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Lead program: Phase III
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Reunion Neuroscience

Data updated

Toronto, Ontario, Canada, Canada
4 Drug Candidates

Reunion Neuroscience is a private, Toronto-based clinical-stage biopharmaceutical company focused on short-duration, serotonergic psychedelic therapies for postpartum depression, adjustment disorder, and anxiety. Spun out of Field Trip Health in 2022, the company raised a $103M Series A in May 2024 (co-led by Novo Holdings and MPM BioImpact) and went private under CEO Greg Mayes. Its lead asset RE104 (luvesilocin) — a subcutaneous prodrug of 4-OH-DiPT, a psilocybin-like 5-HT2A agonist with shorter duration than psilocybin — met the primary endpoint of its RECONNECT Phase 2 trial for PPD (Aug 2025) and received FDA Breakthrough Therapy Designation on February 23, 2026. A single pivotal Phase 3 trial is planned for 2026.

Pipeline Intelligence

Developer Momentum

Programme tracker
Active candidates
4

All tracked candidates active

Active programmes
4

All tracked programmes active

Lead stage
Phase III

Multiple active stages

Forecast coverage
4 of 4

4 active programmes with forecast fields

Latest sourced update

Reunion Neuroscience Programs - RE245

Jun 27, 2026 - company-website - Reunion Neuroscience - RE245

Next known catalyst

Phase III started

Q4 2026 - RE104 (luvesilocin) / RECONNECT — RE104 PPD Phase 2→Phase 3 - Confidence: 65%

11 sources0 pipeline-linked trials0 pipeline-linked papers1 Phase III2 Phase II1 Preclinical

Development Programmes

4

RE104 (luvesilocin)

Psilocybin
Phase III

RE104 (luvesilocin) is a subcutaneously administered prodrug of 4-OH-DiPT (a serotonin 2A agonist) producing a short psychedelic experience. Lead indication: postpartum depression (PPD). RECONNECT Phase 2 met its primary endpoint, FDA granted Breakthrough Therapy Designation in February 2026, and Reunion says it has aligned with FDA on a single pivotal Phase 3 path expected to start in 2026.

Programme Tracker

Peripartum

Primary: US (FDA)
Phase IIIActive

Forecast

Phase III started - Likely: Q4 2026 - Approval eventual: 50%

FDA granted Breakthrough Therapy Designation for luvesilocin in PPD on 2026-02-23 after positive RECONNECT Phase 2 data. Reunion says it has aligned with FDA on a registrational path and expects a single pivotal Phase 3 trial in 2026, with the next public watch item being trial registration or first-patient-in.

Milestones

Phase II started

Completed

Actual: Jul 23, 2024

First patient dosed in RECONNECT Phase 2 (NCT06342310, 38 US sites, 84 patients)

Why it matters: Initiates the pivotal Phase 2 in an under-served indication (PPD affects ~1 in 7 women post-birth)

Watch next: Enrollment completion and topline results

Phase II topline

Completed

Actual: Aug 18, 2025

RECONNECT Phase 2 topline results: statistically significant primary endpoint met — MADRS reduction 23.0 pts at Day 7 (30 mg arm) vs 17.2 pts (1.5 mg control; p=0.0094). Effects observed at Day 1, maintained through Day 28. No serious adverse events.

Why it matters: Clear proof-of-concept in PPD — a significant unmet need; rapid onset (Day 1) differentiates RE104 from standard antidepressants which take weeks

Watch next: EOP2 meeting with FDA and Phase 3 launch

Phase III started

Planned

Likely: Q3 2026

Phase 3 single pivotal trial planned for 2026; FDA indicated one additional Phase 3 trial is sufficient for potential NDA registration following positive EOP2 meeting (December 2025)

Why it matters: Single pivotal trial path minimises risk and cost; if successful, this could be the first psychedelic medicine approved for PPD

Watch next: Phase 3 ClinicalTrials.gov registration and first patient dosing

Regulatory review accepted

Completed

Actual: Feb 23, 2026

FDA granted Breakthrough Therapy Designation to luvesilocin (RE104) for PPD

Why it matters: BTD accelerates development and provides intensive FDA guidance; validates luvesilocin's profile in PPD and strengthens Phase 3 design

Watch next: Phase 3 initiation (2026)

Recorded Events

Feb 23, 2026: Regulatory review accepted

Aug 18, 2025: Phase II topline

Jul 23, 2024: Phase II started

Evidence Links

NCT06342310 — RECONNECT Phase 2 (RE104 PPD)

clinical-trial-registry - ClinicalTrials.gov - May 14, 2026 - Verified

ClinicalTrials.gov registry for RECONNECT Phase 2 PPD study; last update posted 2026-05-14.

Reunion Neuroscience — 2026 Programme Updates and Milestones

Press release - Reunion Neuroscience - Jan 12, 2026 - Verified

RE104 (luvesilocin)

Psilocybin
Phase II

RE104 (luvesilocin) for adjustment disorder (AjD) in adults with cancer and other serious medical illnesses. REKINDLE (NCT07002034) is a randomized, double-blind Phase 2 study; Reunion announced first patient dosed on 2025-09-30 and said topline results are anticipated in 2027.

