Depression scores did not differ considerably amongst patients who utilized psilocybin or escitalopram at 6 weeks. These findings, from a phase 2, double-blind, randomized, controlled trial, have been published in the New England Journal of Medicine.
Patients (N=59) with lengthy-standing, moderate to extreme important depressive disorder have been recruited through advertisement in the United Kingdom in 2019. Patients have been randomized to acquire 2 doses of 25 mg psilocybin with a day-to-day placebo for 6 weeks (n=30) or 2 doses of 1 mg psilocybin with 3 weeks of day-to-day 10 mg escitalopram and 3 weeks of 20 mg escitalopram (n=29). Patients have been assessed by magnetic resonance imaging (MRI) and performed cognitive and affective processing tasks.
Patients have been aged imply 41 years and 34% have been ladies. Symptoms of depression have been present amongst the psilocybin and escitalopram groups for an typical of 22 and 15 years and baseline 16-item Quick Inventory of Depressive Symptomatology-Self Report (QIDS-SR-16) scores have been 14.5 and 16.4, respectively.
At 6 weeks, imply adjust in QIDS-SR-16 scores have been -8.0±1. points amongst the psilocybin and -6.0±1. points amongst the escitalopram cohorts (distinction, -2. 95% CI, -5. to .9 P =.17). A total of 70% of the psilocybin and 48% of the escitalopram recipients had a QIDS-SR-16 response (distinction, 22% 95% CI, -3% to 48%) and 57% and 28% have been in QIDS-SR-16 remission (distinction, 28.1% 95% CI, 2.3%-53.8%), respectively.
Psilocybin recipients reported higher improvements in their capability to cry or really feel compassion, intense emotion, and pleasure and fewer reported feeling drowsy compared with the escitalopram recipients. No variations have been reported for psychotic symptoms or dependency-associated behaviors.
Adverse effects have been reported by 87% of the psilocybin and 83% of the escitalopram groups. Most popular events have been headache, nausea, and fatigue.
This study may well have been restricted by its brief duration due to the truth that escitalopram has a delayed therapeutic action on depression.
Overall, no important distinction amongst cohorts in depression scores have been reported at 6 weeks. Secondary outcomes tended to favor psilocybin more than escitalopram for the therapy of lengthy-standing, moderate to extreme important depressive disorder.
Disclosure: Some authors declared affiliations with biotech, pharmaceutical, and/or device organizations. Please see the original reference for a complete list of authors’ disclosures.
Carhart-Harris R, Giribaldi B, Watts R, et al. Trial of psilocybin versus escitalopram for depression. N Engl J Med. Published on line April 15, 2021. doi:10.1056/NEJMoa2032994