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Single IV Dose of DMT Shows Rapid, Lasting Antidepressant Effects in Small Trial

The drug’s brief, minutes-long effects may offer a more practical model for psychedelic-assisted care.

Overview

  • A Phase IIa randomized, double-blind, placebo-controlled trial at Imperial College London enrolled 34 adults with moderate-to-severe major depressive disorder.
  • Participants receiving an intravenous DMT infusion with psychotherapeutic support showed significant improvement within a week versus placebo, including an average seven-point greater drop on a standard depression scale at two weeks.
  • Group-level benefits persisted through three months, some participants remained in remission at six months, and a second dose conferred no clear added benefit.
  • The treatment was generally well tolerated, with mild-to-moderate short-lived effects such as nausea, transient anxiety, and infusion-site pain, plus brief rises in heart rate and blood pressure, and no serious adverse events reported.
  • Researchers caution that the small sample and potential unblinding limit certainty, calling for larger, longer, comparative studies as the findings, published in Nature Medicine, face a cautious regulatory climate for psychedelics.