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Alcohol Use DisorderPhase 3ERPPADNCT07638553

Efficacy in Relapse Prevention: Psilocybin in Alcohol Use Disorder With Depressive Symptoms

A Phase 3 study testing Psilocybin (high dose) and Psilocybin (low dose) in people with Alcohol Use Disorder and Depressive Sympotoms, run by Centre Hospitalier Universitaire de Nīmes at 8 sites in France.

Recruiting

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

Sites and contacts
Official record
Search all trials

Trial summary

Up to 40% of individuals with alcohol use disorder (AUD) experience depression, which increases the risk of early relapse. Depression can cause relapse to occur 3 times faster in individuals with AUD who experience depressive symptoms at discharge. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Psilocybin (high dose) and Psilocybin (low dose)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
172 participants
Where
8 sitesFrance
Study dates
30 Jun 2026to Jun 2030
Phase
Phase 3
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
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed DSM-5 diagnosis of severe AUD.
  • Scale BDI-II ((Beck Depression Inventory) ≥14
  • The last drink must have been consumed between day(D) -60 and D -10 at the inclusion visit. The patient must have had at least 1 HDD during the last drinking period NB: The last drinking period before inclusion is defined by the last 4 weeks counted from the last drink.
  • The patient must have given their free and informed consent and signed the consent form
  • The patient must be a member or beneficiary of a health insurance plan

Who cannot join

  • The subject is participating in an interventional study, a clinical trial, or a clinical investigation or is in a period of exclusion determined by a previous study
  • The subject refuses to sign the consent
  • It is impossible to give the subject informed information
  • The patient is under safeguard of justice or state guardianship
  • Patient unable to give informed consent.
  • Participants planning to donate sperm within three months of psilocybin administration
Show all 19Show fewer
  • Positive pregnancy test at inclusion for participants of childbearing age.
  • Patient who is pregnant, breastfeeding, or wishing to become pregnant during participation in the study.
  • Any use of classical psychedelic in the last year
  • Other current substance use disorder (except tobacco)
  • Diagnosed schizophrenic or bipolar disorder
  • High emotional lability (clinician-judged)
  • On antipsychotics treatment that may interfere with psilocybin.
  • Need for monoamine oxidase inhibitor (MAOI) treatment, which may interfere with psilocybin.
  • Severe suicidal ideation (high risk on the Columbia scale)
  • 1st degree family member with a diagnosed psychotic disorder
  • Severe cognitive impairment (clinician-judged)
  • CIWA-AR > 8
  • Medical conditions that would preclude safe participation in the trial, for example: seizure disorders; significant impairment of hepatic function; coronary artery disease; history of arrhythmia; Abnormal QT interval prolongation (QTc > 470 ms for women and >450 ms for men); heart failure; uncontrolled hypertension (greater than 165/95 mmHg at screening); history of stroke; severe asthma; hyperthyroidism; narrow-angle glaucoma; stenosing gastroduodenal ulcer; pyloroduodenal obstruction; symptomatic prostatic hypertrophy or bladder neck obstruction; uncontrolled type I or type II diabetes, or a history of ketoacidosis, hyperglycemic coma, or severe hypoglycemia with loss of consciousness.

