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RecruitingNCT06988319Updated Sep 23, 2026

Psilocybin for Chronic Pelvic Pain (CPP) in Women: A Pilot Feasibility Study

A Phase 1 interventional study of Psilocybin (Usona Institute) in Chronic Pelvic Pain, sponsored by Oregon Health and Science University. Recruiting at 1 site in United States. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by Oregon Health and Science University · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
18 Years to 45 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 151 studies in Pelvic Pain with a site in United States — 36 open to participants now, 39 under way, 1 of them phase 3. Pelvic Pain · United States.

Planned enrollment
93rd of 123
15 · median 50
Started
2026
with 13 others
Phase 1
7 of 151
2 open now
Primary completion
2027-12
later than 22 of 38 live
Registered
137th of 151
by date
Lead sponsor
3 of 151
Oregon Health and Science University

Among the 151 studies in Pelvic Pain with a site in United States, this one is the 93rd largest by planned enrollment of the 123 interventional ones, is one of 14 that started in 2026, is one of 7 in phase 1, reaches primary completion later than 22 of the 38 other live ones, and was the 137th registered.

By phase

151 studies; the count open now beside each. This study's row is marked.

No phase71 · 22 open
Observational28 · 9 open
Phase 222 · 0 open
Phase 413 · 2 open
Phase 39 · 1 open
Phase 1this study7 · 2 open
Phase 1/21 · 0 open

By the year they started

First in 1998; this study’s year is marked. 14 started in 2026.

Size and results

Median enrollment 50 across the 123 interventional studies, 104 across the 28 observational. Of the 96 that completed or were terminated, 35 (36%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 151 studies in Pelvic Pain with a site in United States, or all of them as a file.
02

Study summary

The primary aim is to determine the feasibility of enrolling and 15 women with chronic pelvic pain (CPP) that have failed one conventional for CPP to obtain preliminary safety data on a single administration of a moderate dose of pharmaceutical grade psilocybin (25 mg) in combination with psychotherapy sessions (two pre-dose preparatory and three post-dose integration sessions).

Read the detailed description

Chronic pelvic pain (CPP) presents a significant challenge in healthcare, affecting approximately 15% of women in the United States and incurring annual healthcare costs upwards of $5.8 billion. This condition extends beyond persistent physical discomfort, profoundly impacting mental health and overall quality of life. Central to many chronic pain syndromes, CPP can lead to a heightened state of pain sensitivity known as central sensitization. This condition arises from neuroplastic changes within the central nervous system, leading to structural, functional, and chemical alterations in the brain that enhance neural reactivity, even in the absence of actual physical injuries. Central sensitization is characterized by widespread, multisite hyperalgesia and allodynia. These changes often co-occur with fatigue, mood and cognitive disturbances, sleep disruptions, and multisensory hypersensitivity, complicating the clinical picture and exacerbating the condition's impact on daily functioning.

The use of psilocybin in chronic pain is a paradigm shift from conventional pain therapy where the goal is pain alleviation, to changing a person's relationship with pain, offering a re-alignment or 'reset' of one's view of their pain, this is an innovative approach. To date, there are no psilocybin studies evaluating CPP.

This is a pilot feasibility and safety study to evaluate a single administration of psilocybin (25 mg) in women with CPP who have failed at least one conventional CPP therapy. The study will enroll 15 women, the primary aim is to assess feasibility that will be met when at least 80% of participants complete the study and attend 80% of 11 study visits (9/11 visits). Safety will be assessed by adverse event reports, safety labs, and vitals assessments.

03

Conditions studied

  • Chronic Pelvic Pain

Browse trials for

Keywords

  • psilocybin
  • women
  • chronic pelvic pain
  • psilocybin assisted therapy
04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
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

  • Assigned female at birth, age 18-45 years (pre-menopause)
  • CPP for at least 6 months or longer with central sensitization, diagnosed by a provider who specializes in CPP (e.g. MD, DO, NP)
  • CPP with central sensitization includes endometriosis, adenomyosis, uterine fibroids, pelvic congestion, other pelvic inflammatory diseases, irritable bowel syndrome, inflammatory bladder disorders, myalgias, or any combination of the aforementioned1,3
  • Failing at least 1 treatment for CPP. Failed conventional interventions include pharmacotherapy, non-pharmacotherapy (bladder installations, neuromodulation, trigger point injections, anesthetic blocks, surgery), physical therapy, and/or psychotherapy (e.g. Cognitive Behavioral Therapy)
  • Participants will be generally healthy with no exclusionary physical or mental health conditions.

