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Ezekiel Emanuel

Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

3 papers in the library · 54 citations · publishing 2023-2025

Papers

Assessment of Psilocybin Therapy for Patients With Cancer and Major Depression Disorder

JAMA Oncology April 13, 2023 Manish Agrawal, Ezekiel Emanuel, Brian D. Richards et al. 48 citations

In a nonrandomized controlled trial, psilocybin was administered to groups of patients with cancer who also had major depressive disorder, using a one-to-one therapist-to-patient ratio. The aim was to develop a scalable, rapidly effective depression treatment. The trial suggests that this approach may offer a feasible model for delivering psilocybin therapy to larger numbers of patients while maintaining therapeutic support.

Long‐term benefits of single‐dose psilocybin in depressed patients with cancer

Cancer June 15, 2025 Manish Agrawal, Kim Roddy, Betsy Jenkins et al. 4 citations

A single 25 mg dose of psilocybin combined with psychotherapy provided long-term relief from depression and anxiety in patients with cancer. Two years after treatment, over half of the 28 patients showed significant reduction in depression, with an average 15-point drop on the Montgomery Asberg Depression Rating Scale, and half maintained that improvement. Nearly half also experienced significant anxiety reduction, averaging a 13.9-point decrease on the Hamilton Anxiety Rating Scale, with 43% sustaining the benefit. The findings indicate a potentially paradigm-changing alternative to standard antidepressants for this population.

Long term efficacy of psilocybin in patients with cancer and major depressive disorder (MDD).

Journal of Clinical Oncology June 1, 2023 Manish Agrawal, Sarah Shnayder, Heather Honstein et al. 2 citations

A single dose of psilocybin combined with group and individual psychological support led to long-term relief from depression in cancer patients with major depressive disorder. At 18 months, 64.2% of patients showed a clinical response (at least 50% reduction in depression scores) and 57.1% achieved full remission. Depression and anxiety severity scores continued to decrease from baseline to 8 weeks and through 18 months. The findings suggest psilocybin-assisted therapy may be an effective treatment for depression in people with cancer.