Psilocybin With Intracranial Neural Sensing (PINS)
Open-label, single-arm Phase I pilot (n=20) assessing a single 10 mg oral dose of psilocybin in adults with chronic pain who have implanted sensing-capable DBS devices; neural, sensory, and cognitive effects measured.
Detailed Description
This open-label, single-arm pilot study investigates neural, sensory, and cognitive effects of a single 10 mg oral dose of psilocybin in participants with chronic pain who already have implanted sensing-capable deep brain stimulation devices.
Outcomes include multi-site neural recording from ambulatory DBS devices, quantitative sensory and cognitive testing, and self-reported pain; hypotheses are changes in functional connectivity, reductions in clinical and task-based pain, and improved cognition.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
10 mg psilocybin
experimentalSingle oral 10 mg psilocybin in patients with sensing-capable DBS devices.
Interventions
- Psilocybin10 mgvia Oral• single dose• 1 doses total
Single medium oral dose (10 mg).
Participants
Inclusion Criteria
- Currently implanted chronic brain sensing device (such as RC+S or Percept)
- Not currently enrolled in another trial
- Ability to speak and read English
- Able to attend all in-person and virtual visits
- No changes in medication or major surgical procedures anticipated for the trial
- Able to identify someone to accompany from the research unit at the end of drug administration day or agreement to have a study team member accompany them from the research unit
Exclusion Criteria
- A health condition that makes this study unsafe or unfeasible, determined by study physicians
- Use of medication, vitamins, or supplements and unwilling or unable to discontinue medications that have problematic interactions with psilocybin
- Adulthood epilepsy or other seizure disorder
- Require supplemental oxygen
- Medical finding or diagnosis that would make participation in this trial unsafe
Study Details
- StatusEnrolling by invitation
- PhasePhase I
- Typeinterventional
- DesignNon-randomized
- Target Enrollment20 participants
- TimelineStart: 2025-05-01End: 2028-04-30
- Compound
- Topic