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Compassionate Use

Regulatory

A regulatory pathway letting patients access an unapproved drug outside a clinical trial, typically for serious conditions with no other options.

Example: Germany's BfArM approved what's reportedly the EU's first compassionate-use psilocybin program in 2026 — see our coverage of how narrow that access actually is: two sites, a dosing cap added after an error, and its first statutory-insurance patient only in October 2026.

What is compassionate use?

A regulatory pathway letting patients access an unapproved drug outside a clinical trial, typically reserved for serious conditions with no other treatment options.

Is there a compassionate-use psilocybin program?

Germany's BfArM approved what's reportedly the EU's first compassionate-use psilocybin program in 2026 — though access is narrow: two sites, a dosing cap added after an error, and its first statutory-insurance-covered patient only in October 2026.

How is compassionate use different from a clinical trial?

A clinical trial is designed to generate data toward approval, with a defined protocol and typically a control group. Compassionate use is individual, case-by-case access for a specific patient outside that research structure, usually requiring sign-off from both the regulator and the drug maker each time.