LSD for people with alcohol use disorder
Official title: Investigating the Efficacy and Microstructural Plasticity of LSD Treatment in Patients With Alcohol Use Disorder: A Multicenter, Double-blind, Randomized, Active-placebo-controlled Phase II Neuroimaging Study.
Run by University Hospital, Basel, Switzerland · NCT05474989 · Data updated 2026-11-12
This study will see if one or two doses of LSD can help adults with moderate to severe alcohol use disorder drink less and stay sober longer compared with an active placebo.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 25 Years and up |
| Sex | All |
| Enrollment | 128 (estimated) |
| Sponsor | University Hospital, Basel, Switzerland Academic / other |
| Locations | 2 sites (Basel and 1 other locations) |
| Status | Recruiting |
| Started | January 27, 2026 |
| Main results expected | October 31, 2028 |
| Study ends | April 30, 2029 |
| Registry record updated | October 7, 2026 |
| Trial ID | NCT05474989 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 25 or older with moderate to severe DSM-5 alcohol use disorder who have completed detoxification within 60 days or been abstinent at least 14 days and want to stop or reduce drinking are the intended participants.
✕Probably not a fit
People with significant alcohol withdrawal at screening, current or a first-degree relative history of psychotic or bipolar disorder, those starting formal AUD treatment during the blinded phase, or those taking disulfiram are excluded and unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 2, randomized, double-blind trial comparing LSD to an active placebo in adults with moderate to severe DSM-5 alcohol use disorder who intend to stop or reduce drinking. Participants must be at least 25 years old and recently detoxified or abstinent, and they receive two administrations during the blinded phase with follow-up assessments up to six months; an open-label phase with additional assessments follows. Outcome measures include self-report drinking measures, standardized questionnaires (e.g., TLFB, OCDS, SIP-2R), biological alcohol markers, and adverse event monitoring. The trial updates and extends historical single-dose LSD research by using modern diagnostics, repeated dosing, biological verification of alcohol use, and blinded controls.
Why it matters
Potential benefit: If successful, this approach could provide a new medication-assisted option that reduces heavy drinking and relapse after detoxification.
How similar studies have gone: Historical trials from the 1950s–60s and a pooled analysis showed a single high dose of LSD reduced alcohol use at three and six months, but those studies used outdated diagnostics and lacked biological measures, so this modern randomized trial builds on promising but limited prior evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key inclusion criteria: * Age ≥ 25 years * Participants must meet the DSM-5 criteria for a moderate to severe alcohol use disorder and must intend to stop or decrease their drinking for at least the duration of the study * Participants must have underwent an alcohol detoxification within the 60 days prior to screening or, in cases where no detoxification is necessary, must have been abstinent for at least 14 days. * A minimum of 4 HDD within the last 30 days before detoxification or cessation of alcohol use (a HDD is defined as 5 or more standard drinks per day for a man and 4 drinks for a woman; a standard drink is defined as 12 g of alcohol) Key exclusion criteria: * Significant alcohol withdrawal symptoms at screening * Participating or starting in any formal treatment for AUD from visit 1 until completion of the double-blind phase * Treatment with disulfiram during the study * Past or present diagnosis of a DSM-5 psychotic or bipolar disorder in subjects or first-degree relatives * Current suicidality or history of a serious suicide attempt
Where it's running
-
University Hospital of Psychiatry, University of Basel
Basel, Switzerland Recruiting -
University Hospital of Psychiatry, University of Bern
Bern, Switzerland Recruiting
Study contacts
- Study coordinator: Felix Müller, PD Dr. med.
- Email: felix.mueller@upk.ch
- Phone: +41 (0)61 325 5111
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.