ClinicalTrials.gg
RecruitingNCT06368492PsiloFMUpdated Sep 15, 2025

The Impact of Psilocybin on Pain in Fibromyalgia Patients

An interventional study of Psilocybin and Hypnosis script in Fibromyalgia, sponsored by Maastricht University. Recruiting at 2 sites in Netherlands. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-09-15.

Sponsored by Maastricht University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 11 months ago, but the record still lists the study as recruiting.
  • Started May 2024; still recruiting 2 years 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
35
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Rationale: Recent evidence shows that Lysergic Acid Diethylamide (LSD), even when administered in low, non-hallucinogenic doses, can produce analgesic effects and improve pain tolerance in a sample of healthy volunteers. Such results complement what was already observed with other serotonergic psychedelics such as psilocybin: survey studies and case series indicate that its use may lead to improvements in chronic pain conditions such as migraines, cluster headaches and phantom limb pain even at low, non-psychedelic doses. These effects have however not yet been investigated and confirmed in clinical populations under controlled experimental conditions.

Fibromyalgia (FM) is a chronic condition characterised by widespread pain, hyperalgesia, anxiety, disturbed sleep patterns, impaired cognitive functioning and comorbid mood disorders. Most suggested therapies are only associated with small improvements in pain ratings and quality of life. Currently, there is no data concerning the effectiveness of serotonergic psychedelics in improving pain ratings in fibromyalgia patients.

Objective: The present study will explore the effects that the administration of a placebo and 2 low psilocybin doses (5 mg or 10 mg) will have on pain perception in a group of fibromyalgia patients.

Study design: The present study uses a double-blind, randomized, placebo-controlled design. All participants will receive a placebo and 2 doses of psilocybin (5 mg or 10 mg) and will undergo the Cold Pressor Test (CPT) and the Pain Pressure Threshold Task (PPT) o test its analgesic effects.

Read the detailed description

Rationale: Recent evidence shows that Lysergic Acid Diethylamide (LSD), even when administered in low, non-hallucinogenic doses, can produce analgesic effects and improve pain tolerance in a sample of healthy volunteers. Such results complement what was already observed with other serotonergic psychedelics such as psilocybin: survey studies and case series indicate that its use may lead to improvements in chronic pain conditions such as migraines, cluster headaches and phantom limb pain even at low, non-psychedelic doses. These effects have however not yet been investigated and confirmed in clinical populations under controlled experimental conditions.

Fibromyalgia (FM) is a chronic condition characterised by widespread pain, hyperalgesia, anxiety, disturbed sleep patterns, impaired cognitive functioning and comorbid mood disorders. It has high direct and indirect costs and it is considered challenging to treat. Most suggested therapies, in fact, are only associated with small improvements in pain ratings and quality of life. Currently, there is no data concerning the effectiveness of serotonergic psychedelics in improving pain ratings in fibromyalgia patients.

Objective: The present study will explore the effects that the administration of a placebo and 2 low psilocybin doses (5 mg or 10 mg) will have on pain perception in a group of fibromyalgia patients.

Study design: The present study uses a double-blind, randomized, placebo-controlled design. All participants will receive a placebo and 2 doses of psilocybin (5 mg or 10 mg) and will undergo the Cold Pressor Test (CPT) and the Pain Pressure Threshold Task (PPT) o test its analgesic effects.

Study population: 35 fibromyalgia patients aged 18 to 65 years. Intervention: Placebo, 5 mg or 10 mg of psilocybin in randomized order. Main study parameters/endpoints: Primary outcomes will be subjective and objective measures of pain perception. Secondary measures will assess the effects that placebo and psilocybin will have on mood, cognition and psychedelic experience. Finally, participants will take part to an additional CPT after receiving hypnotic suggestions of analgesia to test whether such intervention may moderate pain ratings of individuals who took small doses of psilocybin.

