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Not yet recruitingNCT07877987Updated Oct 16, 2026

The Impact of Dose on the Impairing, Intoxicating, and Abuse-Related Effects of Psilocybin

A Phase 1 interventional study of 0mg Psilocybin Capsule + 0.00% BAC Alcoholic Drink and 1mg Psilocybin Capsule + 0.00% BAC Alcoholic Drink in Psilocybin Intoxication, sponsored by Johns Hopkins University. Not yet recruiting at 1 site in United States. Open to participants aged 21 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by Johns Hopkins University · Phase 1, Interventional, and Basic science

Updated Oct 16, 2026Newly registeredGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Study summary

This study will evaluate the subjective and behavioral effects of psilocybin relative to placebo and alcohol.

Read the detailed description

This clinical laboratory study will be double-blind, double-dummy, placebo-controlled and will utilize a within-subjects experimental design. Participants will complete 6 outpatient drug administration sessions that will consist of self-administration of oral capsule containing placebo or psilocybin (0, 1, 5, 15, 25mg) and an alcoholic drink containing alcohol to achieve a 0.00% or 0.08% blood alcohol concentration. No drug combinations will be administered during this study. Primary outcomes include performance on cognitive and psychomotor assessments, subjective drug effects, simulated driving performance, and impact on blood pharmacokinetics.

02

Conditions studied

  • Psilocybin Intoxication

Keywords

  • Psilocybin
  • Alcohol
03

In context

Lead sponsor

Johns Hopkins University is the lead sponsor of 1,809 studies on the registry; 314 are open to participants now.

Of its 208 completed or terminated interventional studies of FDA-regulated products, 144 (69%) have results posted.

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

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Be at least 21 years old,
  • Be in good general health based on screening procedures (e.g., physical exam, blood testing, psychiatric evaluation),
  • Have vital signs in normal range,
  • Have not donated blood in past 30 days,
  • Not be pregnant (assessed via blood serum at screening and urinalysis before each study session) or breast feeding (women only),
  • Have a body mass index (BMI) in the range of 18 to 36 kg/m2,
  • Report using psilocybin at least once in the participant's lifetime, but not in the past month,
  • Negative urine test for illicit drug use (not including cannabis) and negative breath alcohol test (0% breath alcohol concentration) at screening and before study sessions.

Exclusion criteria

Exclusion Criteria:

  • Psychoactive drug use (aside from nicotine, alcohol, caffeine, cannabis) in past month,
  • Current use of over the counter (OTC) drugs, supplements/vitamins, or prescription medications that, in the opinion of the investigator or medical staff, will impact the participant's safety,
  • History of or current evidence of significant medical condition that would impact participant's safety (e.g., hypertension, epilepsy),
  • Evidence of current psychiatric condition (based on MINI),
  • Family history of 1st degree relative with psychotic disorder or bipolar 1 disorder,
  • Clinical institute withdrawal assessment for alcohol-revised (CIWA-Ar) score >9 (which indicates that severe withdrawal),50
  • Enrollment in another clinical trial or receiving of any drug as part of research within past 30 days, and
  • Shipley vocabulary score \<18 (corresponds to 5th grade reading level).
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
80 participants (estimated)

Study arms

  • Placebo comparator
    0mg Psilocybin + 0.00% Blood Alcohol Content (BAC)

    Participants ingest an oral capsule containing 0mg psilocybin and ingest a beverage containing alcohol dosed to 0.00% BAC

    Drug: 0mg Psilocybin Capsule + 0.00% BAC Alcoholic Drink

  • Experimental
    1mg Psilocybin + 0.00% BAC

    Participants ingest an oral capsule containing 1mg psilocybin and ingest a beverage containing alcohol dosed to 0.00% BAC

    Drug: 1mg Psilocybin Capsule + 0.00% BAC Alcoholic Drink

  • Experimental
    5mg Psilocybin + 0.00% BAC

    Participants ingest an oral capsule containing 5mg psilocybin and ingest a beverage containing alcohol dosed to 0.00% BAC

    Drug: 5mg Psilocybin Capsule + 0.00% BAC Alcoholic Drink

  • Experimental
    15mg Psilocybin + 0.00% BAC

    Participants ingest an oral capsule containing 15mg psilocybin and ingest a beverage containing alcohol dosed to 0.00% BAC

    Drug: 15mg Psilocybin Capsule + 0.00% BAC Alcoholic Drink

  • Experimental
    25mg Psilocybin + 0.00% BAC

    Participants ingest an oral capsule containing 25mg psilocybin and ingest a beverage containing alcohol dosed to 0.00% BAC

    Drug: 25mg Psilocybin Capsule + 0.00% BAC Alcoholic Drink

  • Active comparator
    0mg Psilocybin + 0.08% BAC

    Participants ingest an oral capsule containing 0mg psilocybin and ingest a beverage containing alcohol dosed to 0.08% BAC

    Drug: 0mg Psilocybin Capsule + 0.08% BAC Alcoholic Drink

Interventions

  • Drug0mg Psilocybin Capsule + 0.00% BAC Alcoholic Drink

    Participants will self-administer a capsule containing 0mg psilocybin and a drink that contains alcohol dosed to 0.00% BAC.

