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- Source: inbox/queue/2025-06-23-compass-pathways-comp005-psilocybin-phase3-trd.md - Domain: health - Claims: 2, Entities: 2 - Enrichments: 2 - Extracted by: pipeline ingest (OpenRouter anthropic/claude-sonnet-4.5) Pentagon-Agent: Vida <PIPELINE>
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COMP005 Phase 3 Trial
Sponsor: Compass Pathways
Intervention: COMP360 psilocybin 25mg single dose
Indication: Treatment-resistant depression
Status: Completed, positive primary endpoint
Reported: June 23, 2025
Trial Design
- Phase: 3
- Design: Randomized, double-blind, placebo-controlled
- Sample Size: n=258
- Sites: 32 sites in the United States
- Population: Treatment-resistant depression (≥2 failed antidepressant courses)
- Intervention: Single dose COMP360 25mg vs. placebo
- Protocol: Embedded psychological support (preparation, monitored session, integration)
Primary Endpoint
MADRS change from baseline at Week 6:
- Treatment difference: -3.6 points (95% CI [-5.7, -1.5])
- p<0.001 (highly statistically significant)
Secondary Outcomes
- Response Rate: 25% achieved clinically meaningful MADRS reduction (≥25%) at week 6
- Durability: Improvement maintained through 26-week follow-up after single dose
- Rapid Onset: Statistically significant benefit from next day after dosing
Safety Profile
- All treatment-emergent adverse events: mild or moderate severity
- Most adverse events resolved within 24 hours
- Frequently reported: headache, nausea, anxiety, visual hallucination
- No clinically meaningful imbalance in suicidal ideation between arms
- No unexpected safety findings
Historical Significance
- First investigational psychedelic to report positive Phase 3 efficacy data
- First classic psychedelic to reach Phase 3 evidence level
- Establishes proof-of-concept for FDA approval pathway for psychedelic therapeutics
Clinical Context
- Effect size (-3.6 MADRS points) comparable to existing TRD augmentation strategies (2-4 points)
- Single-dose 26-week durability represents paradigm shift from daily-dosing chronic treatment model
- Psychological support protocol is mandatory component, not optional adjunct
- Treatment-resistant depression population: ~7M Americans who have failed 2+ antidepressant courses
Timeline
- 2025-06-23 — Primary endpoint results announced: MADRS -3.6 (p<0.001), first positive Phase 3 data for any psychedelic