Nature and extent of the burden and risks associated with participation, benefit and group relatedness: Participants will visit the research lab 5 times during 5 weeks. Before the first study day, subjects will come for a screening visit during which they will also be familiarized with tests and study procedures. This includes a medical screening by a licensed physician (medical history review, laboratory screening, electrocardiogram recording). The study visits will consist of taking the study treatment (5 mg or 10 mg of psilocybin or placebo), taking part to the experimental tasks, taking blood samples, completing computer tasks and filling out questionnaires. Finally, participants will take part to a final online visit to administer post-study questionnaires.

02

Conditions studied

  • Fibromyalgia

Keywords

  • fibromyalgia
  • psychedelics
  • psilocybin
  • chronic pain
03

In context

Fibromyalgia

1,243 studies on the registry are indexed under Fibromyalgia; 256 are open to participants now.

This study's planned enrollment of 35 is below the median of 60 across 937 interventional studies indexed under Fibromyalgia.

Browse Fibromyalgia studies →

Lead sponsor

Maastricht University is the lead sponsor of 97 studies on the registry; 20 are open to participants now.

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

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

  • Age between 18 and 65 years
  • Normal weight, (weight/height2) between 18 and 28 kg/m2
  • Fulfilment of the American College of Rheumatology criteria for FM diagnosis (43)
  • A minimum Numeric Rating Scale (numeric rating scale) pain score of 5 out of 10
  • Proficient knowledge of the Dutch or English language
  • Written
  • Understanding the procedures and the risks associated with the study
  • No regular use of psychotropic medication such as opiates, antidepressants, muscle relaxants, anticonvulsants, sleep aids, benzodiazepines. Non pharmacological regimens will be allowed along 1 rescue therapy such as acetaminophen ≤4,000 mg/day, ibuprofen ≤1,200 mg/day, naproxen ≤660 mg/day, or ketoprofen ≤75 mg/day. Use of paracetamol (PCM) and non-steroidal anti-inflammatory drugs (NSAIDS) will be allowed and monitored.
  • Willingness to refrain from taking psychoactive substances during the study.
  • Willingness to drink only alcohol-free liquids and no coffee, black or green tea, or energy drinks after midnight of the evening before the study session, as well as during the study days
  • Willingness not to drive a traffic vehicle or to operate machines within 24 h after substance administration

Exclusion criteria

Exclusion Criteria:

  • Presence of any other painful condition such as inflammatory rheumatic diseases, migraines or headaches and of other chronic or acute medical conditions
  • Presence or history of any other psychiatric condition such as primary major depressive disorder, anxiety disorders or substance use disorder as determined by the medical questionnaire, drug questionnaire and medical examination
  • Previous experience of serious side effects to psychedelic drugs (anxiety or panic attacks)
  • Tobacco smoking (>20 per day)
  • Excessive drinking (>20 alcoholic consumptions per week)
  • Psychotic disorder in first-degree relatives
  • Pregnancy or lactation
  • Hypertension (diastolic > 90 mmHg; systolic > 140 mmHg)
  • History of cardiac dysfunctions (arrhythmia, ischemic heart disease…)
  • For women: no use of a reliable
Terms in these criteria, in plain language(3)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
35 participants (estimated)

Study arms

  • Experimental
    Patient group

    Each participant will receive 2 different doses of psilocybin (5mg and 10mg) and a matching placebo on three separate occasions.

    Drug: Psilocybin · Behavioral: Hypnosis script

Interventions

  • Each participant will receive 2 different doses of psilocybin (5mg and 10mg) and a matching placebo on three separate occasions.

  • BehavioralHypnosis script

    All participants will receive a brief hypnotic induction aimed at producing analgesia before the second administration of CPT

06

What researchers measure

Primary outcomes

  1. Ischemic Pain perception

    Pain tolerance (seconds) in the Cold Pressor Task

    Time frame: 1.5, 2.5 and 4 hours after administration

  2. Pressure-evoked Pain perception

    Pain threshold (kPa) in the Pressure Pain Threshold

    Time frame: 1.5 and 4 hours after administration

  3. Self-reported pain

    Painfulness Visual Analogue Scale (0: no pain; 10 worst pain)

    Time frame: 1.5, 2.5 and 4 hours after administration

Secondary outcomes

  1. Subjective effects: psychedelic phenomenology

    5 Dimensions of altered states of consciousness (5D-ASC)

    Time frame: Baseline, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5 and 6 hours after administration

