Our Approach

Serotonergic Psychedelic Mechanism

Our approach to developing novel therapeutics is inspired by decades of psychedelic research demonstrating promising results for a variety of mental health conditions. Current treatments such as serotonin reuptake inhibitors (SSRIs) are associated with limited efficacy and harmful side effects and require continuous dosing. Classic psychedelics, those acting through 5HT2a receptor agonism, have been shown to produce unprecedented durable efficacy in a single dose. Specifically, RCT studies demonstrate the benefits of psilocybin in depression after one dose. Our focus is to advance the initial discoveries of 5HT2A compounds and develop new agents with safe, effective profiles and robust IP.

We are advancing our lead candidate, luvesilocin, a potential best-in-class, clinically-validated, 5-HT2A agonist. Luvesilocin is a purpose-designed psychedelic being developed to strike the optimal balance between therapeutic intensity, patient experience, and clinical practicality. Positioned between ultra-short, higher-intensity compounds and longer-duration psychedelic approaches, luvesilocin is designed to deliver meaningful therapeutic engagement while maintaining a predictable treatment experience with balanced intensity.

By targeting this therapeutic “sweet spot,” luvesilocin is intended to provide sufficient depth for meaningful patient engagement while remaining practical for broad clinical implementation. Its profile combines manageable intensity, opportunities for reflection and integration, compatibility with existing clinical infrastructure, and the potential for application across a range of neuropsychiatric disorders. The goal is to maximize patient impact while supporting scalability, access, and adoption in real-world care settings.

With our exclusive rights to luvesilocin, we can evaluate luvesilocin in various underserved mental health disorders and are actively investigating its use in additional indications susceptible to being treated with a 5HT2A agonist molecule.

INDICATIONS

Generalized Anxiety Disorder

Reunion is evaluating luvesilocin in the RECLAIM Phase 2 clinical trial as a potential treatment for generalized anxiety disorder (GAD). RECLAIM is designed to evaluate the safety and efficacy of both single and repeat-dosing regimens.

GAD is a mental health condition characterized by persistent, excessive and uncontrollable worry and anxiety, often about everyday situations, which cause distress and can interfere with daily functioning. GAD can manifest in a variety of physical, as well as psychological symptoms, including sleep disturbance, gastrointestinal issues, shortness of breath, chest discomfort, headaches and pain.

It is estimated that GAD affects 6.8 million adults in the United States annually. If left untreated, GAD can increase the likelihood of developing secondary disorders, including major depressive disorder (MDD) and other anxiety disorders, and increase the risk of suicide.

Current treatment options for GAD include medications like selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs), as well as psychosocial treatments such as Cognitive Behavioral Therapy (CBT). Benzodiazepines and antipsychotics are also commonly prescribed. As many as half the patients treated for GAD fail to respond to initial treatment, and only a minority achieve remission.

There remains a broad unmet need for safe and effective, fast-acting therapies for GAD, as current treatment options have significant limitations, which reduce their effectiveness and patient adherence.

Adjustment Disorder

Reunion is evaluating luvesilocin in the REKINDLE Phase 2 clinical trial as a potential treatment for adjustment disorder (AjD) in cancer and other medical illnesses.

AjD is a mental health condition defined as a disproportionate reaction to a stressful life event or change, which impacts the ability to function and is characterized by depression, anxiety and/or other behavioral and mood disturbances. Serious medical illnesses are known to be a key precipitant of AjD; it is estimated that approximately 500,000 people in the United States are diagnosed with AjD each year following a medical or health-related stressor, including 6-35% of cancer patients. A global survey of psychiatrists by the World Health Organization revealed that adjustment disorders play an enormous role in healthcare utilization; ranked 7th among 44 psychiatric categories they managed at least once a week in their practice.

Depressive and anxiety symptoms in medically ill patients with AjD can be associated with poorer medical outcomes, treatment compliance and quality of life as well as increased health care utilization. Current treatments for AjD are not consistently effective, and there are no therapies presently approved by the FDA for its treatment.

AjD in cancer patients is one of the initial indications studied by researchers on psychedelic treatment and several clinical trials indicate the potential for rapid and meaningful improvements in depression and anxiety with durable changes in attitude and behavior.

Reunion believes there is a significant unmet need for a rapid acting solution for these medically ill patients to positively impact treatment compliance, hospitalization time and improved quality of life.

Major Depressive Disorder

Reunion plans to evaluate luvesilocin in a Phase 3 clinical trial as a potential treatment for major depressive disorder (MDD).

MDD is a highly prevalent and disabling mental health condition characterized by persistent low mood and a loss of interest in activities. MDD is diagnosed when five or more specific symptoms, including profound sadness, fatigue, or changes in sleep and appetite, are experienced daily for at least two weeks. MDD is estimated to affect approximately 22.7 million adults in the United States, or 8.4% of the adult population. As many as 30-50 percent of patients treated for MDD fail to achieve remission after an adequate trial of a first line therapy, creating a significant unmet need for new treatment options.

