Long-term safety and effectiveness study of CYB003 (deupsilocin besilate) with optional additional doses for people with Major Depressive Disorder

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What is this study about?

This clinical trial focuses on studying a medication called CYB003 for people with Major Depressive Disorder. The medication contains deupsilocin besilate and comes in capsule form that is taken by mouth. The study aims to examine how long the medication’s benefits last after initial treatment and whether additional doses might help maintain its effectiveness.

The study is designed as a long-term extension trial, which means it continues to follow participants who have completed previous studies of the same medication. During the trial, participants may receive up to three additional doses of CYB003 while continuing their regular antidepressant medication. The maximum daily dose of the study medication is 16 milligrams, and the treatment period can last up to 43 days.

Throughout the study, researchers will monitor how well participants maintain their improvement in depression symptoms and how quickly symptoms might return, if at all. They will also track whether participants who didn’t respond well to the initial treatment might benefit from additional doses. The study will evaluate both the safety of the medication and how well it works over a longer period.

1 Initial qualification

You must have completed either the APPROACH or EMBRACE trial and received both doses of trial medication

You need to maintain the same antidepressant medication at a stable dose that you took during the previous 12-week trial

A pregnancy test will be required for female participants at baseline and before each dose administration

2 Treatment requirements

The medication (CYB003) will be given as oral capsules

You may receive up to 3 additional doses during this extension trial

You must refrain from nicotine use for up to 8 hours during dosing sessions

If you are currently in psychotherapy, you must maintain the same frequency and setting throughout the trial

3 Safety measures

If you can produce sperm, you must use a condom plus spermicide during the trial and for 12 weeks after your final dose

If you can become pregnant, you must use highly effective birth control during the trial and for 12 weeks after your final dose

Your partner must also follow these contraception requirements if applicable

4 Monitoring period

Your depression symptoms will be regularly assessed using the MADRS (Montgomery-Åsberg Depression Rating Scale)

The trial will monitor how long it takes before symptoms might return

The study will track if you maintain improvement or need additional doses

Regular evaluations will continue until the trial ends in September 2027

Who Can Join the Study?

  • Must have completed either the APPROACH or EMBRACE trial and received both doses of trial medication
  • Must have maintained the same antidepressant medication at a stable dose throughout the previous 12-week trial
  • If currently in therapy, must agree to continue with the same frequency and setting throughout the trial
  • Must be able to avoid using nicotine for up to 8 hours during dosing sessions
  • Male participants who can produce sperm must use both condom and spermicide if their partner can become pregnant, continuing for 12 weeks after the final dose
  • Female participants who can become pregnant must use highly effective birth control (with less than 1% failure rate) along with their partner using condom and spermicide, continuing for 12 weeks after the final dose
  • Female participants must have a negative pregnancy test at the start of the trial and before each dose
  • Women who may have entered menopause during the previous trial must continue following contraception requirements
  • Must provide written informed consent and agree to follow all study requirements

Who Cannot Join the Study?

  • Current diagnosis of any psychiatric disorder other than Major Depressive Disorder
  • History of substance abuse or dependence within the past 6 months
  • Significant risk of suicide as determined by clinical assessment
  • Presence of any unstable medical condition that could interfere with study participation
  • Previous failure to respond to three or more antidepressant treatments
  • Use of any investigational drug within 30 days before screening
  • Pregnant women or women planning pregnancy during the study period
  • Breastfeeding women
  • History of seizures or any other neurological disorder
  • Current use of medications that could interact with the study medication
  • Inability to comply with study procedures or visits
  • Any condition that, in the investigator’s opinion, makes the patient unsuitable for the study
  • History of severe allergic reactions to medications
  • Abnormal laboratory test results that are clinically significant
  • Participation in another clinical trial within the past 30 days

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

No sites found in this category

Other Sites

Site Name City Country Status
Mtz Clinical Research Powered By Pratia Warsaw Poland
INEP medical s.r.o. Prague Czechia
Promente Sp. z o.o. Bydgoszcz Poland
A-Shine s.r.o. Plzen Czechia
Uniwersytecki Szpital Kliniczny W Bialymstoku Bialystok Poland
General Hospital Of Thessaloniki Papageorgiou Thessaloniki Greece
Central Institute of Mental Health Mannheim Germany
Charite Universitaetsmedizin Berlin KöR Berlin Germany
Saarland University Hospital Homburg Germany
Instytut Psychiatrii I Neurologii Warsaw Poland
Eginitio Hospital Athens Greece
La Nua Day Hospital Mental Health Centre Galway Ireland
Tallaght Adult Mental Health Service Dublin Ireland
Ckdgakk Bfftq Kndekcvtukf Pultrmxq Sic z oyvg Gdansk Poland
Pblah sykzlb Prague Czechia
Gthrqf Uktxnhewnr Fzyxwhohj Frankfurt Germany
Uxmsovfkwxqdee Cmhjvgs Kreizlcbn Gdansk Poland
Uiclkwcvyc Gxkrswo Hbonvxxj Ahkmeyq Athens Greece

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Czechia Czechia
Not yet recruiting
22.08.2025
Germany Germany
Not yet recruiting
22.08.2025
Greece Greece
Not yet recruiting
22.08.2025
Ireland Ireland
Not yet recruiting
22.08.2025
Poland Poland
Not yet recruiting
22.08.2025

Trial locations

CYB003 is a novel psychedelic compound being studied for the treatment of major depressive disorder (MDD). The medication is designed to help people who experience symptoms of depression. It works by affecting certain brain pathways that regulate mood and emotional processing. This investigational therapy aims to provide longer-lasting relief from depressive symptoms compared to conventional antidepressant treatments.

Major Depressive Disorder – A common mental health condition characterized by persistent feelings of sadness, loss of interest in activities, and changes in daily functioning. The condition affects a person’s thoughts, feelings, behavior, and physical well-being, often leading to difficulties with sleep, appetite, energy levels, and concentration. It typically involves periods of low mood lasting at least two weeks, during which normal daily activities become increasingly challenging. The disorder can develop gradually and may be triggered by life events, though sometimes it occurs without an obvious cause. MDD can affect people of any age and may involve cycles of better and worse periods.

Trial ID:
2024-516805-22-00
Protocol code:
CYB003-004
NCT ID:
NCT06605105
Trial Phase:
Therapeutic confirmatory (Phase III)

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