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Lead program: Phase III
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1 domain / 3 areas / 2 specializations

Usona Institute

Data updated

2800 Woods Hollow Rd., Madison, WI, United States
2 Drug Candidates23 Trials

Usona Institute is a US-based 501(c)(3) non-profit medical research organisation headquartered in Madison, Wisconsin. Usona develops and supports clinical research on psilocybin and other consciousness-expanding medicines with a mission-driven access model.

Its psilocybin programme received FDA Breakthrough Therapy Designation for major depressive disorder in 2019. After completing the Phase 2 PSIL201 study, Usona launched the Phase 3 uAspire trial in 2024, a 240-participant randomised, double-blind multicentre study of 25 mg psilocybin with psychosocial support for adults with MDD. In April 2026, industry reporting said Usona confirmed it had received an FDA Commissioner National Priority Voucher for psilocybin in MDD, potentially shortening review if an NDA is filed and accepted. Usona is also exploring 5-MeO-DMT in early-stage research.

Manufacturing Snapshot

Research-Led (Partner Manufacturing)

Scope & Capabilities

Regulatory / CMC SupportAnalytical / QC Testing

Supply Use Cases

Clinical TrialsResearch Use

GxP / Compliance

General GxP

Facilities & Access

Non-profit research model coordinating investigational drug supply through regulated development pathways.

Manufacturing Details

Supported Substances

Psilocybin investigational supply and quality/CMC coordination in support of clinical trial programs.

Pipeline Intelligence

Developer Momentum

Programme tracker
Active candidates
2

All tracked candidates active

Active programmes
2

All tracked programmes active

Lead stage
Phase III

Multiple active stages

Forecast coverage
2 of 2

2 active programmes with forecast fields

Latest sourced update

Usona Institute 5-MeO-DMT Program

Jun 26, 2026 - company-website - Usona Institute - 5-MeO-DMT

Next known catalyst

nda-submission

Q4 2026 - Psilocybin (25 mg) / uAspire (PSIL301) — Psilocybin MDD Phase 3 - Confidence: 65%

9 sources2 pipeline-linked trials0 pipeline-linked papers1 Phase III1 Preclinical

Development Programmes

2

Psilocybin (25 mg)

Psilocybin
Phase III

Synthetic psilocybin (25 mg oral, single dose) for major depressive disorder, administered with psychosocial support. FDA Breakthrough Therapy Designation was granted in 2019. Phase 3 uAspire (PSIL301, NCT06308653) is ongoing. In April 2026, industry reporting said Usona confirmed receipt of an FDA Commissioner National Priority Voucher for psilocybin in MDD.

Programme Tracker

Major Depressive Disorder (MDD)

Primary: US (FDA)
Phase IIIActive

Forecast

nda-submission - Likely: Q4 2026 - Approval eventual: 55%

uAspire (NCT06308653) remains the active Phase 3 MDD study. Usona has an official Phase 3 sponsor statement on uAspire, and industry reporting in April 2026 said Usona confirmed receipt of an FDA Commissioner National Priority Voucher for psilocybin in MDD.

Milestones

Phase II topline

Completed

Actual: Sep 5, 2023

Phase 2 PSIL201 results published in JAMA: single 25 mg psilocybin dose produced rapid, sustained antidepressant effect vs active placebo over 6 weeks (n=104)

Why it matters: JAMA publication provides the strongest evidence base for the Phase 3 programme; high-profile journal validates the clinical approach

Watch next: Phase 3 uAspire enrolment and completion

Phase III started

Completed

Actual: Mar 19, 2024

Phase 3 uAspire study (PSIL301, NCT06308653) launched — ~240 adults, multi-site including VA, 6-week double-blind + 12-month follow-up

Why it matters: Pivotal study required for NDA submission; Usona's non-profit model means results will inform regulatory submissions without commercial licensing barriers

Watch next: Enrollment completion, topline results, NDA submission

Regulatory review accepted

Completed

Actual: Nov 22, 2019

FDA granted BTD to Usona's psilocybin programme for MDD — one of the first psilocybin BTDs granted

