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Trial Review
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12625000991415
Ethics application status
Approved
Date submitted
21/08/2025
Date registered
8/09/2025
Date last updated
8/09/2025
Date data sharing statement initially provided
8/09/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of the menstrual cycle on low dose psilocybin
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Scientific title
An open-label trial to test menstrual cycle effects and tolerance to low dose psilocybin in healthy menstruating persons (PsiMen).
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Secondary ID [1]
315202
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None
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Universal Trial Number (UTN)
U1111-1322-7473
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Trial acronym
PsiMen
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Menstrual cycle
338647
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Condition category
Condition code
Reproductive Health and Childbirth
334942
334942
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0
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Menstruation and menopause
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Oral psilocybin capsules.
5 mg psilocybin capsules taken orally. Adherence is through supervised administration. One dose administered in each of the ovulatory and luteal phases and three doses administered on consecutive days in the follicular phase.
Follicular visits are timed to the onset of last menses (5-9 days after)
Ovulatory visits are timed from ovulation measured through home ovulation testing (day or day after a positive test)
Luteal visits are timed 10-14 days after ovulation
Sessions will be collected from one menstrual cycle (ideally) but a further two menstrual cycles can be used in the case of missed visits.
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Intervention code [1]
331818
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Treatment: Drugs
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Comparator / control treatment
None
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Psychoactive drug effects
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Assessment method [1]
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Drug Effects Questionnaire (DEQ)
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Timepoint [1]
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Collected at Baseline, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 7 hours post-administration on each dosing day
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Secondary outcome [1]
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Drug concentration
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Assessment method [1]
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Pharmacokinetic parameters of psilocin in blood including Cmax, AUC, T1/2, Clearance and Volume of distribution
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Timepoint [1]
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Blood samples will be taken at Baseline, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6,7 hours post-administration on each dosing day
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Secondary outcome [2]
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Vital signs
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Assessment method [2]
451346
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Blood pressure, heart rate, aural temperature measured using blood pressure monitor and digital tympanic thermometer
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Timepoint [2]
451346
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Taken at Baseline, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6,7 hours post-administration on each dosing day
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Eligibility
Key inclusion criteria
1. Provision of signed and dated informed consent form.
2. Stated willingness to comply with all study procedures and availability for the duration of the study.
3. Aged, 18-46 years.
4. For heterosexually active persons of child-bearing potential: agree to use non-hormonal contraception.
5. To have regular menstrual cycles
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Minimum age
18
Years
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Maximum age
46
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Inability to adequately communicate in English (both written and spoken).
2. Any item 1-13 of the Premenstrual Symptoms Screening Tool scoring above “mild” and any item A-E scoring above mild.
3. Any current psychiatric diagnosis
4. Confirmed diagnosis of (or first degree relative with) schizophrenia or other psychotic disorder, or bipolar I or II disorder.
5. Risk of suicide as determined by The Columbia-Suicide Severity Rating Scale (C-SSRS).
6. Substance dependence in the previous 6 months as assessed by clinical interview with a New Zealand modified version of the NIDA (National Institute of Drug Abuse) Modified Alcohol, Smoking and Substance. Involvement Screening Test (NM-ASSIST).
7. Problematic use of alcohol defined as a score on the Alcohol Use Disorders Identification Test (AUDIT) of 16 or greater.
8. Body Mass Index (BMI) 35.
9. Planned or current pregnancy or lactation.
10. Cardiovascular conditions including abnormal heart rate or blood pressure to be checked at screening. A threshold of exceeding 160 mmHg (systolic) and 90 mmHg (diastolic), averaged across three assessments taken on the screening day will be used. Participants with well-managed hypertension would not be excluded.
11. Significant renal or hepatic impairment.
12. Diagnosed or probable polycystic ovary syndrome (PCOS)
13. Clinically relevant abnormal 12-lead electrocardiogram as judged by a study physician.
14. Clinically relevant abnormal laboratory test findings as judged by a study physician.
15. Any unstable medical or neurological condition.
16. Regular use of any Central Nervous System active medications in the last three months
17. Use of hormonal contraceptives/steroid hormones in the last three months
18. Regular use of any medication/supplements deemed to be contraindicating as judged by a study physician.
19. Treatment with another investigational drug /intervention within the last 3 months.
20. Use of serotonergic psychedelic drugs in the last 3 months.
21. Any other condition judged by the treating clinician as likely to impact on the ability of the participant to complete the trial.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Pharmacokinetics / pharmacodynamics
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
8/09/2025
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Actual
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Date of last participant enrolment
Anticipated
7/08/2026
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Actual
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Date of last data collection
Anticipated
8/12/2026
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Actual
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Sample size
Target
21
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
27311
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New Zealand
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State/province [1]
27311
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Funding & Sponsors
Funding source category [1]
319772
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Charities/Societies/Foundations
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Name [1]
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Auckland Medical Research Foundation
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Address [1]
319772
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Country [1]
319772
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New Zealand
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Primary sponsor type
University
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Name
The University of Auckland
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Address
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Country
New Zealand
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Secondary sponsor category [1]
322279
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None
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Name [1]
322279
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Address [1]
322279
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Country [1]
322279
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
318330
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Southern Health and Disability Ethics Committee
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Ethics committee address [1]
318330
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https://ethics.health.govt.nz/about/southern-health-and-disability-ethics-committee/
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Ethics committee country [1]
318330
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New Zealand
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Date submitted for ethics approval [1]
318330
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29/05/2025
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Approval date [1]
318330
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28/07/2025
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Ethics approval number [1]
318330
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Summary
Brief summary
The menstrual cycle causes major fluctuations in hormones. Changes to progesterone and estrogen in particular are known to dramatically affect not just reproductive systems but brain function. Females are majorly overrepresented in adverse reactions to common medications which suggests that menstrual cycle linked hormones may not just change disorder symptoms but also the response to drug therapies. We will study how the brain’s response to a drug changes over the menstrual cycle. In this study we will examine how the menstrual cycle may change how females are affected by the drug psilocybin. We will study this by taking blood samples and using standardised questionnaires. We will test the hypotheses that the pharmacokinetics and pharmacodynamics of psilocybin are modified across the menstrual cycle. This research may help to improve treatments by taking the menstrual cycle into account and potentially reduce symptoms and adverse reactions over the menstrual cycle.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Suresh Muthukumaraswamy
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Address
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Faculty of Medical and Health Sciences, The University of Auckland. 85 Park Rd, Grafton, Auckland, 1023
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Country
143830
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New Zealand
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Phone
143830
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+64 09 9232787
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Fax
143830
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Email
143830
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[email protected]
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Contact person for public queries
Name
143831
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Suresh Muthukumaraswamy
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Address
143831
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Faculty of Medical and Health Sciences, The University of Auckland. 85 Park Rd, Grafton, Auckland, 1023
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Country
143831
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New Zealand
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Phone
143831
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+64 09 9232787
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Fax
143831
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Email
143831
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[email protected]
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Contact person for scientific queries
Name
143832
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Suresh Muthukumaraswamy
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Address
143832
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Faculty of Medical and Health Sciences, The University of Auckland. 85 Park Rd, Grafton, Auckland, 1023
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Country
143832
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New Zealand
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Phone
143832
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+64 09 9232787
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Fax
143832
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Email
143832
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
Confidentiality
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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