ClinicalTrials.gg
CompletedNCT02981173Updated Dec 15, 2023

Psilocybin for the Treatment of Cluster Headache

A Phase 1 interventional study of 0.143 mg/kg Psilocybin or 10 mg Psilocybin and 0.0143 mg/kg Psilocybin or 1 mg Psilocybin in Cluster Headache, sponsored by Yale University. Completed at 1 site in United States. Open to participants aged 21 Years to 65 Years. Per ClinicalTrials.gov, last updated 2023-12-15.

Sponsored by Yale University · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
21 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to investigate the effects of an oral psilocybin pulse regimen in cluster headache. Subjects will be randomized to receive oral placebo, low dose psilocybin, or high dose psilocybin in three experimental sessions, each separated by 5 days. Subjects will maintain a headache diary prior to, during, and after the pulse regimen in order to document headache frequency and intensity before, during, and after the pulse regimen. After at least 6 months from the last experimental session, subjects may be invited for a second round, in which they will be randomized to receive either low dose or high dose psilocybin.

02

Conditions studied

  • Cluster Headache

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03

In context

Cluster Headache

123 studies on the registry are indexed under Cluster Headache; 26 are open to participants now.

This study's enrollment of 25 is below the median of 42 across 90 interventional studies indexed under Cluster Headache.

Browse Cluster Headache studies →

Lead sponsor

Yale University is the lead sponsor of 1,770 studies on the registry; 294 are open to participants now.

Of its 221 completed or terminated interventional studies of FDA-regulated products, 129 (58%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Chronic cluster headache with at least one attack daily
  • Episodic cluster headache with periods that are predictable and have a duration of approximately 2 months
  • Attacks are managed by means involving no more than twice weekly triptan use (e.g., high-flow oxygen, heat/cold pack)

Exclusion criteria

Exclusion Criteria:

  • Axis I psychotic disorder (e.g. schizophrenia, bipolar I, depression with psychosis)
  • Axis I psychotic disorder in first degree relative
  • Unstable medical condition, severe renal, cardiac or hepatic disease, pacemaker, or serious central nervous system pathology
  • Pregnant, breastfeeding, lack of adequate
  • History of intolerance to psilocybin, lysergic acid diethylamide (LSD), or related compounds
  • Drug or alcohol abuse within the past 3 months (excluding tobacco)
  • Urine toxicology positive to drugs of abuse
  • Use of vasoconstrictive medications (i.e. sumatriptan, pseudoephedrine, midodrine) within five half-lives of test days
  • Use of serotonergic antiemetics (i.e. ondansetron) in the past 2 weeks
  • Use of antidepressant medications (i.e. amitriptyline, isocarboxazid, fluoxetine, citalopram) in the past 6 weeks
  • Use of or certain other immunomodulatory agents (i.e. azathioprine) in the past 2 weeks
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
25 participants (actual)

Study arms

  • Active comparator
    Psilocybin High Dose

    Drug: 0.143 mg/kg Psilocybin or 10 mg Psilocybin

  • Active comparator
    Psilocybin Low Dose

    Drug: 0.0143 mg/kg Psilocybin or 1 mg Psilocybin

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • Drug0.143 mg/kg Psilocybin or 10 mg Psilocybin

    0.143 mg/kg psilocybin capsule (weight-based option) or 10 mg psilocybin capsule (fixed-dose option) ingested on each of three test days (5 days apart +/- 1-2 days)

  • Drug0.0143 mg/kg Psilocybin or 1 mg Psilocybin

    0.0143 mg/kg psilocybin capsule (weight-based option) or 1 mg psilocybin (fixed-dose option) ingested on each of three test days (5 days apart +/- 1-2 days)

  • DrugPlacebo

    Microcrystalline cellulose capsule ingested on each of three test days (5 days apart +/- 1-2 days)

06

What researchers measure

Primary outcomes

  1. Time to first attack after completion of pulse regimen

    Measured in days

    Time frame: Two months following the completion of pulse regimen (after completion of experimental sessions 1, 2, and 3)

