Psychedelic Medicine

Promising research and receding stigma are giving investors cannabis-boom flashbacks.

Overview

Psychedelics, also known as hallucinogens, are powerful mind-altering substances that can temporarily induce hallucinations by affecting serotonin receptors in the brain responsible for controlling the senses. Currently, the most popular psychedelics include lysergic acid diethylamide (LSD), psilocybin (magic mushrooms), and ketamine.

Historically used in religious settings, psychedelics became illegal in the US in 1970 due to the social stigma surrounding their recreational use in the 1960s. However, there is a re-emerging demand for psychedelics as potential treatments for challenging and rising mental health conditions, such as depression and post-traumatic stress disorder (PTSD). Public perception toward psychedelics has also shifted, resulting in greater acceptance as evidenced by legalizations of its use in states like Oregon and Colorado. Furthermore, in May 2019, the US Food and Drug Administration (FDA) approved a ketamine derivative for therapeutic use, raising the potential for more widespread commercialization of psychedelics. The nascent industry—still largely in the research stage—has garnered significant investor interest, with many anticipating a cannabis-like boom.

However, challenges such as extensive regulatory approval processes, high treatment costs, and patent issues must be addressed to facilitate the successful transition of psychedelic therapies into mainstream healthcare.

Industry Updates

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Market Sizing

The US addressable market for FDA-approved depression and PTSD therapies is estimated to be USD 88.4 billion–176.8 billion

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Market Mapping


A majority of the businesses in the psychedelic industry focus on research and development (R&D), studying the benefits of psychedelic substances, and conducting preclinical and clinical research. Other segments, such as cultivation, clinics, and delivery platforms, have started to evolve only recently, driven by R&D advancements and positive developments in the regulatory landscape. Hence, along with R&D-focused leaders Compass Pathways, Lykos Therapeutics, Cybin and MindMed, the industry is now seeing growth in vertically integrated psychedelic players, such as Numinus, Psyence and others listed in the table below.

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The Disruptors


Having advanced their lead drugs to Phase III clinical trials, Compass Pathways, Cybin and MindMed can be safely considered the for-profit pioneers in psychedelic research. In some cases, psychedelic medicine companies may prioritize financial stability over groundbreaking research, with most companies in this industry pursuing relatively early-stage listings, following a strategy employed by cannabis companies.

In this industry, capital is concentrated among four Nasdaq-listed companies (as of November 2024): MindMed, GH Research, Compass, and ATAI Life Sciences. Other disruptors, such as Bright Minds, Core One Labs, and Silo Pharma, have also pursued listings or uplistings in recent years to accelerate growth through enhanced investor visibility.

Among the privately held companies, Beckley Psytech and Reunion Neuroscience, which develop psychedelic-inspired medicines for neuropsychiatric conditions, have raised the most funds, within USD 100 million–170 million in venture funding.

Funding History

Competitive Analysis


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Incumbents


The psychedelic industry has not yet attracted major interest from conventional pharmaceutical companies. This reluctance could be due to psychedelic therapies’ tendency to require a single round of treatment, as well as financial, legal, and reputational risks. Partnerships and acquisitions are highly likely shortly; however, this will only be evident as psychedelic companies progress toward the latter stages of drug development.

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Notable Investors


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Overview

The psychedelic renaissance: Transcending stigma toward a breakthrough mental health treatment

Psychedelics (also called hallucinogens) are powerful mind-altering substances that can temporarily induce hallucinations by affecting serotonin receptors in the brain that are responsible for controlling the senses. Popular psychedelics include lysergic acid diethylamide (LSD/acid), psilocybin (magic mushrooms), and ketamine. 
Psychedelics have been used in religious settings for thousands of years; however, social stigma developed around this area in the 1960s due to widespread recreational use by “hippies” and youth involved in counter-cultural and anti-war movements in the US and beyond. These substances were finally made illegal in the US in 1970. Fifty years later, psychedelics are re-entering the mainstream as a potential breakthrough for various hard-to-treat mental health conditions, including depression and post-traumatic stress disorders (PTSD). 
The most commonly prescribed antidepressants alter brain chemistry. Psychedelic therapies, on the other hand, are used to disrupt everyday consciousness in a process called “ego dissolution.” Preliminary evidence from clinical trials indicates that non-toxic psychedelic treatment could provide substantially better patient outcomes than existing pharmaceuticals while administered under a controlled environment. 
In recognition of this potential, the FDA has granted Breakthrough Therapy designation to four psychedelic drugs: Psilocybin, methylenedioxymethamphetamine (MDMA), lysergide d-tartrate (LSD), and a deuterated psilocybin analog. This designation means that the FDA will assist and expedite each drug’s transition to becoming a prescribable treatment. Further in June 2023, the FDA issued a guidance on clinical trials for psychedelic drugs outlining trial conduct, data collection, and subject safety. While progress has been made in the recent past, the first psychedelic-based therapy, an MDMA-assisted psychotherapy to treat PTSD, was rejected by the FDA in August 2024, citing concerns about the durability of the clinical data and potential biases from participants with prior MDMA use, requesting another Phase III trial.
In February 2023, Australia became the first country outside the US to legalize the therapeutic use of psychedelics, enabling psychiatrists to prescribe psilocybin and MDMA for the treatment of certain mental health conditions.   

Conventional antidepressants vs. psychedelics in treating mental disorders

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