Magic mushroom compound tested for Long-Term depression relief
NCT ID NCT06605105
First seen Jun 26, 2026 · Last updated Jul 14, 2026 · Updated 3 times
Summary
This study is a long-term follow-up for people with major depressive disorder who already completed a previous trial with CYB003, a drug similar to psilocybin. It will test how safe and effective CYB003 is over time, with optional extra doses. About 468 participants will be monitored using a standard depression rating scale.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- CYB003 (a deuterated psilocin analog, similar to the active compound in magic mushrooms)
- What this could lead to
- If successful, this could provide a new, long-term treatment option for people with major depressive disorder that may reduce symptoms with fewer doses than current antidepressants.
- What could go wrong
- This is an extension study, so participants already responded well in earlier trials. It is not a standalone test, and long-term side effects or loss of effectiveness are still possible. The drug is investigational and not yet approved.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 468 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2025
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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 to 85 years
- 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: * Has successfully completed either CYB003-002 APPROACH or CYB003-003 EMBRACE and received both dose administrations of trial medication * Has continued the same antidepressant medication at the stable dose/day throughout CYB003-002 APPROACH or CYB003-003 EMBRACE * Has provided written informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form * Participants capable of producing sperm must use a condom plus spermicide (where publicly available) during the trial and for 12 weeks after their final dose of IP, if their partner is a person of childbearing potential. In addition, their partner of childbearing potential must continue to use a highly effective method of contraception (i.e., failure rate less than 1% when used consistently and correctly) throughout the trial until 12 weeks after the participant's final dose of IP * Participants of childbearing potential (POCBP) who have a partner capable of producing sperm must agree to continue to use a highly effective method of contraception (i.e., failure rate of less than 1% when used consistently and correctly) in combination with the use of a condom plus spermicide (where publicly available) during the trial and for 12 weeks after their final dose of IP * Female participants must have a negative pregnancy test at Baseline (the end of trial \[EOT\] Visit in the APPROACH or EMBRACE trial), and prior to dose administration on the dosing day Exclusion Criteria: * newly developed symptoms of schizophrenia spectrum or other psychotic disorders that manifested in the APPROACH or EMBRACE trial * Significant suicide risk as defined by suicidal ideation as endorsed on items 4 or 5 on the C-SSRS at Baseline OR has experienced an adverse event (AE) of suicide ideation/attempt or self-harm in CYB003-002 APPROACH OR has had a \>1 point change in item 1 or 2 of the C-SSRS from Screening in CYB003-002 APPROACH * Clinically relevant arrhythmia or vital sign changes noted during any of the dosing sessions in the APPROACH or EMBRACE trial * Presence of clinically significant ECG abnormalities noted during the APPROACH or EMBRACE trials or at the Baseline of EXTEND * Sensitivity or suspected sensitivity to CYB003 noted in the APPROACH or EMBRACE trial * Positive urine test for drugs of abuse, or alcohol breath test prior to dosing. * Unwilling to consent to audio and video recording of psychological support and dosing sessions
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Get notified about this study
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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
33 sites in 2 countries. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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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Adams Clinical
Watertown, Massachusetts, 02472, United States
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Adams Clinical Boston
Boston, Massachusetts, 02116, United States
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Adams Clinical Bronx
The Bronx, New York, 10461, United States
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Adams Clinical Harlem
New York, New York, 10029, United States
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Atlanta Center For Medical Research
Atlanta, Georgia, 30331, United States
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Cedar Clinical Research
Draper, Utah, 84020, United States
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CenExel iResearch
Savannah, Georgia, 31405, United States
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Cenexel iResearcvh Atlanta, LLC
Atlanta, Georgia, 30030, United States
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Charter Research
Orlando, Florida, 32803, United States
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Clinical Neuroscience Solutions, CNS Healthcare
Memphis, Tennessee, 38119, United States
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Clinical Neuroscience Solutions, Inc
Orlando, Florida, 32801, United States
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Combined Research Orlando
Phoenix, Arizona, 85022, United States
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InSite Clinical Research, LLC
DeSoto, Texas, 75115, United States
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Inland Psychiatric Medical Group Inc (IPMG Research)
San Juan Capistrano, California, 92675, United States
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K2 Medical Research
Lady Lake, Florida, 32159, United States
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K2 Medical Research
Maitland, Florida, 32751, United States
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Monash University - Notting Hill
Notting Hill, Victoria, 3168, Australia
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Mountain View Clinical Research
Denver, Colorado, 80209, United States
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Neurobehavioral Clinical Research
Canton, Ohio, 44720, United States
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Neurocentrix Research
Carlton, Victoria, 3053, Australia
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Open Mind Collective / UCSF Medical Center - Mount Zion
San Francisco, California, 94114, United States
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Psychiatric Medicine Associates
Skokie, Illinois, 60076, United States
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Psychiatric Medicine Associates, LLC
Skokie, Illinois, 60076, United States
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Ramsay Clinic
Melbourne, Victoria, 3004, Australia
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Redbird Research
Las Vegas, Nevada, 89119, United States
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Research Centers of America
Hollywood, Florida, 33024, United States
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Segal Trials Center for Psychedelic Research
Lauderhill, Florida, 33319, United States
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Starlight Clinical Research
Evergreen, Colorado, 80439, United States
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Sunstone Medical, PC
Rockville, Maryland, 20850, United States
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Sydney Local Health District
Camperdown, New South Wales, 2050, Australia
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Thompson Brain & Mind Healthcare
Maroochydore, Queensland, 4558, Australia
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Uptown Research Institute
Chicago, Illinois, 60640, United States
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Zillan Clinical Research
Houston, Texas, 77082, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can an ancient herbal capsule boost antidepressant power?
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- Can brisk walking boost antidepressant results?
- Scientists probe brain's reward system in mental illness