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NCT07210112: PSILOTRAZ

Efficacy of Psilocybin and Trazodone Combination in Treatment-resistant Depression: a Randomized Controlled Proof-of-concept Study (PSILOTRAZ)

Not yet recruiting Phase 2 Last updated 7 October 2025
What this trial tests

Phase 2 trial testing Psilocybin 25 mg per os in Depression - Major Depressive Disorder in 112 participants. Not yet recruiting.

Timeline
8 October 2025
Primary endpoint
31 December 2029
30 June 2030

Quick facts

Lead sponsorCentre Hospitalier St Anne
PhasePhase 2
StatusNot yet recruiting
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment112
Start date8 October 2025
Primary completion31 December 2029
Estimated completion30 June 2030
Sites1 location across France

Drugs / interventions tested

Conditions studied

Sponsor

Centre Hospitalier St Anne

Who can join

18 and older, any sex, with Depression - Major Depressive Disorder or Treatment-resistant Depression (TRD). Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Psilocybin, a serotonin receptor agonist in the brain, significantly and quickly improves depressive symptoms while inducing profound acute subjective effects. The benefit-risk ratio of psilocybin in treatment-resistant depression seems favorable, but needs to be confirmed. Moreover, the role of 5-HT2A receptors, involved in the psychedelic experience, on the therapeutic efficacy of psilocybin is still poorly understood. For example, pre-administration of trazodone, a 5-HT2A antagonist antidepressant, could annihilate the acute subjective effects of psilocybin without altering its beneficial effects (Rosenblat et al., 2023). We intend to test this hypothesis by comparing, in a randomized, double-blind, placebo-controlled study, the effect of two possible doses of trazodone (total or partial occupancy of 5-HT2A receptors) on the benefit/risk ratio of psilocybin. We hypothesize that the therapeutic effects of psilocybin are partially independent of 5-HT2A receptor activation and thus persist even after total or partial neutralization of its acute subjective effects.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Depression - Major Depressive Disorder

Currently open trials in the same condition.

Other Centre Hospitalier St Anne trials

Trials by the same sponsor.

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Data sources for this page

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