Why it matters: BTD provides expedited development pathway and closer FDA collaboration; signals FDA recognition of unmet need in MDD

Watch next: Phase 2 results and Phase 3 launch

Recorded Events

Mar 19, 2024: Phase III started

Sep 5, 2023: Phase II topline

Nov 22, 2019: Regulatory review accepted

Evidence Links

NCT06308653 — uAspire Phase 3 Study (Psilocybin MDD)

trial-registry - ClinicalTrials.gov - Jun 1, 2026 - Verified

Usona Institute — Drug Development

company-website - Usona Institute - Apr 29, 2022 - Verified

5-MeO-DMT

5-MeO-DMT
Preclinical

Synthetic 5-MeO-DMT (designated MEO201) for a planned Phase 2 efficacy study. GMP active and placebo drug product manufactured; analytical testing, initial stability, method validation, compendial testing, CMC documentation, draft MEO201 protocol, vendor selection, and study start-up processes were reported in Usona Impact 2025. No public Phase 2 launch registration was found in the June 2026 sweep.

Programme Tracker

Depressive Disorders

Primary: US (FDA)
Pre-clinicalActive

Forecast

Phase II started - Likely: Q4 2026

Usona reports completed CMC, manufacturing, protocol, vendor-selection, and study start-up work positioning MEO201 to move into Phase 2 efficacy studies. No public Phase 2 launch registration or first-patient announcement was found in the June 2026 sweep, so this remains a waiting-on-news Phase 2-start watch item.

Milestones

Pre-clinical completed

Completed

Actual: Dec 1, 2024

GMP manufacturing of 5-MeO-DMT drug product complete; CMC documentation for IND finalized; Type B FDA meeting completed under BTD

Why it matters: IND-enabling package readies Usona for regulatory submission to initiate Phase 2

Watch next: IND submission and Phase 2 first patient dosing

Phase II started

Planned

Likely: Q4 2026

Original mid-2025 Phase 2 target is now stale; Usona 2025 reporting supports Phase 2 readiness but not public launch.

Why it matters: Would be Usona's second clinical-stage programme; non-profit access model for 5-MeO-DMT distinct from commercial competitors

Watch next: Phase 2 efficacy-study registry, site activation, first-patient dosing, or Usona launch announcement.

Recorded Events

Dec 1, 2024: Pre-clinical completed

Evidence Links

Usona Institute 5-MeO-DMT Program

company-website - Usona Institute - Jun 26, 2026 - Verified

Usona page says all dosing sessions were completed for its Phase 1 first-in-human 5-MeO-DMT study.

ClinicalTrials.gov NCT05698095 - Intramuscular 5-MeO-DMT

clinical-trial-registry - ClinicalTrials.gov - Nov 30, 2023 - Verified

Phase 1 randomized study of intramuscular 5-MeO-DMT safety, pharmacokinetics, and tolerability in healthy volunteers.

Usona Impact - Drug Development 2025

company-report - Usona Institute - Jan 1, 2025 - Verified

Usona 2025 report says CMC/manufacturing milestones position the 5-MeO-DMT programme to move into Phase 2 efficacy studies.

Similar Developers

Reference points selected from shared pipeline stage, indications, compounds, regulatory pathways, and evidence footprint.

View landscape
Helus Pharma
Phase III2 active candidates
shared compound: Psilocybinsame indication: Major Depressive Disorder (MDD)Phase III peersame regulator: US FDA
Reunion Neuroscience
Phase III4 active candidates
shared compound: Psilocybinsame indication: Depressive DisordersPhase III peer2 overlapping stages
Otsuka Pharmaceutical
Phase III2 active candidates
shared compound: Psilocybinsame indication: Major Depressive Disorder (MDD)Phase III peersame regulator: US FDA
Biomind Labs
Phase II2 active candidates3 trials
shared compound: 5-MeO-DMTsame indication: Major Depressive Disorder (MDD)also active in Preclinicalsame regulator: US FDA

Quick Facts

Type
Non-Profit
Founded
2014
Lead Stage
Phase III
HQ
2800 Woods Hollow Rd., Madison, WI, United States
Website
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Sponsored Trials

5

Collaborated Trials

18