The RECAP2 Study: Midazolam and Psilocybin

NCT ID: NCT06692192

Last Updated: 2025-11-12

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-07

Study Completion Date

2027-12-31

Brief Summary

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The goal of this clinical trial is to learn about the role that inducing neuroplasticity (the brain's ability to adapt and change) plays in the behavioral effects of psilocybin in people who have experienced a mild decline in emotional wellbeing.

Researchers will compare different doses of psilocybin combined with midazolam or placebo to see what dose induces increased wellbeing.

Participants will:

* Receive one of four possible combinations of medications
* Undergo an MRI
* Complete questionnaires
* Undergo transcranial magnetic stimulation (TMS) and EEG

Detailed Description

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The purpose of this study is to investigate the role that inducing neuroplasticity plays in the behavioral effects of psilocybin in people with modest decrements in emotional wellbeing.

Conditions

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Psilocybin

Keywords

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sub-optimal wellbeing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Group 1: Psilocybin and intravenous (IV) midazolam

Psilocybin (25 mg) + IV midazolam

Group Type EXPERIMENTAL

Psilocybin

Intervention Type DRUG

25mg of psilocybin

Midazolam

Intervention Type DRUG

The goal of the midazolam dosing regimen is to induce amnesia of the psychedelic experience without inducing over-sedation during the dosing session.

Group 2: Psilocybin and IV saline

Psilocybin (25 mg) + IV saline (placebo for midazolam)

Group Type EXPERIMENTAL

Psilocybin

Intervention Type DRUG

25mg of psilocybin

Saline

Intervention Type DRUG

Saline will be administered as a placebo for midazolam

Group 3: Psilocybin and IV midazolam

Psilocybin (1 mg/control) + IV midazolam

Group Type EXPERIMENTAL

Psilocybin

Intervention Type DRUG

1mg of psilocybin

Midazolam

Intervention Type DRUG

The goal of the midazolam dosing regimen is to induce amnesia of the psychedelic experience without inducing over-sedation during the dosing session.

Group 4: Psilocybin and IV saline

Psilocybin (1 mg/control) + IV saline

Group Type EXPERIMENTAL

Psilocybin

Intervention Type DRUG

1mg of psilocybin

Saline

Intervention Type DRUG

Saline will be administered as a placebo for midazolam

Interventions

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Psilocybin

25mg of psilocybin

Intervention Type DRUG

Psilocybin

1mg of psilocybin

Intervention Type DRUG

Midazolam

The goal of the midazolam dosing regimen is to induce amnesia of the psychedelic experience without inducing over-sedation during the dosing session.

Intervention Type DRUG

Saline

Saline will be administered as a placebo for midazolam

Intervention Type DRUG

Other Intervention Names

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Psilocybine Psilocibin Psilocybine Psilocibin

Eligibility Criteria

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Inclusion Criteria

* Age 18 to 65 years at screening, of any identified gender and racial/ethnic group
* Physically healthy; does not meet criteria for an exclusionary medical condition
* English-speaking (able to provide consent and complete questionnaires)
* Modest decrement in self-reported wellbeing without the presence of a DSM-5 Axis I mood or anxiety disorder
* Able to undergo magnetic resonance imaging (MRI) and transcranial magnetic stimulation (TMS)

Exclusion Criteria

* Exclusionary DSM-5 psychiatric diagnosis and/or active suicidal ideation
* Exclusionary medical conditions
* Clinically significant safety lab abnormalities (i.e., Complete Blood Count with Differential, Comprehensive Metabolic Panel, and urinalysis)
* Clinically significant electrocardiogram (ECG)
* Use of psychotropic or CNS-altering medications within 3 months of screening
* Hypertension or tachycardia
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Vail Health Foundation

UNKNOWN

Sponsor Role collaborator

University of Wisconsin, Madison

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Charles Raison, MD

Role: PRINCIPAL_INVESTIGATOR

University of Wisconsin, Madison

Locations

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UW School of Medicine and Public Health

Madison, Wisconsin, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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RECAP Study Contact

Role: CONTACT

Phone: 608-263-4852

Email: [email protected]

Other Identifiers

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A538900

Identifier Type: OTHER

Identifier Source: secondary_id

SMPH/PSYCHIATRY/PSYCHIATRY

Identifier Type: OTHER

Identifier Source: secondary_id

Protocol Version 10/23/2025

Identifier Type: OTHER

Identifier Source: secondary_id

2024-0852

Identifier Type: -

Identifier Source: org_study_id