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PRISMatic: A Phase 1b Randomized, Double-Armed, Parallel-Group, Placebo-Controlled Trial of Psilocybin Efficacy With or Without Pimavanserin Pretreatment

Twenty healthy adults (≥21 years old) will be enrolled to evaluate the efficacy of a single oral dose of psilocybin (25 mg) administered with or without pretreatment using oral pimavanserin (34 mg) or placebo. Outcome assessments will occur at 1 week and 1 month following psilocybin administration. The purpose of this study is to clarify the receptor-level mechanisms underlying psilocybin's effects on mood and well-being, along with the associated neurophysiologic signatures. These mechanisms will be examined using psychometric scales, autonomic and fMRI-based neurophysiologic markers, and integrated pharmacokinetic/pharmacodynamic modeling.

Status
recruiting
Phase
Phase 1, Phase 2
Institution
Johns Hopkins University
Principal investigator
David B. Yaden, PhD
Start date
2026-07-01
End date
2028-12-01
Registry ID
NCT07610135

View trial record

Tracked by the DMT Code Clinical Trials Observatory, an open record of DMT-related clinical research.