Trial locations and contacts

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

8 sites in 1 country

France8 sites, 8 recruiting
  • Centre Hospitalier de la Côte Basque

    Bayonne

    Sophie-Athéna CHARPON, 05 59 44 42 19, sachapron@ch-cotebasque.fr

    Not yet recruiting
  • CHU Besançon

    Besançon

    Julie GIUSTNIANI, 03.81.21.90.08, jgiustiniani@chu-besancon.fr

    Not yet recruiting
  • CHU de Bordeaux

    Bordeaux

    Mélina FATSEAS, 05 47 75 75 75, melina.fatseas@u-bordeaux.fr

    Not yet recruiting
  • CHU Brest

    Brest

    Morgane GUILLOU, 02 98 34 23 48, morgane.guillou@chu-brest.fr

    Not yet recruiting
  • CH Le Vinatier

    Bron

    Benjamin ROLLAND, 04 37 91 50 75, benjamin.rolland@univ-lyon1.fr

    Not yet recruiting
  • CHU de Nantes

    Nantes

    Marie GRALL-BRONNEC, 02.40.20.66.40, marie.bronnec@chu-nantes.fr

    Not yet recruiting
  • CHU de Nîmes

    Nîmes, 30029

    Anissa Megzari, 04.66.68.42.36, drc@chu-nimes.fr

    Recruiting
  • CHU Saint-Etienne

    Saint-Priest

    Aurélia GAY, 04 77 12 02 31, aurelia.gay@chu-st-etienne.fr

    Not yet recruiting

Other trials in France

About this study

Up to 40% of individuals with alcohol use disorder (AUD) experience depression, which increases the risk of early relapse. Depression can cause relapse to occur 3 times faster in individuals with AUD who experience depressive symptoms at discharge. No treatments have been approved for individuals with both AUD and depression. Psilocybin, a psychedelic, shows promising results in treating both depression and addiction. It may be particularly effective for preventing relapse in people with AUD who also have depressive symptoms after detoxification, offering quicker action than traditional antidepressants.

The Psilocybin Alcohol Depression (PAD) pilot study, launched in February 2024, has provided critical insights for avoiding methodological flaws and demonstrated that psilocybin-assisted psychotherapy (PAP) is both feasible and acceptable. Preliminary efficacy analyses were conducted: at 12 weeks, the 25 mg group showed significantly greater reductions in drinking days (p = 0.038) and craving frequency (p = 0.045). Relapse rates were 35% in the 25 mg group and 50% in the control group (HR = 0.52 [0.16-1.65]). In the ERPPAD trial, the study authors will compare high-dose PAP with low-dose PAP in preventing relapse in individuals with AUD and depressive symptoms. The hypothesis is that high-dose PAP will be more effective than low-dose in preventing relapse over 6 months.

Being tested
Psilocybin (high dose), Psilocybin (low dose)
Medical subject headings
Alcoholism

What participants receive

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

  • Psilocybin (high dose)Drug

    2 administrations of high-dose psilocybin (25 mg) 3 weeks apart

  • Psilocybin (low dose)Drug

    2 administrations of low-dose psilocybin (3 mg) 3 weeks apart

Study groups in NCT07638553
Study groupRoleWhat they receive
High dose psilocybinExperimental2 administrations of high-dose psilocybin (25 mg) 3 weeks apart
Receives: Drug: Psilocybin (high dose)
Low-dose psilocybinPlacebo comparator2 administrations of low-dose psilocybin (3 mg) 3 weeks apart
Receives: Drug: Psilocybin (low dose)

What is being measured

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

  1. Incidence of relapse between groups

    Relapse Yes/no, where relapse is defined as the 1st heavy drinking day, assessed using the Timeline Follow-Back (TLFB) method

    Measured: Month 6

  2. Time to relapse between groups

    Days until relapse, where relapse is defined as the 1st heavy drinking day, assessed using the Timeline Follow-Back (TLFB) method

    Measured: Month 6

Secondary outcomes (47)
  1. Change in relapse rate between groups

    Assessed using the Timeline Follow-Back (TLFB) method

    Measured: At weeks 3, 9, 15, 21, 27 compared to baseline

  2. Change in rate of heavy drinking days between groups

    Percent; Assessed using the Timeline Follow-Back (TLFB) method

    Measured: At weeks 3, 9, 15, 21, 27 compared to baseline

  3. Change in total alcohol consumption between groups

    Grams, assessed using the Timeline Follow-Back (TLFB) method

    Measured: At weeks 3, 9, 15, 21, 27 compared to baseline

  4. Change in number of drinking days between groups

    Days, assessed using the Timeline Follow-Back (TLFB) method

    Measured: At weeks 3, 9, 15, 21, 27 compared to baseline

  5. Change in craving between groups

    Assessed using the Craving Experience Questionnaire (CEQ), measuring strength and frequency of craving with a score ranging from 0 to 110, whereby a higher score denotes more craving.

