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Engaging Mood Brain Circuits With Psilocybin: a Randomized Neuroimaging Trial in Depression

The goal of this neuroimaging clinical trial is to test whether psilocybin produces significant immediate changes in functional brain activity in networks associated with mood regulation and depression compared to placebo in patients with depression. The trial aims to determine if psilocybin: 1. Changes connectivity within brain networks associated with mood and depression 2. Changes blood flow in brain regions associated with mood and depression Participants will be attend two treatment sessions where they receive an oral medication and supportive psychotherapy. At each session, participants will undergo an MRI scan after drug administration but prior to psychotherapy. Participants will be randomly to assigned to one of two groups that will receive, 1) microcrystalline cellulose (25mg) at the first visit and psilocybin (25mg) at the second visit, or 2) psilocybin (25mg) at both visits, respectively. Differences between groups will be compared to understand what effects on brain activity are specific to psilocybin.

Status
recruiting
Phase
Phase 2
Institution
Sunnybrook Health Sciences Centre
Principal investigator
Sean M Nestor, PhD MD FRCPC
Start date
2025-05-28
End date
2029-05-01
Registry ID
NCT06072898

View trial record

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