Trial Outcomes & Findings for Psychopharmacology of Psilocybin in Cancer Patients (NCT NCT00465595)

NCT ID: NCT00465595

Last Updated: 2018-07-19

Results Overview

The GRID-Hamilton Depression Rating Scale is a 17-item clinician-administered rating scale designed to assess severity of depressive symptoms. The score range for the GRID-HAMD is 0 to 52, with higher score indicating more severe depression. For this clinician-rated measure, a clinically significant response was defined as ⩾50% decrease in measure relative to Baseline; symptom remission was defined as ⩾50% decrease in measure relative to Baseline and a score of ⩽7 on the GRID-HAMD

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

56 participants

Primary outcome timeframe

Baseline, 5 weeks post session 1 and 2, 6-month follow-up

Results posted on

2018-07-19

Participant Flow

Participants were recruited through flyers, internet, and physician referral.

Participant milestones

Participant milestones
Measure
Low-Dose First
The Low-Dose-1st Group received the low dose of psilocybin on the first session and the high dose on the second session.
High-Dose First
The High-Dose-1st Group received the high dose on the first session and the low dose on the second session.
Overall Study
STARTED
27
29
Overall Study
COMPLETED
22
24
Overall Study
NOT COMPLETED
5
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Psychopharmacology of Psilocybin in Cancer Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Low-Dose First
n=25 Participants
The Low-Dose-1st Group received the low dose of psilocybin on the first session and the high dose on the second session.
High-Dose First
n=26 Participants
The High-Dose-1st Group received the high dose on the first session and the low dose on the second session.
Total
n=51 Participants
Total of all reporting groups
Age, Continuous
56.1 years
STANDARD_DEVIATION 11.5 • n=93 Participants
56.5 years
STANDARD_DEVIATION 9.18 • n=4 Participants
56.3 years
STANDARD_DEVIATION 9.99 • n=27 Participants
Sex: Female, Male
Female
12 Participants
n=93 Participants
13 Participants
n=4 Participants
25 Participants
n=27 Participants
Sex: Female, Male
Male
13 Participants
n=93 Participants
13 Participants
n=4 Participants
26 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
White
23 Participants
n=93 Participants
25 Participants
n=4 Participants
48 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Education
High School
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Education
College
8 Participants
n=93 Participants
15 Participants
n=4 Participants
23 Participants
n=27 Participants
Education
Post-graduate
16 Participants
n=93 Participants
11 Participants
n=4 Participants
27 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Baseline, 5 weeks post session 1 and 2, 6-month follow-up

The GRID-Hamilton Depression Rating Scale is a 17-item clinician-administered rating scale designed to assess severity of depressive symptoms. The score range for the GRID-HAMD is 0 to 52, with higher score indicating more severe depression. For this clinician-rated measure, a clinically significant response was defined as ⩾50% decrease in measure relative to Baseline; symptom remission was defined as ⩾50% decrease in measure relative to Baseline and a score of ⩽7 on the GRID-HAMD

Outcome measures

Outcome measures
Measure
Low-Dose First Baseline
n=25 Participants
The Low-Dose-1st Group received the low dose of psilocybin on the first session and the high dose on the second session.
Low-Dose First Post Session 1
n=25 Participants
The Low-Dose-1st Group received the low dose of psilocybin on the first session and the high dose on the second session.
Low-Dose First Post Session 2
n=24 Participants
The Low-Dose-1st Group received the low dose of psilocybin on the first session and the high dose on the second session.
Low-Dose First 6 Month
n=22 Participants
The Low-Dose-1st Group received the low dose of psilocybin on the first session and the high dose on the second session.
High-Dose First Baseline
n=26 Participants
The High-Dose-1st Group received the high dose on the first session and the low dose on the second session.
High-Dose First Post Session 1
n=25 Participants
The High-Dose-1st Group received the high dose on the first session and the low dose on the second session.
High-Dose First Post Session 2
n=25 Participants
The High-Dose-1st Group received the high dose on the first session and the low dose on the second session.
High-Dose First 6 Month
n=24 Participants
The High-Dose-1st Group received the high dose on the first session and the low dose on the second session.
GRID-HAM-D-17 -- Structured Interview Guide for the Hamilton Depression Scale.
22.32 units on a scale
Standard Error .88
14.8 units on a scale
Standard Error 1.45
6.5 units on a scale
Standard Error .86
6.95 units on a scale
Standard Error 1.24
22.84 units on a scale
Standard Error .97
6.64 units on a scale
Standard Error 1.04
6.52 units on a scale
Standard Error 1.44
6.23 units on a scale
Standard Error 1.3

