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Compass reports Phase 3 psilocybin COMP360 results as “promising yet modest,” plus US legislative updates and Helus DMT depression data

The Microdose · Feb 20, 2026 · jane c. hu
TL;DR

Psilocybin and DMT therapy updates headline the newsletter, with Compass reporting results from its second Phase 3 trial of COMP360 (synthetic psilocybin) for treatment-resistant depression. Compass says two 25 mg doses produced a statistically significant, clinically meaningful reduction versus 1 mg placebo, using MADRS score changes and a reported response threshold based on a 25% decrease. The newsletter also highlights criticism from researchers about how “clinically meaningful” and “response” definitions may have shifted compared with earlier work. The issue also covers US policy momentum: Missouri hearings consider ibogaine research and a supervised psilocybin pathway for certain conditions, while New Hampshire advances a state-run medical psilocybin program. A related research note summarizes a Nature Medicine Phase 2a study suggesting Helus’s IV DMT formulation may reduce depression symptoms, with implications for an intramuscular DMT program.

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Published Feb 20, 2026 · Added Mar 14, 2026