Psilocybin for Methamphetamine Use Disorder
Psilocybin in the Treatment of Methamphetamine Use Disorder
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Seher Premani, MPH
- Telefonnummer: 205-975-7721
- E-mail: spremani@uab.edu
Undersøgelse Kontakt Backup
- Navn: Noah Sweat, BS
- Telefonnummer: 205-996-0212
- E-mail: nsweat@uabmc.edu
Studiesteder
-
-
Alabama
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Birmingham, Alabama, Forenede Stater, 35294
- University of Alabama at Birmingham
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Ledende efterforsker:
- Peter S Hendricks, PhD
-
Kontakt:
- Seher Premani, MPH
- Telefonnummer: 205-975-7721
- E-mail: spremani@uab.edu
-
Kontakt:
- Noah Sweat, BS
- Telefonnummer: 205-996-0212
- E-mail: nsweat@uabmc.edu
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Age 18+
- DSM-5 moderate or severe Methamphetamine Use Disorder
- Severity of Dependence Scale score ≥ 4
- Methamphetamine use on more than 7 of the past 30 days and more than one positive urine test before randomization
- A goal of complete abstinence on the Thoughts About Abstinence questionnaire
- Able to read, write, and speak English
- A friend or family member available for post-session release
- Good general health by history and physical
- Confirmed pre-dose abstinence of at least 24 hours (clinically assessed)
Exclusion Criteria:
- Pregnancy or breastfeeding, or not using effective contraception
- Current psychiatric diagnoses other than a mild substance use disorder or tobacco/nicotine use disorder
- Current hypertension (>140/90 at rest)
- Regular use of centrally acting serotonergic medications or MAO inhibitors (washout/re-screen permitted)
- Personal history of any psychotic or bipolar I/II disorder, or a first- or second-degree relative with such
- Current suicidal or homicidal ideation
- Plan to relocate within 6 months
- Psychedelic use in the past 3 years, more than 3 lifetime psychedelic occasions, more than 3 lifetime ketamine or MDMA occasions, or any prior 5-MeO-DMT or ibogaine use
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: Psilocybin, Dose A
Single oral dose during an 8-hour supervised session (Specific dose withheld during conduct).
|
The specific doses (in mg) are intentionally omitted from this registration during the conduct of the trial to preserve masking and reduce expectancy effects.
The doses will be disclosed when results are reported after primary completion, by which point participants have been debriefed.
Manualized CBT, adapted from Hendricks et al. (2026; https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2848757)
|
|
Eksperimentel: Psilocybin, Dose B
Single oral dose during an 8-hour supervised session (Specific dose withheld during conduct).
|
The specific doses (in mg) are intentionally omitted from this registration during the conduct of the trial to preserve masking and reduce expectancy effects.
The doses will be disclosed when results are reported after primary completion, by which point participants have been debriefed.
Manualized CBT, adapted from Hendricks et al. (2026; https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2848757)
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Abstinent Days
Tidsramme: Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3).
|
Percentage of days abstinent from methamphetamine (Timeline Followback, urine-confirmed); possible range is 0% to 100%, with higher scores reflecting more abstinence.
|
Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3).
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Complete Abstinence
Tidsramme: Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
|
Complete abstinence from methamphetamine (Timeline Followback, urine-confirmed); a dichotomous (yes or no) outcome where no use whatsoever during the assessment period is coded as "yes" and any use at all during the assessment period is coded as "no."
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Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
|
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Methamphetamine Use Disorder in Remission
Tidsramme: 30/90-day (UG3), 30/90/180-day (UH3)
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Modified DSM-5 Methamphetamine Use Disorder in early remission (SCID-5); a dichotomous (yes or no) outcome where those who meet DSM-5 criteria for Methamphetamine Use Disorder in early remission are coded as "yes" and those who do not meet DSM-5 criteria for Methamphetamine Use Disorder in early remission are coded as "no."
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30/90-day (UG3), 30/90/180-day (UH3)
|
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Health-related Quality of Life
Tidsramme: Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
|
Health-related quality of life as measured by the RAND-36 self-report measure.
The RAND-36 contains 8 primary health scales (Physical functioning, Role limitations due to physical health, Role limitations due to emotional problems, Social functioning, Emotional well-being [mental health], Energy/fatigue [vitality], Bodily pain, and General health perception) and 2 summary scales (Physical Health Summary and Mental Health Summary) with possible scores for each scale ranging from 0 to 100.
Higher scores represent better health states and outcomes.
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Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
|
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Self-perceived Quality of Life
Tidsramme: Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
|
Self-perceived quality of life as measured by the WHOQOL-BREF self-report measure.
This measure includes 4 scales (Physical, Psychological, Social, and Environment), each with a possible range from 0 to 100.
Higher scores indicate a better quality of life.
|
Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
|
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Craving
Tidsramme: Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
|
Craving, as measured by the Stimulant Craving Questionnaire-Brief (STCQ-Brief), a 10-item self-report tool measuring present-moment craving for stimulants.
A score is calculated by averaging all 10 items, with a possible range of 0 to 6. Higher mean scores reflect more severe craving.
|
Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
|
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Withdrawal
Tidsramme: Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
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Methamphetamine withdrawal as measured by the Amphetamine Cessation Symptom Assessment (ACSA), a 16-item clinical rating tool used to measure the severity of amphetamine withdrawal symptoms over the preceding 24 hours.
Scores range from 0 to 64, with higher scores reflecting more severe withdrawal symptoms.
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Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
|
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Severity of Dependence
Tidsramme: Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
|
Severity of methamphetamine dependence, as measured by the Stimulant Use Disorder Severity Scale (StUDSS).
The StUDSS is a new patient-reported outcome instrument measuring the severity of symptoms for stimulant use disorder.
Total symptom severity is based on a sum of all items, with a possible range of 0 to 44.
Higher scores reflect more severe dependence.
The StUDSS also yields a categorical severity rating based on total criteria count: Mild (2 or 3 criteria), Moderate (4 or 5 criteria), or Severe (6 or more criteria).
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Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
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Mystical-type Experience
Tidsramme: Day of dosing (≈7 hours)
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Mystical-type experience during the day of dosing as measured by the Mystical Experience Questionnaire (MEQ).
The MEQ yields 4 scales: Unity, Positive Mood, Transcendence of Time and Space, and Ineffability.
Possible scores for each scale range from 0 to 5 and greater scores reflect higher intensity and greater depth of the mystical experience.
|
Day of dosing (≈7 hours)
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Challenging Experience
Tidsramme: Day of dosing (≈7 hours)
|
Challenging experience during the day of dosing as measured by the Challenging Experience Questionnaire (CEQ).
The CEQ yields 7 scales: Fear, Grief, Physical Distress, Insanity, Isolation, Death, and Paranoia.
Possible scores range from 0 to 5, with greater scores reflecting higher intensity and more severe degree of psychological or physical distress during the experience
|
Day of dosing (≈7 hours)
|
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Emotional Breakthrough
Tidsramme: Day of dosing (≈7 hours)
|
Emotional breakthrough on the day of dosing as measured by the Emotional Breakthrough Inventory (EBI).
The EBI is a 6-item scale scored using a 0 to 100 Visual Analogue Scale (VAS) for each item.
The total overall score is calculated as the sum of all six items, yielding a total summed score ranging from 0 to 600.
Greater scores on the EBI reflect a deeper, more complete sense of psychological resolution and catharsis.
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Day of dosing (≈7 hours)
|
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Psychological Insight
Tidsramme: Day of dosing (≈7 hours)
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Psychological insight during the day of dosing as measured by the Psychological Insight Questionnaire (PIQ).
The PIQ measure insight on 2 scales: Avoidance and Maladaptive Patterns Insights and Goals and Adaptive Patterns Insights.
Scores on the 2 scales range from 0 to 5, with greater scores representing a higher intensity of acute psychological realizations gained during the experience.
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Day of dosing (≈7 hours)
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Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Meaning in Life
Tidsramme: Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
|
Meaning in life as measured by the Meaning in Life questionnaire.
This questionnaire yields 2 scales: Search for Meaning and Presence of Meaning.
Scores range from 1 to 7 for both scales with greater scores reflecting exploration for existential significance (Search for Meaning) and conviction that one's life is rich with purpose (Presence for Meaning).
|
Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
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Psychosocial-Spiritual Well-Being
Tidsramme: Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
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Psychosocial-spiritual well-being as measured by the NIH Healing Experience of All Life Stressors Short Form (NIH-HEALS-SF).
The NIH-HEALS-SF yields 3 scales: Deepened Connection, Active Reflection & Introspection, and Profound Trust & Acceptance.
Total scores for each scale range from 1 to 5 (if computing a mean) or 3 to 15 (if computing a sum for comparison to published data).
Higher scores reflect a stronger capacity for psychological resilience, emotional healing, and spiritual well-being while facing major life stressor.
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Baseline through 90-day follow-up (UG3) and 180-day follow-up (UH3)
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Peter S Hendricks, PhD, University of Alabama at Birmingham
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Psykiske lidelser
- Kemisk inducerede lidelser
- Stof-relaterede lidelser
- Heterocykliske forbindelser
- Heterocykliske forbindelser, 2-ring
- Heterocykliske forbindelser, smeltet ring
- Alkaloider
- Indoler
- Teknologi, industri og landbrug
- Indole alkaloider
- Indolizidiner
- Indolizines
- Tryptamines
- Facilitetsdesign og -konstruktion
- Arkitektur
- Psilocybin
- Gulve og gulvbelægninger
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- IRB-300017113
- IND 121000 (Registry Identifier: FDA)
- 1UG3DA067126 (U.S. NIH-bevilling/kontrakt)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
IPD-delingsadgangskriterier
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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