
Reseach & Trials
These studies are currently enrolling participants. If you or someone you know may be eligible, visit the study link or contact our team at enact@yale.edu.

PTSD • Depression • Anxiety • Substance Use

Actively Recruiting
Open-Label Psilocybin Study in Transdiagnostic Population
What This Study Is About:
This is the first psychedelic study designed to reflect real-world patients. Most clinical trials exclude people with multiple diagnoses, but that’s not how mental illness works in practice. We’re investigating psilocybin in individuals with co-occurring conditions — including PTSD, depression, anxiety, and substance use disorders — with a focus on veterans and first responders.
Who May Be Eligible:
Adults experiencing functional impairment related to mood, anxiety, trauma, or addictive symptoms. Unlike most trials, we allow for comorbidity and only exclude based on psychological and physiological safety considerations.

Major Depression

Actively Recruiting
Psilocybin for Major Depressive Disorder UAspire
Sponsor: Usona Institute
Principal Investigator: Benjamin Kelmendi, M.D. (Yale Site PI)
Study Type: Industry-Sponsored, Phase 3, Randomized, Double-Blind, Multicenter
What This Study Is About:
One of the largest psychedelic clinical trials ever conducted. This Phase 3 study evaluates a single 25 mg dose of psilocybin versus placebo in adults with major depressive disorder. The trial includes one-year follow-up and the option for re-administration, providing some of the most comprehensive data on psilocybin’s sustained effects. ENACT serves as a participating site within this landmark multicenter investigation.
Who May Be Eligible:
Adults aged 18+ with a diagnosis of major depressive disorder. Specific eligibility criteria are assessed during screening.

Major Depression — Long-Term Follow-Up

Enrollment Complete — Active
EXTEND — Long-Term Extension Study of CYB003
Sponsor: Cybin / Worldwide Clinical Trials
Principal Investigator: Benjamin Kelmendi, M.D. (Yale Site PI)
Study Type: Industry-Sponsored, Phase 3, Extension Study
What This Study Is About:
A longitudinal extension study for participants who completed the EMBRACE trial. It assesses the long-term safety, tolerability, and durability of response, providing critical data on whether psilocybin’s therapeutic effects persist over time. This kind of long-term follow-up data is essential for both regulatory approval and clinical practice

Major Depression

Enrollment Complete — Active
EMBRACE — CYB003 for Major Depressive Disorder
Sponsor: Cybin / Worldwide Clinical Trials
Principal Investigator: Benjamin Kelmendi, M.D. (Yale Site PI)
Study Type: Industry-Sponsored, Phase 3, Randomized, Double-Blind, Multicenter
What This Study Is About:
A pivotal Phase 3 registration study evaluating CYB003 (a deuterated psilocybin analog) in adults with major depressive disorder. This trial compares two active doses against placebo and is designed to support regulatory approval. ENACT’s participation in this industry-sponsored trial reflects the program’s expanding role in pivotal studies that could bring psychedelic therapies to market.

Obsessive-Compulsive Disorder

Enrollment Complete — Active
Effects of Repeated Psilocybin Dosing in OCD
What This Study Is About:
Building on the findings from our landmark K23 trial, this study investigates whether repeated dosing of psilocybin produces more sustained benefits for OCD than a single dose. The trial uses a randomized, waitlist-controlled design with blinded independent raters, and assesses psychological mechanisms that may mediate psilocybin’s therapeutic effects.


In Development
Neuroimaging Studies
Ongoing and planned neuroimaging work using functional MRI to examine the neural mechanisms underlying psilocybin’s therapeutic effects, with a focus on identifying predictive biomarkers of treatment response.


In Development
Precision Medicine & Biomarker Research
ENACT is developing precision medicine frameworks to understand why some individuals respond powerfully to psychedelic therapy while others do not. This work includes constitutional typology models, biomarker network analysis, and perturbation diagnostics — building toward the ability to match patients with optimal treatment approaches before a session begins.


In Development
Young Adult Psilocybin Study
This forthcoming study will investigate psilocybin-assisted therapy in a young adult population. Eligibility criteria, enrollment timelines, and study design details will be posted as the protocol is finalized and receives IRB approval.


Results Submitted — Completed
NIMH K23 Career Development Award — The First Federally Funded Psychedelic Trial Since 1967
Psilocybin for Treatment-Resistant OCD
Principal Investigator: Benjamin Kelmendi, M.D.
Enrollment: 30 participants (15 psilocybin, 15 placebo)
Funding: National Institute of Mental Health (NIMH K23MH122777, $935K)
About This Study:
This was the first randomized controlled trial of psilocybin for treatment-resistant OCD, and the first clinical psychedelic research funded by the National Institute of Mental Health since 1967. The study investigated a single 25 mg dose of psilocybin versus niacin placebo in adults with severe OCD who had failed multiple prior treatments. The protocol included integrated functional neuroimaging (fMRI) to examine neural mechanisms underlying therapeutic response. All intervention visits and assessments were completed per FDA IND requirements, and the database has been locked. Results have been submitted to a major medical journal.
Why This Study Matters:
Beyond its clinical findings, this trial represented a watershed moment for the field. It demonstrated that psychedelic research could meet the rigorous standards required for federal funding, reopening a door that had been closed since 1967. The successful completion of this study under FDA oversight helped establish the scientific credibility that has enabled ENACT’s subsequent expansion into multiple trials and industry partnerships.
What we Do
Beyond our direct research initiatives, ENACT serves as the operational foundation for the Yale Program for Psychedelic Science. We provide the structural support, methodological frameworks, and collaborative environment that enables the incubation of specialized research divisions. This catalytic role is central to what we do—transforming isolated expertise into interconnected knowledge networks that collectively advance the field."
At ENACT, research is not simply conducted—it is lived, activated, and set in motion. In this dynamic interplay of possibility and action, suspended potential transforms into living reality, where knowledge flows into practice and principles come alive through purpose. Here, ENACT catalyzes research that moves with intention, resonates with meaning, and brings knowledge to life in embrace of the whole person.


Phase 2b trial shows 71% of participants experiencing significant symptom reduction
Oct 15, 2024

Phase 2b trial shows 71% of participants experiencing significant symptom reduction
Oct 15, 2024

Phase 2b trial shows 71% of participants experiencing significant symptom reduction
Oct 15, 2024

Phase 2b trial shows 71% of participants experiencing significant symptom reduction

