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Active, not recruitingNCT03554174Updated Nov 5, 2025

Psilocybin - Induced Neuroplasticity in the Treatment of Major Depressive Disorder

A Phase 1 interventional study of Low Dose Psilocybin and Placebo in Major Depressive Disorder, sponsored by Yale University. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-11-05.

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

Phase
Phase 1
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The primary goal of this pilot study is to investigate whether psilocybin alters neuroplasticity in people with major depressive disorder. The primary hypothesis is that psilocybin will result in neuroplastic changes that parallel improvement in symptoms of depression.

Read the detailed description

In this placebo-controlled, blinded study, individuals with depression will participate in 2 experimental sessions approximately 4 weeks apart during which they will receive two of the following three interventions: 1) placebo, 2) low dose psilocybin (0.1 mg/kg), and 3) medium dose psilocybin (0.3 mg/kg).

02

Conditions studied

  • Major Depressive Disorder

Keywords

  • psilocybin
03

In context

Depressive Disorder, Major

2,741 studies on the registry are indexed under Depressive Disorder, Major; 559 are open to participants now.

This study's planned enrollment of 18 is below the median of 80 across 2,283 interventional studies indexed under Depressive Disorder, Major.

Browse Depressive Disorder, Major studies →

Lead sponsor

Yale University is the lead sponsor of 1,724 studies on the registry; 298 are open to participants now.

Of its 210 completed or terminated interventional studies of FDA-regulated products, 126 (60%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Diagnosed with Major Depressive Disorder (MDD), single or recurrent episode, and currently experiencing a Major Depressive Episode (MDE)
  • Failed to achieve a satisfactory clinical response to at least one adequate antidepressant trial during the current depressive episode
  • Currently engaged in treatment with a mental health clinician

Exclusion criteria

Exclusion Criteria:

  • Axis I psychotic disorder (e.g. schizophrenia, bipolar I, depression with psychosis)
  • Axis I psychotic disorder in first degree relative
  • Currently taking a conventional antidepressant medication
  • Unstable medical or neurological conditions
  • Significant cognitive disorders
  • History of intolerance to drugs known to significantly alter perception e.g., psilocybin, LSD, salvinorin A, mescaline, etc.
  • Pregnant, breastfeeding, lack of adequate birth control
  • Urine toxicology positive to drugs of abuse on experimental test days
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Care provider)
Enrollment
18 participants (estimated)

Study arms

  • Experimental
    Placebo/Low Dose Psilocybin

    Subjects in this arm receive placebo in the first session and low dose psilocybin in the second session.

    Drug: Low Dose Psilocybin · Drug: Placebo

  • Experimental
    Placebo/Medium Dose Psilocybin

    Subjects in this arm receive placebo in the first session and medium dose psilocybin in the second session.

    Drug: Placebo · Drug: Medium Dose Psilocybin

  • Experimental
    Low Dose Psilocybin/Placebo

    Subjects in this arm receive low dose psilocybin in the first session and placebo in the second session.

    Drug: Low Dose Psilocybin · Drug: Placebo

  • Experimental
    Medium Dose Psilocybin/Placebo

    Subjects in this arm receive medium dose psilocybin in the first session and placebo in the second session.

    Drug: Placebo · Drug: Medium Dose Psilocybin

Interventions

  • DrugLow Dose Psilocybin

    0.1 mg/kg psilocybin capsule

  • DrugPlacebo

    microcrystalline cellulose capsule

  • DrugMedium Dose Psilocybin

    0.3 mg/kg psilocybin capsule

06

What researchers measure

Primary outcomes

  1. Changes in electrical brain activity associated with neuroplasticity measured by Electroencephalography (EEG)

    An auditory Long Term Potentiation (LTP) task will assess changes in neuroplasticity. For the EEG task, the outcome measures will include stimulus-evoked time x frequency analysis (e.g., spectral power)

    Time frame: One day and two weeks after each experimental session

Secondary outcomes

  1. Changes in verbal memory [ Time Frame: One day and two weeks after each experimental session ]

    This will be measured by a modified computer version of the Rey Auditory Verbal Learning Test (RAVLT), administered while EEG data is collected. The EEG outcomes will include time x frequency analysis (e.g., spectral power) during the learning and recognition phases of the task.

    Time frame: One day and two weeks after each experimental session

  2. Change in mood symptoms using the GRID-Hamilton Depression Rating Scale (GRID-HAM-D)

    The GRID-Hamilton Depression Rating Scale is a clinician-administered rating scale designed to assess severity of depressive symptoms. It includes 17 items, nine of which are scored on 5-point scale, and eight of which are scored on a three-point scale. The score range for the GRID-HAMD is 0 to 52, with higher score indicating more severe depression.

    Time frame: Four weeks before the initiation of testing, the day before and after each experimental session, and one and two weeks after each experimental session.

  3. Change in mood symptoms using the Quick Inventory of Depressive Symptoms (QIDS-SR16)

    The QIDS-SR16 is a 16-item self-reported rating scale designed to assess severity of depressive symptoms.

    Time frame: Four weeks before the initiation of testing, the day before and after each experimental session, one and two weeks after each experimental session, then monthly for three months after the last experimental session.

07

Study locations

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

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03554174
Lead sponsor
Yale University
Collaborators
Heffter Research Institute
Responsible party
Deepak C. D'Souza (Professor of Psychiatry, Yale University) — Principal investigator
First posted
Jun 13, 2018
Start date
Feb 27, 2018
Primary completion
Jul 8, 2021
Completion
Sep 2026 (estimated)
Last update
Nov 5, 2025

Study contacts

Deepak D'Souza, MD
principal investigator · Yale University

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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