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The Safety and Tolerability of COMP360 in Participants With Post-traumatic Stress Disorder

Primary Purpose

Post Traumatic Stress Disorder

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Psilocybin
Sponsored by
COMPASS Pathways
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Post Traumatic Stress Disorder focused on measuring psilocybin, COMP360, COMPASS, PTSD, Post Traumatic Stress Disorder

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  • Meet DSM-5 criteria for current PTSD resulting from a trauma experienced during adulthood measured via the PCL-5 in combination with the LEC-5 at screening
  • Meet DSM-5 criteria for current PTSD resulting from a trauma experienced during adulthood as assessed by the CAPS, with a minimum score of 25 at baseline
  • Able to identify a next of kin who is willing and able to be reached by the investigators in case of emergency
  • Have successfully discontinued all prohibited medications at least two weeks prior to baseline visit. For fluoxetine (Prozac), immediate cessation at screening period visit 1a followed by at least four weeks of run-in will be required prior to baseline

Key Exclusion Criteria:

  • Current or past history of schizophrenia, schizoaffective disorder or any other form of psychotic disorder, obsessive compulsive disorder, personality disorders, bipolar disorder, or any other significant disorder as assessed by clinician judgement and a structured clinical interview (MINI 7.0.2)
  • Diagnosis of complex PTSD according to the International Trauma Questionnaire (ITQ)
  • Borderline Personality Disorder as demonstrated by both the McLean Screening Instrument for Borderline Personality Disorder (MSI- BPD) score ≥ 7 and clinical confirmation of diagnosis by the study clinician and Medical Monitor
  • Significant suicide risk as defined by (1) suicidal ideation as endorsed on items 4 or 5 on the C-SSRS within the past year, during screening or at baseline, or; (2) suicidal behaviours within the past year, or; (3) history of serious suicide attempt that required a rescuing medical intervention, or; (4) clinical assessment of significant suicidal risk during participant interview
  • Current (within the last year) alcohol or substance use disorder as informed by DSM-5 assessed via the MINI 7.0.2 at screening
  • Other personal circumstances and behaviour judged to be incompatible with establishment of rapport or safe exposure to psilocybin
  • Exposure to 3,4-methylenedioxymethamphetamine (MDMA), psilocybin, or any other psychedelics, such as ayahuasca, mescaline, lysergic acid diethylamide (LSD), or peyote in the past year
  • Primary diagnosis of major depressive disorder within 6 months of study entry
  • Exposure to a traumatic experience in the past 3 months
  • Significant childhood physical or sexual abuse based on clinician judgment with the use of CTQ
  • Enrolment in a psychological therapy programme that will not remain stable for the duration of the study. Psychological therapies cannot have been initiated within 21 days of baseline

Sites / Locations

  • Icahn School of Medicine at Mount SinaiRecruiting
  • Kings College London, Institute of Psychiatry, Psychology and NeurologyRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

COMP360 Psilocybin

Arm Description

25 mg COMP360 Psilocybin

Outcomes

Primary Outcome Measures

Safety
Proportion of patients with adverse events (AEs)

Secondary Outcome Measures

Change in Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) from baseline
CAPS-5 is a 30 item scale, each item is scored from 0-4; Higher scores denote greater severity for each item
Change in PTSD checklist for DSM-5 (PCL-5) from baseline
PCL-5 is a 20-item self-reported scale, each item is scored from 0-4; Higher scores denote greater severity for each item
Change in Sheehan Disability Scale (SDS) total score from baseline
SDS is a 5-item scale, the total score is from 0 to 30; Higher scores denote greater impairment of function

Full Information

First Posted
March 28, 2022
Last Updated
June 12, 2023
Sponsor
COMPASS Pathways
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1. Study Identification

Unique Protocol Identification Number
NCT05312151
Brief Title
The Safety and Tolerability of COMP360 in Participants With Post-traumatic Stress Disorder
Official Title
The Safety and Tolerability of COMP360 in Participants With Post-traumatic Stress Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 10, 2022 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
April 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
COMPASS Pathways

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The Safety and Tolerability of COMP360 in Participants with Post-traumatic Stress Disorder
Detailed Description
The Safety and Tolerability of COMP360 administered under supportive conditions in participants with Post-traumatic Stress Disorder