  • Drug1mg Psilocybin Capsule + 0.00% BAC Alcoholic Drink

    Participants will self-administer a capsule containing 1mg psilocybin and a drink that contains alcohol dosed to 0.00% BAC.

  • Drug5mg Psilocybin Capsule + 0.00% BAC Alcoholic Drink

    Participants will self-administer a capsule containing 5mg psilocybin and a drink that contains alcohol dosed to 0.00% BAC.

  • Drug15mg Psilocybin Capsule + 0.00% BAC Alcoholic Drink

    Participants will self-administer a capsule containing 15mg psilocybin and a drink that contains alcohol dosed to 0.00% BAC.

  • Drug25mg Psilocybin Capsule + 0.00% BAC Alcoholic Drink

    Participants will self-administer a capsule containing 25mg psilocybin and a drink that contains alcohol dosed to 0.00% BAC.

  • Drug0mg Psilocybin Capsule + 0.08% BAC Alcoholic Drink

    Participants will self-administer a capsule containing 0mg psilocybin and a drink that contains alcohol dosed to 0.08% BAC.

06

What researchers measure

Primary outcomes

  1. Driving performance as assessed by standard deviation of lateral position (SDLP)

    The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. SDLP (measured in cm) will be determined during each drive. This measure is a composite index of lateral control and incorporates lane weaving, swerving, and over-correcting. SDLP is the gold standard of quantifying the magnitude of driving impairment from drugs and alcohol and has excellent predictive validity to actual driving. Scores range from 0 to no upper limit. Higher scores represent higher magnitude of driving impairment.

    Time frame: Baseline, 1, 3, 6, and 24 hours post-dosing

  2. Driving performance as assessed by global drive score during the simulated driving task

    Driving impairment will be assessed using a composite driving score, with higher scores indicating greater impairment. The composite score is calculated by converting individual driving outcomes (see primary and secondary driving outcomes) into standardized z-scores and averaging these values to generate an overall composite score. Individual z-scores have a mean of 0 and a standard deviation (SD) of 1 in the reference sample used for standardization. The composite score has an expected mean of 0 in the reference sample, while its SD depends on the correlations among the individual driving outcomes and is not necessarily 1.

    Time frame: Baseline, 1, 3, 6, and 24 hours post-dosing

  3. Total Clues and Cues exhibited during Standardized Field Sobriety Tests (SFSTs)

    Total Clues and Cues will be assessed across six field sobriety tests and summed into a single value. The maximum number of possible clues and cues is 29. Greater values indicate greater impairment of behavioral function during field sobriety tests.

    Time frame: Baseline, 1, 3, 6, and 24 hours post-dosing.

  4. Drug Effect Questionnaire (DEQ) - Feel Drug Effect

    The DEQ will be used to obtain subjective ratings of "feel drug effects". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation.

    Time frame: Baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, and 24 hours post-dosing.

  5. Drug Effect Questionnaire (DEQ) - Drug Liking

    The DEQ will be used to obtain subjective ratings of "drug liking". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation.

    Time frame: Baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, and 24 hours post-dosing.

  6. Drug Effect Questionnaire - Confidence to Drive

    The DEQ will be used to obtain subjective ratings of "confidence to drive". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation.

    Time frame: Baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, and 24 hours post-dosing.

  7. Whole Psilocin Concentrations - THC Concentrations

    Blood psilocin concentrations will be measured to assess changing in blood concentrations following drug administration.

    Time frame: Baseline, 0.5, 1, 1.5, 2, 3, 4, 5, 6, and 24 hours post-dosing.

07

Study locations

1 site
  • Johns Hopkins University
    Baltimore, Maryland 21224, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07877987
Responsible party
Sponsor
First posted
Oct 16, 2026
Start date
Mar 1, 2027 (estimated)
Primary completion
Jun 30, 2030 (estimated)
Completion
Jun 30, 2030 (estimated)
Last update
Oct 16, 2026

Study contacts

Carlos A Zamarripa, PhD
Contact
czamarr2@jhmi.edu
410-550-6969
Carlos A Zamarripa, PhD
principal investigator · Johns Hopkins University

Oversight

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

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