All therapiesEvidence snapshot 2026-09-18
Research program

COMP360

Psilocybin for treatment-resistant depression: trials and the U.S. application.

At a glance

Selected evidence in this atlas
Studied use & population

Psilocybin for treatment-resistant depression: trials and the U.S. application.

Study context
Approval & development

Investigational in the U.S. Sponsor-reported one-year follow-up now includes repeat dosing; rolling NDA completion remains targeted for Q4 2026.

Status & indications
Selected efficacy evidence

COMP005 reports a 3.6-point advantage over placebo on the MADRS depression scale at six weeks. These are preliminary sponsor-reported results.

23 Jun 2025 · phase 3 topline; sponsor SEC filing

Evidence & limitations
Important safety context

Study-specific safety is not summarized in this timeline entry. See the research notes and primary source; missing safety data do not establish safety.

Safety context
Next milestone

Q4 2026 · Complete the rolling application

sponsor target; not FDA deadline

Milestone details

Study results apply to their own population, dose and analysis. They do not establish a ranking between therapies.

Evidence in the atlas

0 results

Each result belongs to its own study population, dose and analysis. Open a result for its chart, comparator, safety findings and limitations.

phase 3 topline; sponsor SEC filing · 23 Jun 2025

First phase 3 endpoint is met

COMP005 reports a 3.6-point advantage over placebo on the MADRS depression scale at six weeks. These are preliminary sponsor-reported results.

Between-group difference in score change: -3.6 points; 95% CI -5.7 to -1.5. Lower MADRS scores indicate fewer symptoms. Do not interpret 3.6 as a percentage or individual expected benefit.

Safety context

Study-specific safety is not summarized in this timeline entry. See the research notes and primary source; missing safety data do not establish safety.

Research notes

Detailed trial charts have not been added for this program. See its sourced development timeline and research notes.

Biology & identity

Status in this atlas: Investigational in the U.S. Sponsor-reported one-year follow-up now includes repeat dosing; rolling NDA completion remains targeted for Q4 2026.

Psilocybin is the active molecule in the sponsor’s proprietary COMP360 formulation.

Uses, doses and availability depend on the formulation, indication and country. Study doses below describe research; they are not prescribing instructions.

The molecule

2D chemical structure

Psilocybin · active molecule in COMP360

Psilocybin is the active molecule in the sponsor’s proprietary COMP360 formulation.

Shown: Psilocybin active molecule only

This diagram represents psilocybin. It does not depict COMP360’s proprietary formulation, excipients, crystal polymorph, or manufacturing process.

PubChem, National Library of Medicine

PubChem CID 10624

Development timeline

Next milestone

Q4 2026 · Complete the rolling application

sponsor target; not FDA deadline

Compass targets submission of the remaining NDA modules. Completing a filing does not establish approval or determine its timing.

Compass Pathways Announces Second Quarter and First Half 2026 Financial Results and Business Highlights

Investigational in the U.S. Sponsor-reported one-year follow-up now includes repeat dosing; rolling NDA completion remains targeted for Q4 2026. Short-term symptom improvement is not permanent remission. Noticeable psychoactive effects can reveal treatment assignment and influence expectations; durability, retreatment and safety need their own evidence.

Explore the interactive COMP360 timeline
  1. A randomized signal of benefit

    A phase 2 trial in treatment-resistant depression finds a greater reduction in depression scores at three weeks in the higher-dose group than the low-dose comparator. Adverse effects also occur.

    actual online publication; print issue November 3 · peer-reviewed randomized phase 2 trial Source
  2. First phase 3 endpoint is met

    COMP005 reports a 3.6-point advantage over placebo on the MADRS depression scale at six weeks. These are preliminary sponsor-reported results.

    actual sponsor disclosure · phase 3 topline; sponsor SEC filing Source
  3. A second pivotal trial reports benefit

    COMP006 reports a 3.8-point MADRS advantage over its low-dose comparator at six weeks. Its treatment schedule differs from COMP005.

    actual sponsor disclosure · phase 3 topline; sponsor SEC filing Source
  4. The application is underway

    Compass says some rolling NDA modules are submitted and reports six-month benefit in a subset. Selection of responders and retreatment matter when judging durability.

    actual sponsor status disclosure · sponsor development update Source
  5. One-year follow-up includes repeat doses

    COMP005 Part C follows selected participants through week 52, allowing additional COMP360 doses. The result is not randomized evidence that one dose lasts a year.

    actual sponsor disclosure · sponsor open-label extension topline Source
  6. Complete the rolling application

    Compass targets submission of the remaining NDA modules. Completing a filing does not establish approval or determine its timing.

    sponsor target; not FDA deadline · planned application milestone Source
  7. Possible U.S. launch

    The sponsor targets a first-half 2027 launch, subject to FDA approval and DEA rescheduling. No guaranteed approval date is established.

    conditional sponsor launch target; not promised availability · planned commercial milestone Source