Registered clinical studies investigating psychedelic drugs for psychiatric disorders
Abstract
Psychedelics are a hallucinogenic class of psychoactive drugs with the primary effect of activating non-ordinary states of consciousness. Due to the positive preliminary findings of these drugs in the treatment of psychiatric disorders, the number of registered clinical studies has risen significantly. In this paper, clinical studies registered on clinicaltrials.gov that evaluate the treatment of any psychiatric disorder with psychedelics (excluding ketamine) are summarized and analyzed. 70 registered studies were identified from a clinicaltrials.gov search on December 3, 2020. The majority of studies aim to investigate methylenedioxymethamphetamine (MDMA) (45.7%) and psilocybin (41.4%). Studies evaluating ayahuasca, lysergic acid diethylamide (LSD), ibogaine hydrochloride, salvia divinorum, 5-MeO-DMT and DMT fumarate were less common at 1.4%, 4.2%, 2.8%, 1.4%, 1.4% and 1.4% of total registered studies, respectively. Most of the studies on MDMA, psilocybin, ayahuasca and salvia divinorum investigated their therapeutic effect on post-traumatic stress disorder (PTSD) and major depressive disorder (MDD). LSD was investigated for MDD, anxiety, and severe somatic disorders and ibogaine hydrochloride was investigated for substance and alcohol use disorders. 5-MeO-DMT and DMT fumarate were both investigated for MDD. Only 21/70 registered studies had published results with the majority not yet completed. In view of the large number of ongoing studies investigating psychedelics, it is imperative that these studies are considered by researchers and stakeholders in deciding the most relevant research priorities for future proposed studies.
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Classical psychedelics induce altered states of consciousness primarily by interacting with 5-HT2A receptors.
“These compounds induce altered states of consciousness primarily by interacting with the 5-HT2A receptors”
From A Narrative Review of Current and Emerging Trends in the Treatment of Alcohol Use Disorder (2024) · cites this paper as [73]
Non-classic psychedelics (e.g., ketamine, MDMA, ibogaine, salvinorin A, THC) work through distinct mechanisms and can significantly change consciousness.
“Non-classic psychedelics, on the other hand, work through various mechanisms. For example, ketamine blocks NMDA receptors, MDMA influences serotonin and dopamine, ibogaine has multiple targets, salvinorin A stimulates kappa-opioid receptors, and delta-9-tetrahydrocannabinol (THC), found in cannabis, acts on cannabinoid receptors. These substances, like classic psychedelics, can change”
From A Narrative Review of Current and Emerging Trends in the Treatment of Alcohol Use Disorder (2024) · cites this paper as [73]
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Simonsson, O., Lyons, T., Marks, J., Kettner, H., Roseman, L., Haijen, E. C. H. M., Kaelen, M., & Carhart-Harris, R. L. (2026) · Journal of Psychopharmacology · doi:10.1177/02698811261443677 · Cited by 1 · see citing works
Psychedelic-assisted therapy: a survey on the clinical methods of Swiss physicians
Beichmann, K., Catzeflis, P., Aicher, H., Seragnoli, F., Calder, A. E., Amrani, A., & Hasler, G. (2026) · Therapeutic Advances in Psychopharmacology · doi:10.1177/20451253261448745 · Cited by 1 · see citing works
Hammel, R. L., Gulliver, B. J., Sukich, S. N., & Abraham, S. (2022) · International Journal of Science and Research Methodology · doi:10.25166/ijsrm/2022.20.3.2 · Cited by 1 · see citing works
Pharmacotherapy of Psychological Disorders Using Psychedelic Drugs: A Treatise for Psychiatrists
Ghosh, P., & Sur, D. (2024) · Current Psychiatry Research and Reviews · doi:10.2174/0126660822258502231120074036 · Cited by 1 · see citing works
Sznitman, S. R., Broers, B., Auer, R., & Tal, K. (2024) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2024.104521 · Cited by 1 · see citing works
Peyrovian, B., Palaniyappan, L. K., Kolivakis, T., & Margolese, H. C. (2025) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.70034 · Cited by 1 · see citing works
Drogas y sociedad en la España de la década de 2020: retos y propuestas político-legislativas
(2022) · Revista Española de Drogodependencias · doi:10.54108/10011 · Cited by 1 · see citing works
Purple, R. J., Gupta, R., Thomas, C. W., Golden, C. T., Froudist‐Walsh, S., & Jones, M. W. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.12.10.627734 · Cited by 1 · see citing works
Psychedelics Road Ahead: Are We Ready?
Gowda, M. R. N. (2022) · Indian Journal of Private Psychiatry · doi:10.5005/jp-journals-10067-0113
Application of machine learning and complex network measures to an EEG dataset from DMT experimentsPreprint
Alves, C. L., Toutain, T. G. L. D. O., Porto, J. A. M., Pineda, A. M., de Sena, E. P., Rodrigues, F. A., Thielemann, C., & Ciba, M. (2022) · medRxiv · doi:10.1101/2022.06.14.22276410
Drugs and society in Spain in the 2020s: Outlining alternatives to the biomedical-punitive model
(2022) · Revista Española de Drogodependencias · doi:10.54108/10012
Actualités dans la prévention de la crise suicidaire
Courtet, P., Olié, É., Jardon, V., Haffen, É., & Vaïva, G. (2022) · La Presse Médicale Formation · doi:10.1016/j.lpmfor.2022.07.011
Klassieke psychedelica als behandeling voor depressie: waar staan we vandaag?
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Is Therapeutic Use of Psychedelic Medication Influenced by Bias?
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On the application of Machine Learning and Complex Networks to Neuroscience
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A Toad Less Traveled: Should 5-MeO-DMT Have a Role in Treating Depression?
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Chapter 8. Hallucinogens and Phencyclidine
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- Authors
- Siegel, A. N., Meshkat, S., Benitah, K., Lipsitz, O., Gill, H., Lui, L. M. W., Teopiz, K. M., McIntyre, R. S., & Rosenblat, J. D.
- Affiliations
- University Health Network (CA)
- Corresponding author
- Rosenblat, Joshua D.
- ORCID
- Venue
- Journal of Psychiatric Research
- Publisher
- Elsevier BV
- Published
- 2021-07
- Volume
- 139
- Pages
- 71-81
- ISSN
- 0022-3956 (ISSN-L)
- OpenAlex
- W3160765419
- Cited by
- 97
- References
- 23
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 24 · 2023: 18 · 2022: 25 · 2021: 3
- FWCI
- 12.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Psychiatric Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Keywords
- psychedelics, mental illness, MDMA, psilocybin, ayahuasca, LSD, ibogaine, Salvia divinorum, 5-MeO-DMT, post-traumatic stress disorder, major depressive disorder, anxiety, substance use disorders, alcoholism, research priorities, clinical trial registration
- MeSH terms
- Alcoholism, Depressive Disorder, Major, Major Depressive Disorder, Pharmaceutical Preparations, Hallucinogens, Humans, Psilocybin
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