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CompletedNCT04227756LPMUpdated Jan 24, 2024

Comparative Acute Effects of LSD, Psilocybin and Mescaline

A Phase 1 interventional study of LSD and Psilocybin in Healthy, sponsored by University Hospital, Basel, Switzerland. Completed at 1 site in Switzerland. Open to participants aged 25 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-24.

Sponsored by University Hospital, Basel, Switzerland · Phase 1, Interventional, and Basic science

Phase
Phase 1
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
25 Years to 65 Years
Sex
All
01

Study summary

LSD, psilocybin and mescaline are widely used for recreational and ethnomedical purposes. All three substances are thought to induce prototypical psychedelic effects primarily via stimulation of the 5-HT2A receptor. However, there are differences in the substances' molecular structures and receptor activation profiles which may induce differential subjective effects. To date, there are no modern studies comparing LSD, psilocybin and mescaline directly within the same clinical study and research subjects using validated psychometric tools. Therefore, the LPM-Study compares the acute effects of LSD, psilocybin, mescaline and placebo in a double-blind, placebo-controlled, 4-period cross-over design with four treatment conditions: 1) 100 μg LSD, 2) 20 mg psilocybin, 3) 300 or 500 mg mescaline, and 4) placebo.

Read the detailed description

LSD (lysergic acid diethylamide), psilocybin (the active substance in "magic mushrooms") and mescaline (the active substance in Peyote and San Pedro cacti) are serotonergic hallucinogens widely used for recreational and/or ethnomedical purposes. LSD, psilocybin and mescaline are thought to induce prototypical psychedelic effects primarily via stimulation of the 5-HT2A receptor. However, there are differences in their molecular structures (LSD: ergoline, psilocybin: tryptamine; mescaline: phenethylamine)and receptor activation profiles which may induce different subjective effects. To date, there are no modern studies comparing these three substances directly within the same clinical study and research subjects using validated psychometric tools. Therefore, the LPM-Study compares the acute effects of LSD, psilocybin, mescaline and placebo in a double-blind, placebo-controlled, 4-period cross-over design with four treatment conditions: 1) 100 μg LSD, 2) 20 mg psilocybin, 3) 300 or 500 mg mescaline, and 4) placebo. The main objective of this study is to determine whether LSD, psilocybin and mescaline produce qualitatively similar subjective alterations of mind and associated brain activity patterns despite their unique receptor activation profiles. The study investigates psychological (psychometry), physiological and neuronal (magnetic resonance imaging) variables. The LPM-Study provides insight into the acute effects profiles of three serotonergic hallucinogens. It will enhance the understanding of psychedelic-induced altered states of consciousness in humans and will be relevant for the fields of psychiatry, psychology, and forensic toxicology.

02

Conditions studied

  • Healthy
03

In context

Lead sponsor

University Hospital, Basel, Switzerland is the lead sponsor of 968 studies on the registry; 191 are open to participants now.

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

04

Who can participate

Ages eligible
25 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Age between 25 and 65 years old
  2. Sufficient understanding of the German language
  3. Understanding of procedures and risks associated with the study
  4. Willing to adhere to the protocol and signing of the consent form
  5. Willing to refrain from the consumption of illicit psychoactive substances during the study
  6. Abstaining from xanthine-based liquids from the evenings prior to the study sessions to the end of the study days
  7. Willing not to operate heavy machinery within 48 hours after substance administration
  8. Willing to use double-barrier birth control throughout study participation
  9. Body mass index between 18-29 kg/m2

Exclusion criteria

Exclusion Criteria:

  1. Chronic or acute medical condition
  2. Current or previous major psychiatric disorder
  3. Psychotic disorder or bipolar disorder in first-degree relatives
  4. Hypertension (>140/90 mmHg) or hypotension (SBP\<85 mmHg)
  5. Hallucinogenic substance use (not including cannabis) more than 20 times or any time within the previous two months
  6. Pregnancy or current breastfeeding
  7. Participation in another clinical trial (currently or within the last 30 days)
  8. Use of medication that may interfere with the effects of the study medication
  9. Tobacco smoking (>10 cigarettes/day)
  10. Consumption of alcoholic beverages (>20 drinks/week)
  11. Failure of MRI-related criteria
05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    LSD-100

    Cross-over within-subject design with all treatment conditions, separated by a wash-out phase of at least 10 days

