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THE JOURNAL · MONTHLY UPDATE · NOVEMBER 2026

November 2026: what changed for psilocybin in Canada.

The month’s changes to the law, clinical trials, access routes and culture around psilocybin in Canada, each with its date, what it means in plain English, and the source we read.

Educational only, not legal or medical advice. These updates summarize public sources about psilocybin in Canada. Nothing here says what is lawful for you to do; for personal questions, speak with a regulated health care practitioner or a lawyer.

In short.

  • Compass Pathways’ COMP360 study in PTSD added recruiting sites in Kamloops (5 November) and Penticton (12 November). With North Vancouver, it now lists three sites in British Columbia.
  • Nothing changed in the law: no new regulations in the Canada Gazette, Bill C-286 still at first reading, and Health Canada’s psilocybin page still dated 20 October 2026.
  • Compass said on 3 November that it would file the last part of its US application for COMP360 within two weeks. There is still no FDA decision, and a US decision would not change Canadian law on its own.

November 2026

Clinical trials and research

From ClinicalTrials.gov, read on 12 November 2026 and compared with our trial tracker’s October data. Of the 41 psilocybin studies with a Canadian site, only one changed after 30 October; none was added or removed, and none posted results.

  1. COMP360 PTSD study adds recruiting sites in Kamloops and Penticton

    Compass Pathways’ phase 2b/3 study of its psilocybin product COMP360 in post-traumatic stress disorder added a recruiting site in Kamloops in a record update posted on 5 November, and one in Penticton on 12 November. The same updates confirmed that the study started on 14 September 2026 and added US sites; it now lists 20 sites, three of them in British Columbia, and aims for about 300 participants. It is a company-run study, the registry names cities but not clinics, and no psilocybin product is approved in Canada.

Still waiting

Checked, no change.

Things people often ask about that we checked this month and found unchanged.