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| Name | Class |
|---|---|
| Hartford HealthCare | OTHER |
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This study is being conducted to evaluate how of 30 days of intermittently microdosed psilocybin affects mood, cognition, subjective well-being and structural/functional MRI results compared to a placebo. Investigators hypothesize that compared to placebo, 30 days of intermittently microdosed psilocybin will produce observable changes in mood, cognition, subjective well-being and MRI, in the absence of psychedelic experiences.
This study is being conducted to evaluate the effects of 30 days of intermittently microdosed psilocybin in a parallel arm double-blind manner on mood, cognition, subjective well-being and structural/functional MRI compared to placebo, using validated psychological assessments and cognitive tests. Investigators hypothesize that compared to placebo, 30 days of intermittently microdosed psilocybin will produce observable changes in mood, cognition, subjective well-being and MRI, in the absence of psychedelic experiences.
Demonstrating significant results in a population of healthy psychedelic non-users will establish a strong precedent for studying the effects of microdosing psychedelics in patient populations, such as those with treatment-resistant depression. Showing that microdosing minimizes risk of adverse outcomes with psychedelic treatment while maintaining beneficial effects would provide useful information relevant to clinical research in psychedelic-assisted psychotherapy. In addition to investigating claims that microdosing psychedelics may improve cognition and mood, this study also aims to test the hypothesis that these effects including those measurable at a brain level may persist beyond the course of the 30 days of the study. There are few to no studies that assessed the longevity of psychedelic effects on the majority of the above measures, so the proposed study may further establish the longer-term benefits of microdosing. The use of structural and functional magnetic resonance imaging (fMRI) will elucidate the mechanisms by which microdosing may be exerting its effects on mood and cognition. Because this is a relatively understudied area, information gleaned from this study will provide service in informing the field in general.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Psychedelic group | Active Comparator | An imperceptible dose of psilocybin in capsules will be administered to subjects three times weekly for four weeks. Assessments will be conducted once weekly. After 30 days of a steady dose of psilocybin, subjects will be re-assessed with baseline measures. |
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| Placebo group | Placebo Comparator | An dose of placebo in capsules, identical to the active, will be administered to subjects three times weekly for four weeks. Assessments will be conducted once weekly. After 30 days of a steady dose of psilocybin, subjects will be re-assessed with baseline measures. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psliocybin | Drug | 2.0mg powdered psilocybin derived from Psilocybe cubensis mushrooms, in capsules, provided three times weekly for four weeks |
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| Measure | Description | Time Frame |
|---|---|---|
| The Complex Working Memory Span (CWMS) Task- fMRI measure | CWMS Task assesses immediate plus delayed recall and working memory by assessing working memory capacity by presenting a list of stimuli to be recalled while simultaneously performing a secondary task. This task uses a fully crossed design which includes both same-domain CWMS conditions (e.g. verbal storage combined with verbal processing) as well as cross-domain CWMS conditions (e.g., verbal storage combined with spatial processing). BOLD signal Infrontal lobe. | From enrollment to end of treatment at 8 weeks. |
| NEO-Five-Factor-Inventory (NEO-FFI) | The NEO-FFI is a self-description questionnaire with 60 items for the measurement of the "big five": neuroticism, extraversion, openness, agreeableness, and consciousness. It uses a 5-point Likert scale ranging from "completely disagree" to "fully agree. | From enrollment to end of treatment at 8 weeks. |
| Beck Depression Inventory | This scale has a total of 21 items. Each item is scored from 0-3 points, and the total score ranges from 0-63 points. The higher the score, the higher the degree of depression. | From enrollment to end of treatment at 8 weeks. |
| Beck Anxiety Inventory | Beck Anxiety Inventory is a 21-item self-reported questionnaire which measures the existenceand severity of symptoms of anxiety. Each of the 21 items on BAI tool represents an anxiety symptom. A total score of 0 - 7 is interpreted as a "Minimal" level of anxiety; 8 - 15 as "Mild"; 16 - 25 as "Moderate", and 26 - 63 as "Severe". | From enrollment to end of treatment at 8 weeks. |
| Harvard Flourishing Measure | 12 questions, rating from 0 to 10 per question, sum score to calculate the 'flourish measure' will be used. |
| Measure | Description | Time Frame |
|---|---|---|
| Complex Working Memory Span task | Measures ability to juggle holding information (storage) and doing something with it (processing) at the same time. Percent accuracy will be reported. | From enrollment to end of treatment at 8 weeks. |
| fMRI |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Godfrey Pearlson, MD | Contact | 860-545-7757 | godfrey.pearlson@hhchealth.org |
| Name | Affiliation | Role |
|---|---|---|
| Godfrey Pearlson, MD | Yale University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Olin Neuropsychiatry Research Center | Hartford | Connecticut | 06106 | United States |
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| Placebo | Drug | 0mg matching capsules, provided three times weekly for four weeks |
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| From enrollment to end of treatment at 8 weeks. |
| NIH Toolbox Cognitive Battery | Cognitive function will be assessed using the NIH Toolbox Cognition Battery, administered on an iPad. | From enrollment to end of treatment at 8 weeks. |
| Ecological Momentary Assessments (EMAs) w/ MindLamp | Once-daily questions (EMAs) about mood and sleep will be sent via the MindLamp smartphone app. | From enrollment to end of treatment at 8 weeks. |
| Switching Stroop Test | Stroop task measures response inhibition or response interference control. Participants will be shown a series of word colors that are either congruent or incongruent with the color of the word itself. The participant will be asked to respond to the color of the word and not the word itself. Responses are made with the keyboard. The incongruent condition is the more difficult condition of the two. Reaction time is recorded and a cost score is calculated, with shorter cost scores indicating better performance. | From enrollment to end of treatment at 8 weeks. |
| Penn Conditional Exclusion Test | Neurocognition measure of reasoning & problem solving in PennCNB. Scores will be transformed into z-scores. The key score will assess perseverative errors. Lowest score = 0, no max score. A higher score is correlated with worse performance, i.e. more perseverative errors. | From enrollment to end of treatment at 8 weeks. |
| Flanker Inhibitory Control and Attention Test | This test is designed to evaluate an individual's ability to concentrate their attention while inhibiting automatic response tendencies that could potentially hinder goal achievement. This is the percent correct outcome from this assessment. | From enrollment to end of treatment at 8 weeks. |
| Face Name Associated Memory Exam | The score ranges from 0 to 130, with a higher score indicating better speed of processing. | From enrollment to end of treatment at 8 weeks. |
| 9-hole pegboard dexterity test | The Nine-Hole Peg Test (9HPT) is used to measure finger dexterity in patients with various neurological diagnoses. Time to complete the test as quickly as possible | From enrollment to end of treatment at 8 weeks. |
| NIH Toolbox Cognitive Battery | The Nine-Hole Peg Test (9HPT) is used to measure finger dexterity in patients with various neurological diagnoses. Time to complete the test as quickly as possible | From enrollment to end of treatment at 8 weeks. |
| Neurite Orientation Dispersion and Density Imaging (NODDI) | Assessing synaptic plasticity in MRI | From enrollment to end of treatment at 8 weeks. |
Mean BOLD signal
| From enrollment to end of treatment at 8 weeks. |