ceruviaLIFESCIENCES in partnership with
A trial observation brief for Ceruvia Lifesciences

Non-hallucinogenic LSD needs a measurement stack that isolates the mechanism.

BOL-148 is your commercial wedge and your regulatory challenge at once. Proving 5-HT2A efficacy without the psychedelic experience requires endpoint quality the standard PRO stack wasn't designed to deliver. Videra captures the mechanism-of-action signal without confounding it with subjective psychedelic effects.

See how we'd observe NYPRG-101

The Asset

NYPRG-101 (BOL-148)

Ceruvia Lifesciences' brominated LSD analog program — non-hallucinogenic 5-HT2A modulation targeting cluster headache and adjacent indications.

IndicationCluster headache, 5-HT2A indications
PhasePhase 1 / 2
Mechanism5-HT2A modulator (brominated LSD analog)
DifferentiatorNon-hallucinogenic
PathwayEfficacy without psychedelic experience
Endpoint challengeStandard PRO scales not designed for MOA isolation
Why we're paying attention

Non-hallucinogenic 5-HT2A modulation is the wedge — and the measurement challenge.

BOL-148 and the non-hallucinogenic story

NYPRG-101 is Ceruvia's BOL-148 program — a brominated LSD analog that retains 5-HT2A activity without producing a psychedelic experience. The therapeutic potential extends across cluster headache and adjacent 5-HT2A indications.

The commercial wedge is real: a 5-HT2A therapy you can prescribe and dispense like any other small molecule. No REMS, no monitored sessions, no scheduling burden. But the regulatory case requires proving efficacy in a way standard PROs weren't designed to capture.

Isolating mechanism from experience

Behavioral biomarkers can isolate the 5-HT2A mechanism-of-action signal without confounding it with subjective psychedelic effects. Vocal, facial, and somatic signal can demonstrate efficacy in ways MADRS at Day 28 cannot — because the mechanism is the entire story.

The 'efficacy without trip' narrative needs an evidence stack engineered for that exact claim.

Non-H
Non-hallucinogenic 5-HT2A modulator
BOL-148
Brominated LSD analog, decades of pharmacology research
No REMS
Standard prescribing model, not session-based
In the News

We've followed NYPRG-101 since the Phase 1 readout.

Tracking the non-hallucinogenic 5-HT2A space.

The observation problem

Efficacy without psychedelic experience needs new endpoints.

Four observation gaps separate 'non-hallucinogenic 5-HT2A' from 'commercially viable therapy.'

Gap 1: Mechanism Isolation

MADRS reflects subjective experience as much as drug effect.

When you remove the psychedelic experience, you remove part of what standard PROs measure. Behavioral biomarkers can isolate the underlying mechanism signal independent of perceived subjective effects.

Gap 2: Cluster Headache Endpoints

Patient-reported attack frequency misses inter-attack change.

Continuous voice and video monitoring across attack and remission periods generates the high-resolution data that makes the efficacy case to FDA and the value case to payers.

Gap 3: Adjacent Indication Mapping

5-HT2A is a broad therapeutic target.

Behavioral observation in cluster headache trials surfaces mechanism signal that informs expansion into adjacent 5-HT2A indications — depression, anxiety, OCD, addiction.

Gap 4: Non-Psychedelic Validation

Proving 'non-hallucinogenic' isn't trivial.

The FDA and payers need confidence that NYPRG-101 truly lacks psychedelic effects. Multimodal behavioral observation provides the objective evidence layer.

How we partner

Capture, Analyze, Co-Develop — pick the entry point.

Bring us a question and we'll capture the data. Bring us your data and we'll run it through our models. Or start from a hypothesis and we'll co-develop a novel endpoint with you, end-to-end.

Capture

Trial or study data capture

We bring the hardware, software, and AI to your site. Behavioral signal collected the same way at every visit, every site, every time.

Analyze

Behavioral insight & analytics

Bring us your existing video, voice, or trial data. Our multimodal models surface vocal, facial, and linguistic biomarkers you couldn't see in PRO data alone.

Co-Develop

Digital models & endpoints

Start from a clinical hypothesis. We build the digital endpoint, the screener, or the response model end-to-end — from study design through peer review.

Three ways Videra observes NYPRG-101

Purpose-built for non-hallucinogenic 5-HT2A therapy trials.

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 NYPRG-101.

01 · Ambient Monitoring

An AI-powered video cart that captures cluster-headache trial sessions.

