UW Psilocybin Pharmacokinetics Study

The primary objective of this clinical trial is to determine the pharmacokinetics of an
extemporaneous oral formulation of psilocybin in normal, healthy adults. This study is
intended to add to the existing body of modern clinical research on psilocybin to support
future multi-institutional Phase III clinical trials seeking to decrease anxiety and
depression in patients with incurable cancer. The long-term goal of this research is to
submit a successful new drug application for psilocybin to the FDA.

Subjects will initially take one 0.3 mg/kg (approximately 20mg/70kg) oral dose of psilocybin
to initiate an eight hour chaperoned outpatient experience. After eight hours of outpatient
sampling, the subject will be transported across the street to the UW Institute for Clinical
and Translational Research Clinical Research Unit (ICTR CRU) for an overnight stay and
additional blood and urine sampling. Pre- and post-treatment psychologic preparation and
debriefing interviews will be required.

A minimum of four weeks after the first dose, the subject will receive a second oral dose of
psilocybin at the higher dose of 0.45 mg/kg (approximately 30 mg/70 kg). This dosing will
again take place in an attended, structured setting with timed blood and urine samples
obtained both in the School of Pharmacy (0-8 hours) and in the UW Clinical Research Unit
(8-24 hours). A minimum of four weeks after the second dose, the subject will receive a
third oral dose of psilocybin at the highest dose of 0.6 mg/kg (approximately 40 mg/70 kg).
This dose will again take place in an attended, structured setting with timed blood and
urine samples obtained both in the School of Pharmacy (0-8 hours) and in the UW Clinical
Research Unit (8-24 hours).

12-lead ECGs will be obtained at specified time points before and during each treatment
period. Throughout the duration of drug action for each dose participants will be attended
by two trained monitors, and a physician will available during the entire 24 hour treatment
and sampling period.

Subjects who have been administered the first dose but decline to receive any subsequent
doses will remain evaluable. At that time their active study participation will end.

Inclusion Criteria:

- Aged 21 - 80 years

- Able to read, speak, and understand spoken English

- Self-report of at least one prior positive hallucinogen drug experience that included
a meaningful altered state of consciousness. Hallucinogenic substances can include
psilocybin, LSD, or other classic hallucinogens.

- Eastern Cooperative Oncology Group (ECOG) performance status of 0 based upon CRU NP
or study physician physical exam, which indicates a subject is fully functioning.

- A woman of childbearing potential must agree to practice an effective means of birth
control during their participation in the clinical trial, up to and including the 90
day follow-up after their last psilocybin dose. Birth control method and written
agreement to practice this method throughout the duration of the study will be
documented on the Medical History Case Report Form. Effective contraception is
defined as the regular use of one of the following:

- Established use of oral, injected, or implanted hormonal methods of
contraception

- Placement of an intrauterine device (IUD) or intrauterine system (IUS)

- Barrier methods: Condom or Occlusive cap used with a spermicide

- female sterilization/hysterectomy (with documentation of surgery)

- post-menopausal (>12 months since last menses at the time of screening)

- Male sterilization (with post-vasectomy documentation)

- True abstinence

- Ability and willingness to adhere to study requirements, including attending all
study visits, preparatory and follow-up sessions, and completing all study
evaluations.

- Agree to refrain from using any psychoactive drugs, including alcoholic beverages and
tobacco, within 24 hours of each drug administration. The exception is caffeine.

- Participants will be required to be non-smokers.

Exclusion Criteria:

- Estimated creatinine clearance <30 ml/min, using the Cockcroft Gault equation and
actual body weight.

- Clinically significant abnormal chemistry or hematologic laboratory results (from a
screen of Complete Blood Count with Differential and Comprehensive Metabolic Panel),
using the UWHC core lab reference intervals.

- Females of childbearing potential with positive urine pregnancy at screening or the
day of the first treatment.

- Clinically significant abnormalities in physical examination.

- Inadequately treated hypertension (systolic blood pressure >140 mmHg or diastolic
blood pressure >90 mmHg).

- Personal history of primary psychotic disorder (unless substance-induced or due to a
medical condition), bipolar affective disorder Type I or Type II, or schizophrenia.

- First or second-degree family history of primary psychotic disorder, bipolar
affective disorder Type I, bipolar affective disorder Type II, or schizophrenia.

- Substance abuse or dependency within the past five years.

- Suicidal ideation or attempt within the past 30 days and/or any prior suicidal
ideation/attempt that the study physician and PI feel makes the participant
unsuitable for the study.

- Urine drug test containing non-prescribed drugs of abuse (non-prescribed opioids,
benzodiazepines, amphetamines, phencyclidine, cocaine) at screening and day of first
treatment. Urine cannabinoid concentrations >50 ng/ml will suggest heavy marijuana
use, and will be a threshold for excluding potential subjects.

- Current use of monoamine oxidase inhibitors or dopaminergic antagonists. Any
prohibited agents must have been stopped at least 5x the elimination half-life of the
specific drug.

- Subject does not have a local support person that is available during their 24 hour
treatment and observation period.

- Concurrent or recent (within 5 years) history of major depression,
obsessive-compulsive disorder, panic disorder, anorexia nervosa, or bulimia nervosa.

- Poor venous access.

- Known acute coronary syndrome or angina.

- Evidence of ischemic disease or ventricular arrhythmias on screening ECG.

- Cardiac conduction defects on screening ECG.

- Cardiac transplantation as determined by self-report during review of medical
history.

- Lactose intolerance (excipient in psilocybin capsules)

- Type I or insulin-dependent Type II diabetes.

- Prescription medicine requiring dosing during the 8 hours of drug action.

- Current or recent (past 5 years) seizure disorder as determined by self-report during
medical history and physical exam.

- Chronic or frequent migraines.

- Regular or frequent use of benzodiazepines.

- Attention Deficit Hyperactivity Disorder (ADHD) or Attention Deficit Disorder (ADD).

- Regular or frequent use of stimulants.

- Generalized Anxiety Disorder (GAD).

- Post-Traumatic Stress Disorder (PTSD).

- Neuroleptic medications.

- Any physical or psychological symptom, based on the clinical judgment of the study
physician and/or psychologist , that would make a participant unsuitable for the
study.

- Any use of a medication(s), based on the clinical judgment of the study physician,
that would make a participant unsuitable for the study.

- Any finding(s), based on the screening process, that the PI feels makes the
participant unsuitable for the study.