NCT05403086

Pragmatic Trial of Psilocybin Therapy in Palliative Care (PT2PC): A Multicenter Triple-blind Phase 2 Randomized Controlled Trial of Psilocybin Therapy for Demoralized Adults Near the End of Life

Extracted Fields (from Registry)
Protocol IDNCT05403086
Registration Date2022-06-03
Statusrecruiting
SponsorCharles S. Grob, M.D.
CountryUnited States
Industrynot industry
Blindingblinded
Center Typemulticenter RCT
Scopenational RCT
First Patient In2025-01-19
Last Patient Out2027-12-31
Publicationn
Gender %ALL
Mean Age18 Years -
LLM Classifications (Side-by-Side)
Field CLAUDE
claude-sonnet-4-20250514
Thinking: claude-opus-4-20250514
5049ms / 10979 tok
OPENAI
gpt-4o
Thinking: o3
6480ms / 9429 tok
GLM
glm-5.1
6528ms / 9639 tok
Review
rct_type parallel RCT parallel RCT parallel RCT OK
cancer_status non-cancer non-cancer non-cancer OK
non_cancer_spec N/A N/A → early palliative care → N/A
shaky reasoning
✓ Unanimous Initial: N/A Requery: early palliative care — This study targets adults near the end of life with any life-threatening illness receiving palliative care, representing early integration of palliative care across multiple disease types rather than focusing on one specific condition. Thinking: N/A — Study includes mixed palliative care population with ≤2 years life expectancy without focusing on a specific disease category.
N/A early palliative care → N/A → N/A
shaky reasoning
✓ Unanimous Initial: early palliative care Requery: N/A — The study focuses on demoralization in a mixed or general population with life-threatening conditions without specifying a non-cancer category. Thinking: N/A — Population includes adults with any life-threatening illness near end of life (mixed cancer and non-cancer), so no single non-cancer category applies.
N/A N/A → N/A
shaky reasoning
✓ Unanimous Initial: N/A Requery: N/A — The study targets adults near the end of life with a life-threatening illness and is disease-agnostic rather than focusing on a single specific non-cancer condition.
OK
setting_patient outpatient outpatient outpatient OK
setting_place other other other OK
feasibility fully powered RCT fully powered RCT fully powered RCT OK
intervention_pharmacologic yes yes yes OK
intervention_chemo_immuno_radio no no no OK
intervention_complementary no no no OK
intervention_device no no no OK
intervention_psychological yes yes yes OK
intervention_complex yes yes yes OK
intervention_acp no no no OK
intervention_music no no no OK
intervention_screening no no no OK
intervention_palliative no yes → no
shaky reasoning
✓ Unanimous Initial: yes Requery: no — This study tests psilocybin therapy as a pharmacologic intervention for demoralization in palliative care patients, making palliative care the setting rather than the intervention being tested.
no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — The trial tests psilocybin therapy versus ketamine, not a palliative care intervention.
no yes
shaky reasoning
✓ Unanimous Initial: yes
OK
intervention_education no no no OK
intervention_digital no no no OK
intervention_other no no no OK
outcome_symptom yes yes yes OK
outcome_qol yes yes yes OK
outcome_dignity yes yes yes OK
outcome_cost no no no OK
outcome_other no yes → no
shaky reasoning
✓ Unanimous Initial: yes Requery: no — All outcomes focus on psychological symptoms (demoralization, depression, anxiety), quality of life measures, spiritual well-being, and pain - which all fall within the symptom/QoL categories.
no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — All specified primary and secondary outcomes focus on symptom management, including demoralization, depression, anxiety, and quality of life, which fall within the symptom/QoL/dignity categories.
no yes → no
shaky reasoning
✓ Unanimous Initial: yes Requery: no — All primary and secondary outcomes measure symptoms, quality of life, or spiritual well-being, which fall under the symptom/QoL categories.
OK
pharmacologic_sub controlled substances controlled substances controlled substances OK
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