A clinical-grade camera and directional audio rig that drops into any NYPRG-101 trial site in minutes. Every clinician-participant interaction captured at the same fidelity — the baseline for mechanism observation independent of psychedelic confound.

  • Verifies dosing protocol adherence and consistent administration across sites
  • Standardizes facilitator language and post-dose check-ins
  • Generates a defensible session record for regulators, monitors, and post-hoc review
  • HIPAA-compliant, end-to-end encrypted; data never leaves the secure pipeline
See it in action. Videra Monitoring Stand reference →
PRODUCT 01 ROOMVIEW

Ambient room & patient observation

Broad, continuous observation of the full room and the patient during the NYPRG-101 session. Videra algorithms run on captured video, voice, and movement signal — triggering alerts on abnormalities, acute findings, and protocol-defined events.

  • Cart built for full-room and patient capture
  • AI analysis on the captured signal
  • Real-time alerts on acute findings
PRODUCT 02 FIDELITYVIEW

High-fidelity encounter monitoring

Multi-view cameras and high-fidelity audio focused on close-contact patient–provider interactions. Purpose-built to monitor protocol adherence remotely and protect the fidelity of the trial.

  • Cart built for close-contact capture
  • Multi-view cameras + hi-fi audio
  • Remote protocol-adherence monitoring
PRODUCT 03 LIVEVIEW

Centralized live oversight

Stream Videra carts from one or many rooms to a single central observation point, scaling oversight across NYPRG-101 sites — in clinic and at commercial launch.

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 NYPRG-101 sessions into mechanism-isolated endpoints.

Multimodal analysis of voice, video, and language during and between cluster headache attacks. The objective measurement layer that proves efficacy without depending on subjective psychedelic effects.

  • Objectively capture onset, peak, and resolution of the psychoactive window
  • Augment MADRS and HAM-D with continuous, between-visit behavioral data
  • 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

Custom biomarkers for the 'efficacy without trip' story.

For NYPRG-101, that means a proprietary non-psychedelic 5-HT2A response signature — distinguishing therapeutic effect from subjective experience in a way standard endpoints cannot.

  • Isolate the 5-HT2A mechanism signal from subjective experience confounds
  • Stratify likely responders vs. non-responders earlier in treatment
  • Feed regulatory submissions, label expansion, and payer dossiers
  • 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. A short, video-based assessment that quantifies involuntary movements, reducing reliance on subjective rating. AUC 0.89 vs. trained raters, peer-reviewed in J Clin Psychiatry.

  • Early & objective detection
  • Scalable, remote, device-agnostic
  • Geographic, demographic, prevalence RWE
  • Supports post-market & HEOR strategies

tdscreen.ai →

LIVE · IN MARKET

Check on Mom

Consumer-friendly video assessment for perinatal & postpartum depression. Surfaces postpartum risk earlier than standard EPDS administration, and routes to care with rich signal.

  • Multi-touch perinatal monitoring
  • Routes to provider with rich signal
  • Built for advocacy + commercial channels
  • Pharma-sponsored deployment model

checkonmom.ai →

PROPOSED · NYPRG-101

A "NYPRG-101 Mechanism-Isolated Endpoint"

Multimodal AI model trained on NYPRG-101 cluster headache data, isolating the 5-HT2A mechanism signal from subjective experience confounds.

Co-developed with your team, the same way we built TDScreen and Check on Mom for our existing pharma partners.

Strategic Alignment

Where Ceruvia Lifesciences is headed, and how Videra fits.

Your non-hallucinogenic 5-HT2A strategy, mapped to Videra capabilities in production.

Ceruvia Lifesciences's Priority
How Videra Accelerates
Prove cluster headache efficacy with FDA-grade endpoints
ePRO+ with VoiceVitals captures attack frequency, severity, and inter-attack signal
Document non-hallucinogenic profile objectively
Multimodal behavioral capture distinguishes mechanism from subjective effect
Build expansion data for adjacent 5-HT2A indications
Behavioral-health network supports adjacent indication trials
Differentiate the non-psychedelic 5-HT2A story
Mechanism-isolated biomarkers anchor the FDA and payer narrative
Build launch infrastructure for standard-prescribing model
EngageEntry for cluster headache patient identification, SignalSort for adherence
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 Ceruvia Lifesciences, 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 NYPRG-101.

We'd welcome a 30-minute session to walk Ceruvia Lifesciences through a tailored, protocol-by-protocol proposal for NYPRG-101's cluster headache program.

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