Clinical trialsUnited States

Universities run the psilocybin trials, and the American government buys the drug

Seven listed companies hold a place on this shelf and not one sponsors a trial in its own name. Every number below names its register and the date it was read.

Analysis · By Allan Kerr · Checked 11 September 2026

If you are here about treatment, start here.

In short

1 · Who buys it. The National Institutes of Health paid US$789,896.88 for GMP psilocybin synthesis on 14 March 2025, and the Department of Veterans Affairs bought the drug itself for US$12,850.00 on 16 June 2025, on an award file read on 7 September 2026.

What cannabis did last time

The four medicines are Marinol and Cesamet in 1985, Syndros in 2016 and Epidiolex in 2018. The plant they came from is still a Schedule I substance, and the rescheduling docket reached notice of hearing on 28 April 2026, which is a stage and not an outcome.

Four molecules completed the route. The plant did not.

One published series says what the licensed route eventually took, and two things have to sit in front of it. Cannabis had a retail channel from its first day, where every psilocybin route on this map is clinical or supervised, so the mechanism that moved the cannabis number does not exist here. And the unlicensed half of the series is a modelled national-accounts estimate, which makes every share on it partly a model. With both of those attached: Statistics Canada put the licensed route at 12.8 percent of household spending on non-medical cannabis in the quarter legal sales began, 24.3 percent across 2019 and 70.8 percent across 2025, on figures read on 7 September 2026.

Nothing on the psilocybin map has a decade of data.

Canada's licensed share of household cannabis spending, 2018 to 2025Line chart of Statistics Canada's own published annual shares. 2018 is a partial year and is labelled as such.Canada: the licensed share of household cannabis spending 0% 20% 40% 60% 80% 3.4% 2018 2019 2020 2021 2022 2023 2024 70.8% 2025 Statistics Canada table 36-10-0124-01, annual shares, read 7 September 2026. 2018 is a partial year: legal sales began in its final quarter, and that quarter alone is 12.8 percent. The annual point and the quarter point are different measures. The unlicensed leg is a modelled national-accounts estimate, so every share here is partly a model. Cannabis had a retail channel from its first day; every psilocybin route on this map is clinical or supervised. Nothing here forecasts anything.
What the licensed route took, in the country that has run this once. Share of household spending on non-medical cannabis, Statistics Canada, read 7 September 2026. The unlicensed half is a modelled national-accounts estimate.

Who pays for the trials

Universities and hospitals sponsor 233 of the 328 trials registered on 5 September 2026, and 175 of the 328 name nothing that points at a funder. The United States government both funds the research and buys the drug.

The whole split is 233 public or academic sponsors, 38 companies, 43 unclassified and 14 filed by a named individual. The company figure is a floor. An unclassified row may well be a company nobody has typed yet. Of the 328, 153 carry some signal and 35 a government one. A signal names no payment, and no registry publishes an amount.

Sponsor type across the 328-trial corpusHorizontal bar chart in a single hue, category names set beside their bars.Who sponsors the 328 trials public/academic 233 company 38 unclassified 43 individual 14 Trials, not percentages. Corpus read 5 September 2026. A sponsor is whoever takes legal responsibility for the trial, never whoever paid for it. Company is a floor: an unclassified row may be a company nobody has typed. The 14 individually sponsored trials are a bar here and are named nowhere.
Who sponsors the 328 trials registered on 5 September 2026. The company figure is a floor: an unclassified row may be a company nobody has typed yet.

Company-typed starts are the one series here that moves, and the most recent of its eight buckets is an incomplete year. With that in front: they peaked at 11 in 2022 and were 6 in 2025, while total starts went from 30 to 58 between those two years.

Company-typed trial starts as a share of all starts, by yearLine chart with each year's denominator printed under its point. The final point is an incomplete year, drawn hollow and not joined to the line.Company-typed trial starts as a share of all starts 0% 10% 20% 30% 40% to 2019 of 34 2020 of 10 2021 of 25 36.7% 2022 of 30 2023 of 39 2024 of 54 10.3% 2025 of 58 2.9% 2026 of 68 The number under each point is that year's denominator, every start with a start year. Floor: unclassified sponsors count in the denominator only. The 2022 point is 11 of 30, so the ceiling that year is 40.0 percent. 2026 is drawn hollow and unjoined: the year is incomplete. Nothing is drawn beyond it.
Company-sponsored trial starts, against all starts. The final bucket is an incomplete year.