Exclusion criteria

Exclusion Criteria:

  • Pelvic pain that is not defined as chronic (e.g. acute pelvic or vaginal infections such as sexually transmitted infections, urinary tract infections, pregnancy)
  • Have a history of or a current primary psychotic disorder or bipolar disorder type 1
  • Current use of lithium.
  • Ketamine-assisted therapy within 12 weeks of the baseline visit (V3) or hallucinogen use within 6 months of study enrollment (e.g. psilocybin at a dose of 10 mg or 1 gram mushroom or greater, LSD, MDMA, DMT)
  • Cannabis use (THC, CBD). If willing to taper before the baseline visit (V3) the participant can be included.
  • A positive urine drug test for illicit substance use
  • a score of 5 or greater on the Alcohol Use Disorder Identification Test- Consumption (AUDIT-C) indicating heavy alcohol use
  • Suicidal ideation or serious suicide risk as determined by C-SSRS, if baseline score is 4 or greater.
  • Uncontrolled hypertension, cardiovascular disease, chronic neurologic disorders (e.g. Parkinson's disease, dementia, multiple sclerosis, epilepsy)
  • Have any current problem which, in the opinion of the investigator or study physician, might interfere with participation
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (estimated)

Study arms

  • Experimental
    Single dose psilocybin (25 mg)

    Single dose of pharmaceutical grade psilocybin (25 mg) with psychotherapy

    Drug: Psilocybin (Usona Institute)

Interventions

06

What researchers measure

Primary outcomes

  1. Recruitment and Retention Feasibility

    Proportion of eligible participants who complete the study from baseline to 1 month post psilocybin dose

    Time frame: baseline to 1-month post psilocybin dose

  2. Acceptability

    Acceptability will use qualitative data collection to provide information on the benefits and challenges of the intervention using a semi-structured interview.

    Time frame: End-of-Study Visit at 1-month post psilocybin dose

  3. Number of participants with treatment related adverse events

    Adverse events will be collected using a 12- item adverse events checklist covering all major organ systems will be included to probe for adverse events. The nature of each AE, its severity (mild, moderate, or severe), its likely relationship to study treatment (definite, probable, possible, not related, or unknown), its duration and any necessary treatment modifications or adjustments will be recorded. In addition to recording of AEs,, and labs to assess basic metabolic function (including liver function tests), a complete blood count

    Time frame: From enrollment to 1-month post treatment

Secondary outcomes

  1. Patient-Reported Outcome Measurement Information System (PROMIS) Pain interference Inventory

    Provides a rating on pain's impact on physical, emotional, and social functioning, enjoyment, and quality of life.

    Time frame: From enrollment to 1-month post treatment

  2. Central Sensitization Questionnaire

    Provides a rating to assess symptoms associated with central sensitization (CS) and related conditions. The inventory is divided in two parts: Part A consists of 25 symptoms rated on a Likert scale from 0 (never) to 3 (often), with a total score ranging from 0 to 100, where scores 40 and higher are considered clinically relevant and indicative of a higher degree of CS. Part B screens for prior diagnoses of conditions related to CS, including seven chronic overlapping pain conditions (COPCs) such as irritable bowel syndrome, fibromyalgia, and migraine, as well as three CS-related disorders like anxiety, depression, and neck injury.

    Time frame: From enrollment to 1-month post treatment

  3. Revised Mystical Experience Questionnaire (MEQ 30)

    Provides a rating to assess phenomenology and intensity of mystical experiences, often in the context of altered states of consciousness, such as those induced by psychedelics.

    Time frame: 24-48 hours post psilocybin dose

  4. Challenging Experience Questionnaire

    Provides a rating to assess difficult or challenging psychological experiences, often in the context of altered states induced by psychedelics. It evaluates seven domains of challenging experiences: fear, grief, physical distress, insanity, isolation, death, and paranoia.

    Time frame: 24-48 hours post psilocybin dose

  5. Modified Differential Emotions Scale (mDES) Questionnaire

    Provides a rating to assess positive and negative emotion.

