Actively Recruiting

Phase 2
Age: 21Years - 65Years
All Genders
NCT06405607

Psilocybin or Ketamine for Alcohol Use Disorder: An Active Comparator Trial

Led by University of Iowa · Updated on 2025-11-28

80

Participants Needed

1

Research Sites

146 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study will collect data that measures the effects of a psychedelic intervention on patients struggling with alcohol use disorder (AUD). The study design will be a double blind, randomized, active-comparator trial with two study arms. Subjects randomized to Arm 1 (n=40) will receive individual psychotherapy sessions plus a 30 mg dose of psilocybin. Arm 2 subjects (n=40) will receive individual psychotherapy sessions and a 0.75 mg/kg dose of ketamine.

CONDITIONS

Official Title

Psilocybin or Ketamine for Alcohol Use Disorder: An Active Comparator Trial

Who Can Participate

Age: 21Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Weight between 50kg and 150kg
  • No known allergies to rescue medication
  • For people capable of becoming pregnant, not pregnant and using contraception
  • Not currently breastfeeding
  • Meets criteria for DSM-V moderate to severe alcohol use disorder
  • Have at least 4 heavy drinking days (5 or more standard drinks in a day) in the past 30 days
  • Not currently participating in formal treatment for alcohol use disorder
  • No history of cerebrovascular accident, asthma, or significant alcohol withdrawal history
  • No seizure disorder, coronary artery disease, heart failure, uncontrolled hypertension, insulin-dependent diabetes, pancreatitis, or liver disease
  • No hallucinogen or ketamine use in past 12 months
  • No self-reported, personal, or familial history of specific psychotic disorders or episodes
  • No serious traumatic brain injury in the past 2 years
  • No substance use disorder other than alcohol use disorder over the past 12 months
  • If taking a GLP-1 agonist, stable dosage for past 3 months
  • Have a family member or friend available for pick-up and overnight post-drug session monitoring
  • No MRI contraindications
Not Eligible

You will not qualify if you...

  • Use of nonprescription medications, nutritional supplements, or herbal supplements not approved by the study investigators
  • Being medically unstable
  • Current use of medications that may interact with the study drugs, including antidepressants, antipsychotics, psychostimulants, treatments for addictions, dopaminergic or serotonergic agents, lithium, anticonvulsants, or benzodiazepines
  • History of severe suicide attempt or current suicidality
  • First-degree relative with schizophrenia or schizoaffective disorder
  • Comorbid substance use disorder including cocaine, psychostimulant, or opioid use disorder within the past 12 months
  • History of co-occurring psychotic episode or diagnosis such as schizophrenia, schizoaffective disorder, schizophreniform, substance-induced psychosis, delusional disorder, or unspecified psychosis
  • High risk of adverse emotional or behavioral reaction based on medical monitor evaluation including serious stressors, lack of social support, antisocial behavior, or serious personality disorders
  • Serious ECG abnormalities such as ischemia, myocardial infarction, or prolonged QTc
  • Serious abnormalities in blood counts or chemistries
  • Medical conditions precluding safe participation, including significantly impaired liver function
  • Pregnancy
  • MRI contraindications such as having a pacemaker

AI-Screening

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Trial Site Locations

Total: 1 location

1

University of Iowa Health Care

Iowa City, Iowa, United States, 52240

Actively Recruiting

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Research Team

L

Lindsay E Golden, BS

CONTACT

P

Peggy C Nopoulos, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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