Psilocybin for the Treatment of Cluster Headache

NCT ID: NCT02981173

Last Updated: 2023-12-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-05

Study Completion Date

2022-10-21

Brief Summary

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The purpose of this study is to investigate the effects of an oral psilocybin pulse regimen in cluster headache. Subjects will be randomized to receive oral placebo, low dose psilocybin, or high dose psilocybin in three experimental sessions, each separated by 5 days. Subjects will maintain a headache diary prior to, during, and after the pulse regimen in order to document headache frequency and intensity before, during, and after the pulse regimen. After at least 6 months from the last experimental session, subjects may be invited for a second round, in which they will be randomized to receive either low dose or high dose psilocybin.

Detailed Description

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Conditions

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Cluster Headache

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Psilocybin High Dose

Group Type ACTIVE_COMPARATOR

0.143 mg/kg Psilocybin or 10 mg Psilocybin

Intervention Type DRUG

0.143 mg/kg psilocybin capsule (weight-based option) or 10 mg psilocybin capsule (fixed-dose option) ingested on each of three test days (5 days apart +/- 1-2 days)

Psilocybin Low Dose

Group Type ACTIVE_COMPARATOR

0.0143 mg/kg Psilocybin or 1 mg Psilocybin

Intervention Type DRUG

0.0143 mg/kg psilocybin capsule (weight-based option) or 1 mg psilocybin (fixed-dose option) ingested on each of three test days (5 days apart +/- 1-2 days)

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Microcrystalline cellulose capsule ingested on each of three test days (5 days apart +/- 1-2 days)

Interventions

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0.143 mg/kg Psilocybin or 10 mg Psilocybin

0.143 mg/kg psilocybin capsule (weight-based option) or 10 mg psilocybin capsule (fixed-dose option) ingested on each of three test days (5 days apart +/- 1-2 days)

Intervention Type DRUG

0.0143 mg/kg Psilocybin or 1 mg Psilocybin

0.0143 mg/kg psilocybin capsule (weight-based option) or 1 mg psilocybin (fixed-dose option) ingested on each of three test days (5 days apart +/- 1-2 days)

Intervention Type DRUG

Placebo

Microcrystalline cellulose capsule ingested on each of three test days (5 days apart +/- 1-2 days)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Chronic cluster headache with at least one attack daily
* Episodic cluster headache with periods that are predictable and have a duration of approximately 2 months
* Attacks are managed by means involving no more than twice weekly triptan use (e.g., high-flow oxygen, heat/cold pack)

Exclusion Criteria

* Axis I psychotic disorder (e.g. schizophrenia, bipolar I, depression with psychosis)
* Axis I psychotic disorder in first degree relative
* Unstable medical condition, severe renal, cardiac or hepatic disease, pacemaker, or serious central nervous system pathology
* Pregnant, breastfeeding, lack of adequate birth control
* History of intolerance to psilocybin, lysergic acid diethylamide (LSD), or related compounds
* Drug or alcohol abuse within the past 3 months (excluding tobacco)
* Urine toxicology positive to drugs of abuse
* Use of vasoconstrictive medications (i.e. sumatriptan, pseudoephedrine, midodrine) within five half-lives of test days
* Use of serotonergic antiemetics (i.e. ondansetron) in the past 2 weeks
* Use of antidepressant medications (i.e. amitriptyline, isocarboxazid, fluoxetine, citalopram) in the past 6 weeks
* Use of steroids or certain other immunomodulatory agents (i.e. azathioprine) in the past 2 weeks
Minimum Eligible Age

21 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Heffter Research Institute

OTHER

Sponsor Role collaborator

Ceruvia Lifesciences

UNKNOWN

Sponsor Role collaborator

CH TAC LLC

UNKNOWN

Sponsor Role collaborator

Yale University

OTHER

Sponsor Role lead

Responsible Party

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Deepak C. D'Souza

Professor of Psychiatry

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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VA Connecticut Healthcare System

West Haven, Connecticut, United States

Site Status

Countries

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United States

References

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Schindler EAD, Sewell RA, Gottschalk CH, Flynn LT, Zhu Y, Pittman BP, Cozzi NV, D'Souza DC. Psilocybin pulse regimen reduces cluster headache attack frequency in the blinded extension phase of a randomized controlled trial. J Neurol Sci. 2024 May 15;460:122993. doi: 10.1016/j.jns.2024.122993. Epub 2024 Apr 2.

Reference Type DERIVED
PMID: 38581739 (View on PubMed)

Other Identifiers

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1607018057

Identifier Type: -

Identifier Source: org_study_id