    Measured: At weeks 3, 9, 15, 21, 27 compared to baseline

  6. Change in alcohol-related quality of life between groups

    Alcohol Quality of Life Scale- brief, a 7-item questionnaire assessing the negative impact of alcohol across 7 dimensions: social relationships, activities, living conditions, self-care, negative emotions, sleep, and loss of control.

    Measured: At weeks 3, 15, 21, 27 compared to baseline

  7. Change in anxiety between groups

    Beck Anxiety Inventory (BAI)

    Measured: At weeks 3, 9, 15, 21, 27 compared to baseline

  8. Change in emotional dysregulation between groups

    Difficulties in Emotion Regulation Scale (DERS), a 36-item questionnaire

    Measured: At weeks 3, 9, 15, 21, 27 compared to baseline

  9. Change in rejection sensitivity between groups

    Adult Rejection Sensitivity Questionnaire (A-RSQ)

    Measured: At weeks 3, 9, 15, 21, 27 compared to baseline

  10. Change in post-Traumatic Stress Disorder between groups

    Post-Traumatic Stress Disorder Checklist for DSM-5 (PCL-5), where a score of 44 is highly sensitive to diagnose PTSD

    Measured: At weeks 3, 9, 15, 21, 27 compared to baseline

  11. Visual Perspective task (VPT)

    This task allows calculation of the egocentric bias index, the altercentric bias index and the egocentric egocentric bias

    Measured: Day 0

  12. Visual Perspective task (VPT)

    This task allows calculation of the egocentric bias index, the altercentric bias index and the egocentric egocentric bias

    Measured: Week 3

  13. Visual Perspective task (VPT) for participants opting for a third dose

    This task allows calculation of the egocentric bias index, the altercentric bias index and the egocentric egocentric bias

    Measured: Week 28

  14. Request for a 3rd dose of psilocybin between groups

    Yes/no

    Measured: Week 27

  15. Reason for 3rd dose request

    Relapse in AUD/ risk of relapse in AUD/low self-efficacy/ relapse in depression/ personal development/ other

    Measured: Week 27

  16. Administration of 3rd dose

    Yes/no

    Measured: Week 28

  17. Relapse rate in relapsers between groups

    Assessed using the Timeline Follow-Back (TLFB) method

    Measured: At weeks 33, 39, 45, 51 compared to week 27

  18. Rate of heavy drinking days in relapsers between groups

    Percent; Assessed using the Timeline Follow-Back (TLFB) method

    Measured: At weeks 33, 39, 45, 51 compared to week 27

  19. Total alcohol consumption in relapsers between groups

    Grams, assessed using the Timeline Follow-Back (TLFB) method

    Measured: At weeks 33, 39, 45, 51 compared to week 27

  20. Change in number of drinking days in relapsers between groups

    Days, assessed using the Timeline Follow-Back (TLFB) method

    Measured: At weeks 33, 39, 45, 51 compared to week 27

  21. Change in craving in relapsers between groups

    Assessed using the Craving Experience Questionnaire (CEQ), measuring strength and frequency of craving with a score ranging from 0 to 110, whereby a higher score denotes more craving.

    Measured: At weeks 33, 39, 45, 51 compared to week 27

  22. Change in alcohol-related quality of life in relapsers between groups

    Alcohol Quality of Life Scale- brief, a 7-item questionnaire assessing the negative impact of alcohol across 7 dimensions: social relationships, activities, living conditions, self-care, negative emotions, sleep, and loss of control.

    Measured: At weeks 33, 39, 45, 51 compared to week 27

  23. Change in depressive symptoms in relapsers between groups

    Beck Depression Inventory-II (BDI-II). The total score is the sum of the 21 item scores, ranging from 0 to 39. Higher scores indicate greater severity of depression.

