Drug Effects on Mood and Behavior – Expectancy (MESA-X)
Early Phase I, randomised, placebo-controlled single-session study (n=48) testing a low (13 µg) dose of LSD versus placebo under known versus uncertain drug-identity instructions (balanced placebo design).
Detailed Description
This single-session, parallel-group balanced placebo study (N=48) examines pharmacological versus expectancy effects of a marginally detectable LSD dose (13 µg) in healthy volunteers.
Participants are randomised to one of four conditions (Known-Drug; Known-Placebo; Uncertain-Drug; Uncertain-Placebo) and attend a single 4-hour laboratory session; outcomes include subjective and behavioural responses to drug and expectancy manipulations.
The design separates pharmacological effects of microdose LSD from expectancy-driven effects to better understand microdosing claims.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
LSD (known)
experimentalLSD (13 µg) in tasteless solution; participants told they receive LSD.
Interventions
- LSD13 µgvia Oral• single dose
LSD tartrate in tasteless solution (0.13 mL).
LSD (uncertain)
active comparatorLSD (13 µg) in tasteless solution; participants told they might receive stimulant, sedative, low-dose hallucinogen, or placebo.
Interventions
- LSD13 µgvia Oral• single dose
LSD tartrate in tasteless solution (0.13 mL).
Placebo (known)
inactivePlacebo (distilled water); participants told they receive placebo.
Interventions
- Placebo0.13 mlvia Oral• single dose
Distilled water (0.13 mL).
Placebo (uncertain)
inactivePlacebo (distilled water); participants told they might receive stimulant, sedative, low-dose hallucinogen, or placebo.
Interventions
- Placebo0.13 mlvia Oral• single dose
Distilled water (0.13 mL).
Participants
Inclusion Criteria
- Inclusion Criteria:
- English fluency
- High school education or higher
- BMI between 19-30 kg/m2
Exclusion Criteria
- Exclusion Criteria:
- Individuals with a medical condition contraindicating study participation as determined by the study physician (e.g., liver disease, abnormal EKG, liver or cardiovascular disease)
- High blood pressure (>140/90)
- Current suicidal ideation or suicide attempt in past 12 months
- Past year severe substance use disorder
- Personal or first-degree relative with history of psychosis
- Currently taking any psychiatric medication (for conventional antidepressants must be off for ≥ 2 weeks)
- Active panic disorder
- Severe obsessive-compulsive disorder
- Severe post-traumatic stress disorder
- Women who are pregnant or planning to become pregnant
Study Details
- StatusRecruiting
- PhasePhase I
- Typeinterventional
- DesignRandomizedtriple Blind
- Target Enrollment48 participants
- TimelineStart: 2025-06-26End: 2026-06-05
- Compounds
- Topic