Drug intelligence / Profile preview

psilocybin + psilocin

Development stage
Unknown
Lead developer
COMPASS Pathways
Modality
Small Molecules
Administration
Oral
01

Overview

Psilocybin and psilocin are psychedelic tryptamine compounds derived from Psilocybe cubensis mushrooms, currently being investigated by the Federal University of Latin American Integration for the treatment of treatment-resistant major depressive disorder (TRD). Psilocybin acts as a prodrug that is rapidly dephosphorylated into psilocin, which serves as a potent agonist at the serotonin 5-HT2A receptor. This activation is thought to promote neuroplasticity and alter functional connectivity in the brain, potentially leading to rapid and sustained antidepressant effects. The specific clinical trial context involves a Phase 2a pilot study evaluating the safety and efficacy of these compounds when administered in a psychotherapy-assisted framework, specifically exploring the impact of concurrent fluoxetine (an SSRI) on the psychedelic experience and therapeutic outcomes.

Other names
Psilocybe cubensis extractPsilocybin and PsilocynMagic mushrooms
02

Targets

SERT (Sodium-dependent serotonin transporter)HTR2A (Serotonin receptor 5-HT2A)HTR2C (5-hydroxytryptamine 2C receptor)HTR2B (5-Hydroxytryptamine Receptor 2B)HTR1A (Serotonin receptor 1A (5-hydroxytryptamine receptor 1A))

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