Where the public money is stated it is concentrated in two places. NIDA administers 64 of the 150 NIH project-year records under the narrow predicate on the 7 September 2026 read, and NIMH 41, which is a count of records and not a share of dollars. On the same 5 September 2026 read, 12 trials of the 328 join a grant record by grant number, and 301 name no grant identifier at all. The grant field is registry housekeeping that sponsors fill in at their discretion.

The United States award file states 72 awards naming psilocybin on the 7 September 2026 read, being 63 grants, four procurement contracts and five direct payments. That 72 is not comparable with the 150 NIH project-year records above it: an award is not a project-year. The two purchases above sit in that file: the NIH’s from Benuvia Operations, and the Department of Veterans Affairs’ from Usona Institute. The other two contracts are SAMHSA awards to Oregon Health & Science University at US$249,999.00 each, for harm-reduction data. Four contracts is a floor, and it is a real one: the same query run against an approved comparator returns a full purchasing history, so the filter works and four is what it finds.

One of those sellers files a tax return, and two years of one organization’s contributions read as a collapse unless the reason sits in front of them: the earlier figure is read from the prior-year column of the later return, and the difference may be nothing but the accounting calendar of multi-year gifts. With that attached, Usona Institute states contributions of US$5,020,285 for tax year 2024 against US$53,766,608 for 2023.

On that same read, Usona supplies the study drug in 11 trials and sponsors four, and Filament Health Corp. supplies 16 and sponsors one. A sponsor index cannot see either of them, which is most of why nobody can tell you who supplies this field.

Who is buying whom

Eli Lilly agreed to buy AtaiBeckley on 15 July 2026, stated in AtaiBeckley’s own quarterly filing. Seven listed companies held a place on this shelf when the capital pack read it on 7 September 2026, every one of them a parent, and none of them sponsors a trial in its own name. The research is run by someone else.

What the seven have in common is thinner than the label suggests. Four state a psilocybin molecule of their own. One is a licensed producer, in the words of its Form F-1/A of 13 March 2026. One reaches psilocybin only through a wholly owned subsidiary, and one carries a programme that is not psilocybin at all.

Listed parentTrials in its own nameSymbol and exchangeChain, quoted from its own annual document
AtaiBeckley Inc.NoneATAI · Nasdaq Stock Market LLCNot stated in the annual documents read for this piece
COMPASS Pathways plcNoneCMPS · Nasdaq Global Select MarketCOMPASS Pathways plc to Compass Pathfinder Holdings to Compass Pathfinder (10-K, 24 Mar 2026)
Cybin Inc.NoneHELP · Nasdaq Stock Market LLCCybin Inc. to Helus Pharma Corp. to Cybin IRL (Annual Information Form)
Incannex Healthcare Inc.NoneIXHL · Nasdaq Capital MarketIncannex Healthcare Inc. to Incannex Healthcare Pty Ltd (10-K)
Jaguar Health, Inc.NoneJAGX · Nasdaq Capital MarketNot stated in the annual documents read for this piece
Psyence Biomedical Ltd.NonePBM · Nasdaq Stock Market LLCNot stated in the annual documents read for this piece
Optimi Health Corp.NoneOPTH · NasdaqNot stated in the annual documents read for this piece
The seven listed parents, as the capital pack read them on 7 September 2026. Every symbol is read from that issuer's own filing cover page; the chains are quoted from the issuers' own annual documents.Not one of the seven sponsors a trial in its own name. The research is run by someone else, and a sponsor index cannot see the connection.Optimi Health states three symbols in one sentence of its own prospectus: OPTH on Nasdaq, OPTI on the Canadian Securities Exchange and 8BN on the Frankfurt Stock Exchange. The Nasdaq symbol is printed here and the other two are named in this note rather than chosen silently.COMPASS Pathways registers American Depositary Shares, each representing one ordinary share, and not the ordinary shares themselves. Psyence Biomedical registers a second class, a warrant, which is not printed here.A chain appears only where an issuer's own annual document states it. Four of the seven are blank because nothing read for this piece states theirs, which is a fact about what was read.

The molecule test undercounts the capital in the room. An issuer that is not on this shelf names psilocybin twice in its own annual report, both times about somebody else’s candidate.