    Drug: LSD

  • Active comparator
    Psilocybin-20

    Cross-over within-subject design with all treatment conditions, separated by a wash-out phase of at least 10 days

    Drug: Psilocybin

  • Active comparator
    Mescaline-300/500

    Cross-over within-subject design with all treatment conditions, separated by a wash-out phase of at least 10 days

    Drug: Mescaline

  • Placebo comparator
    Placebo

    Cross-over within-subject design with all treatment conditions, separated by a wash-out phase of at least 10 days

    Other: Placebo

Interventions

  • DrugLSD

    LSD 0.1 mg per os, single dose OR Psilocybin 20 mg per os, single dose OR Mescaline 300 mg per os, single dose OR Placebo

  • DrugPsilocybin

    Psilocybin 20 mg per os, single dose

  • DrugMescaline

    Mescaline 300 mg or 500 mg per os, single dose

  • OtherPlacebo

    Placebo (Mannitol)

06

What researchers measure

Primary outcomes

  1. 5 Dimensions of Altered States of Consciousness (5D-ASC)

    5D-ASC subscale ratios

    Time frame: 18 months

  2. fMRI resting state functional connectivity (RSFC)

    Spontaneous low-frequency fluctuations in BOLD signal during resting state

    Time frame: 18 months

Secondary outcomes

  1. Visual Analog Scale (VAS)

    Assesses the intensity and duration of subjective effects on a scale from 0% - 100% with higher scores representing more intense effects

    Time frame: 18 months

  2. States of Consciousness questionnaire (SCQ)

    Assesses the emergence and intensity of phenomenons occurring in altered states of consciousness on a 6-point Likert scale ranging from 0 ("not at all") to 5 ("extremely")

    Time frame: 18 months

  3. Blood pressure

    Assessment of sympathetic activation

    Time frame: 18 months

  4. Heart rate

    Assessment of sympathetic activation

    Time frame: 18 months

  5. Body temperature

    Assessment of sympathetic activation

    Time frame: 18 months

  6. Pupil size

    Assessment of sympathetic activation

    Time frame: 18 months

  7. Drug plasma levels

    Plasma levels of investigational drugs

    Time frame: 18 months

  8. Oxytocin levels

    Levels of oxytocin in blood plasma

    Time frame: 18 months

  9. Blood-derived neurotrophic factor (BDNF)

    Blood plasma levels of BDNF

    Time frame: 18 months

  10. Renal clearance values

    Renal clearance values of investigational drugs through urine recovery

    Time frame: 18 months

  11. NEO-Five-Factor-Inventory (NEO-FFI)

    Assesses personality traits

    Time frame: 18 months

  12. Freiburger Persönlichkeitsinventar (FPI)

    Assesses personality traits

    Time frame: 18 months

  13. Saarbrücker Persönlichkeitsfragebogen (SPF)

    Assesses personality traits

    Time frame: 18 months

  14. Adjective Mood Rating Scale (AMRS)

    Assesses the occurrence and intensity of 60 moods on a 4-point Likert scale ranging from "not at all" to "extremely"

    Time frame: 18 months

  15. Mysticism Scale (MS)

    Assesses the occurrence and intensity of mystical qualities in altered states of consciousness on a 9-point Likert scale ranging from -4 ("extremely inapplicable") to +4 ("extremely applicable"), with higher values indicating a more intense experience

    Time frame: 18 months

  16. Elliot Humility Scale (EHS)

    Assesses the personality trait humility through 13 items on a 5-point Likert scale ranging from "strongly disagree" to "strongly agree"

    Time frame: 18 months

  17. Jankowski Humility Scale (JHS)

    Assesses the personality trait humility through 18 items on a 5-point Likert scale ranging from "not at all" to "strongly"

    Time frame: 18 months

  18. Arnett Inventory of Sensation Seeking (AISS-d)

    Assesses personality traits

    Time frame: 18 months

07

Study locations

1 site
  • University Hospital Basel, Clinical Trial Unit
    Basel, BS 4031, Switzerland
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 Jan 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04227756
Lead sponsor
University Hospital, Basel, Switzerland
Responsible party
Sponsor
First posted
Jan 14, 2020
Start date
May 19, 2020
Primary completion
Sep 2, 2022
Completion
Sep 2, 2022
Last update
Jan 24, 2024

Study contacts

Matthias E. Liechti, Prof.
principal investigator · University Hospital, Basel, Switzerland

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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