    Measured: Baseline; 1-day post dose; 1-week post dose; 2-week post dose; 3-week post dose; 4-week post dose; week 10; week 14; week 18; week 22; week 26.

  3. Hamilton Depression Rating Scale (HAMD-17)

    Used to assess changes in depressive symptoms using 3-point (0-2) or 5-point (0-4) Likert scales. Higher scores indicate greater severity of symptoms.

    Measured: 4-week post dose; week 26.

  4. Quick Inventory of Depressive Symptomatology - Self Report (QUIDS-SR)

    Used to assess changes in depressive symptoms with a minimum score of 0 to a maximum score of 27.

    Measured: Baseline; 1-day post dose; 1-week post dose; 2-week post dose; 3-week post dose; 4-week post dose; week 10; week 14; week 18; week 22; week 26.

  5. Alcohol Timeline Followback (TLFB)

    To monitor alcohol consumption, heavy drinking days, drinks per day, drinks per drinking day, percent very heavy drinking days, percent participants with no heavy drinking days, and abstinent percent will be measured.

    Measured: Baseline; week 2 (visit 3); 1-day post dose; 1-week post dose; 2-week post dose; 3-week post dose; 4-week post dose; week 10; week 14; week 18; week 22; week 26.

  6. Clinical Institute Withdrawal Assessment (CIWA)

    Used to assess alcohol withdrawal symptoms. Scores range from 0 to 67 with higher scores indicating greater severity of withdrawal symptoms.

    Measured: Baseline; week 2 (visit 3); week 2 (visit 4); 1-day post dose; 1-week post dose; 2-week post dose; 3-week post dose; 4-week post dose; week 10; week 14; week 18; week 22; week 26.

  7. Prediction of Alcohol Withdrawal Severity Scale (PAWSS)

    Used to assess risk of alcohol withdrawal symptoms using a 10-item scale with the total score ranging from 0 to 10. Higher scores indicate greater risk of withdrawal symptoms.

    Measured: Baseline; 1-day post dose; 1-week post dose; 2-week post dose; 3-week post dose; 4-week post dose; week 10; week 14; week 18; week 22; week 26.

  8. Penn Alcohol Craving Scale (PACS)

    Used to assess history, frequency, and consequences of alcohol use. Scores range from 0 to 30 with higher scores indicating greater craving.

    Measured: Baseline; 1-day post dose; 1-week post dose; 2-week post dose; 3-week post dose; 4-week post dose; week 10; week 14; week 18; week 22; week 26.

  9. Addiction Severity Index (ASI)

    Used to assess history, frequency, and consequences of alcohol use

    Measured: Baseline; 1-day post dose; 1-week post dose; 2-week post dose; 3-week post dose; 4-week post dose; week 10; week 14; week 18; week 22; week 26.

Secondary outcomes (12)
  1. 5 Dimensional Altered States of Consciousness (5-DASC)

    Used to assess subjective effects of psilocybin. Minimum value of 0 to maximum value of 100, with higher scores representing greater reports of alterations to normal waking consciousness.

    Measured: Week 2 (visit 4).

  2. Psychological Insight Questionnaire (PIQ)

    Used to assess subjective effects of psilocybin. Contains 23 items rated on a 5-point Likert scale. Higher scores generally indicate greater intensity of psychological insight.

    Measured: Week 2 (visit 4).

  3. Mystical Experience Questionnaire (MEQ)

    Used to assess subjective effects of psilocybin. Contains 30 items rated on a 5-point Likert scale. Higher scores indicate greater mystical experience.

    Measured: Week 2 (visit 4).

  4. Challenging Experience Questionnaire (CEQ)

    Used to assess subjective effects of psilocybin. Contains 26 items rated on a 5-point Likert scale. Higher scores generally indicate more challenging experience or distress.

    Measured: Week 2 (visit 4).

  5. General Anxiety Disorder-7th edition (GAD-7)

    Used to assess anxiety-related symptoms. Scores range from 0 to 21 with higher scores indicating greater severity of anxiety symptoms.

    Measured: Baseline; week 26.

  6. State Trait Anxiety Index (STAI)

    Used to assess anxiety-related symptoms. Scores range from 20 to 80 with higher scores indicating greater severity of anxiety symptoms.

    Measured: Baseline; week 26.

  7. World Health Organization Quality of Life Questionnaire Brief Version (WHOQOL-BREF)

    Used to assess overall quality of life. Scores range from 0 to 100 with higher scores indicating greater quality of life.

    Measured: Baseline; week 26.

  8. Big Five Inventory (BFI)

    Used to assess personality. Contains 44 items with each item rated on a five-point Likert scale from 1 (disagree a lot) to 5 (agree a lot). Higher scores in each trait indicates stronger association to the trait.

    Measured: Baseline; week 26.

  9. Pittsburgh Sleep Quality Index (PSQI)

    Used to assess quality of sleep. Score ranges from 0 to 21 with higher scores indicating greater disturbance to sleep.

    Measured: Baseline; week 26.

  10. Acceptance & Action Questionnaire II (AAQ-II)

    Used to assess psychological flexibility. There are 7-items each rated on a 7-point Likert scale. Higher scores indicate greater psychological inflexibility.

    Measured: Baseline; 1-day post dose; 1-week post dose; 2-week post dose; 3-week post-dose; 4-week post-dose; week 10; week 14; week 18; week 22; week 26.

  11. Stanford Expectations of Treatment Scale (SETS)

    Used to assess participants' positive and negative treatment expectancies. Rated on a 7-item Likert scale, with minimum score of 6, and maximum score of 42. Higher scores generally indicate greater expectations for positive expectancy scores and greater concerns for negative expectancy scores.

    Measured: Baseline

  12. Working Alliance Inventory (WAI)

    Used to assess the participants' therapeutic relationship with their therapists. Scores range from 12 to 60 with higher scores indicating stronger therapeutic alliance.

    Measured: Week 2 (visit 3); 1-day post dose; 1-week post dose.

Timeline

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

  1. First posted12 Feb 2026
  2. Study start23 Mar 2026
  3. Primary completionMar 2028 (estimated)
  4. Study completionJun 2028 (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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07405606
Sponsor's protocol ID
071/2023
Status last verified
Oct 2026
First submitted
29 Jan 2026
Last updated
26 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Psilocybin 25 mg in people with Major Depressive Disorder (MDD) and Alcohol Use Disorder (AUD), run by Centre for Addiction and Mental Health at 1 site in Canada.

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 13 inclusion and 14 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 26 Oct 2026. 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 Canada. 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 Bernard Le Foll (+14165358501 ext. 33111, bernard.lefoll@camh.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adherence (time frame: Week 2 (Visit 4)). The study lists 9 primary outcomes in all. 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 26 Oct 2026.

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