Programme Tracker

Palliative & End-of-Life Distress

Primary: US (FDA)
Phase IIActive

Forecast

Phase II topline - Likely: Q1 2027

REKINDLE Phase 2 is recruiting in adjustment disorder related to cancer and other medical illnesses. ClinicalTrials.gov lists estimated primary completion in November 2026, and Reunion has guided to topline results in 2027.

Milestones

Phase II started

Completed

Actual: Apr 7, 2025

REKINDLE Phase 2 (NCT07002034) presented at ADAA 2025; study evaluates RE104 in adjustment disorder in cancer and other serious illness

Why it matters: AjD in cancer patients is an under-served and sympathetic regulatory indication with precedent for expedited review

Watch next: Enrollment milestone and topline data

Recorded Events

Apr 7, 2025: Phase II started

Evidence Links

NCT07002034 — REKINDLE Phase 2 (RE104 Adjustment Disorder)

clinical-trial-registry - ClinicalTrials.gov - Jun 3, 2026 - Verified

ClinicalTrials.gov registry for REKINDLE Phase 2 AjD study; last update posted 2026-06-03.

RE104 (luvesilocin)

Psilocybin
Phase II

RE104 (luvesilocin) for generalized anxiety disorder (GAD). RECLAIM (NCT07489651) is now registered as a Phase 2 study in adults with GAD; Reunion says Phase 2 data are expected in Q2 2027.

Programme Tracker

Anxiety Disorders

Primary: US (FDA)
Phase IIActive

Forecast

Phase II topline - Likely: Q2 2027

RECLAIM Phase 2 is recruiting for generalized anxiety disorder. ClinicalTrials.gov lists an actual study start in April 2026 and an estimated primary completion in February 2027; Reunion expects clinical data in Q2 2027.

Milestones

Phase II started

Planned

Likely: Q1 2026

RECLAIM Phase 2 in GAD planned; announced as an anticipated 2026 milestone in January 2026 programme update

Why it matters: GAD is a large indication; positive signal here combined with PPD Phase 3 data would significantly broaden RE104's commercial potential

Watch next: ClinicalTrials.gov registration and first patient dosing

Evidence Links

ClinicalTrials.gov NCT07489651 - RE104 in Generalized Anxiety Disorder

clinical-trial-registry - ClinicalTrials.gov - Jun 26, 2026 - Verified

ClinicalTrials.gov registry for RECLAIM Phase 2 GAD study; refreshed on 2026-06-26 during source review.

Reunion Announces Program Updates and 2026 Milestones

Press release - Reunion Neuroscience - Jan 12, 2026 - Verified

Reunion said it was on track to initiate the Phase 2 RECLAIM trial of RE104 in generalized anxiety disorder in Q1 2026.

Reunion to Present Full RECONNECT Data at ASCP and APA

Press release - Reunion Neuroscience - May 11, 2026 - Verified

May 2026 update says Reunion is enrolling the Phase 2 RECLAIM trial in patients with GAD.

RE245

Preclinical

RE245 is a non-psychedelic, orally bioavailable serotonin 2A (5-HT2A) agonist neuroplastogen designed for chronic treatment paradigms. Structurally related to classic psychedelics but engineered to deliver 5-HT2A-mediated neuroplasticity without hallucination or cardiotoxicity. IND-enabling studies planned 2025; IND application targeted 2026.

Programme Tracker

Depressive Disorders

Primary: US (FDA)
Pre-clinicalActive

Forecast

Regulatory filing submitted - Likely: Q4 2026

RE245 remains Reunion's lead non-psychedelic discovery-stage 5-HT2A agonist. Reunion reiterated in February, May, and June 2026 that it plans to file an IND in 2026; no IND submission or clearance announcement was found in this pass.

Milestones

Discovery completed

Completed

Actual: Jan 6, 2025

RE245 preclinical programme disclosed publicly; non-psychedelic 5-HT2A agonist for chronic oral dosing paradigm

Why it matters: Non-psychedelic profile could address a much larger patient population who cannot or will not access supervised psychedelic therapy

Watch next: IND-enabling study completion and IND submission

Recorded Events

Jan 6, 2025: Discovery completed

Evidence Links

Reunion Neuroscience Programs - RE245

company-website - Reunion Neuroscience - Jun 27, 2026 - Verified

Programmes page describes RE245 as a discovery-stage, orally bioavailable non-psychedelic 5-HT2A agonist.

Reunion Announces Program Updates and 2026 Milestones

Press release - Reunion Neuroscience - Jan 12, 2026 - Verified

Reunion states it advanced RE245 from its non-psychedelic discovery programme and plans to file an IND in 2026.

Reunion to Present RECONNECT Phase 2 Data

Press release - Reunion Neuroscience - May 11, 2026 - Verified

May 2026 update repeats RE245 IND-plan language while focusing on Reunion clinical-stage pipeline progress.

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Quick Facts

Type
Private Biotech
Founded
2020
Lead Stage
Phase III
HQ
Toronto, Ontario, Canada, Canada
Website
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