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TESTING LSD FOR ANXIETY TREATMENT

Researchers Tested LSD As A Treatment For Anxiety

Legal Clinical Research With LSD Almost Stopped After The 1970s

Licensed Trials Have Been Running Again For Years

One Of Them Treated Adults With Generalised Anxiety Disorder

Each Person Swallowed A Single Measured Dose

Some Of Them Were Given A Placebo Instead

Trained Raters Scored Their Anxiety Weeks Afterwards

Whether One Dose Is Enough Is Still Being Tested

THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.

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WHAT THE TRIAL DID 🧫

The Compound Tested Was Lysergide D Tartrate

Its Development Code Is MM120

The Trial Was Phase 2b

It Was Multicentre And Randomised

The Design Was Double Blind And Placebo Controlled

198 Adults Were Randomised Into It

194 Of Them Entered The Full Analysis Set

Every Participant Had Moderate To Severe Generalised Anxiety Disorder

Each One Received A Single Dose

Four Dose Levels Were Tested Against Placebo

The Lowest Was 25 Micrograms And The Highest Was 200 Micrograms

Two Middle Levels Of 50 And 100 Micrograms Completed The Set

A Second Dose Was Not Part Of The Design

Psychotherapy Was Not Part Of The Treatment

Dosing Session Monitors Were Prohibited From Providing It

Participants Already In Therapy Could Continue

Its Design Also Fixed What Would Be Measured

The Primary Endpoint Was A Dose Response Relationship

Researchers Assessed It With A Modelling Method

The Measure Was Change In A Hamilton Anxiety Score

That Change Was Read At Four Weeks

The Design Named That Timepoint In Advance

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WHAT IT FOUND 📉

Two Dose Groups Separated From Placebo At Four Weeks

The 100 Microgram Group Was One Of Them

Its Least Squares Mean Difference Was Minus 5.0 Points

The Confidence Interval Ran From Minus 9.6 To Minus 0.4

That Interval Does Not Cross Zero

The Result Was Therefore Statistically Significant

Its Nearer Bound Is Only Four Tenths Of A Point

A Wide Interval Leaves The Size Of The Effect Uncertain

The 200 Microgram Group Did Better On Both Counts

That Difference Was Minus 6.0 Points

Its Interval Ran From Minus 9.8 To Minus 2.0

Response Meant An Anxiety Score Cut By Half

It Was Measured Again At Twelve Weeks

65.0% Of The 100 Microgram Group Reached It

62.5% Of The 200 Microgram Group Did Too

30.8% Of The Placebo Group Reached It As Well

Remission Rates Were 47.5% And 45.0% Against 20.5%

Those Run In The Same Order As The Response Figures

Placebo Response Was Not Small In Either Measure

The Same Trial Recorded Its Adverse Events

Visual Perceptual Changes Were The Most Common Adverse Event

They Affected 92.5% Of The 100 Microgram Group

Nausea Affected 40% And Headache 35%

Most Of Those Resolved By The End Of The Dosing Session

The Authors List Their Own Limitations

Perceptible Drug Effects Could Unblind A Participant

Interpersonal Interaction Could Confound The Result

Dropout Was Slightly Higher Than In Similar Studies

The Rate Was Similar Across Groups

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WHAT A DESIGNATION IS NOT 🚦

The Food And Drug Administration Granted Breakthrough Designation

That Happened On 7 March 2024

Generalised Anxiety Disorder Was The Named Indication

Such A Designation Is Meant To Expedite Development And Review

It Is Not An Approval

Two Phase 3 Studies Followed

The First Is Called Voyage

Voyage Enrolled 214 Adults In The United States

The Second Is Called Panorama

Panorama Runs In The United States And Europe

It Aims To Enrol About 250 Participants

Panorama Adds A 50 Microgram Group

Both Measure Anxiety Scores At Twelve Weeks

Voyage Reported Its Result On 12 August 2026

Its Participants Took A Fast Dissolve Tablet Of LSD

Anxiety Scores Fell 11.6 Points On A Single 100 Microgram Dose

The Placebo Group Fell 6.2 Points

That Difference Of 5.4 Points Was Statistically Significant

A Different Compound Reached The Approval Stage First

MDMA Was Submitted For Post Traumatic Stress Disorder

A Complete Response Letter Arrived In August 2024

The Therapy Was Not Approved

That Compound Is Not Lysergic Acid Diethylamide

An Application Can Still Be Declined

Topline Data From Panorama Is Expected In September 2026

The End

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