Evidence map›Paper›PMID 41693474›Full record

ArticleBJPsych open2026

Microdosing psilocybin for major depressive disorder: study protocol for a phase II double-blind placebo-controlled randomised partial crossover trial.

Zeina Beidas, Anya Ragnhildstveit, Adam Blackman, Thomas Anderson, Emily Fewster, Omer A Syed, Valentyne Sobolenko, Ismail Kaan Kanca, Magdalena Jaglinska, Tatiana Son and 2 more

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in BJPsych open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05259943 (Microdosing Psychedelics to Improve Mood), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT05259943 phase2completednot on this map

Microdosing Psychedelics to Improve Mood

TypeinterventionalSponsorRotem PetrankerRan2023 to 2025Enrolled39ConditionsMajor Depressive DisorderArmsPsilocybin first, Placebo first
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Zeina BeidasCanadian Centre for Psychedelic Science, Toronto, Ontario, Canada.
Anya RagnhildstveitCanadian Centre for Psychedelic Science, Toronto, Ontario, Canada.
Adam BlackmanCanadian Centre for Psychedelic Science, Toronto, Ontario, Canada.
Thomas AndersonCanadian Centre for Psychedelic Science, Toronto, Ontario, Canada.
Emily FewsterCanadian Centre for Psychedelic Science, Toronto, Ontario, Canada.
Omer A SyedCanadian Centre for Psychedelic Science, Toronto, Ontario, Canada.
Valentyne SobolenkoCanadian Centre for Psychedelic Science, Toronto, Ontario, Canada.
Ismail Kaan KancaCanadian Centre for Psychedelic Science, Toronto, Ontario, Canada.
Magdalena JaglinskaCenter for Psychedelic Research, Pneuma Science, Draper, Utah, USA.
Tatiana SonCanadian Centre for Psychedelic Science, Toronto, Ontario, Canada.
Norman FarbPsychedelic Studies Research Program, University of Toronto, Mississauga, Ontario, Canada.
Rotem PetrankerCanadian Centre for Psychedelic Science, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-6354-0109

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMajor depressive disorder (MDD) is the leading cause of disability worldwide, affecting roughly 322 million people. Recently, doses of psilocybin have shown promise in treating mood disorders, sparking interest in other dosing practices. According to anecdotal reports and observational studies, microdosing psilocybin yields benefits to mental health; however, rigorously controlled trials have failed to produce compelling evidence for this.

aimsTo conduct a phase II, double-blind, placebo-controlled, randomised partial crossover trial to compare microdosing psilocybin to placebo for MDD, evaluating its safety, tolerability and preliminary antidepressant effects.

methodForty adults with MDD will be randomised to four doses of psilocybin (2 mg) or placebo (maltodextrin) once weekly over 4 weeks, then four doses of psilocybin (2 mg) once weekly for an additional 4 weeks. The primary efficacy end-point will be change in depression symptoms, as measured at baseline (0 weeks), after the experimental phase (4 weeks), and after the open-label phase (8 weeks). A battery of mood, well-being, attention, creativity, mindfulness and pro-sociality measures will be administered at each time point. Follow-ups will occur every 6 months for up to 2 years after the trial start date, as part of a long-term extension study.

resultsThe results of the primary outcome of this trial will be published as a manuscript in a peer-reviewed science or medical journal regardless of the magnitude or direction of effect.

conclusionsFindings will inform future research on microdosing psilocybin for MDD, regarding dose regimens, effect sizes and expectancy bias. Findings will also facilitate discussions on the comparable benefits of sub- versus threshold doses of psilocybin and the therapeutic value of radically altered perception.

trial registrationClinicalTrials.gov identifier: NCT05259943.

Indexed as

major depressive disordermicrodosingPsilocybinrandomised controlled trial

Identifiers

PMID41693474
PMCPMC12926881

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Registered trials

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.