Psilocybin-assisted Therapy for Treatment of Alcohol Use Disorder
The QUANTUM Trip Trial - Psilocybin-assisted Therapy for Reducing Alcohol Intake in Patients With Alcohol Use Disorder: A Randomized, Double-blinded, Placebo-controlled Clinical Trial.
Note: The trial is only eligible for citizens of Denmark.
The purpose of this project is to assess the treatment efficacy of a single high dose of psilocybin administered within a protocol of psychological support to patients diagnosed with alcohol use disorder (AUD).
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Anders Fink-Jensen, Professor
- Phone Number: +45 22755843
- Email: anders.fink-jensen@regionh.dk
Study Contact Backup
- Name: Mathias E Jensen, MD
- Phone Number: +45 61634663
- Email: mathias.ebbesen.jensen.01@regionh.dk
Study Locations
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Frederiksberg, Denmark, 2000
- Psychiatric Center Copenhagen, Frederiksberg Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Bodyweight of 50-110 kg
- AUD according to DSM-5 criteria and alcohol dependence according to ICD-10.
- AUD Identification Test (AUDIT) ≥ 15.
- ≥ 5 heavy drinking days in the past 28 days prior to inclusion.
Exclusion Criteria:
- Current or previously diagnosed with any psychotic disorder or bipolar affective disorder.
- Immediate family member with a diagnosed psychotic disorder.
- History of delirium tremens or alcohol withdrawal seizures.
- History of suicide attempt or present suicidal ideation at screening.
- Withdrawal symptoms at screening (>nine on the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) (43).
- Present or former severe neurological disease including trauma with loss of consciousness > 30 min.
- Impaired hepatic function (alanine transaminase >210/135 units/l men/women)
- Cardiovascular disease defined as decompensated heart failure (NYHA class III or IV), unstable angina pectoris, myocardial infarction within the last 12 months or uncontrolled hypertension (systolic blood pressure >165 mmHg, diastolic blood pressure >95 mmHg).
- Present or former abnormal QTc (>450/470 ms men/women).
- Treatment with disulfiram, naltrexone, acamprosate and nalmefene within 28 days of inclusion.
- Treatment with any serotonergic medication or drugs within one month prior inclusion.
- Any oOther active substance use disorders (except nicotine) defined as a Drug Use Disorder Identification Test score >six/two (men/women) and investigator's clinical evaluation.
- Women who are pregnant, breastfeeding, or intend to become pregnant or are not using adequate contraceptive measures considered highly effective (44).
- Unable to speak or understand Danish.
- Any other condition that the clinician estimates can interfere with trial participation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Psilocybin-assisted therapy
45 patients will receive a single administration of 25mg psilocybin given in a protocol of psychological support before, during and after dosing.
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Psilocybin-assisted therapy
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Placebo Comparator: Placebo-assisted therapy
45 patients will receive a single administration of placebo (lactose) given in a protocol of psychological support before, during and after dosing.
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Placebo-assisted therapy
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in percentage of heavy drinking days
Time Frame: Baseline to week 12
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Heavy drinking is defined as days with five drinks/60 grams of alcohol or more for men, four drinks/48 grams of alcohol or more for women.
Data will be collected using the Timeline Followback Method (TLFB) which is a widely used, calendar-based retrospective measure of self-reported use of alcohol.
The number of days drinking assessed is 28 days.
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Baseline to week 12
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in total alcohol consumption
Time Frame: Baseline to week 12
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Total grams of alcohol consumed per day as measured by TLFB.
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Baseline to week 12
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Change in days of abstinence
Time Frame: Baseline to week 12
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Percentage of days without any alcohol consumption as measured by TLFB.
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Baseline to week 12
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Change in phosphatidyl-ethanol (PEth)
Time Frame: Baseline to week 12
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PEth is formed only in the presence of alcohol and is correlated with the amount of alcohol consumed the past month.
PEth concentrations will be measured by peripheral blood test.
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Baseline to week 12
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Change in Alcohol Use Disorders Identification Test (AUDIT)
Time Frame: Baseline to week 12
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AUDIT is a 10-item questionnaire that measures alcohol use.