    Time frame: From enrollment to 1-month post treatment

  6. Reactions to Touch Questionnaire

    Provides a rating to assess a participant reactions to any physical touch between therapist and participant that occurs during the psychedelic sessions.

    Time frame: 24-48 hours post psilocybin dose

  7. PTSD Checklist for DSM-5 Questionnaire

    Provides a rating to assess the presence and severity of post-traumatic stress disorder (PTSD) symptoms based on DSM-5 criteria. It consists of 20 items corresponding to the four symptom clusters: re-experiencing, avoidance, negative alterations in cognition and mood, and hyper-arousal. Total score range of 0 to 80, with higher scores indicating greater symptom severity.

    Time frame: From enrollment to 1-month post treatment

  8. Female Sexual Function Questionnaire

    Provides a rating to assess female sexual health: desire, arousal, lubrication, orgasm, satisfaction, and pain, with each domain scored on a scale contributing to a total score indicated of a woman's sexual function.

    Time frame: From enrollment to 1-month post treatment

  9. Expectancy Visual Analogue Scale

    A simple expectancy visual analogue scale to provide a rating of treatment expectancy that will be used to assess the mediating effects of expectancy on treatment outcomes. How much do you think this treatment will reduce your pelvic pain? none to minimal reduction (0-4 mm), mild reduction (5-44 mm), moderate reduction (45-74 mm), substantial to complete reduction (75-100 mm).

    Time frame: Baseline visit

  10. Beck Depression Inventory II

    Provides a rating of depression severity. The score range is 0-63, a higher score reflects more severe depression.

    Time frame: From enrollment to 1-month post treatment

  11. Beck Anxiety Inventory

    Provides a rating of anxiety severity. The score range is 0-63, a higher score reflects more severe anxiety

    Time frame: From enrollment to 1-month post treatment

  12. Self-Compassion Scale - Short Form

    Provides a rating of self-compassion, or responding to one's own failure, suffering or inadequacies with kindness and compassion and recognizing one's own flaws and suffering as part of common human experience

    Time frame: From enrollment to 1-month post treatment

  13. Snaith-Hamilton Pleasure Scale

    Provides a rating of hedonic pleasure capacity in social interactions (sample item: "I would enjoy being with my family or close friends"). Each question is anchored to a time frame of the "past few days" and rated on a 1 (Strongly disagree) - 4 (Strongly agree) scale.

    Time frame: From enrollment to 1-month post treatment

  14. CompACT-15

    Provides a rating of psychological flexibility: openness to experience (5 items), behavioral awareness (5 items), and valued action (5 items).

    Time frame: From enrollment to 1-month post treatment

Other outcomes

  1. Columbia-Suicide Severity Rating Scale

    A clinician or self-administered tool designed to assess suicidal ideation and behavior. It evaluates the severity and intensity of suicidal thoughts, including wish to die, active suicidal ideation with or without a plan, and preparatory acts. It also captures suicidal behavior such as attempts, interrupted or aborted attempts, and non-suicidal self-injury.

    Time frame: From enrollment to 1-month post treatment

07

Study locations

1 of 1 sites recruiting
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
    Recruiting
    • Lynne Shinto, ND, MPH · Contactshintol@ohsu.edu · (503) 494-5035
    • Lynne Shinto, ND, MPH · Principal investigator
    • Jacquelyn Knapp, MD · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Nov 2026; primary completion for Dec 2027, 13 months later.

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

Registered
May 2, 2025
First posted
May 23, 2025
StartEst.
Nov 1, 2026
Primary completionEst.
Dec 31, 2027
CompletionEst.
Dec 31, 2027
Last update
Sep 23, 2026
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 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06988319
Collaborators
Portland Psychotherapy Clinic, Research, and Training Center
Responsible party
Lynne Shinto, ND, MPH (Professor of Neurology, Oregon Health and Science University) — Principal investigator
First posted
May 23, 2025
Start date
Nov 1, 2026 (estimated)
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Sep 23, 2026

Study contacts

Lynne H Shinto, ND, MPH
Contact
shintol@ohsu.edu
(503) 494-5035
Jacquelyn Knapp, MD
Contact
knapja@ohsu.edu
(510) 299-7662

Oversight

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

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