PRIMARY outcome

Timeframe: Baseline, 5 weeks post session 1 and 2, 6-month follow-up

The Hamilton Anxiety Rating Scale is a 14-item clinician-administered rating scale designed to assess severity of anxiety symptoms. The score range for the HAM-A is 0 to 56, with higher score indicating more severe anxiety. For this clinician-rated measure, a clinically significant response was defined as ⩾50% decrease in measure relative to Baseline; symptom remission was defined as ⩾50% decrease in measure relative to Baseline and a score of ⩽7 on the GRID-HAM-A

Outcome measures

Outcome measures
Measure
Low-Dose First Baseline
n=25 Participants
The Low-Dose-1st Group received the low dose of psilocybin on the first session and the high dose on the second session.
Low-Dose First Post Session 1
n=25 Participants
The Low-Dose-1st Group received the low dose of psilocybin on the first session and the high dose on the second session.
Low-Dose First Post Session 2
n=24 Participants
The Low-Dose-1st Group received the low dose of psilocybin on the first session and the high dose on the second session.
Low-Dose First 6 Month
n=22 Participants
The Low-Dose-1st Group received the low dose of psilocybin on the first session and the high dose on the second session.
High-Dose First Baseline
n=26 Participants
The High-Dose-1st Group received the high dose on the first session and the low dose on the second session.
High-Dose First Post Session 1
n=25 Participants
The High-Dose-1st Group received the high dose on the first session and the low dose on the second session.
High-Dose First Post Session 2
n=25 Participants
The High-Dose-1st Group received the high dose on the first session and the low dose on the second session.
High-Dose First 6 Month
n=24 Participants
The High-Dose-1st Group received the high dose on the first session and the low dose on the second session.
HAM-A Assessed With the SIGH-A -- a Structured Interview Guide for the Hamilton Anxiety Rating Scale (SIGH-A).
25.68 units on a scale
Standard Error .89
16.64 units on a scale
Standard Error 1.53
8.92 units on a scale
Standard Error 1.14
7.95 units on a scale
Standard Error 1.19
25.73 units on a scale
Standard Error 1.11
8.48 units on a scale
Standard Error 1.16
7.52 units on a scale
Standard Error 1.27
7.04 units on a scale
Standard Error 1.17

Adverse Events

Low Dose Condition (Group)

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

High Dose Condition (Group)

Serious events: 0 serious events
Other events: 23 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Low Dose Condition (Group)
n=56 participants at risk
The experimental design of this study is a complete cross-over, with two groups of participants receiving the low and high doses of psilocybin in counterbalance order. The Low Dose Group is comprised of all low dose psilocybin sessions (n=50). The number of sessions is different from the total enrollment because of dropouts.
High Dose Condition (Group)
n=56 participants at risk
The experimental design of this study is a complete cross-over, with two groups of participants receiving the low and high doses of psilocybin in counterbalance order. The High Dose Group is comprised of all high dose psilocybin sessions (n=50). The number of sessions is different from the total enrollment because of dropouts.
Cardiac disorders
Elevated Systolic Blood Pressure
16.1%
9/56
28.6%
16/56
Cardiac disorders
Elevated Diastolic Blood Pressure
1.8%
1/56
12.5%
7/56
General disorders
Nausea
0.00%
0/56
12.5%
7/56
Psychiatric disorders
Anxiety Episode
12.5%
7/56
23.2%
13/56

Additional Information

Roland R. Griffiths, Ph.D., Principal Investigator

Johns Hopkins University School of Medicine

Phone: 4105500034

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place