Optimizing Microdosing and Meditation (OMM)
Open-label, randomised feasibility trial (n=24) comparing psilocybin microdosing alone versus microdosing plus meditation in healthy adults; four supervised microdoses over two weeks.
Detailed Description
This randomised parallel-group feasibility study (n=24) assesses recruitment, retention, acceptability, safety, and preliminary signals of effect for psilocybin microdosing with and without a group-based meditation programme in healthy adults in Oregon.
Participants receive four supervised 2-hour microdosing sessions across two weeks; one arm also receives morning online meditation practice Monday–Friday and integrates meditation into sessions with group discussion and psychoeducation.
Outcomes include feasibility targets (recruit ≥20/24, ≥80% retention), safety (AEs/SAEs), participant satisfaction, Oura Ring biometric measures (sleep, HRV), PROMIS-29, FFMQ, PSQI, 11-ASC, and qualitative interviews.
Study procedures operate within Oregon's Psilocybin Services framework; investigators study facilitation of services rather than directly providing psilocybin, and participants are informed of legal considerations.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
Microdosing only
experimentalPsilocybin microdosing protocol over two weeks (no meditation).
Interventions
- Psilocybinvia Oral• two sessions per week for two weeks• 4 doses total
Supervised psilocybin microdosing sessions per Oregon Psilocybin Services protocol; dose per service guidelines.
Microdosing + meditation
experimentalSame psilocybin microdosing protocol plus daily group-based meditation practice.
Interventions
- Psilocybinvia Oral• two sessions per week for two weeks• 4 doses total
Supervised psilocybin microdosing sessions per Oregon Psilocybin Services protocol; dose per service guidelines.
- Compoundvia Other• weekday online practice during 2-week intervention
Morning online meditation instruction and practice Monday–Friday plus meditative practice during microdose sessions; group discussion and psychoeducation.
Participants
Inclusion Criteria
- Inclusion Criteria:
- Age 21 or older (Oregon Psilocybin Services Act minimum age 21).
- Able to attend all study events.
- Able to read and speak fluent English.
- No more than 100 hours of lifetime meditation experience.
- No prior experience of microdosing of a psychedelic substance and no more than two macrodose experiences.
Exclusion Criteria
- Exclusion Criteria:
- A personal or family history of an immediate family member of schizophrenia, psychosis of any kind, mania, or hypomania.
- Current prescription for lithium, antipsychotic, Phase II UGT substrate (e.g., diclofenac or probenecid), or unwillingness to taper medications judged to pose interaction risk.
- Active suicidal ideation or history of suicide attempts. (Passive ideation such as "I wouldn't mind if I never woke up again" is permissible.)
- Uncontrolled hypertension or heart disease.
- Any form of personality disorder.
- Current recreational drug use or any form of substance abuse in the previous six months.
- Pregnancy, plans to become pregnant during the study period, or breastfeeding.
- Active cancer treatment.
- Any mental illness currently rated as severe (e.g., PHQ-9 >20, GAD-7 >14, or equivalents) or acute trauma-related symptoms.
Study Details
- StatusWithdrawn
- PhasePhase NA
- Typeinterventional
- DesignRandomized
- Target Enrollment24 participants
- TimelineStart: 2024-10-01End: 2025-11-01
- Compounds
- Topic