Cited by 98Psychedelics and Drug StudiesTreatment of Major DepressionReligion, Spirituality, and Psychology

Registered clinical studies investigating psychedelic drugs for psychiatric disorders

Siegel, Ashley N., Meshkat, Shakila, Benitah, Katie, Lipsitz, Orly, Gill, Hartej, Lui, Leanna M.W., Teopiz, Kayla M., McIntyre, Roger S. +1 more·2021·Journal of Psychiatric Research

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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Crossref · 10.1016/j.jpsychires.2021.05.019

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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”
  • 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”

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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.
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
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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