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Trial · NCT04739865

The Safety and Efficacy Of Psilocybin as an Adjunctive Therapy in Participants With Treatment Resistant Depression

NCT04739865, Phase 2, Completed, COMPASS Pathways; results first posted 2023-11-09

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. The Safety and Efficacy Of Psilocybin as an Adjunctive Therapy in Participants With Treatment Resistant Depression. Trials, record NCT04739865. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04739865

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
The Safety and Efficacy Of Psilocybin as an Adjunctive Therapy in Participants With Treatment Resistant Depression
NCT number
NCT04739865
Status
Completed
Phases
Phase 2
Enrollment
19 participants, actual
Lead sponsor
COMPASS Pathways
Conditions
Treatment Resistant Depression
Interventions
Psilocybin
First posted
2021-02-05
Last updated
2023-11-09
Results first posted
2023-11-09

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryImprovement in Depressive Symptoms3 weeks
Change in Montgomery-Asberg Depression Rating Scale (MADRS) total score from Baseline to 3 weeks post psilocybin administration. The minimum and maximum MADRS total score values are 0 and 60 and a higher score means a worse outcome.
SecondaryIncidence of Response3 weeks
The proportion of participants with a response (defined as a ≥ 50% improvement in Montgomery-Asberg Depression Rating Scale \[MADRS\] total score from Baseline) at Week 3 post psilocybin administration. The minimum and maximum MADRS total score values are 0 and 60 and a higher score means a worse outcome.
SecondaryIncidence of Remission3 weeks
The proportion of participants with remission (defined as Montgomery-Asberg Depression Rating Scale \[MADRS\] total score ≤ 10) at Week 3 post psilocybin administration The minimum and maximum MADRS total score values are 0 and 60 and a higher score means a worse outcome.
SecondaryImprovement in Clinical Global Impression - Severity3 weeksChanges from Baseline in Clinical Global Impression-Severity score at Week 3 post psilocybin administration. The minimum and maximum values are 1 and 7 and a higher score means a worse outcome.

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYImprovement in Depressive Symptoms3 weeksFull analysis set - all participants who receive study drug and have at least 1 post-baseline efficacy assessment.units on a scaleMEAN
SECONDARYIncidence of Response3 weeksFull analysis set - all participants who receive study drug and have at least 1 post-baseline efficacy assessment.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYIncidence of Remission3 weeksFull analysis set - All participants who receive study drug and have at least 1 post-baseline efficacy assessment.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYImprovement in Clinical Global Impression - Severity3 weeksFull analysis set - All participants who receive study drug and have at least 1 post-baseline efficacy assessment.units on a scaleMEAN

Results by group4

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Improvement in Depressive Symptoms25 mg COMP360 Psilocybin-14.9Standard Deviation 11.97units on a scale
Incidence of Response25 mg COMP360 Psilocybin8Participants
Incidence of Remission25 mg COMP360 Psilocybin8Participants
Improvement in Clinical Global Impression - Severity25 mg COMP360 Psilocybin-1.3Standard Deviation 1.29units on a scale

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTED25 mg COMP360 Psilocybin19
Overall StudyCOMPLETED25 mg COMP360 Psilocybin19
Overall StudyNOT COMPLETED25 mg COMP360 Psilocybin0

Adverse events10

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherPalpitationsCardiac disorders25 mg COMP360 Psilocybin1191
otherVertigoEar and labyrinth disorders25 mg COMP360 Psilocybin1191
otherDiarrhoeaGastrointestinal disorders25 mg COMP360 Psilocybin1191
otherDry MouthGastrointestinal disorders25 mg COMP360 Psilocybin1191
otherFallInjury, poisoning and procedural complications25 mg COMP360 Psilocybin1191
otherSkin AbrasionInjury, poisoning and procedural complications25 mg COMP360 Psilocybin1191
otherBlood Pressure IncreasedInvestigations25 mg COMP360 Psilocybin3193
otherHeadacheNervous system disorders25 mg COMP360 Psilocybin6196
otherDizzinessNervous system disorders25 mg COMP360 Psilocybin1191
otherDepressionPsychiatric disorders25 mg COMP360 Psilocybin1191

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortality25 mg COMP360 Psilocybin019
Total, other adverse events25 mg COMP360 Psilocybin1219
Total, serious adverse events25 mg COMP360 Psilocybin019

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04739865

GET https://conductscience.org/api/trials/v1/NCT04739865/registered