    Measured: At weeks 33, 39, 45, 51 compared to week 27

  24. Change in anxiety in relapsers between groups

    Beck Anxiety Inventory (BAI)

    Measured: At weeks 33, 39, 45, 51 compared to week 27

  25. Change in emotional dysregulation in relapsers between groups

    Difficulties in Emotion Regulation Scale (DERS), a 36-item questionnaire

    Measured: At weeks 33, 39, 45, 51 compared to week 27

  26. Change in rejection sensitivity in relapsers between groups

    Adult Rejection Sensitivity Questionnaire (A-RSQ)

    Measured: At weeks 33, 39, 45, 51 compared to week 27

  27. Change in post-Traumatic Stress Disorder between groups

    Post-Traumatic Stress Disorder Checklist for DSM-5 (PCL-5), where a score of 44 is highly sensitive to diagnose PTSD

    Measured: At weeks 33, 39, 45, 51 compared to week 27

  28. Adverse Childhood Experiences

    The Adverse Childhood Experiences (ACE) Questionnaire

    Measured: Day 0

  29. Attachment style

    The Relationship Scale Questionnaire (RSQ) for attachment style (secure, fearful, preoccupied, dismissing)

    Measured: Day 0

  30. Severity of aocohol use disorder

    The Clinical Global Impression- Severity (CGI-S)

    Measured: Day 0

  31. Cognitive impairments

    Montreal Cognitive Assessment (MoCA)

    Measured: Day 0

  32. Features of the psychedelic experience

    Acceptance/Avoidance Promoting Experience Questionnaire (APEQ)

    Measured: Prior to integration session in Week 0

  33. Features of the psychedelic experience

    Acceptance/Avoidance Promoting Experience Questionnaire (APEQ)

    Measured: Prior to integration session in Week 3

  34. Features of the psychedelic experience

    Acceptance/Avoidance Promoting Experience Questionnaire (APEQ)

    Measured: Prior to integration session in Week 28 if third dose

  35. Age

    years

    Measured: Day 0

  36. Sex

    Measured: Day 0

  37. Currently under antidepressant at the inclusion

    Yes/no

    Measured: Day 0

  38. Diagnosed with ADHD

    Yes/no

    Measured: Day 0

  39. In menstruating participants, point of the menstruation cycle at psilocybin administration

    Measured: Dosing session in week 0

  40. In menstruating participants, point of the menstruation cycle at psilocybin administration

    Measured: Dosing session in week 3

  41. In menstruating participants, point of the menstruation cycle at psilocybin administration

    Measured: Dosing session in week 28 if third dose

  42. Safety and tolerance of psilocybin

    List of adverse events

    Measured: End of study, week 51

  43. Change in gamma-glutamyl transferase (GGT) between groups and subgroups

    fL

    Measured: At week 28 compared to baseline

  44. Change in carbohydrate-deficient transferrin (CDT) between groups and subgroups

    U/L

    Measured: At week 28 compared to baseline

  45. Change in mean corpuscular volume (MCV) between groups and subgroups

    Percentage

    Measured: At week 28 compared to baseline

  46. Guess the group

    Two-item questionnaire developed from the EPIsoDE framework

    Measured: After dosing session Week 0

  47. Guess the group

    Two-item questionnaire developed from the EPIsoDE framework

    Measured: After dosing session Week 3

Timeline

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

  1. First posted10 Jun 2026
  2. Study start30 Jun 2026
  3. Primary completionJun 2030 (estimated)
  4. Study completionJun 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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
172 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07638553
Sponsor's protocol ID
PHRC-N/2024/AL-01
Other IDs
2025-525069-65-00, 2025
Acronym
ERPPAD
Status last verified
Jun 2026
First submitted
5 Jun 2026
Last updated
1 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Psilocybin (high dose) and Psilocybin (low dose) in people with Alcohol Use Disorder and Depressive Sympotoms, run by Centre Hospitalier Universitaire de Nīmes at 8 sites in France.

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 19 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 1 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in France. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 Amandine Luquiens (04.66.68.69.98, amandine.luquiens@chu-nimes.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of relapse between groups (time frame: Month 6). The study lists 2 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 1 Jul 2026; AzTrials last refreshed its copy on 6 Nov 2026.

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