Review registry-listed psilocybin studies involving depressive disorders, from major depression and treatment-resistant depression to related clinical definitions used by study teams.
Registry status is not a guarantee of local availability, eligibility, safety, or efficacy. Confirm every participation decision in the authoritative ClinicalTrials.gov record.
98matching trials
31currently recruiting
288registry-listed sites
Registry facts checkedAug 10, 2026 01:26 UTC
Live registry synthesis
Status, geography, and study phase
Condition terminology is not uniform across protocols. This collection therefore groups explicit depression-related registry labels while preserving every trial’s original condition wording in the records below.
Recruitment status
Recruiting31
Completed26
Active, not recruiting15
Not yet recruiting11
Unknown status7
Withdrawn5
Terminated2
Enrolling by invitation1
Leading countries
United States54
Canada18
United Kingdom6
France5
Czechia5
Netherlands4
Ireland4
Denmark3
Trial phases
Phase 268
Phase 114
Phase 310
Not applicable5
Early Phase 11
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A Phase 3, Randomized, Double-Blind, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of Psilocybin in Adults With Major Depressive Disorder (MDD)
Usona Institute
Conditions
Depressive Disorder, Major
Phase
Phase 3
Enrollment
238 actual
Locations
University of Alabama Clinical Research Unit, Birmingham, Alabama, United States · Preferred Research Partners-NWA, LLC, Fayetteville, Arkansas, United States · Preferred Research Partners, Inc., Little Rock, Arkansas, United States · +26 more
A Randomized, Double-Blind, Placebo-Controlled Mechanistic Study to Assess a Single Oral Dose of CYB003 in Participants With Major Depressive Disorder (MDD) and Moderate to Severe Anxiety
Ohio State University
Conditions
Depression · Anxiety · Major Depressive Disorder
Phase
Phase 2
Enrollment
40 estimated
Locations
The Ohio State University Department of Psychiatry, Columbus, Ohio, United States
Effect of Psilocybin and Structured Integrated Reframing Therapy on Gut-Brain Axis Biomarkers and Depression in Trauma-Related Major Depressive Disorder: Randomized Controlled Trial
Khyber Medical University Peshawar
Conditions
Major Depressive Disorder · Post-Traumatic Stress Disorder (PTSD)
Phase
Phase 3
Enrollment
60 estimated
Locations
Institute of Health Science, Khyber Medical University, Islamabad, Capital, Pakistan · Hayatabad Medical Complex Peshawar, Peshawar, KPK, Pakistan · Khyber Medical University, Peshawar, KPK, Pakistan
PSilocybin for psYCHological and Existential Distress in PALliative Care (PSYCHED-PAL): A Multi-site, Open-label, Single Arm Phase I/II Proof-of-concept, Dose-finding, and Feasibility Clinical Trial
Ottawa Hospital Research Institute
Conditions
Depression, Anxiety · Distress, Emotional
Phase
Phase 1 · Phase 2
Enrollment
20 estimated
Locations
The Ottawa Hospital, Ottawa, Ontario, Canada · Bruyere Continuing Care, Ottawa, Ontario, Canada
Psilocybin-Assisted Psychotherapy for Treatment-Resistant Depression: A Randomized Phase II Clinical Trial Comparing One Versus Two Psychedelic Doses of Psilocybin (PSI-1V2)
A Multi-site Randomized Controlled Trial of Psilocybin for Treatment-Resistant Depression (TRD) in Veterans
VA Office of Research and Development
Conditions
Major Depression
Phase
Phase 3
Enrollment
240 estimated
Locations
Birmingham VA Medical Center, Birmingham, AL, Birmingham, Alabama, United States · Tuscaloosa VA Medical Center, Tuscaloosa, AL, Tuscaloosa, Alabama, United States · VA Portland Health Care System, Portland, OR, Portland, Oregon, United States · +2 more
Exploring the Safety, Acceptability, and Efficacy of Psilocybin Among Non-Small Cell Lung Cancer Patients With Major Depressive Disorder: A Proof-of-Concept Trial (DREAM LUNG STUDY)
The Safety and Efficacy of Psilocybin Therapy Compared to Low-dose Control in Reducing Depressive Symptoms in Patients With COPD, ALS, MS, or APD.
