BJPsych Open
February 16, 2026
Zeina Beidas, Anya Ragnhildstveit, Adam Blackman et al.
1 citation
This is a protocol for a phase II trial testing whether very low doses of psilocybin (2 mg, a microdose) can safely and effectively treat major depressive disorder. Forty adults with MDD will receive either psilocybin or a placebo once weekly for four weeks, then all will receive psilocybin for another four weeks. The trial will measure changes in depression symptoms, mood, well-being, attention, creativity, mindfulness, and pro-sociality. Results will be published regardless of outcome. The findings are expected to guide future research on dose regimens, effect sizes, and the role of expectancy bias, and to inform debates about sub-threshold versus threshold doses of psilocybin.
BJPsych Open
May 13, 2026
Zeina Beidas, Anya Ragnhildstveit, Adam Blackman et al.
This is a correction notice for a previously published study protocol. The original protocol describes a phase II double-blind placebo-controlled randomised partial crossover trial investigating microdosing psilocybin for major depressive disorder. No new findings or data are presented.
Research Square
February 23, 2026
Rotem Petranker, Norman Farb, Omer A. Syed et al.
Repeated low doses of psilocybin were safe and well tolerated in adults with major depressive disorder but did not show greater antidepressant effects than placebo. In a randomized, double-blind trial, 39 participants received either 2 mg psilocybin or placebo weekly for four weeks. Both groups reported similar reductions in depression scores on the PHQ-9 (psilocybin: -5.4; placebo: -6.0) and other measures. The microdose-first group showed slightly more improvement on a dysfunctional attitudes scale than the placebo-first group. No serious adverse events occurred, and symptom reductions continued during an open-label phase. Trial participation itself contributed to clinically meaningful improvement.
November 16, 2025
Zeina Beidas, Anya Ragnhildstveit, Adam Blackman et al.
preprint
A phase II trial will test whether microdosing psilocybin (2 mg weekly) outperforms placebo for major depressive disorder. Forty adults will receive either psilocybin or placebo for four weeks, then all will receive psilocybin for another four weeks. Depression symptoms and other measures will be assessed at baseline, after four weeks, and after eight weeks, with follow-ups for two years. The study aims to clarify whether microdosing has genuine antidepressant effects or whether benefits are due to expectancy, and to inform future dose regimens and the therapeutic role of sub-threshold versus threshold doses.