Can a single psilocybin dose help break meth addiction?
NCT ID NCT07774702
First seen Aug 19, 2026 · Last updated Aug 20, 2026 · Updated 1 time
Summary
This trial investigates whether a single dose of psilocybin, given during a supervised session and paired with brief cognitive behavioral therapy, can help adults with moderate to severe methamphetamine use disorder reduce or stop their use. Participants receive one of two dose levels of psilocybin and are followed for up to six months to track abstinence. The study aims to see if this approach can support long-term recovery from methamphetamine dependence.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- psilocybin (a single oral capsule) combined with cognitive behavioral therapy
- What this could lead to
- If successful, this could point toward a new treatment option for methamphetamine use disorder, potentially helping people achieve and maintain abstinence.
- What could go wrong
- This is an early-phase trial with a small number of participants, so results may not apply broadly. Psilocybin can cause intense psychological effects, and the trial's success depends on careful supervision and follow-up.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 42 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2027
An estimate. Start dates often move.
- Expected to finish
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Feb 2032
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18+ * DSM-5 moderate or severe Methamphetamine Use Disorder * Severity of Dependence Scale score ≥ 4 * Methamphetamine use on more than 7 of the past 30 days and more than one positive urine test before randomization * A goal of complete abstinence on the Thoughts About Abstinence questionnaire * Able to read, write, and speak English * A friend or family member available for post-session release * Good general health by history and physical * Confirmed pre-dose abstinence of at least 24 hours (clinically assessed) Exclusion Criteria: * Pregnancy or breastfeeding, or not using effective contraception * Current psychiatric diagnoses other than a mild substance use disorder or tobacco/nicotine use disorder * Current hypertension (\>140/90 at rest) * Regular use of centrally acting serotonergic medications or MAO inhibitors (washout/re-screen permitted) * Personal history of any psychotic or bipolar I/II disorder, or a first- or second-degree relative with such * Current suicidal or homicidal ideation * Plan to relocate within 6 months * Psychedelic use in the past 3 years, more than 3 lifetime psychedelic occasions, more than 3 lifetime ketamine or MDMA occasions, or any prior 5-MeO-DMT or ibogaine use
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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University of Alabama at Birmingham
Birmingham, Alabama, 35294, United States
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