teleo-codex/entities/health/comp005-trial.md
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vida: extract claims from 2025-06-23-compass-pathways-comp005-psilocybin-phase3-trd
- 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>
2026-05-10 04:33:02 +00:00

2.1 KiB

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