University Medical Center Groningen
Conditions
COPD (Chronic Obstructive Pulmonary Disease) · ALS (Amyotrophic Lateral Sclerosis) · MS (Multiple Sclerosis) · Major Depressive Disorder (MDD)
Phase
Phase 2
Enrollment
108 estimated
Locations
National Institute of Mental Health, Prague, Czechia · Bispebjerg Hospital, Copenhagen, Denmark · University Medical Center Groningen, Groningen, Provincie Groningen, Netherlands · +1 more
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of up to Two Doses of Psilocybin for the Treatment of Major Depressive Disorder in Adults With Cancer
Sunstone Medical
Conditions
Cancer · Major Depressive Disorder
Phase
Phase 2
Enrollment
56 estimated
Locations
Sunstone Medical, PC, Rockville, Maryland, United States
A Phase 2 Randomized Study Examining the Safety, Feasibility, and Effectiveness of Masking Psilocybin Therapy With General Anesthesia in Major Depressive Disorder
Stanford University
Conditions
Major Depression
Phase
Phase 2
Enrollment
10 estimated
Locations
Stanford University, Stanford, California, United States
A One-Year Observational Follow-up Study of Participants With Major Depressive Disorder Following a Randomized, Double-Blind Single-Dose of Psilocybin or Niacin-Control
Usona Institute
Conditions
Major Depressive Disorder
Phase
Phase not reported
Enrollment
26 actual
Locations
Innovative Clinical Research, Inc. (formerly Segal Trials), Lauderhill, Florida, United States
A Phase 2 Sequential Dose-Finding Study of Preparation for Group Retreat Psilocybin Therapy for Healthcare Clinicians With Loss of Meaning in Their Work and Symptoms of Depression
Psilocybin-Assisted Therapy for Treatment-Resistant Depression in Bipolar II Disorder: A Randomized Controlled Trial
Lakshmi N Yatham
Conditions
Bipolar II Depression
Phase
Phase 3
Enrollment
90 estimated
Locations
Djavad Mowafaghian Centre for Brain Health, Vancouver, British Columbia, Canada · Department of Psychiatry, University of Ottawa, The Ottawa Hospital, Ottawa, Ontario, Canada · Department of Psychiatry, University of Toronto, University Health Network,, Toronto, Ontario, Canada
Lysergic Acid Diethylamide (LSD) in Palliative Care: a Randomised, Double-blind, Active-placebo Controlled Phase II Study (LPC-Study)
University Hospital, Basel, Switzerland
Conditions
Palliative Care · Pain · Anxiety · Depression
Phase
Phase 2
Enrollment
60 estimated
Locations
University Hospital Basel, Division of Clinical Pharmacology and Toxicology, Basel, Switzerland · University Hospital Geneva, Palliative medicine department, Collonge-Bellerive, Switzerland · Spital Uster AG, Division of Internal Medicine, Uster, Switzerland · +1 more
A Randomized, Double-Blind Study of Single-Dose Psilocybin for Major Depressive Disorder (MDD)
Usona Institute
Conditions
Depressive Disorder, Major
Phase
Phase 2
Enrollment
347 actual
Locations
University of California, San Francisco, San Francisco, California, United States · Pacific Neuroscience Institute, Santa Monica, California, United States · Yale University, New Haven, Connecticut, United States · +8 more
Toward Patient-Tailored Care for Treatment-Resistant Depression: A Pilot Patient-Preference Clinical Trial of Music and Mindfulness in Psilocybin-Assisted Psychotherapy
Psilocybin Assisted Psychotherapy for Treatment Resistant Depression and Co-occurring Substance Use Disorder
Indiana University
Conditions
Treatment Resistant Depression · Substance Use Disorders
Phase
Phase 1 · Phase 2
Enrollment
50 estimated
Locations
