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Real World Evidence on the Use of Medical Cannabis in Pediatrics

Recruiting
Conditions
Cancer
Neurodevelopmental Disorders
Epilepsy
Interventions
Registration Number
NCT05863910
Lead Sponsor
University of Manitoba
Brief Summary

CAN-RWE is an observational study that is following 500 children who have authorizations for medical cannabis for two years from across Canada.

Detailed Description

Pediatric patients (3 to 17 years) using medical cannabis (MC) for pain, sleep, mood, behaviour, seizures, treatment of cancer, or to manage symptoms related to cancer or cancer-treatment are eligible to join this 24-month study if they have a valid MC authorization.

Following screening, eligible participants will be contacted by the study coordinator. Following informed consent, study participants will record complete outcome measures on pain, sleep, mood (anxiety, depression and positive affect), behaviour, as well as report their cannabis use and indication-specific outcomes as applicable at 3, 6, 12, and 18 weeks, as well as 6, 12, 18 and 24-months.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
500
Inclusion Criteria
  • 3 to 17 years
  • have a medical document provided by a prescribing health care practitioner (i.e. physician, nurse practitioner, etc.) for the use of medical cannabis
  • medical cannabis is authorized for pain, sleep, mood, behaviour, seizures, cancer or cancer-treatment related symptom management
  • ability to respond to electronic questionnaires in English
Exclusion Criteria
  • individuals using cannabis for medical purposes without a medical cannabis authorization from a health care provider
  • those only using cannabis recreationally

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Epilepsy CohortMedical CannabisFor children with epilepsy, the following tools will be added for data collection at each time point: * Side effects: Pediatric Epilepsy Side Effects Questionnaire \[PESQ\] * Seizure frequency/severity: Seizure Diary Data Questionnaire
Cancer CohortMedical CannabisFor children with cancer, the following tools will be added for data collection at each time point: * Cancer symptom burden: Symptom Screening in Pediatrics Tool \[SSPedi\] * Cachexia: Pediatric Functional Assessment of Anorexia/ Cachexia Treatment \[peds-FAACT\]
General Pediatrics CohortMedical CannabisThere are no specific outcome scales added for this cohort.
Primary Outcome Measures
NameTimeMethod
Patterns of cannabis use (caregiver-reported)baseline to 24-months

Describe patterns of cannabis use are described using a standard data collection form including dose and product type completed by caregivers at baseline, 3, 6, 12, and 18-weeks and 6, 12, 18 and 24-months

Secondary Outcome Measures
NameTimeMethod
Adverse eventsbaseline to 24-months

Cannabis-related adverse events and serious adverse events reported by caregivers using a standard AE data collection tool and categorized according to CTCAE v5.0 at baseline, 3, 6, 12, and 18-weeks and 6, 12, 18 and 24-months

Changes in mood - positive affectbaseline to 24-months

PROMIS short form pediatric positive affect scale 8a v2.0

Family related quality of lifebaseline to 24-months

Longitudinal assessment of cachexia using PedsQL

Changes in sleep related impairmentbaseline to 24-months

PROMIS short form pediatric sleep related impairment scale 8a v2.0

Changes in mood - anxietybaseline to 24-months

PROMIS short form scales for pediatric anxiety symptoms 8a v2.0

Changes in pain interferencebaseline to 24-months

PROMIS short form pediatric pain interference scale 8a v2.0

Parental overall impression of behaviourbaseline-24months

Parents/Caregivers will be asked to report on if their childs behaviour has improved or worsened and will have an open-ended text box to describe anything they want to tell us about changes in their child's behaviour.

Effectiveness in oncology cohort - symptom burdenbaseline to 24-months

Longitudinal assessment for benefit signals in caregiver reported changes in symptom burden assessed using mini-SSPEDI (under 8 yr) and SSPEDI scales

Effectiveness in oncology cohort - cachexiabaseline to 24-months

Longitudinal assessment of cachexia using Peds-FAACT

Changes in mood - depressionbaseline to 24-months

PROMIS short form scales for pediatric depression symptoms 8a v2.0

Effectiveness in seizure cohort - seizure frequencybaseline to 24-months

Longitudinal assessment for benefit signals in epilepsy seizure frequency/severity measure by a seizure diary

Effectiveness in seizure cohort - QOLCEbaseline to 24-months

Longitudinal assessment for benefit signals including epilepsy related side effects measured using QOLCE

Trial Locations

Locations (1)

U Manitoba

🇨🇦

Winnipeg, Manitoba, Canada

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