The score range is 0-40, with higher scores indicating a more problematic use of alcohol.
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Baseline to week 12
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Change in Penn Alcohol Craving Scale (PACS) score
Time Frame: Baseline to week 12
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PACS is a 40-item questionnaire that measures alcohol craving severity.
The score range is 0-30, with higher scores indicating more severe symptoms.
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Baseline to week 12
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Change in Alcohol Abstinence Self-efficacy Scale (AASE) score
Time Frame: Baseline to week 12
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AASE is a 40-item questionnaire that measures two scales: the temptation to drink and the confidence in the ability to avoid drinking.
The score range for each scale is 0-80, with higher score indicating greater temptation or confidence, respectively.
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Baseline to week 12
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Change in Fagerstrom Test for Nicotine Dependence (FTND)
Time Frame: Baseline to week 12
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FTND is a 6-item questionnaire that measures the quantity of cigarette consumption, the compulsion to use, and dependence.
The score range is 0-10, with higher scores indicating a more severe dependence.
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Baseline to week 12
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Change in Drug Use Disorders Identification Test (DUDIT)
Time Frame: Baseline to week 12
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DUDIT is an 11-item questionnaire that measures drug use.
The score range is 0-44, with higher scores indication a more problematic use.
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Baseline to week 12
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Change in Major Depression Inventory (MDI)
Time Frame: Baseline to week 12
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MDI is a 12-item questionnaire that measures depression severity.
The score range is 0-50, with higher scores indicating greater severity.
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Baseline to week 12
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Change in Short-Form 36 (SF-36)
Time Frame: Baseline to week 12
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SF-36 is a 36-item questionnaire that measures the quality-of-life.
The score range is 0-100, with higher scores indicating better health status.
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Baseline to week 12
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Change in Mindful Attention Awareness Scale (MAAS)
Time Frame: Baseline to week 12
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MAAS is a 15-item scale that measures core characteristic of mindfulness.
The score range is 1-6, with higher scores indicating greater mindfulness.
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Baseline to week 12
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Change in Acceptance and Action Questionnaire (AAQ)
Time Frame: Baseline to week 12
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AAQ is a 7-item questionnaire that measures psychological flexibility.
The score range is 7-49, with higher scores indicating lesser flexibility.
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Baseline to week 12
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Change in NEO-Personality Inventory (NEO-PI=
Time Frame: Baseline to week 12
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The NEO-PI is a 240-item personality instrument that measures the five factors in the Five Factor Model.
It consists of 30 eight-item facet scales, 6 for each of the five basic personality factors: Neuroticism (N), Extraversion (E), Openness (O), Agreeableness (A), and Conscientiousness (C), rated by use of a 5-point Likert-type scale ranging from strongly disagree to strongly agree.
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Baseline to week 12
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Persisting Effects Questionnaire (PEQ)
Time Frame: Week 12
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PEQ is a 143-item scale aiming to assess changes in attitudes, moods, behavior, and spiritual experience
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Week 12
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Neuroplasticity and inflammation
Time Frame: Baseline to week 12
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Neuroplasticity and inflammation as measured by mean concentrations of plasma serum brain-derived neurotrophic factor (BDNF) and plasma cytokines, respectively.
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Baseline to week 12
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Subjective effects of psilocybin: Subjective Drug Intensity (SDI)
Time Frame: 0-6 hours post dosing
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SDI will be regularly assessed asking the patients "how intense is the experience right now" on a 0-10 Likert scale where 0 = not intense at all, 10 = very intense.
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0-6 hours post dosing
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Pharmacokinetics- and dynamics of psilocybin
Time Frame: 0 - 6 hours post dosing
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Pharmacokinetics- and dynamics of plasma psilocin, serum BDNF and plasma cytokines, as determined by concentration-time curves of mean plasma concentrations
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0 - 6 hours post dosing
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Subjective effects of psilocybin: Mystical Experience Questionnaire (MEQ)
Time Frame: Completed once the effects are fully subsided or at least 6 hours after dosing
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MEQ is a 30-item questionnaire that measures experiential aspects of psilocybin.