  2. Time to last attack after completion of pulse regimen

    Measured in days

    Time frame: Six months following the completion of pulse regimen (after completion of experimental sessions 1, 2, and 3)

  3. Change in frequency of attacks

    Average number of attacks (number per week)

    Time frame: Measured from 2 weeks before to 2 months after completion of pulse regimen using a headache diary

  4. Change in intensity of attacks

    Average intensity of attacks (1-10 on visual analog scale)

    Time frame: Measured from 2 weeks before to 2 months after completion of pulse regimen using a headache diary

  5. Change in duration of attacks

    Average duration of attacks (minutes)

    Time frame: Measured from 2 weeks before to 2 months after completion of pulse regimen using a headache diary

  6. Change in cluster period duration compared to typical cluster period (episodic subjects only)

    Duration of cluster period after intervention (days)

    Time frame: Measured from 2 weeks before pulse regimen to 6 months following the completion of pulse regimen, then comparing to historical average duration of cluster periods

  7. Difference in the change in cluster attack frequency between 1st and 2nd round

    Average number of attacks (number per week); only in those subjects who return for 2nd round

    Time frame: Measured from 2 weeks before to 2 months after completion for each of the two pulse regimens using a headache diary

  8. Difference in the change in cluster attack intensity between 1st and 2nd round

    Average intensity of attacks (1-10 on visual analog scale); only in those subjects who return for 2nd round

    Time frame: Measured from 2 weeks before to 2 months after completion for each of the two pulse regimens using a headache diary

  9. Difference in the change in the duration of attacks between 1st and 2nd round

    Average duration of attacks (minutes); only in those subjects who return for 2nd round

    Time frame: Measured from 2 weeks before to 2 months after completion for each of the two pulse regimens using a headache diary

Secondary outcomes

  1. Use of abortive/rescue medication

    Number of times per week

    Time frame: Measured from 2 weeks before to 2 months after completion of pulse regimen using a headache diary

  2. Attack-free time

    Number of 24 hour days (may be nonconsecutive)

    Time frame: Measured from 2 weeks before to 2 months after completion of pulse regimen using a headache diary

  3. Health-Related Quality of life

    Using the CDC's Health-Related Quality of Life (HRQOL) scale

    Time frame: Measured from 2 weeks before to 2 months after completion of pulse regimen using a headache diary

  4. Psychedelic effects

    Using the 5-Dimensional Altered States of Consciousness (5D-ASC) scale

    Time frame: Taken daily on each experimental day after the resolution of psychedelic effects, approximately 6 hours after drug administration

  5. Change in blood pressure

    Maximum change from baseline during each experimental session (mmHg)

    Time frame: Measured during each experimental session prior to drug administration, every 15 min in the first hour after drug administration, every 30 min in the second hour, and then hourly for 4 hours or until resolution of psychedelic effects (~6 hours post drug)

  6. Change in heart rate

    Maximum change from baseline during each experimental session (beats per minute)

    Time frame: Measured during each experimental session prior to drug administration, every 15 min in the first hour after drug administration, every 30 min in the second hour, and then hourly for 4 hours or until resolution of psychedelic effects (~6 hours post drug)

  7. Change in peripheral oxygenation

    Maximum change from baseline during each experimental session (SpO2)

    Time frame: Measured during each experimental session prior to drug administration, every 15 min in the first hour after drug administration, every 30 min in the second hour, and then hourly for 4 hours or until resolution of psychedelic effects (~6 hours post drug)

07

Study locations

1 site
  • VA Connecticut Healthcare System
    West Haven, Connecticut 06516, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 15, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02981173
Lead sponsor
Yale University
Collaborators
Heffter Research Institute, Ceruvia Lifesciences, CH TAC LLC
Responsible party
Deepak C. D'Souza (Professor of Psychiatry, Yale University) — Principal investigator
First posted
Dec 5, 2016
Start date
Dec 5, 2016
Primary completion
Jun 30, 2022
Completion
Oct 21, 2022
Last update
Dec 15, 2023

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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