Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT07216404

Psilocybin-Assisted Therapy for the Treatment of Major Depressive Disorder in Patients With Non-Small Cell Lung Cancer

Led by Alan Davis · Updated on 2026-05-14

10

Participants Needed

1

Research Sites

95 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This phase II trial tests the safety and side effects of psilocybin in combination with therapy for the treatment of major depressive disorder in patients with non-small cell lung cancer. A cancer diagnosis is life-changing, resulting in significant levels of psychological symptoms, including a combination of depression, anxiety, stress, including feelings of existential distress (i.e., loss of meaning, demoralization, despair). Among all cancer patients, those diagnosed with lung cancer have the highest prevalence of mood disorders, such as depression (up to 40%) leading to profound deterioration in quality of life, prolonged hospital stays, poorer treatment adherence, decreased survival rates, and high rates of suicide (5- and 3-times higher than the general population and other cancer patients, respectively). Psilocybin is substance being studied in the treatment of anxiety or depression in patients with advanced cancer. It is taken from the mushroom Psilocybe mexicana. Psilocybin acts on the brain to cause hallucinations (sights, sounds, smells, tastes, or touches that a person believes to be real but are not real). Psilocybin in combination with therapy may be safe and effective in treating major depressive disorder in patients with non-small cell lung cancer.

CONDITIONS

Official Title

Psilocybin-Assisted Therapy for the Treatment of Major Depressive Disorder in Patients With Non-Small Cell Lung Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Individuals diagnosed with non-small cell lung cancer confirmed by pathology report
  • Karnofsky performance status of 60 or higher
  • Receiving chemotherapy, radiation, or biologic therapies if tolerating treatment and able to take oral psilocybin
  • Moderate to severe depression symptoms (GRID-HAMD score greater than 16)
  • English-speaking
  • Age 18 or older
  • Provided written informed consent
  • Able to read
  • Judged to be at low risk for suicidality by clinical assessment
  • Limited lifetime use of hallucinogens (preferably no use in past 5 years; total use less than 10 times)
Not Eligible

You will not qualify if you...

  • Pregnant, nursing, or of child-bearing potential and sexually active without effective birth control
  • Partners of child-bearing potential who are sexually active without effective contraception
  • Recent history of coronary artery disease, stroke, uncontrolled angina or hypertension, significant ECG abnormalities, artificial heart valve, or recent transient ischemic attack
  • Systolic blood pressure over 139 mm Hg, diastolic blood pressure over 89 mm Hg, or heart rate over 90 bpm
  • Insulin-dependent diabetes or non-insulin dependent diabetes with recent symptomatic hypoglycemia
  • Significant central nervous system issues such as unstable brain tumors, unstable seizures, cerebral aneurysm requiring intervention, dementia, or delirium
  • Abnormal and clinically significant physical exam, vital signs, ECG, or lab results posing safety risk
  • Any acute medical condition posing significant risk or interfering with study procedures
  • Currently receiving treatment with an investigational agent
  • Regular use of psychoactive medications other than prescribed SSRIs, SNRIs, or low-dose bupropion
  • Positive urine test or self-report of illicit psychoactive drug use or impaired mental status
  • Current or past schizophrenia spectrum or psychotic disorders, bipolar I or II disorder
  • Recent moderate or severe alcohol or drug use disorder within one year
  • First or second-degree relative with schizophrenia spectrum or psychotic disorders or bipolar I or II disorder
  • Psychiatric conditions preventing therapeutic rapport
  • History of medically significant suicide attempt as judged by study team and principal investigator

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States, 43210

Actively Recruiting

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Research Team

O

Ohio State University Comprehensive Cancer Center

CONTACT

M

Michelle Pham, M.S.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

1

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