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Clinical Trials/NCT03122691
NCT03122691CompletedPhase 1

Differences in Cannabis Impairment and Its Measurement Due to Route of Administration

Johns Hopkins University1 site in 1 country23 target enrollmentStarted: May 1, 2018Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Completed
Enrollment
23
Locations
1
Primary Endpoint
Tetrahydrocannabinol (THC) Concentration in Blood

Study Overview

Brief Summary

This research is being done to measure the effects of both oral and vaporized cannabis (marijuana), at different doses, on the ability to perform certain tasks such as balancing, eye tracking, and computerized measures of memory and attention, as well as performance on a novel app (DRUID) that is being developed for field sobriety testing. The investigators will collect biological fluids (urine, blood, saliva/spit) after cannabis is eaten or vaporized to see if there are markers in those fluids that can predict performance on the behavioral tasks and the DRUID App. The results of this study will help us better understand the effects of using cannabis, and to help identify behaviors and/or substances in the body that relate to cannabis impairment.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover
Primary Purpose
Basic Science
Masking
Double (Participant, Outcomes Assessor)

Masking Description

Placebo controlled, double blind drug administration

Eligibility Criteria

Ages
18 Years to 45 Years (Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Be in good general health based on a physical examination, medical history, vital signs, 12-lead ECG and screening urine and blood tests
  • Test negative for recent cannabis use in urine at the screening visit (confirmed by Gas Chromatography (GC)/ Mass Spectrometry (MS) laboratory test) and at clinic admission
  • Test negative for other drugs of abuse, including alcohol at the screening visit and at clinic admission
  • Demonstrate ability to expectorate 3-5 mL of "native" oral fluid over a 5-minute period
  • Not be pregnant or nursing (if female). All females must have a negative serum pregnancy test at the screening visit and a negative urine pregnancy test at clinic admission.
  • Have a body mass index (BMI) in the range of 19 to 36 kg/m2
  • Blood pressure at Screening Visit does not exceed a systolic blood pressure (SBP) of 150 mmHg or a diastolic blood pressure (DBP) of 90 mmHg
  • Have no allergies to any of the ingredients used to prepare cannabis brownies (chocolate, eggs, wheat, etc.).
  • Report prior experience inhaling cannabis (either via smoking or vaporization).

Exclusion Criteria

  • History of or current evidence of significant medical or psychiatric illness judged by the investigator to put the participant at greater risk of experiencing an adverse event due to exposure or completion of other study procedures.
  • Use of an Over-the-Counter (OTC), systemic or topical drug(s), herbal supplement(s), or vitamin(s) within 14 days of experimental sessions; which, in the opinion of the investigator or sponsor, will interfere with the study result or the safety of the subject.
  • Use of a prescription medication (with the exception of birth control prescriptions) within 14 days of experimental sessions; which, in the opinion of the investigator or sponsor, will interfere with the study result or the safety of the subject.
  • Use of hemp seeds or hemp oil in any form in the past 3 months.
  • Use of dronabinol (Marinol) within the past 6 months.
  • History of xerostomia (dry mouth), or the presence of mucositis, gum infection or bleeding, or other significant oral cavity disease or disorder that in the investigator's opinion may affect the collection of oral fluid samples.
  • History of clinically significant cardiac arrhythmias or vasospastic disease (e.g., Prinzmetal's angina).
  • Abnormal EKG result that in the investigator's opinion is clinically significant.
  • Epilepsy or a history of seizures.
  • Enrolled in another clinical trial or have received any drug as part of a research study within 30 days prior to dosing

Arms & Interventions

High-Dose Vaporized Cannabis

Experimental

Single acute administration of placebo cannabis containing 20mg THC via commercial vaporizer

Intervention: cannabis (Drug)

Placebo Oral Cannabis

Placebo Comparator

Single acute administration of placebo cannabis baked into a brownie

Intervention: cannabis (Drug)

Low-Dose Oral Cannabis

Experimental

Single acute administration of cannabis containing 10mg THC baked into a brownie

Intervention: cannabis (Drug)

High-Dose Oral Cannabis

Experimental

Single acute administration of cannabis containing 25mg THC baked into a brownie

Intervention: cannabis (Drug)

Placebo Vaporized Cannabis

Placebo Comparator

Single acute administration of placebo cannabis via commercial vaporizer

Intervention: cannabis (Drug)

Low-Dose Vaporized Cannabis

Experimental

Single acute administration of placebo cannabis containing 5mg THC via commercial vaporizer

Intervention: cannabis (Drug)

Outcomes

Primary Outcomes

Tetrahydrocannabinol (THC) Concentration in Blood

Time Frame: 8 hours

Quantitation of active drug (THC) in whole blood (ng/ml).

Secondary Outcomes

  • 11-hydroxy-tetrahydrocannabinol (11-OH-THC)(8 hours)
  • Tetrahydrocannabinolic Acid (THCCOOH)(8 hours)
  • