Trial Outcomes & Findings for Psilocybin-facilitated Treatment for Cocaine Use (NCT NCT02037126)

NCT ID: NCT02037126

Last Updated: 2026-05-18

Results Overview

Percentage of days abstinent from cocaine among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed with the Timeline Followback Interview and with biochemically verified cocaine presence as assessed via a urine drug screen.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

From the psilocybin or placebo administration session to end-of-treatment (approximately 4 weeks in most participants), from end-of-treatment to 12 weeks after end-of-treatment, and from 12 weeks after end-of-treatment to 24 weeks after end-of-treatment.

Results posted on

2026-05-18

Participant Flow

Recruited at the University of Alabama at Birmingham, May 2015-August 2023, via community outreach.

Participants were screened for inclusion/exclusion criteria and provided psychotherapy prior to randomization.

Participant milestones

Participant milestones
Measure
Psilocybin Administration
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Randomization
STARTED
20
20
Randomization
COMPLETED
20
20
Randomization
NOT COMPLETED
0
0
Integration Psychotherapy
STARTED
20
20
Integration Psychotherapy
COMPLETED
20
15
Integration Psychotherapy
NOT COMPLETED
0
5
Day 90 Follow-Up Assessment
STARTED
20
20
Day 90 Follow-Up Assessment
COMPLETED
20
18
Day 90 Follow-Up Assessment
NOT COMPLETED
0
2
Day 180 Follow-up Assessment
STARTED
20
20
Day 180 Follow-up Assessment
COMPLETED
19
17
Day 180 Follow-up Assessment
NOT COMPLETED
1
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Psilocybin-facilitated Treatment for Cocaine Use

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
49 years
n=11 Participants
52 years
n=9 Participants
50 years
n=20 Participants
Sex: Female, Male
Female
6 Participants
n=11 Participants
1 Participants
n=9 Participants
7 Participants
n=20 Participants
Sex: Female, Male
Male
14 Participants
n=11 Participants
19 Participants
n=9 Participants
33 Participants
n=20 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=11 Participants
0 Participants
n=9 Participants
0 Participants
n=20 Participants
Race (NIH/OMB)
Asian
0 Participants
n=11 Participants
0 Participants
n=9 Participants
0 Participants
n=20 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=11 Participants
0 Participants
n=9 Participants
0 Participants
n=20 Participants
Race (NIH/OMB)
Black or African American
16 Participants
n=11 Participants
17 Participants
n=9 Participants
33 Participants
n=20 Participants
Race (NIH/OMB)
White
4 Participants
n=11 Participants
3 Participants
n=9 Participants
7 Participants
n=20 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=11 Participants
0 Participants
n=9 Participants
0 Participants
n=20 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=11 Participants
0 Participants
n=9 Participants
0 Participants
n=20 Participants
Age at First Cocaine Use
22 years
n=11 Participants
22 years
n=9 Participants
22 years
n=20 Participants

PRIMARY outcome

Timeframe: From the psilocybin or placebo administration session to end-of-treatment (approximately 4 weeks in most participants), from end-of-treatment to 12 weeks after end-of-treatment, and from 12 weeks after end-of-treatment to 24 weeks after end-of-treatment.

Percentage of days abstinent from cocaine among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed with the Timeline Followback Interview and with biochemically verified cocaine presence as assessed via a urine drug screen.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Percentage of Abstinent Days
Drug administration to end-of-treatment
97.43 Percentage of abstinent days
Standard Error 1.01
71.63 Percentage of abstinent days
Standard Error 5.25
Percentage of Abstinent Days
End-of-treatment to 12 weeks after end-of-treatment
98.11 Percentage of abstinent days
Standard Error 0.83
61.85 Percentage of abstinent days
Standard Error 7.43
Percentage of Abstinent Days
12 weeks after end-of-treatment to 24 weeks after end-of-treatment.
95.79 Percentage of abstinent days
Standard Error 2.61
67.06 Percentage of abstinent days
Standard Error 6.71

PRIMARY outcome

Timeframe: From the psilocybin or placebo administration session to 24 weeks after end-of-treatment.

Complete abstinence from cocaine among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed with the Timeline Followback Interview and with biochemically verified cocaine presence as assessed via a urine drug screen.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Number of Participants With Complete Abstinence From Cocaine
6 Participants
0 Participants

PRIMARY outcome

Timeframe: From the psilocybin or placebo administration session to 24 weeks after end-of-treatment.

Population: One participant in the placebo group was lost to follow-up after drug administration, and therefore only 19 of 20 participants in this group provided data for this outcome variable.

Number of days to first use of cocaine after the drug administration session among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed with the Timeline Followback Interview and with biochemically verified cocaine presence as assessed via a urine drug screen.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=19 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Number of Days to First Use of Cocaine
74.6 Number of days to first use of cocaine
Standard Error 18.6
25.7 Number of days to first use of cocaine
Standard Error 12.2

SECONDARY outcome

Timeframe: Within 48 hours after psilocybin or placebo administration, at end-of-treatment (approximately 4 weeks after psilocybin or placebo administration in most participants), at 12 weeks after end-of-treatment, and at 24 weeks after end-of-treatment.

Ratings on the Severity of Dependence Scale (SDS) among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed via self-report. Severity of Dependence Scale (SDS) ratings are the sum of the five item values and range from 0 (indicating no dependence symptoms on the scale) to 15 (indicating the highest level of dependence).

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Severity of Dependence Scale
Within 48 hours after psilocybin or placebo administration
4 Scores on a scale
Standard Error .85
6.66 Scores on a scale
Standard Error .54
Severity of Dependence Scale
At end-of-treatment
2.3 Scores on a scale
Standard Error .78
5.75 Scores on a scale
Standard Error .65
Severity of Dependence Scale
At 12 weeks after end-of-treatment
1.89 Scores on a scale
Standard Error .69
7.0 Scores on a scale
Standard Error .54
Severity of Dependence Scale
At 24 weeks after end-of-treatment
2.02 Scores on a scale
Standard Error .77
7.8 Scores on a scale
Standard Error .71

SECONDARY outcome

Timeframe: Within 48 hours after psilocybin or placebo administration, at end-of-treatment (approximately 4 weeks after psilocybin or placebo administration in most participants), at 12 weeks after end-of-treatment, and at 24 weeks after end-of-treatment.

Ratings on the Cocaine Selective Severity Assessment (CSSA) among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo). Ratings range from 0 to 112, reflecting the sum of the individual items. Higher scores indicate greater withdrawal severity.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Cocaine Selective Severity Assessment
Within 48 hours after psilocybin or placebo administration
10.0 Scores on a scale
Standard Error 2.07
12.89 Scores on a scale
Standard Error 2.6
Cocaine Selective Severity Assessment
At end-of-treatment
10.65 Scores on a scale
Standard Error 2.1
10.93 Scores on a scale
Standard Error 3.03
Cocaine Selective Severity Assessment
At 12 weeks after end-of-treatment
9.31 Scores on a scale
Standard Error 2.87
19.88 Scores on a scale
Standard Error 3.55
Cocaine Selective Severity Assessment
At 24 weeks after end-of-treatment
8.7 Scores on a scale
Standard Error 1.85
22.64 Scores on a scale
Standard Error 4.42

SECONDARY outcome

Timeframe: Within 48 hours after psilocybin or placebo administration, at end-of-treatment (approximately 4 weeks after psilocybin or placebo administration in most participants), at 12 weeks after end-of-treatment, and at 24 weeks after end-of-treatment.

Ratings on the Cocaine Craving Questionnaire-Brief (CCQ-B) among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed via self-report. The Cocaine Craving Questionnaire-Brief (CCQ-B) is a 10-item scale, and mean scores are reported (possible range = 0 to 7), with greater scores representing more craving.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Cocaine Craving Questionnaire
At end-of-treatment
1.21 Scores on a scale
Standard Error .12
1.3 Scores on a scale
Standard Error .1
Cocaine Craving Questionnaire
Within 48 hours after psilocybin or placebo administration
1.1 Scores on a scale
Standard Error .06
1.57 Scores on a scale
Standard Error .16
Cocaine Craving Questionnaire
At 12 weeks after end-of-treatment
1.28 Scores on a scale
Standard Error .17
1.76 Scores on a scale
Standard Error .22
Cocaine Craving Questionnaire
At 24 weeks after end-of-treatment
1.24 Scores on a scale
Standard Error .14
1.94 Scores on a scale
Standard Error .27

SECONDARY outcome

Timeframe: Within 48 hours after psilocybin or placebo administration, at end-of-treatment (approximately 4 weeks after psilocybin or placebo administration in most participants), at 12 weeks after end-of-treatment, and at 24 weeks after end-of-treatment.

Ratings on the Brief Situational Confidence Questionnaire (BSCQ) among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed via self-report. A global/average score across the 8 items is calculated, ranging 0-100. Higher scores indicate greater confidence to resist the urge to use cocaine.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Situational Confidence Questionnaire
At 24 weeks after end-of-treatment
79.7 Scores on a scale
Standard Error 5.5
66 Scores on a scale
Standard Error 5.2
Situational Confidence Questionnaire
Within 48 hours after psilocybin or placebo administration
80 Scores on a scale
Standard Error 4.1
68.2 Scores on a scale
Standard Error 4.9
Situational Confidence Questionnaire
At end-of-treatment
82.1 Scores on a scale
Standard Error 4.2
72.8 Scores on a scale
Standard Error 5.6
Situational Confidence Questionnaire
At 12 weeks after end-of-treatment
79.6 Scores on a scale
Standard Error 4.38
60.5 Scores on a scale
Standard Error 4.53

SECONDARY outcome

Timeframe: Within 48 hours after psilocybin or placebo administration, at end-of-treatment (approximately 4 weeks after psilocybin or placebo administration in most participants), at 12 weeks after end-of-treatment, and at 24 weeks after end-of-treatment.

Ratings on the Thoughts About Abstinence Questionnaire among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed via self-report. The Thoughts About Abstinence Questionnaire captures motivation to quit, confidence in the ability to quit, and perceived difficulty quitting with one item each using a 1 to 10 scale. Greater scores represent greater motivation to quit, confidence in the ability to quit, and perceived difficulty quitting, respectively.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Thoughts About Abstinence Questionnaire
Perceived difficulty quitting: 48 hours after psilocybin or placebo administration
4.35 Scores on a scale
Standard Error .75
4.66 Scores on a scale
Standard Error .67
Thoughts About Abstinence Questionnaire
Motivation to quit: 48 hours after psilocybin or placebo administration
9.9 Scores on a scale
Standard Error .05
9.6 Scores on a scale
Standard Error .16
Thoughts About Abstinence Questionnaire
Motivation to quit: end-of-treatment
10 Scores on a scale
Standard Error 0
9.6 Scores on a scale
Standard Error .27
Thoughts About Abstinence Questionnaire
Motivation to quit: 12 weeks after end-of-treatment
9.37 Scores on a scale
Standard Error .56
9.66 Scores on a scale
Standard Error .18
Thoughts About Abstinence Questionnaire
Motivation to quit: 24 weeks after end-of-treatment
10 Scores on a scale
Standard Error 0
9.5 Scores on a scale
Standard Error .33
Thoughts About Abstinence Questionnaire
Confidence in ability to quit: 48 hours after psilocybin or placebo administration
9.65 Scores on a scale
Standard Error .26
8.9 Scores on a scale
Standard Error .24
Thoughts About Abstinence Questionnaire
Confidence in ability to quit: end-of-treatment
9.6 Scores on a scale
Standard Error .26
8.75 Scores on a scale
Standard Error .44
Thoughts About Abstinence Questionnaire
Confidence in ability to quit: 12 weeks after end-of-treatment
9.68 Scores on a scale
Standard Error .18
8.16 Scores on a scale
Standard Error .46
Thoughts About Abstinence Questionnaire
Confidence in ability to quit: 24 weeks after end-of-treatment
9.63 Scores on a scale
Standard Error .17
8.64 Scores on a scale
Standard Error .35
Thoughts About Abstinence Questionnaire
Perceived difficulty quitting: end-of-treatment
3.9 Scores on a scale
Standard Error .86
5.68 Scores on a scale
Standard Error .84
Thoughts About Abstinence Questionnaire
Perceived difficulty quitting: 12 weeks after end-of-treatment
3.42 Scores on a scale
Standard Error .75
6.27 Scores on a scale
Standard Error .73
Thoughts About Abstinence Questionnaire
Perceived difficulty quitting: 24 weeks after end-of-treatment
3.89 Scores on a scale
Standard Error .86
6.17 Scores on a scale
Standard Error .81

SECONDARY outcome

Timeframe: Within 48 hours after psilocybin or placebo administration, at end-of-treatment (approximately 4 weeks after psilocybin or placebo administration in most participants), at 12 weeks after end-of-treatment, and at 24 weeks after end-of-treatment.

Ratings on the Depression, Anxiety, and Stress Scale (DASS-21) among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed via self-report. This questionnaire provides mean scores for depression, anxiety, and stress, with total possible scores ranging from 0 to 3. Greater scores represent more depression, anxiety, and stress, respectively.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Depression, Anxiety, and Stress Scale
Anxiety: Within 48 hours after psilocybin or placebo administration
.42 Scores on a scale
Standard Error .14
.61 Scores on a scale
Standard Error .14
Depression, Anxiety, and Stress Scale
Anxiety: end-of-treatment
.38 Scores on a scale
Standard Error .13
.65 Scores on a scale
Standard Error .16
Depression, Anxiety, and Stress Scale
Stress: 24 weeks after end-of-treatment
.61 Scores on a scale
Standard Error .18
.74 Scores on a scale
Standard Error .14
Depression, Anxiety, and Stress Scale
Depression: Within 48 hours after psilocybin or placebo administration
.38 Scores on a scale
Standard Error .15
.62 Scores on a scale
Standard Error .14
Depression, Anxiety, and Stress Scale
Depression: end-of-treatment
.33 Scores on a scale
Standard Error .13
.58 Scores on a scale
Standard Error .14
Depression, Anxiety, and Stress Scale
Depression: 12 weeks after end-of-treatment
.41 Scores on a scale
Standard Error .17
.57 Scores on a scale
Standard Error .15
Depression, Anxiety, and Stress Scale
Depression: 24 weeks after end-of-treatment
.37 Scores on a scale
Standard Error .15
.64 Scores on a scale
Standard Error .19
Depression, Anxiety, and Stress Scale
Anxiety: 12 weeks after end-of-treatment
.53 Scores on a scale
Standard Error .19
.51 Scores on a scale
Standard Error .10
Depression, Anxiety, and Stress Scale
Anxiety: 24 weeks after end-of-treatment
.47 Scores on a scale
Standard Error .16
.66 Scores on a scale
Standard Error .16
Depression, Anxiety, and Stress Scale
Stress: Within 48 hours after psilocybin or placebo administration
.48 Scores on a scale
Standard Error .11
.81 Scores on a scale
Standard Error .17
Depression, Anxiety, and Stress Scale
Stress: end-of-treatment
.48 Scores on a scale
Standard Error .13
.81 Scores on a scale
Standard Error .16
Depression, Anxiety, and Stress Scale
Stress: 12 weeks after end-of-treatment
.56 Scores on a scale
Standard Error .17
.79 Scores on a scale
Standard Error .17

SECONDARY outcome

Timeframe: Within 48 hours after psilocybin or placebo administration, at end-of-treatment (approximately 4 weeks after psilocybin or placebo administration in most participants), at 12 weeks after end-of-treatment, and at 24 weeks after end-of-treatment.

Ratings on the Satisfaction with Life Scale among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed via self-report. A sum of the 5 items yields a total score, ranging from 5 to 35. Greater scores represent more satisfaction with life.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Satisfaction With Life Scale
Satisfaction with Life: 24 weeks after end-of-treatment
23 Scores on a scale
Standard Error 1.7
16.64 Scores on a scale
Standard Error 1.88
Satisfaction With Life Scale
Satisfaction with Life: Within 48 hours after psilocybin or placebo administration
22.65 Scores on a scale
Standard Error 1.35
16.89 Scores on a scale
Standard Error 1.62
Satisfaction With Life Scale
Satisfaction with Life: end-of-treatment
23.75 Scores on a scale
Standard Error 1.49
18.75 Scores on a scale
Standard Error 1.84
Satisfaction With Life Scale
Satisfaction with Life: 12 weeks after end-of-treatment
23.89 Scores on a scale
Standard Error 1.51
16.6 Scores on a scale
Standard Error 1.83

SECONDARY outcome

Timeframe: At 24 weeks after end-of-treatment.

Population: Data are available for those who completed assessment at 24 weeks after end-of-treatment and completed the brief demographic questionnaire; not all participants opted to complete this questionnaire.

Responses on a brief demographic questionnaire among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed via self-report. Income is reported as estimated annual income based on current earnings.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=18 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=15 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Individual Income
$20,000 per year or less
7 Participants
10 Participants
Individual Income
More than $20,000 per year
11 Participants
5 Participants

SECONDARY outcome

Timeframe: At 24 weeks after end-of-treatment.

Population: Data are available for those who completed assessment at 24 weeks after end-of-treatment and completed the brief demographic questionnaire; not all participants opted to complete this questionnaire.

Responses on a brief demographic questionnaire among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed via self-report. Participants reported being unemployed, or not unemployed (employed, retired or on disability, or a student).

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=18 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=15 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Employment Status
Unemployed
3 Participants
6 Participants
Employment Status
Not unemployed
15 Participants
9 Participants

SECONDARY outcome

Timeframe: At 24 weeks after end-of-treatment.

Population: Data are available for those who completed assessment at 24 weeks after end-of-treatment and completed the brief demographic questionnaire; not all participants opted to complete this questionnaire.

Responses on a brief demographic questionnaire among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed via self-report. Participants reported having a stable living situation (e.g., living in a house or apartment they owned or rented) an unstable living situation (e.g., experiencing homelessness).

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=18 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=15 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Living Situation
Stable living situation
16 Participants
12 Participants
Living Situation
Unstable living situation
2 Participants
3 Participants

SECONDARY outcome

Timeframe: From the psilocybin or placebo administration session to end-of-treatment (approximately 4 weeks in most participants), from end-of-treatment to 12 weeks after end-of-treatment, and from 12 weeks after end-of-treatment to 24 weeks after end-of-treatment.

Percentage of days abstinent from alcohol among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed with the Timeline Followback Interview.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Percentage of Alcohol Abstinent Days
From 12 weeks after end-of-treatment to 24 weeks after end-of-treatment
7.19 Percentage of alcohol abstinent days
Standard Error 14.06
27.39 Percentage of alcohol abstinent days
Standard Error 34.32
Percentage of Alcohol Abstinent Days
From the psilocybin or placebo administration session to end-of-treatment
5.7 Percentage of alcohol abstinent days
Standard Error 11.34
27.68 Percentage of alcohol abstinent days
Standard Error 32.10
Percentage of Alcohol Abstinent Days
From end-of-treatment to 12 weeks after end-of-treatment
5.85 Percentage of alcohol abstinent days
Standard Error 7.86
34.32 Percentage of alcohol abstinent days
Standard Error 37.3

SECONDARY outcome

Timeframe: From the psilocybin or placebo administration session to end-of-treatment (approximately 4 weeks in most participants), from end-of-treatment to 12 weeks after end-of-treatment, and from 12 weeks after end-of-treatment to 24 weeks after end-of-treatment.

Percentage of days abstinent from heavy alcohol use among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed with the Timeline Followback Interview.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Percentage of Heavy Alcohol Abstinent Days
From 12 weeks after end-of-treatment to 24 weeks after end-of-treatment
4.09 Percentage of days abstinent
Standard Error 13.55
16.01 Percentage of days abstinent
Standard Error 28.21
Percentage of Heavy Alcohol Abstinent Days
From the psilocybin or placebo administration session to end-of-treatment
1.8 Percentage of days abstinent
Standard Error 4.88
13.29 Percentage of days abstinent
Standard Error 24.53
Percentage of Heavy Alcohol Abstinent Days
From end-of-treatment to 12 weeks after end-of-treatment
2.40 Percentage of days abstinent
Standard Error 6.67
19.44 Percentage of days abstinent
Standard Error 31.11

SECONDARY outcome

Timeframe: From the psilocybin or placebo administration session to end-of-treatment (approximately 4 weeks in most participants), from end-of-treatment to 12 weeks after end-of-treatment, and from 12 weeks after end-of-treatment to 24 weeks after end-of-treatment.

Percentage of days abstinent from tobacco among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed with the Timeline Followback Interview.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Percentage of Tobacco Abstinent Days
From the psilocybin or placebo administration session to end-of-treatment
55.07 Percentage of tobacco abstinent days
Standard Error 46.01
63.52 Percentage of tobacco abstinent days
Standard Error 40.91
Percentage of Tobacco Abstinent Days
From end-of-treatment to 12 weeks after end-of-treatment
53.80 Percentage of tobacco abstinent days
Standard Error 48.90
75.25 Percentage of tobacco abstinent days
Standard Error 38.96
Percentage of Tobacco Abstinent Days
From 12 weeks after end-of-treatment to 24 weeks after end-of-treatment
49.36 Percentage of tobacco abstinent days
Standard Error 48.50
74.05 Percentage of tobacco abstinent days
Standard Error 38.46

SECONDARY outcome

Timeframe: From the psilocybin or placebo administration session to end-of-treatment (approximately 4 weeks in most participants), from end-of-treatment to 12 weeks after end-of-treatment, and from 12 weeks after end-of-treatment to 24 weeks after end-of-treatment.

Percentage of days abstinent from cannabis among subjects in each of the arms (subjects receiving psilocybin and subjects receiving placebo) assessed with the Timeline Followback Interview.

Outcome measures

Outcome measures
Measure
Psilocybin Administration
n=20 Participants
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 Participants
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Percentage of Cannabis Abstinent Days
From the psilocybin or placebo administration session to end-of-treatment
14.31 Percentage of cannabis abstinent days
Standard Error 26.76
28.57 Percentage of cannabis abstinent days
Standard Error 39.09
Percentage of Cannabis Abstinent Days
From end-of-treatment to 12 weeks after end-of-treatment
21.99 Percentage of cannabis abstinent days
Standard Error 34.28
36.85 Percentage of cannabis abstinent days
Standard Error 43.99
Percentage of Cannabis Abstinent Days
From 12 weeks after end-of-treatment to 24 weeks after end-of-treatment
18.19 Percentage of cannabis abstinent days
Standard Error 33.49
31.24 Percentage of cannabis abstinent days
Standard Error 43.57

Adverse Events

Psilocybin Administration

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Diphenhydramine Administration

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Psilocybin Administration
n=20 participants at risk
Psilocybin will be administered in pill form at a dose of .36 mg/kg. Psilocybin will be administered in one session over the course of 8 hours.
Diphenhydramine Administration
n=20 participants at risk
Diphenhydramine will be administered in pill form at a dose of 100 mg. Diphenhydramine will be administered in one session over the course of 8 hours.
Cardiac disorders
Hypertension NOS
30.0%
6/20 • From drug administration until final follow-up, an average of 7-8 months
10.0%
2/20 • From drug administration until final follow-up, an average of 7-8 months
Cardiac disorders
Tachycardia
5.0%
1/20 • From drug administration until final follow-up, an average of 7-8 months
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months
Gastrointestinal disorders
Flatulence
5.0%
1/20 • From drug administration until final follow-up, an average of 7-8 months
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months
Gastrointestinal disorders
Hunger
5.0%
1/20 • From drug administration until final follow-up, an average of 7-8 months
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months
Gastrointestinal disorders
Nausea
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months
5.0%
1/20 • From drug administration until final follow-up, an average of 7-8 months
Gastrointestinal disorders
Vomiting
5.0%
1/20 • From drug administration until final follow-up, an average of 7-8 months
5.0%
1/20 • From drug administration until final follow-up, an average of 7-8 months
General disorders
Hot flashes with chills
5.0%
1/20 • From drug administration until final follow-up, an average of 7-8 months
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months
Psychiatric disorders
Emotional distress
25.0%
5/20 • From drug administration until final follow-up, an average of 7-8 months
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months
Psychiatric disorders
Crying
25.0%
5/20 • From drug administration until final follow-up, an average of 7-8 months
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months
Reproductive system and breast disorders
Spontaneous orgasm
5.0%
1/20 • From drug administration until final follow-up, an average of 7-8 months
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months
Psychiatric disorders
Agitation
5.0%
1/20 • From drug administration until final follow-up, an average of 7-8 months
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months
Psychiatric disorders
Suicidal ideation
5.0%
1/20 • From drug administration until final follow-up, an average of 7-8 months
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months
Nervous system disorders
Headache
15.0%
3/20 • From drug administration until final follow-up, an average of 7-8 months
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months
Nervous system disorders
Altered perception
5.0%
1/20 • From drug administration until final follow-up, an average of 7-8 months
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months
Nervous system disorders
Heightened visual imagery
5.0%
1/20 • From drug administration until final follow-up, an average of 7-8 months
0.00%
0/20 • From drug administration until final follow-up, an average of 7-8 months

Additional Information

Peter S. Hendricks, Ph.D., University Professor and Heersink Endowed Chair of Psychiatry

University of Alabama at Birmingham

Phone: 205.202.1387

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place