Comparing the Effects of Psilocin and Psilocybin in Healthy Adults
Comparison of the Effects of PEX20 (Oral Psilocin), PEX30 (Sublingual Psilocin), and PEX10 (Oral Psilocybin) in Healthy Adults
3 other identifiers
interventional
20
1 country
1
Brief Summary
To compare the physiological and psychological effects of psilocin taken orally by pill or sublingually by dissolving a tablet under the tongue to those of psilocybin taken by pill in healthy adults.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1 healthy
Started May 2022
Longer than P75 for phase_1 healthy
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 7, 2022
CompletedFirst Posted
Study publicly available on registry
April 8, 2022
CompletedStudy Start
First participant enrolled
May 26, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 16, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2025
CompletedJune 10, 2025
September 1, 2024
2.6 years
March 7, 2022
June 5, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (8)
Physiological Effects
blood pressure
Baseline to 8 hours following drug delivery
Physiological Effects
heart rate
Baseline to 8 hours following drug delivery
Psychological Effects
\- Peak psychedelic intensity ratings will be measured using Likert scale (0-10 rating scale, 0=not intense at all, 10=highest intensity imaginable)
Baseline to 4 weeks after drug delivery
Psychological Effects
\- Peak psychological effects will be measured by the Altered States of Consciousness (5D-ASC) questionnaire at the end of each dosing session
Baseline to 4 weeks after drug delivery
Psychological Effects
\- Peak psychological effects will be measured by the Challenging Experiences Questionnaire at the end of each dosing session
Baseline to 4 weeks after drug delivery
Psychological Effects
\- Persistent changes in attitude, mood, and behavior will be assessed using Persisting Effects Questionnaire, administered 4 weeks after each dosing session
Baseline to 4 weeks after drug delivery
Psychological Effects
\- Personality profiles will be measured using the Big Five Inventory at baseline and 4 weeks after each dosing session
Baseline to 4 weeks after drug delivery
Adverse Effects
* Acute hypertension, hypotension, tachycardia, or bradycardia will be detected through blood pressure and heart rate monitoring at 10 minutes prior to drug administration and measured frequently up to 360 minutes following administration * Other dosing-related side effects including descriptive reports of nausea, headaches, dizziness, weakness, drowsiness, paresthesia, or blurred vision will be assessed during check-ins, after dosing effects have waned, and 24 hours following dosing
Baseline to 24 hours after dosing session
Study Arms (2)
Oral & Sublingual Psilocin, & Oral Psilocybin
ACTIVE COMPARATOREvery participant will be administered Oral Psilocin, Sublingual Psilocin, and oral psilocybin in a randomized order.
Sublingual Psilocin
ACTIVE COMPARATORDepending on a number of factors, participants may complete a fourth session where they receive sublingual psilocin for the second time.
Interventions
17.5mg oral psilocin with psychological support and physiological monitoring
25mg oral psilocybin with psychological support and physiological monitoring
2.18mg - 4.36mg sublingual psilocin with psychological support and physiological monitoring
Eligibility Criteria
You may qualify if:
- Age 25 to 50
- Comfortable speaking and writing in English
- Commit to attending all study visits and remote data collection tasks
- No planned surgeries during the study
- Had at least one prior experience with a psychedelic substance
- Generally mentally and physically healthy
- Agree to abstain from THC, CBD, or nicotine products during study
You may not qualify if:
- Participated in another clinical trial within 30 days of entry to this trial
- Regular use of medications that may have problematic interactions with psilocybin, including but not limited to dopamine agonists, MAO inhibitors, N-methyl-D-aspartate (NMDAR) antagonists, antipsychotics, and stimulants
- A health condition that makes study unsafe or unfeasible, determined by study physicians
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of California, San Franciscolead
- Filament Health Corp.collaborator
Study Sites (1)
University of California, San Francisco
San Francisco, California, 94143, United States
Related Publications (5)
Bogenschutz MP, Johnson MW. Classic hallucinogens in the treatment of addictions. Prog Neuropsychopharmacol Biol Psychiatry. 2016 Jan 4;64:250-8. doi: 10.1016/j.pnpbp.2015.03.002. Epub 2015 Mar 14.
PMID: 25784600BACKGROUNDBenet-Martinez V, John OP. Los Cinco Grandes across cultures and ethnic groups: multitrait multimethod analyses of the Big Five in Spanish and English. J Pers Soc Psychol. 1998 Sep;75(3):729-50. doi: 10.1037//0022-3514.75.3.729.
PMID: 9781409BACKGROUNDBrown RT, Nicholas CR, Cozzi NV, Gassman MC, Cooper KM, Muller D, Thomas CD, Hetzel SJ, Henriquez KM, Ribaudo AS, Hutson PR. Pharmacokinetics of Escalating Doses of Oral Psilocybin in Healthy Adults. Clin Pharmacokinet. 2017 Dec;56(12):1543-1554. doi: 10.1007/s40262-017-0540-6.
PMID: 28353056BACKGROUNDBarrett FS, Bradstreet MP, Leoutsakos JS, Johnson MW, Griffiths RR. The Challenging Experience Questionnaire: Characterization of challenging experiences with psilocybin mushrooms. J Psychopharmacol. 2016 Dec;30(12):1279-1295. doi: 10.1177/0269881116678781. Epub 2016 Nov 17.
PMID: 27856683BACKGROUNDAnderson BT, Danforth A, Daroff PR, Stauffer C, Ekman E, Agin-Liebes G, Trope A, Boden MT, Dilley PJ, Mitchell J, Woolley J. Psilocybin-assisted group therapy for demoralized older long-term AIDS survivor men: An open-label safety and feasibility pilot study. EClinicalMedicine. 2020 Sep 24;27:100538. doi: 10.1016/j.eclinm.2020.100538. eCollection 2020 Oct.
PMID: 33150319BACKGROUND
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Joshua Woolley, MD/PhD
University of California, San Francisco
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- OTHER
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor, Psychiatry
Study Record Dates
First Submitted
March 7, 2022
First Posted
April 8, 2022
Study Start
May 26, 2022
Primary Completion
January 16, 2025
Study Completion
July 1, 2025
Last Updated
June 10, 2025
Record last verified: 2024-09
Data Sharing
- IPD Sharing
- Will not share