AtaiBeckley completed its acquisition of Beckley Psytech Limited on 5 November 2025, stated in its own annual report. A joint venture between Jaguar Health’s Magdalena Biosciences and Filament Health Corp. is stated in an 8-K exhibit of 21 April 2026. Across the whole axis, as it was re-derived on 9 September 2026, there are ten organization-to-organization rows over nine distinct relationships, and to the register a joint venture and a supply agreement are the same kind of thing.

What a route to revenue looks like today

No regulator has approved a psilocybin medicine, in anything read for this work. Three FDA pages about its own priority-voucher programme, read on 7 September 2026, mention no psilocybin product, and that is a fact about those three pages, not a reading of the agency’s files.

Its guidance on psychedelic clinical investigations is final at 91 FR 43101, with the notice of availability published on 14 July 2026, and a guidance states what the regulator expects to see in a trial while opening no route to an approval. A complete response letter for one psychedelic application, NDA 215455, midomafetamine, sits on the FDA’s own download host with the date 8 August 2024, naming functional unblinding and asking for a new trial. That document concerns a different compound.

What it takes to make it lawfully

Making it lawfully takes four separate permissions, issued by four different bodies, and no single register lists who holds them. Two American states publish theirs and you can count them; the national list that would answer the question properly is described, in a filing, as available upon request. That question has a piece of its own: who is allowed to make psilocybin.

What the federal rules still cost

A state licence does not lift either of the two federal costs that shape this. Section 280E of the Internal Revenue Code disallows deductions and credits for a business trafficking in a Schedule I substance, and psilocybin and psilocyn are Schedule I(c) entries. FinCEN’s 2014 banking guidance for marijuana-related businesses, FIN-2014-G001, was still listed on its own current guidance register on the 7 September 2026 read, which is the most that register will support: no rescission marker appears anywhere on that register, so an unmarked entry is weaker evidence than a listed one.

What the states charge, and who paid for the ballots

Oregon charges a manufacturer, service centre or laboratory US$10,000 a year under a fee rule effective 1 January 2026, and a fee is what a licence costs its holder and never what the state collects. Who paid to put these measures on the ballot in the first place is a separate question, with two state registers behind it: who paid to change the law.

What has actually been counted

Eighteen market-research firms sell a figure for this field, and on the pages anyone can read, seventeen of them do not say what they counted. What governments and funders have counted instead is five different things on five incompatible clocks, none of them a revenue figure. That is its own piece: how big is the psychedelic drugs market.

Where treatment is lawful

A patient can be treated lawfully in at least five countries under five instruments, and none of them is an approved medicine: Australia’s authorised prescriber pathway; Switzerland’s exemption under BetmG Art. 8 Abs. 5, issued to a physician; Canada’s class exemption under section 56 of the CDSA alongside its Special Access Program; Germany’s Härtefallprogramm under § 21 Abs. 2 Nr. 3 AMG and the AMHV; and New Zealand’s approval under regulation 22 of the Misuse of Drugs Regulations 1977.

One regulator names an institution. BfArM’s register of confirmed hardship programmes carried 29 programmes on the 7 September 2026 read, and one psilocybin row: the Zentralinstitut für Seelische Gesundheit in Mannheim, for treatment-resistant depression, notification confirmed on 18 June 2026 and running to 17 June 2027. The indication is the register’s word for what the programme covers. One institution on one register is close to no data at all.

These routes run on clocks the criminal statutes do not have. Canada’s class exemption states on its own page that it will be revoked when new regulations take effect on 1 October 2026, and what replaces it after that date is not stated by anything read for this work. Switzerland’s exemptions usually run twelve months.

The register behind this piece is a set of jurisdiction records joined to an organization axis: 167 organizations, 127 jurisdiction edges, and 50 trial edges, joined to 100 jurisdiction records, every count re-derived on 9 September 2026. All 167 organization rows carry a primary source and 166 carry a review date.
What the join does that a sponsor index cannot: two trial edges could be walked up to a listed issuer before this work, and ten can be walked on the axis. Every one of the ten runs through a subsidiary.
A row joins that table when a filing states the relationship. One listed row on our axis does not yet meet that test, and it is not in the table.
What we got wrong this week: the all-status production count read 39 where the register holds 40. An adversarial read found it, and it was corrected at the script and gated on 9 September 2026.
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Corrections. Route pending, gated with publication.