Goodman Hall, Dept of Psychiatry, Indiana University, Indianapolis, Indiana, United States · The Stark Neuroscience Building (Goodman Hall), Indianapolis, Indiana, United States
Elucidating the Relevance of the Psychedelic Experience to Psilocybin's Anti-Anhedonic Effects: A Randomized, Open-Label, Cross-Over Functional Magnetic Resonance Imaging Trial
Medical University of Vienna
Conditions
Depression - Major Depressive Disorder · Anhedonia
Phase
Phase 1
Enrollment
85 estimated
Locations
Medical University of Vienna, Department of Psychiatry and Psychotherapy, Division of General Psychiatry, Vienna, State of Vienna, Austria
Pilot Study of Serotonin 2A Receptor (5-HT2A) Agonist Psilocybin for Depression in Patients With Mild Cognitive Impairment or Early Alzheimer's Disease
Safety, Feasibility, and Tolerability of Psilocybin Treatment for Individuals With Functional Impairment Related to Mood, Anxiety, Trauma and/or Addiction Symptoms: An Open-label Proof-of-concept Study
A Phase III, Multicentre, Randomised, Double-blind, Controlled Study to Investigate the Efficacy, Safety, and Tolerability of Two Administrations of COMP360 in Participants With Treatment-resistant Depression
COMPASS Pathways
Conditions
Treatment Resistant Depression
Phase
Phase 3
Enrollment
572 actual
Locations
Lighthouse Psychiatry Scottsdale, Gilbert, Arizona, United States · Clinical Innovations, Inc., Bellflower, California, United States · M3 Wake Research, Encino, California, United States · +113 more
A Phase III, Multicentre, Randomised, Double-blind, Placebo-controlled Study to Investigate the Efficacy, Safety, and Tolerability of COMP360 in Participants With Treatment-resistant Depression
COMPASS Pathways
Conditions
Treatment Resistant Depression
Phase
Phase 3
Enrollment
255 estimated
Locations
University of Arizona College of Medicine - Tuscon, Tucson, Arizona, United States · ProScience Research Group, Culver City, California, United States · Collaborative Neuroscience Network, LLC, Garden Grove, California, United States · +37 more
Assessing the Safety, Tolerability, and Efficacy of Psilocybin Therapy Followed by Accelerated Intermittent Theta Burst (aiTBS) Repetitive Transcranial Magnetic Stimulation (rTMS) for Treatment-Resistant Major Depressive Disorder
A Double-blind, Phase II Feasibility Study to Assess the Safety and Efficacy of Psilocybin Microdosing Combined With Psychotherapy in Treatment-resistant Depression
Beersheva Mental Health Center
Conditions
Treatment Resistant Depression
Phase
Phase 2
Enrollment
20 estimated
Locations
Mental Health Center Beer Sheva, Beersheba, Israel
Effect of Psilocybin Only and Psilocybin Assisted Cognitive Behavioral Therapy in the Management of Major Depressive Disorder and Associated Metabolic, Immune, Inflammatory, Neuroplasticity and Electrical Activity Markers: a Randomized Controlled Trial
Khyber Medical University Peshawar
Conditions
Major Depressive Disorder
Phase
Phase 2
Enrollment
60 actual
Locations
Lady Reading Hospital, Pakistan, Peshawar, Khyber Pakhtunkhwa, Pakistan
A Phase II, Multicentre, Randomised, Double-blind, Controlled Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Efficacy of COMP360 in Participants With Recurrent Major Depressive Disorder
COMPASS Pathways
Conditions
Major Depressive Disorder
Phase
Phase 2
Enrollment
102 actual
Locations
Kadima Neuropsychiatry Institute, La Jolla, California, United States · Clinical Neuroscience Solutions Inc, Jacksonville, Florida, United States · Sunstone Therapies, Rockville, Maryland, United States · +2 more
A Randomized, Placebo-controlled Trial of Psychedelic-assisted Psychotherapy With Single Dose Psilocybin for Frontline Clinicians Experiencing COVID-related Symptoms of Depression and Burnout
