Compass Pathways in partnership with
A partner brief for Compass Pathways

COMP360's NDA submission is a category-defining moment. The launch needs measurement built for psilocybin.

Two Phase 3 trials hit their primary endpoint. FDA Rolling Review is open. The Commissioner's National Priority Voucher is awarded. Now the operational lift starts: REMS-ready therapist training, site quality, payer evidence, and patient identification, all at launch scale.

See how we'd partner on COMP360

The Program

COMP360 (psilocybin)

A synthetic, proprietary formulation of psilocybin administered with psychological support. The most advanced psychedelic program in clinical development, with both pivotal Phase 3 trials hitting their primary endpoint for treatment-resistant depression.

IndicationTreatment-Resistant Depression
PhasePhase 3 complete; NDA rolling review
Session duration6 to 8 hours
Mechanism5-HT2A agonist
RouteOral, with therapy
FDA designationCommissioner's National Priority Voucher
Why we're paying attention

COMP360 is the most advanced psychedelic in clinical development. Launch readiness is now the work.

The Phase 3 data is in. Twice.

COMP005 and COMP006 both met their primary endpoint. COMP006 demonstrated a mean treatment difference of −3.8 points on MADRS at Week 6 for 25 mg vs. 1 mg (p < 0.001), with 39% of 25 mg participants achieving a clinically meaningful (≥25%) MADRS reduction. Onset was statistically significant the day following administration and held through Week 6.

The 6 to 8 hour session with psychological support is COMP360's differentiator and its operational complexity. Therapist consistency, patient experience, and outcome measurement all need to scale beyond hand-picked trial sites into a launch network.

Now the regulatory and commercial lifts start.

FDA Rolling Review is open. The Commissioner's National Priority Voucher was awarded. NDA submission is targeted for Q4 2026, with 26-week durability data from COMP006 Part B expected in early Q3.

What separates a great Phase 3 from a great launch: REMS-grade site quality, therapist training measurement, payer-grade durability evidence, and patient identification infrastructure. None of that comes from the molecule. All of it comes from operational measurement.

−3.8
Mean MADRS treatment difference at Week 6 (25 mg vs. 1 mg, p < 0.001)
39%
Clinically meaningful MADRS response at 25 mg by Week 6
2 of 2
Pivotal Phase 3 trials met primary endpoint
In the News

We've followed COMP360 through both Phase 3 readouts.

From the first Phase 3 hit to the second, to NDA rolling review and the National Priority Voucher.

The launch readiness problem

The launch readiness problem inside a 6-hour therapy session.

COMP360's 6 to 8 hour psilocybin session with psychological support is the program's differentiator. It is also four measurement gaps that standard launch tooling cannot close.

Gap 1: Session-Long Capture

Six hours of therapy is six hours of behavioral signal nobody is measuring.

A single COMP360 session generates more clinical signal than a year of weekly MADRS. Vocal affect, facial expression, linguistic content, and patient-therapist interaction all carry information that disappears the moment the session ends. Continuous capture during the session is the only way to preserve it.

Gap 2: Therapist Consistency

Therapist variance is the largest hidden risk factor in psychedelic launch.

Phase 3 had a small group of highly trained therapists. Post-launch, COMP360 will be administered across hundreds of REMS-certified providers with varying training depth and supervision. Without observable session records, therapist consistency becomes a payer talking point and a regulatory exposure.

Gap 3: Durability Beyond Week 6

Week 6 wins the primary endpoint. Week 52 wins the payer access conversation.

Spravato's ECHO study set the bar at 6-month durability post-discontinuation. COMP360 needs continuous functional-outcome data, not just MADRS, to win the payer-access fight against Spravato and the long-acting ketamines coming behind it.

Gap 4: Patient Identification at Launch

TRD patients are notoriously hard to identify in primary care.

Many TRD patients cycle through 3+ antidepressants without ever being flagged as candidates for a referral. Video-based behavioral screening in primary care and community psychiatry can dramatically improve the funnel before launch.

Three ways Videra de-risks COMP360's launch

Built for the operational reality of psilocybin therapy at launch scale.

Our platform pairs in-clinic AI hardware with multimodal behavioral analytics and a custom algorithm engine, already proven in TDScreen and Check on Mom. Here's how each maps to COMP360's launch.

01 · Ambient Monitoring

An AI-powered video cart that makes every COMP360 session look the same.

A clinical-grade camera and directional audio rig that drops into any COMP360 site in minutes. It captures every therapist and patient interaction across the 6 to 8 hour session with the same framing, angles, and fidelity. Videra's AI watches in real time, flagging protocol or training deviations as they happen.

