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Not yet recruitingNCT07909408Updated Nov 2, 2026

Psilocybin FCR Early-Stage Breast Cancer

A Phase 2 interventional study of Psilocybin 25 mg and Psilocybin 5 mg in Early-stage Breast Cancer, Fear of Cancer Recurrence and Anxiety, sponsored by NYU Langone Health. Not yet recruiting at 2 sites in United States. Open to female participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by NYU Langone Health · Phase 2, Interventional, and Treatment

Updated Nov 2, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
21 Years and older
Sex
Female
01

Study summary

This trial is designed to evaluate efficacy and psychological mechanisms of single-dose psilocybin-assisted psychotherapy (PAP) to treat fear of cancer recurrence (FCR), psychiatric (anxiety, depression) distress and quality-of-life (QOL), in 100 outpatients with early-stage breast cancer. The study will assess the strength and durability of therapeutic effects in a double-blind, parallel-design, placebo-controlled, two-center randomized controlled trial (RCT) comparing a single 25mg oral 'high' dose of psilocybin to a single 5mg oral 'low dose psilocybin (active placebo), both delivered in conjunction with a psychotherapy platform.

02

Conditions studied

  • Early-stage Breast Cancer
  • Fear of Cancer Recurrence
  • Anxiety
  • Depression
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's planned enrollment of 100 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

NYU Langone Health is the lead sponsor of 1,430 studies on the registry; 258 are open to participants now.

Of its 235 completed or terminated interventional studies of FDA-regulated products, 197 (84%) 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
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

  • Aged ≥ 21
  • Females
  • Diagnosis of Stage 1 or 2 Estrogen/Progesterone Receptor-Positive (ER/PR +), Human Epidermal growth factor Receptor 2 negative (-) breast cancer
  • Having completed initial treatment (e.g. surgery, chemotherapy, radiotherapy) for breast cancer (ongoing endocrine, and/or HER2 therapy allowed)
  • At least 1 year after completing initial treatment
  • Fear of Cancer Recurrence (FCR) defined as Fear of Cancer Recurrence Inventory (FCRI) > 20 at Screening
  • Have an identified support person
  • Agree to be accompanied home (or to an otherwise safe destination) by the support person, or another responsible party, following dosing
  • Participants of must agree to practice an effective means of throughout the duration of the study.

Exclusion criteria

Exclusion Criteria:

  • Unstable medical conditions or serious abnormalities of complete blood count, chemistries, or that in the opinion of the study physician would preclude safe participation in the trial.
  • Risk for hypertensive crisis defined as Screening, Baseline, and Medication Session (prior to dosing) BP >160/100, HR >110 bpm
  • Significant central nervous system (CNS) pathology.
  • Primary psychotic or affective psychotic disorders.
  • Family history of first-degree relative with psychotic or serious bipolar spectrum illnesses.
  • suicidality or high risk of completed suicide.
  • History of hallucinogen persisting perception disorder (HPPD)
  • Pregnancy/lactation
  • Concurrent Medications
  • Psychotherapy
  • Have any psychological or physical symptom, medication or other relevant finding prior to randomization, based on the clinical judgment of the PI or relevant clinical study staff that would make a participant unsuitable for the study.
  • Be enrolled in another clinical trial assessing intervention(s) for anxiety, depression, and/or existential distress (e.g., pharmacologic or psychotherapeutic interventions)
Terms in these criteria, in plain language(6)

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.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Psilocybin 25mg

    1 medication session lasting approximately 8 hours

    Drug: Psilocybin 25 mg

  • Active comparator
    Psilocybin 5mg

    1 medication session lasting approximately 8 hours

    Drug: Psilocybin 5 mg

Interventions

06

What researchers measure

Primary outcomes

  1. Fear of Cancer Recurrence Inventory-Short Form (FCRI-SF)

    9-item self-report questionnaire that measures the severity of worry or anxiety about cancer returning or progressing. Each item is rated on an individual Likert scale; the total score is the sum of responses and ranges from 0-36; higher scores indicate greater FCR.

    Time frame: Baseline, Week 4 Post-Dose Session

Secondary outcomes

  1. Change in Clinical Global Impression-Severity (CGI-S) Score

    Clinician-rated scale that measures symptom severity; measured using a 7-point scale rating the current severity of the patient's mental illness, ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill patients).

    Time frame: Baseline, Week 4 Post-Dose Session

  2. Clinical Global Impression-Improvement (CGI-S) Score

    Clinician-rated scale that measures symptom severity; measured using a 7-point scale assessing how much the patient's illness has improved or worsened relative to a baseline state, ranging from 1 (very much improved) to 7 (very much worse).

    Time frame: Week 4 Post-Dose Session

  3. Change in Hospital Anxiety and Depression Scale (HADS) Score

    The HADS combines 14 total self-report items (7 for anxiety \[HADS-A\] and 7 for depression \[HADS-D\]); each item is rated on a Likert scale from 0-3. The total score is the sum of responses and ranges from 0 to 42; higher scores indicate greater psychological distress.

    Time frame: Baseline, Week 4 Post-Dose Session

  4. Change in Functional Assessment of Cancer Therapy-Breast (FACT-B) Score

    37-item measurement of physical, emotional, social/family, and functional quality of life in breast cancer patients. Each item is rated on a Likert scale from 0-4; the total score is the sum of responses and ranges from 0-108; higher scores indicate Higher scores indicate better health-related quality of life.

    Time frame: Baseline, Week 4 Post-Dose Session

  5. Change in Functional Assessment of Chronic Illness Therapy-Spiritual well-being, 12-items (FACIT-Sp-12) Score

    12-item measurement of spiritual well-being; each item is rated on a scale from 0-4; the total score ranges from 0 to 48, with higher scores indicating a higher level of spiritual well-being.

    Time frame: Baseline, Week 4 Post-Dose Session

07

Study locations

2 sites
08

References and documents

Individual participant data

Plan to share: Yes — The de-identified participant data from the final research dataset will be shared upon reasonable request beginning 9 to 36 months after publication or as required by a condition of awards or supporting agreements, provided the requesting investigator executes a data use agreement with NYU Langone Health. This instance of data sharing will also require separate IRB review as well as review from NYU Langone's Data Sharing Strategy Board (DSSB). Requests should be directed to: Stephen.ross@nyulangone.org. The protocol and statistical analysis plan will be posted on Clinicaltrials.gov only as required by federal regulation or supporting awards and agreements.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research

Access criteria: Requests should be directed to Stephen.ross@nyulangone.org. To gain access, data requestors will need to sign a data access agreement. This instance of data sharing will also require separate IRB review as well as review from NYU Langone's DSSB.

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
Nov 2, 2026
Show all 1 update
  1. Nov 2, 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
NCT07909408
Lead sponsor
NYU Langone Health
Responsible party
Sponsor
First posted
Nov 2, 2026
Start date
Jan 2, 2027 (estimated)
Primary completion
Jan 2, 2031 (estimated)
Completion
Aug 31, 2031 (estimated)
Last update
Nov 2, 2026

Study contacts

Stephen Ross, MD
Contact
Stephen.ross@nyulangone.org
212-263-6289
Jasleena Singh
Contact
Jasleena.singh@nyulangone.org
212-404-3712
Stephen Ross, MD
principal investigator · NYU Langone Health

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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