University of Washington
Conditions
Burnout, Caregiver · Burnout, Professional · COVID-19 · Depression
Phase
Phase 3
Enrollment
30 actual
Locations
University of Washington, Seattle, Washington, United States
A Phase II Randomized, Double-blind, Active Placebo-controlled Parallel Group Trial to Examine the Efficacy and Safety of Psilocybin in Treatment-resistant Major Depression
Central Institute of Mental Health, Mannheim
Conditions
Treatment-resistant Depression
Phase
Phase 2
Enrollment
144 actual
Locations
Charité Berlin, Campus Mitte, Department of Psychiatry and Psychotherapy, Berlin, Germany · Central Institute of Mental Health (CIMH), Mannheim, Germany
Psilocybin-assisted Psychotherapy in the Treatment of Patients Hospitalized for Treatment-resistant Depression: an Open-label Feasibility Study with an Experiential and Systemic Focus
University Hospital, Ghent
Conditions
Treatment Resistant Depression
Phase
Phase 2
Enrollment
100 estimated
Locations
Ghent University Hospital, Ghent, Oost-Vlaanderen, Belgium
An Open Label Study of the Safety and Efficacy of Psilocybin in Participants With Treatment-Resistant Depression (P-TRD)
Sheppard Pratt Health System
Conditions
Treatment Resistant Depression
Phase
Phase 2
Enrollment
27 actual
Locations
VA Palo Alto Healthcare System/Stanford Medicine, Palo Alto, California, United States · Sheppard Pratt Health System, Baltimore, Maryland, United States
The Effect of Psilocybin on MDD Symptom Severity and Synaptic Density - A Single Dose Randomized, Double Blind, Placebo- Controlled Phase 2 Positron Emission Tomography Study
Section for Affective Disorders; Northern Stockholm Psychiatry
Conditions
Major Depressive Disorder · Depression
Phase
Phase 2
Enrollment
35 actual
Locations
Northern Stockholm Spychiatry Clinic, Stockholm, Sweden
A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability and Efficacy of Psilocybin-Assisted Psychotherapy in Treating Severe Depression Among Adults With Post-Traumatic Stress Disorder (PTSD).
Evaluating the Effect of Length of Time on Selective Serotonin Reuptake Inhibitors (SSRIs) on the Response to Psilocybin-assisted Therapy in Individuals With Mild-moderate Major Depressive Disorder (MDD)
The Safety and Efficacy of Psilocybin in Participants With Treatment Resistant Depression
COMPASS Pathways
Conditions
Treatment Resistant Depression
Phase
Phase 2
Enrollment
233 actual
Locations
Kadima Neuropsychiatry Institute, La Jolla, California, United States · Altman Clinical and Translational Research Institute, University of California, San Diego, California, United States · Stanford Department of Psychiatry, Stanford, California, United States · +22 more
Multicentre Study To Assess Safety And Efficacy Of Psilocybin In Patients With Treatment-Resistant Depression Following Completion Of COMP 001 And COMP 003 Trials (P-TRD LTFU)
COMPASS Pathways
Conditions
Treatment Resistant Depression
Phase
Phase not reported
Enrollment
66 actual
Locations
Kadima Neuropsychiatry Institute, La Jolla, California, United States · Altman Clinical and Translational Research Institute, University of California, San Diego, California, United States · Mood and Anxiety Disorders Program Emory University School of Medicine, Atlanta, Georgia, United States · +5 more
Psilocybin and Depression - Assessing the Long-term Effects of a Single Administration of Psilocybin on the Psychiatric Symptoms and Brain Activity of Patients With Severe Depression
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