5-HT2A Agonist Psilocybin in the Treatment of Tobacco Use Disorder

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age21+
SponsorJohns Hopkins University

About this trial

This is a multi-site, double-blind, randomized clinical trial of the 5-HT2A receptor agonist psilocybin for smoking cessation. Four sites with experience in conducting psilocybin research will be involved in this trial: Johns Hopkins University (JHU), the University of Alabama at Birmingham (UAB), and New York University (NYU). The proposed study will treat 66 participants (22 at each site), randomized to receive either: 1) oral psilocybin (30 mg in session 1 and either 30 mg or 40 mg in session 2); or 2) oral niacin (150 mg in session 1 and either 150 mg or 200 mg in session 2), with sessions 1 week apart.

Eligibility criteria

Qualifiers

21 years old or older

Be a daily smoker (minimum of 5 cigarettes/day on a typical day and breath CO of 6 or greater at screening) with multiple unsuccessful previous quit attempts, and report a continued desire to quit smoking

Read, write, and speak English

Agree to abstain from smoking for the psilocybin/niacin session from 1 hour before psilocybin/niacin administration until at least 8 hours afterward

Disqualifiers

The use of e-cigarettes or tobacco products other than machine-manufactured combustible cigarettes (e.g., cigarillos) on more than 5 of the previous 30 days

Women who are pregnant (positive pregnancy test) or nursing, or are not practicing an effective means of birth control

Positive urine drug screen for illicit drugs (excluding cannabis)

Positive urine breath test for alcohol. Participants with positive tests will be rescheduled

Trial design

Treatments tested in this trial

  • Psilocybin
  • Niacin

Treatment groups

66 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Johns Hopkins University

Lead sponsor

University of Alabama at Birmingham

Collaborator

New York University

Collaborator

National Institute on Drug Abuse (NIDA)

Collaborator