
New Analyses of HLP003 for the Adjunctive Treatment of MDD
Key Takeaways
- Four datasets were highlighted: post hoc symptom-item/anhedonia effects, qualitative/quantitative psychedelic experience characterization, expanded safety analyses, and an update on the ongoing phase 3 PARADIGM program.
- HLP003 is positioned for the adjunctive, partially responsive MDD population (≈50%–60%), rather than treatment-resistant depression (≈20%–25%) commonly targeted by psychedelic-derived programs.
Helus Pharma advances oral deuterated psilocin HLP003 for MDD, detailing new efficacy and safety analyses plus ongoing phase 3 PARADIGM trial updates.
Helus Pharma has shared 4 new analyses evaluating HLP003, an investigational oral deuterated psilocin analog being developed as an adjunctive treatment for major depressive disorder (MDD).1
These analyses included:
- A post hoc analysis of a phase 1/2a study assessing the effects of HLP003 on MADRS individual items and an anhedonia subscale in adults with MDD.
- An assessment of the psychedelic experience in adults with MDD.
- An expanded safety analysis of HLP003.
- A trial-in-progress overview of PARADIGM, the ongoing phase 3 clinical program of HLP003.
About HLP003
HLP003, an investigational novel serotonergic agonist under development at Helus Pharma. HLP003 is a deuterated analogue of psilocin, the active metabolite of psilocybin; deuteration stabilizes the otherwise unstable psilocin molecule, eliminating the need for in vivo conversion from psilocybin before it reaches the brain. Unlike other psychedelic-derived compounds in development that target treatment-resistant depression, which affects only 20% to 25% of patients with MDD, HLP003 targets the larger adjunctive population, comprising 50% to nearly 60% of patients with MDD who show partial but inadequate response to first- or second-line therapy.2
The Phase 3 PARADIGM Program
The phase 3 PARADIGM program consists of:
The APPROACH Study: The first pivotal short-term trial, which completed enrollment of 223 participants with moderate-to-severe MDD in July 2026. It will compare a 16 mg dose of HLP003 to placebo administered 3 weeks apart, with a primary endpoint measuring efficacy at 6 weeks via the Montgomery-Åsberg Depression Rating Scale (MADRS). Top-line data is expected in Q4 2026.
The EMBRACE Study: The second pivotal short-term trial, which is designed to enroll 330 participants, and evaluate 16 mg and 8 mg dose arms alongside a placebo.
The Long-Term Extension (EXTEND): This extension permits participants from the pivotal trials to roll over into a 1-year study to collect extended safety and durability data.
Future Directions
According to Eric So, the interim chief executive officer of Helus Pharma, the company is hoping for a potential FDA New Drug Application in 2028.3
References
1. Helus Pharma presents new analyses on HLP003 in major depressive disorder at Psych Congress 2026. News release. September 21, 2026. Accessed September 21, 2026.
2. Kramer K. HLP003, deuterated psilocin, as an adjunctive therapy for major depressive disorder. Psychiatric Times. August 17, 2026.
3. Helus Pharma completes enrollment in phase 3 APPROACH study of HLP003 in adjunctive treatment of major depressive disorder ahead of schedule. News release. July 21, 2026. Accessed September 21, 2026.
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