As part of this Phase 3 program, Reunion will evaluate luvesilocin in women with postpartum depression (PPD), a subset of MDD. In 2025, Reunion announced positive topline results from the RECONNECT Phase 2 clinical trial in PPD, demonstrating a statistically significant and clinically meaningful reduction from baseline in the Montgomery-Åsberg Depression Rating Scale (MADRS), as well as a robust safety tolerability profile. Additionally, data from RECONNECT suggest that patients reach discharge readiness rapidly, within four hours of treatment, consistent with luvesilocin’s differentiated pharmacology.

OUR PIPELINE

Luvesilocin

(Psychedelic)

pipeline header
reclaim

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Reunion is evaluating luvesilocin in the RECLAIM Phase 2 clinical trial as a potential treatment for generalized anxiety disorder (GAD). GAD is a mental health condition characterized by persistent, excessive and uncontrollable worry and anxiety, often about everyday situations, which cause distress and can interfere with daily functioning. It is estimated that GAD affects 6.8 million adults in the United States annually. If left untreated, GAD can increase the likelihood of developing secondary disorders, including major depressive disorder (MDD) and other anxiety disorders, and increase the risk of suicide.

rekindle~

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Reunion is evaluating luvesilocin in the REKINDLE Phase 2 clinical trial as a potential treatment for adjustment disorder (AjD) in cancer and other medical illnesses. AjD is a mental health condition defined as a disproportionate reaction to a stressful life event or change, which impacts the ability to function and is characterized by depression, anxiety and/or other behavioral and mood disturbances. Serious medical illnesses are known to be a key precipitant of AjD; it is estimated that approximately 500,000 people in the United States are diagnosed with AjD each year following a medical or health-related stressor, including 6-35% of cancer patients. A global survey of psychiatrists by the World Health Organization revealed that adjustment disorders play an enormous role in healthcare utilization; ranked 7th among 44 psychiatric categories they managed at least once a week in their practice.

phase3

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Reunion plans to evaluate luvesilocin in a Phase 3 clinical trial as a potential treatment for major depressive disorder (MDD), a highly prevalent and disabling mental health condition characterized by persistent low mood and a loss of interest in activities.

RE245

(Non-Psychedelic)

re245

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RE245 is a discovery-stage, non-psychedelic asset, for application in chronic treatment paradigms and indications. RE245 is structurally similar to classic psychedelics and is designed as an orally-bioavailable 5HT2A agonist, which provides therapeutic mental health benefits for chronic conditions without causing hallucinations or cardiotoxicity.

PUBLICATIONS

RE104: A Novel Serotonergic Psychedelic 4-OH-DiPT Prodrug for the Treatment of Postpartum Depression

RE104: A Novel Serotonergic Psychedelic 4-OH-DiPT Prodrug for the Treatment of Postpartum Depression Read More

Journal of Clinical Psychopharmacology

Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Subcutaneous RE104 Read More

RE104: A Novel Serotonergic Psychedelic 4-OH-DiPT Prodrug

RE104: A Novel Serotonergic Psychedelic 4-OH-DiPT Prodrug Read More

Adjustment-Disorder

Adjustment Disorder Associated With Medical Illness: Unmet Needs and Rationale for RE104 as a Novel Psychedelic Therapy Read More

RE104-Study-S132

A Randomized Controlled Study of the Psychedelic RE104 for the Treatment of Adjustment Disorder in Patients With Cancer and Other Medical Illnesses Read More

24-RNR-7184_ACNP24_RE104_EncorePoster_L2-1

A Novel Serotonergic Psychedelic 4-OH-DiPT Prodrug for Treatment of Postpartum Depression Read more

Novel-Serotonergic-Psychedelic

A Novel Serotonergic Psychedelic 4-OH-DiPT Prodrug for Treatment of Postpartum Depression Read more

Novel-Psychedelic-Deck2

Dr. Robert Alexander 2024 ADAA Podium Presentation Slide Deck: RE104 – A Novel, Shorter-Acting Psychedelic for Postpartum Depression Read more

Phase-1-Results

Phase 1 Results and Phase 2 Clinical Development of RE104: A Novel Serotonergic Psychedelic 4-OH-DiPT Prodrug Read more

BACKGROUND PUBLICATIONS

Barrett FS, Johnson MQ, Griffiths RR. Validation of the revised Mystical Experience Questionnaire in experimental sessions with psilocybin. J Psychopharmacol. 2015;29(11):1182-1190. Read more

Haijen E, Kaelen M, Roseman L, et al. Predicting responses to psychedelics: A prospective study. Front Pharmacol. 2018;9:897. Read more

Hirschfeld T and Schmidt TT. Dose-response relationships of psilocybin-induced subjective experiences in humans. J Psychopharmacol. 2021;35(4):384-397. Read more

Klein AK, Chatha M, Laskowski J, et al. Investigation of the structure-activity relationships of psilocybin analogues. ACS Pharmacol Transl Sci. 2021;4(2):533-542. Read more

Waters K. Pharmacologic similarities and differences among hallucinogens. J Clin Pharamcol. 2021;61(S2):S100-S113. Read more

Yaden DB and Griffiths RR. The subjective effects of psychedelics are necessary for their enduring therapeutic effects. ACS Pharmacol Transl Sci. 2021;4(2):568-572. Read more