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Psilocybin

Phase 2

Hospice | Small molecule | Oncology |Smith & Nephew SNATS, Inc.|Last Updated: Feb 17, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment15
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04950608Pilot Study of Psilocybin-Assisted Therapy for Demoralization in Patients Receiving Hospice CarePHASE2 COMPLETED 15Mar 9, 2022Dec 31, 2025Feb 17, 20261 United States
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Study Endpoints
Primary Endpoints
Number of Participants Screened Per Study Period
Through study completion, through 22 months

This measurement will assess enrollment feasibility based on the screening log.

Eligible Population
Through study completion, over 22 months

Number of screened hospice patients who met pre-eligibility criteria and were approached for consent

Number of Participants Enrolled Over Study Period
Through study completion, over 22 months

This measurement will assess enrollment feasibility based on the screening log.

Average Time From Screening to Enrollment
From date of screening until the date of enrollment, assessed up to 12 months

This measurement will assess enrollment feasibility based on the screening log.

Number of Therapy Sessions Completed by Enrolled Participants
Through study completion, a period of 22 months

Therapy sessions included 5 sessions: 2 preparation visits (V1 and V2), dosing (V3) and 2 integration visits (V4 and V5)

Mean Score of Acceptability Ratings on Reactions to Research Participation Questionnaire Revised (RRPQR)
At Week 1 post dosing session

The RRPQ-R is a validated 23-item instrument designed to assess participants' experiences and perceptions of research participation. It comprises five subscales: participation (7 items, range 7-35), personal benefit (5 items, range 5-25), emotional reactions (6 items, range 6-30), perceived drawbacks (3 items, range 3-15), and global evaluation (2 items, range 2-10). Items are rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Higher scores on participation, personal benefit, and global evaluation indicate more positive perceptions, while higher scores on emotional reactions and perceived drawbacks reflect greater negative emotional or practical impact. A total score can be calculated by summing across all items (range 23-115), with higher scores reflecting more favorable overall experiences of research participation.

Secondary Endpoints
Change in Global Quality Life Score as Assessed by Functional Assessment of Chronic Illness Therapy - Palliative Care 14 (FACIT-Pal 14)
At Baseline, and weeks 1, 3, and 7
Change in Physical Domain Score as Assessed by PROMIS Pain Interference Scale (PIS)
At Baseline, and weeks 1, 3, and 7
Change in Hospital Anxiety and Depression Scale (HADS A and D) Score
At Baseline, and weeks 1, 3, and 7
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PATHEXPERIMENTALThe research study procedures include screening for eligibility, and study intervention including preparation, evaluations, one psilocybin session and follow up visits. -The treatment regimen consists of a single administration of psilocybin 25 mg orally combined with a supportive psychotherapy including 2 preparation sessions and 2 integration sessions
Interventions
NameTypeDescription
PsilocybinDRUGOral, single administration, dosage 25 mg orally
PsychotherapyBEHAVIORALThe treatment regimen consists of a single administration of psilocybin orally combined with a supportive psychotherapy including 2 preparation sessions and 2 integration sessions
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Eligibility Criteria
Age Range21 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Patients enrolled in hospice care at home * Age ≥ 21 years. * Any terminal illness with respect of exclusion criteria * Palliative Performance Scale (PPS) ≥ 50 % (see Appendix A) * Moderate-to-severe demoralization as measured by Demoralization Scale-II ≥ 8 * Significant other...

Countries:United States
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