  2. Subjective effects: mood

    Profile of mood states (POMS)

    Time frame: Baseline, 1, 2, 3, and 5 hours after administration

  3. Subjective effects: intensity of effects

    Intensity of effects Visual Analogue Scale (VAS) (0: not under the influence; 10: very much under the influence)

    Time frame: Baseline, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5 and 6 hours after administration

  4. Subjective effects: Ego dissolution

    Ego Dissolution Inventory(EDI)

    Time frame: 6 hours after administration

  5. Subjective effects: Dissociation

    Clinical Administered Dissociative States Scale (CADSS)

    Time frame: Baseline and 6 hours after administration

  6. Psychiatric symptoms

    Brief Symptom Inventory (BSI)

    Time frame: Baseline and 6 hours after administration

  7. Cognitive performance

    Digit Symbol Substitution Test (DSST) - time to complete in seconds and number of errors

    Time frame: 1.5 and 4 hours after administration

  8. Vigilance

    Psychomotor Vigilance Task (PVT) - number of attention lapses

    Time frame: 1.5 and 4 hours after administration

  9. Empathy

    Multifaceted Empathy Test (MET) - emotion recognition accuracy (right answers/wrong answers)

    Time frame: 1 hour after administration

  10. Creativity

    Alternate Use Test (AUT) - Fluency and Originality, Flexibility, and Elaboration scores

    Time frame: 2.5 hours after administration

  11. Creativity

    Story Writing

    Time frame: 2 hours after administration

  12. Autobiographical memory

    Autobiographical Memory Test (AMT)

    Time frame: 2.5 hours after administration

  13. Autobiographical memory

    Autobiographical Recollection Test (ART)

    Time frame: Study baseline and 1 week after last experimental session

  14. Treatment expectancy

    Credibility/Expectancy Questionnaire (CEQ)

    Time frame: Study baseline

  15. Treatment expectancy

    Treatment Expectations in Chronic Pain (TEC)

    Time frame: Study baseline

  16. Fibromyalgia-related pain

    o Fibromyalgia Impact Questionnaire (FIQ)

    Time frame: Baseline and 1 week after each experimental session

  17. Personality

    Big Five Inventory (BFI)

    Time frame: Baseline and 1 week after last experimental session

  18. Absorption

    Modified Tellegen Absorption Scale (MODTAS)

    Time frame: Baseline and 1 week after the experimental session

  19. Interpersonal Reactivity

    Interpersonal Reactivity Index (IRI)

    Time frame: Baseline and 1 week after last experimental session

  20. Depression

    o Beck Depression Inventory - II (BDI-II)

    Time frame: Baseline

07

Study locations

2 of 2 sites recruiting
08

References and documents

Publications

  • Castellanos JP, Woolley C, Bruno KA, Zeidan F, Halberstadt A, Furnish T. Chronic pain and psychedelics: a review and proposed mechanism of action. Reg Anesth Pain Med. 2020 Jul;45(7):486-494. doi: 10.1136/rapm-2020-101273. Epub 2020 May 4. PubMed 32371500 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2024 (actual). Primary completion is estimated for Dec 2025, 19 months after the start.

Of 436 non-industry interventional studies with no phase under Fibromyalgia, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 31. This study's planned 19 months is above that.

Counting every sponsor, half of 449 studies reached it within 15 months; a quarter within 6 and three quarters within 31.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 31, 2023
First posted
Apr 16, 2024
StartActual
May 3, 2024
Primary completionEst.
Dec 2025
CompletionEst.
Dec 2025
Last update
Sep 15, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06368492
Lead sponsor
Maastricht University
Responsible party
Sponsor
First posted
Apr 16, 2024
Start date
May 3, 2024
Primary completion
Dec 2025 (estimated)
Completion
Dec 2025 (estimated)
Last update
Sep 15, 2025

Study contacts

Mauro Cavarra, MSc
Contact
fpn-pim_p137@maastrichtuniversity.nl
‭+310683029784‬
Johannes G. Ramaekers, PhD
principal investigator · Maastricht University

Oversight

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

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