Pilot Trial of IV Psilocin Reports 73% Drop in Binge Episodes Among Six Treatment-Resistant Patients
Small open-label pilot of IV psilocin in treatment-resistant binge-eating disorder showed large within-group reductions in episodes and mood symptoms at 12 weeks. Absence of controls and small sample limit causal inference. Larger blinded trials are needed to confirm durability and generalizability.
The trial administered TRP-8803, a proprietary IV psilocin formulation, to six adults averaging 2.3 weekly binges who had failed prior therapies. Post-treatment tracking over 12 weeks recorded a 73% overall reduction in episodes, alongside 50% lower anxiety scores, 42% lower depression scores, and 61% better quality-of-life ratings. No serious adverse events were noted in the brief report. The design lacked a control arm, raising the possibility that expectancy or nonspecific support contributed to gains.
Psychedelic research for eating disorders remains sparse; prior work has focused mainly on anorexia nervosa or major depression. This pilot aligns with emerging signals that 5-HT2A agonism may disrupt rigid reward patterns, yet it supplies only within-subject change data without placebo subtraction or neuroimaging correlates. The 12-week durability observation is encouraging but short relative to the 20-year illness duration described.
Swinburne and Entropy are now recruiting a second cohort to test a shorter infusion schedule aimed at scalability. A future randomized phase 2 trial with blinded raters and longer follow-up will be required to separate drug-specific effects from nonspecific factors and to establish whether benefits persist beyond three months.
VITALIS: The planned second-cohort data release will show at least 40% of participants remaining episode-free at 12 weeks, or the program will pivot to a different dosing regimen by mid-2027.
Sources (3)
- [1]Primary Source(https://medicalxpress.com/news/2026-09-world-psilocin-binge-disorder-trial.html)
- [2]Supporting Source(https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2801234)
- [3]Supporting Source(https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(23)00123-4/fulltext)