Evidence map›Paper›PMID 37443386›Full record

Trial reportNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2023

Psilocybin for treatment resistant depression in patients taking a concomitant SSRI medication.

Guy M Goodwin, Megan Croal, David Feifel, John R Kelly, Lindsey Marwood, Sunil Mistry, Veronica O'Keane, Stephanie Knatz Peck, Hollie Simmons, Claudia Sisa and 4 more

Open access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 4 pooled it
47.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 4 syntheses or guidelines pooled it, 151 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Drug-drug interactions involving classic psychedelics: A systematic review.Journal of psychopharmacology (Oxford, England) · 2024
    Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Review
  11. Review
  12. Review
  13. Psilocybin improves novel object recognition in a rat model of Fragile X Syndrome through the modulation of the BDNF/TrkB signaling pathway.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  14. Review
  15. Trials, trips, and tribulations: pathways for implementing psychedelic therapy in Ireland.The international journal of neuropsychopharmacology · 2026
    Review
  16. Article
  17. Review
  18. Trip killers: Addressing a critical knowledge gap in psychedelic research.Journal of psychopharmacology (Oxford, England) · 2026
    Review
  19. Article
  20. Review

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

Guy M GoodwinCOMPASS Pathfinder Ltd, London, United Kingdom. guy.goodwin@compasspathways.com.
Megan CroalCOMPASS Pathfinder Ltd, London, United Kingdom.
David FeifelKadima Neuropsychiatry Institute, San Diego, CA, USA.
John R KellyDepartment of Psychiatry, Trinity Centre for Health Sciences, Tallaght University Hospital, Dublin, Ireland.
Lindsey MarwoodCOMPASS Pathfinder Ltd, London, United Kingdom.ORCID 0000-0002-5818-2199
Sunil MistryCOMPASS Pathfinder Ltd, London, United Kingdom.
Veronica O'KeaneDepartment of Psychiatry, Trinity Centre for Health Sciences, Tallaght University Hospital, Dublin, Ireland.
Stephanie Knatz PeckDepartment of Psychiatry, University of California San Diego, San Diego, CA, USA.ORCID 0000-0001-9421-9158
Hollie SimmonsCOMPASS Pathfinder Ltd, London, United Kingdom.
Claudia SisaCOMPASS Pathfinder Ltd, London, United Kingdom.
Susan C StansfieldCOMPASS Pathfinder Ltd, London, United Kingdom.
Joyce TsaiCOMPASS Pathfinder Ltd, London, United Kingdom.
Sam WilliamsCOMPASS Pathfinder Ltd, London, United Kingdom.
Ekaterina MalievskaiaCOMPASS Pathfinder Ltd, London, United Kingdom.
Tallaght University Hospital · IECompass (United States) · USNeuropsychiatric Research Institute · USUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psilocybin is being investigated as a treatment in adults with treatment-resistant depression (TRD). Withdrawal from serotonergic antidepressant drugs is a common prerequisite for taking part in trials of psilocybin due to the possibility of ongoing antidepressant drugs altering the psychedelic effect. This phase II, exploratory, international, fixed-dose, open-label study explored the safety, tolerability, and efficacy of a synthetic form of psilocybin (investigational drug COMP360) adjunct to a selective serotonin reuptake inhibitor in participants with TRD. Participants received a single 25 mg dose of psilocybin alongside psychological support and were followed-up for 3 weeks. The primary efficacy end point was change in the Montgomery-Åsberg Depression Rating Scale (MADRS) total score from Baseline at Week 3. Secondary end points were safety, including treatment-emergent adverse events (TEAEs), the proportion of responders and remitters at Week 3, and the change from Baseline to Week 3 in Clinical Global Impression-Severity (CGI-S) score. Nineteen participants were dosed and the mean Baseline MADRS total score was 31.7 (SD = 5.77). Twelve (63.2%) participants had a TEAE, most of which were mild and resolved on the day of onset. There were no serious TEAEs or indication of increased suicidal ideation or behavior. At Week 3, mean change from Baseline in MADRS total score was -14.9 (95% CI, -20.7 to -9.2), and -1.3 (SD = 1.29) in the CGI-S. Both response and remission were evident in 8 (42.1%) participants. Larger, comparator-controlled trials are necessary to understand if this paradigm can optimize treatment-outcome where antidepressant drug withdrawal would be problematic.

Indexed as

Depressive Disorder, Treatment-ResistantMajor Depressive DisorderAdultAntidepressive AgentsDouble-Blind MethodHumansPsilocybinTreatment OutcomeAntidepressive AgentsPsilocybin

Identifiers

PMID37443386
PMCPMC10425429
OpenAlexW4384130479

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.