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Control group improvement lower in psilocybin trials for depression

The Brown University Psychopharmacology Update October 10, 2025 DOI: 10.1002/pu.31371 via OpenAlex

Summary

AI-generated from the abstract

A meta-analysis of 17 randomized trials found that control group improvement rates in depression studies were lower in psilocybin trials compared to studies of esketamine or an SSRI. This suggests that psilocybin's overall efficacy for treating depression might be overestimated.

Study at a glance

Characteristics Meta-analysis Randomized Peer reviewed
Sample size 17
Population Participants in randomized trials of depression treatments
Topics Depression Psilocybin Serotonin
Keywords Depression economics Serotonin reuptake inhibitor Randomized controlled trial Clinical trial
Key finding Control group improvement rates in depression studies were lower in psilocybin trials than in esketamine or SSRI trials, suggesting psilocybin's efficacy may be overestimated.

Abstract

A meta‐analysis comprising 17 randomized trials has found that rates of control group improvement in depression studies were lower in psilocybin trials than in studies of esketamine or a selective serotonin reuptake inhibitor (SSRI). The results suggest that psilocybin's overall efficacy in the treatment of depression might be overestimated.

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