studies speculative

Pilot study of the 5-HT2AR agonist psilocybin in the treatment of tobacco addiction

80% of participants were biologically confirmed abstinent from smoking at six months — a remarkably high rate compared with conventional cessation therapies, though in a tiny uncontrolled sample.

Johnson, Garcia-Romeu, Cosimano, Griffiths January 1, 2014

Key finding — 80% of participants were biologically confirmed abstinent from smoking at six months — a remarkably high rate compared with conventional cessation therapies, though in a tiny uncontrolled sample.

Study at a glance

FieldDetail
InstitutionJohns Hopkins University
DesignOpen-label pilot study
Sample size15 participants
InterventionPsilocybin sessions embedded in a cognitive-behavioral smoking-cessation program
Year2014
ConditionTobacco addiction
JournalJournal of Psychopharmacology
Evidencespeculative

Limitations

Very small, open-label, no control group, and combined with intensive behavioral therapy — the drug's specific contribution cannot be isolated.

Editorial note

A small but widely discussed pilot suggesting psilocybin might help with smoking cessation. The striking abstinence rate generated enthusiasm, but the uncontrolled design means it remains a promising lead rather than evidence.

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Summary written by MMI Editorial for clarity. Always consult the primary source for full methodology and results. The confidence rating reflects our assessment of evidence strength.