  • Verifies COMP360 dosing protocol and therapeutic frame across sites
  • Standardizes therapist language, framing, and post-session integration
  • Generates a defensible session record for FDA, REMS auditors, and therapist QA
  • HIPAA-compliant, end-to-end encrypted; data never leaves the secure pipeline
See it in action. Videra Monitoring Stand reference →
PROTOCOL: VERIFIED Site #042 · Session 14 VIDERA MONITORING STAND Same setup. Same angles. Every site. Every session.
VoiceVitals · Live capture● Recording
00:00T+18 min00:60
Vocal affect tone↑ 32% vs. baseline
Speech rate variabilityNormalized at T+45
Facial expressivity (FACS)Peak T+22 min
Linguistic sentiment+1.8σ shift sustained
02 · Multimodal AI Endpoints

ASSESS turns 6 hours of session into measurable, payer-grade endpoints.

Our ASSESS platform analyzes voice, video, and language continuously through the COMP360 session and the weeks that follow. It captures within-session shifts that MADRS cannot, and tracks functional durability over the 26-week window payers care about.

  • Objectively capture within-session response and integration phases
  • Augment MADRS with continuous, between-visit functional capture
  • Built on 1M+ patient interactions across 300+ behavioral health facilities
  • Designed for 21 CFR Part 11, HIPAA, and SOC 2 Type II environments
Proof point: Check on Mom. Live AI video screener for postpartum depression →
03 · Custom Algorithms

The same engine that built TDScreen can predict COMP360 responders.

We don't stop at data collection. We build condition-specific algorithms on real patient data, with peer-reviewed results. For COMP360, that means a multimodal model that identifies likely responders early, flags relapse risk, and feeds payer dossiers with real-world durability data.

  • Identify objective biomarkers of COMP360 response within the session
  • Stratify likely responders earlier to optimize patient and provider experience
  • Feed payer dossiers, label expansion, and post-launch evidence commitments
  • Live algorithms today: TDScreen (AUC 0.89, J Clin Psychiatry) and Check on Mom
Proof point: TDScreen. AI that outperforms trained clinician raters, in production →
LIVE · IN MARKET

TDScreen

AI-powered tardive dyskinesia screening built on the AIMS standard. AUC 0.89 vs. trained raters, peer-reviewed in J Clin Psychiatry.

tdscreen.ai →

LIVE · IN MARKET

Check on Mom

Conversational AI + video screener for postpartum depression. Used in real homes, on real devices, validated against clinical frameworks.

checkonmom.ai →

PROPOSED · COMP360

A "COMP360 Response Signature"

Multimodal AI model trained on Phase 3 and post-launch data, combining within-session vocal, facial, and linguistic biomarkers to predict who will respond and who will relapse.

Strategic Alignment

Where Compass Pathways is headed, and how Videra fits.

Your priorities for COMP360's NDA and launch, mapped to capabilities Videra already has in production.

Compass Pathways' Priority
How Videra Accelerates
Complete the NDA submission with launch-ready operational evidence
ePRO+ with VoiceVitals captures within-session response signal across the 6 to 8 hour psilocybin experience
Standardize therapist conduct and training across the launch site network
QAview verifies therapist consistency and session framing at every REMS-certified site
Generate continuous post-launch RWE to win payer access vs. Spravato and ketamines
Behavioral-health network captures durable functional outcomes across the TRD launch population
Identify TRD patients ahead of launch to fill the referral pipeline
EngageEntry video-based screening in primary care and community psychiatry surfaces eligible TRD patients earlier
Expand COMP360 evidence into PTSD, anorexia, and beyond
EngageEntry for indication-specific screening, SignalSort for response prediction, InsightTranscribe for therapist training QA and KOL intelligence
Built on real-world data

Not a pitch. A platform.

Videra's network isn't our customer base. It's the living dataset that powers every algorithm we build. For AbbVie, that means real clinical depth and peer-reviewed validation.

300+
Behavioral health facilities
1M+
Patient interactions analyzed
0.89
AUC for TDScreen (J Clin Psychiatry, 2025)
94%
Patient program completion rate
HIPAA Compliant SOC 2 Type II 21 CFR Part 11 ready End-to-End Encrypted

Let's explore what this could look like for bretisilocin.

We'd welcome a 30-minute session to walk AbbVie's Neuroscience team through a tailored, protocol-by-protocol proposal for bretisilocin and the broader psychiatry pipeline.

Your Videra contact
Ryan Roberts
Videra Health
ryan@viderahealth.com viderahealth.com →