Adverse Events Module

Adverse Events Module

For researchers submitting trial data to ClinicalTrials.gov, the Adverse Events module is one of four mandatory results sections. It requires reporting in three primary categories: All-Cause Mortality: A table tracking all deaths that occurred during the study, regardless of cause. Serious Adverse Events (SAEs): A tabular summary of events resulting in death, life-threatening conditions, hospitalization, or significant disability. Other Adverse Events: A table for non-serious events that exceed a specific frequency threshold, such as 5% within any study arm.

Adverse Events Module path is as follows:

Study -> Results Section -> Adverse Events Module -> Event Groups

Study -> Results Section -> Adverse Events Module -> Serious Events

Study -> Results Section -> Adverse Events Module -> Other Events

Adverse Events Module


Ignite Creation Date: 2025-12-25 @ 1:34 AM
Ignite Modification Date: 2025-12-25 @ 11:48 PM
NCT ID: NCT01943994
Description: After TQD participants were asked at each study visit about any adverse events (AEs) since their last visit, which were documented, including duration, severity, and relatedness. Participants in the Nicotine Replacement Therapy (NRT) arm were eligible to receive a 30mg/70kg psilocybin session after completing the primary 6-month follow-up. Those who completed this cross-over psilocybin session received 2 interventions (NRT and psilocybin), so their AEs are reported separately.
Frequency Threshold: 5
Time Frame: Up to 12 months
Study: NCT01943994
Study Brief: Psilocybin-facilitated Smoking Cessation Treatment: A Pilot Study
Event Groups(If Any):

Event Groups

Title Description Deaths # Affected Deaths # At Risk Serious # Affected Serious # At Risk Other # Affected Other # At Risk View
Psilocybin-assisted Treatment Participants will receive a 13-week cognitive behavioral intervention for smoking cessation, with a high dose of psilocybin (30mg / 70kg) to be administered on the Target Quit Date in week 5. Psilocybin-assisted treatment: Participants will be administered 30 mg/70 kg psilocybin. Preliminary evidence from our ongoing psilocybin dose-effects study suggests that this dose is associated with mystical-type experiences. 0 None 0 42 37 42 View
Nicotine Replacement Therapy (NRT) Participants will receive a 13-week cognitive behavioral intervention for smoking cessation, with a standard 8 to 10-week regimen of NRT to be administered beginning on the Target Quit Date in week 5. NRT for this study will be a transdermal nicotine patch administered according to recommended label usage (For individuals who smoke more than 10 cigarettes per day: 21mg daily weeks 1-6, 14mg daily weeks 7-8, 7mg daily weeks 9-10. For individuals who smoke 10 or less cigarettes per day: 14mg daily for weeks 1-6, 7mg daily for weeks 7-8). 0 None 1 40 31 40 View
Cross-over to Psilocybin-assisted Treatment Participants in the Nicotine Replacement Therapy (NRT) arm were also eligible to receive a single high-dose (30mg/70kg) psilocybin administration after completing the primary study endpoint at 6-month follow-up. Thus, individuals in this category opted to complete this cross-over psilocybin session after completing a course of NRT. 0 None 1 26 25 26 View
Serious Events(If Any):

Serious Events

Term Type Organ System Vocab View
Gallstones / gallbladder removal SYSTEMATIC_ASSESSMENT Gastrointestinal disorders None View
Suicidal Ideation SYSTEMATIC_ASSESSMENT Psychiatric disorders None View
Other Events(If Any):

Other Events

Term Type Organ System Vocab View
Depression SYSTEMATIC_ASSESSMENT Psychiatric disorders None View
Headache SYSTEMATIC_ASSESSMENT Nervous system disorders None View
Elevated Blood Pressure SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Respiratory Infection SYSTEMATIC_ASSESSMENT Respiratory, thoracic and mediastinal disorders None View
Anxiety SYSTEMATIC_ASSESSMENT Psychiatric disorders None View
Insomnia SYSTEMATIC_ASSESSMENT Psychiatric disorders None View
GI Illness / Diarrhea SYSTEMATIC_ASSESSMENT Gastrointestinal disorders None View
Rash SYSTEMATIC_ASSESSMENT Skin and subcutaneous tissue disorders None View
Irritability SYSTEMATIC_ASSESSMENT Psychiatric disorders None View
Back Pain SYSTEMATIC_ASSESSMENT Musculoskeletal and connective tissue disorders None View
Nausea SYSTEMATIC_ASSESSMENT Gastrointestinal disorders None View
Visual Disturbance SYSTEMATIC_ASSESSMENT Eye disorders None View
Vivid Dreams SYSTEMATIC_ASSESSMENT Psychiatric disorders None View
Fatigue SYSTEMATIC_ASSESSMENT General disorders None View
Joint Pain SYSTEMATIC_ASSESSMENT Musculoskeletal and connective tissue disorders None View
Migraine SYSTEMATIC_ASSESSMENT Nervous system disorders None View
Elevated Heart Rate SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Concentration Impairment SYSTEMATIC_ASSESSMENT Nervous system disorders None View
Fever SYSTEMATIC_ASSESSMENT General disorders None View
Ear Infection SYSTEMATIC_ASSESSMENT Ear and labyrinth disorders None View
Panic SYSTEMATIC_ASSESSMENT Psychiatric disorders None View
Hernia SYSTEMATIC_ASSESSMENT Gastrointestinal disorders None View
Emotional Lability SYSTEMATIC_ASSESSMENT Psychiatric disorders None View