The patients are asked to rate the items on a 6-point scale going from 0= none; not at all to 5=extreme; more than ever before in my life and stronger than 4.
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Completed once the effects are fully subsided or at least 6 hours after dosing
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Subjective effects of psilocybin: 5-Dimensional Altered State of Consciousness scale (5D-ASC)
Time Frame: Completed once the effects are fully subsided or at least 6 hours after dosing
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5D-ASC is a 94-item questionnaire that measures experiential aspects of psilocybin.
The patients are asked to rate the items by placing marks on a horizontal visual analogue scale (100 millimeters in length) going from "no, not more than usual" (on the left) to "yes, very much more than usual" (on the right).
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Completed once the effects are fully subsided or at least 6 hours after dosing
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Subjective effects of psilocybin: Ego Dissolution Inventory (EDI)
Time Frame: Completed once the effects are fully subsided or at least 6 hours after dosing
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EDI is a 8-item questionnaire that measures the experiential aspects of psilocybin.
The patients are asked to rate the items by placing marks on a horizontal visual analogue scale (100 millimeters in length) going from "no, not more than usual" (on the left) to "yes, very much more than usual" (on the right).
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Completed once the effects are fully subsided or at least 6 hours after dosing
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Subjective effects of psilocybin: Emotional Breakthrough Inventory (EBI)
Time Frame: Completed once the effects are fully subsided or at least 6 hours after dosing
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EBI is a 6-item questionnaire that measures the experiential aspects of psilocybin.
The patients are asked to rate the items by placing marks on a horizontal visual analogue scale (100 millimeters in length) going from "no, not more than usual" (on the left) to "yes, very much more than usual" (on the right).
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Completed once the effects are fully subsided or at least 6 hours after dosing
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Subjective effects of psilocybin: Awe Experience Scale (AWE-S)
Time Frame: Completed once the effects are fully subsided or at least 6 hours after dosing
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AWE-S is a 30-item questionnaire that measures the experiential aspects of psilocybin.
The patients are asked to rate the items on a 7-point scale going from 1= Strongly Disagree to 7= Strongly Agree.
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Completed once the effects are fully subsided or at least 6 hours after dosing
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Brain imaging
Time Frame: 1 week post dosing
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The blood-oxygen-level-dependent differences between the two treatment arms with respect to resting-state functional connectivity, alcohol vs neutral cue-reactivity within mesocorticolimbic pathways and habitual vs goal-directed activity within corticostriatal pathways
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1 week post dosing
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Role of the Music I
Time Frame: before and after dosing
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We will explore the role of the music in psilocybin-assisted therapy by use of the questionnaires Experience with Music and Geneva Emotional Music Scale
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before and after dosing
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Role of the Music II
Time Frame: week 4
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We will explore the role of the music in psilocybin-assisted therapy by qualitative semi-structured interview
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week 4
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Treatment expectancies
Time Frame: Baseline
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The Stanford Expectations of Treatment Scale is a 6 item a scale that measures positive and negative treatment expectancies using a Likert scale from 1 (strongly disagree) to 7 (strongly agree)
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Baseline
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Optional long-term follow-ups
Time Frame: week 26 and week 52
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Patients may consent to post-trial follow-up to explore the long-term effects on drinking outcomes using TLFB adjusted for current or previous treatments since completing the trial.
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week 26 and week 52
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Anders Fink-Jensen, Professor, Psychiatric Center Copenhagen, Frederiksberg Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Mental Disorders
- Substance-Related Disorders
- Chemically-Induced Disorders
- Alcohol-Related Disorders
- Compulsive Behavior
- Impulsive Behavior
- Behavior
- Alcoholism
- Behavior, Addictive
- Heterocyclic Compounds
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Alkaloids
- Indoles
- Indole Alkaloids
- Indolizidines
- Indolizines
- Tryptamines
- Psilocybin
- maltodextrin
Other Study ID Numbers
Other Study ID Numbers
- PSILO4ALCO-TRIAL
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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