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Post Traumatic Stress Disorder
Keywords
psilocybin, COMP360, COMPASS, PTSD, Post Traumatic Stress Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
COMP360 Psilocybin
Arm Type
Experimental
Arm Description
25 mg COMP360 Psilocybin
Intervention Type
Drug
Intervention Name(s)
Psilocybin
Other Intervention Name(s)
COMP360
Intervention Description
Open label
Primary Outcome Measure Information:
Title
Safety
Description
Proportion of patients with adverse events (AEs)
Time Frame
Up to 12 weeks
Secondary Outcome Measure Information:
Title
Change in Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) from baseline
Description
CAPS-5 is a 30 item scale, each item is scored from 0-4; Higher scores denote greater severity for each item
Time Frame
Up to 12 weeks
Title
Change in PTSD checklist for DSM-5 (PCL-5) from baseline
Description
PCL-5 is a 20-item self-reported scale, each item is scored from 0-4; Higher scores denote greater severity for each item
Time Frame
Up to 12 weeks
Title
Change in Sheehan Disability Scale (SDS) total score from baseline
Description
SDS is a 5-item scale, the total score is from 0 to 30; Higher scores denote greater impairment of function
Time Frame
Up to 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Meet DSM-5 criteria for current PTSD resulting from a trauma experienced during adulthood measured via the PCL-5 in combination with the LEC-5 at screening Meet DSM-5 criteria for current PTSD resulting from a trauma experienced during adulthood as assessed by the CAPS, with a minimum score of 25 at baseline Able to identify a next of kin who is willing and able to be reached by the investigators in case of emergency Have successfully discontinued all prohibited medications at least two weeks prior to baseline visit. For fluoxetine (Prozac), immediate cessation at screening period visit 1a followed by at least four weeks of run-in will be required prior to baseline Key Exclusion Criteria: Current or past history of schizophrenia, schizoaffective disorder or any other form of psychotic disorder, obsessive compulsive disorder, personality disorders, bipolar disorder, or any other significant disorder as assessed by clinician judgement and a structured clinical interview (MINI 7.0.2) Diagnosis of complex PTSD according to the International Trauma Questionnaire (ITQ) Borderline Personality Disorder as demonstrated by both the McLean Screening Instrument for Borderline Personality Disorder (MSI- BPD) score ≥ 7 and clinical confirmation of diagnosis by the study clinician and Medical Monitor Significant suicide risk as defined by (1) suicidal ideation as endorsed on items 4 or 5 on the C-SSRS within the past year, during screening or at baseline, or; (2) suicidal behaviours within the past year, or; (3) history of serious suicide attempt that required a rescuing medical intervention, or; (4) clinical assessment of significant suicidal risk during participant interview Current (within the last year) alcohol or substance use disorder as informed by DSM-5 assessed via the MINI 7.0.2 at screening Other personal circumstances and behaviour judged to be incompatible with establishment of rapport or safe exposure to psilocybin Exposure to 3,4-methylenedioxymethamphetamine (MDMA), psilocybin, or any other psychedelics, such as ayahuasca, mescaline, lysergic acid diethylamide (LSD), or peyote in the past year Primary diagnosis of major depressive disorder within 6 months of study entry Exposure to a traumatic experience in the past 3 months Significant childhood physical or sexual abuse based on clinician judgment with the use of CTQ Enrolment in a psychological therapy programme that will not remain stable for the duration of the study. Psychological therapies cannot have been initiated within 21 days of baseline
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Medical Director, MD
Email
info@compasspathways.com
Facility Information:
Facility Name
Icahn School of Medicine at Mount Sinai
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Carolyn Macleod
Phone
646-438-5044
Email
carolyn.macleod@va.gov
First Name & Middle Initial & Last Name & Degree
Rachel Yehuda, MD
Facility Name
Kings College London, Institute of Psychiatry, Psychology and Neurology
City
London
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
James Rucker, MD
Email
COMP201@kcl.ac.uk

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

The Safety and Tolerability of COMP360 in Participants With Post-traumatic Stress Disorder

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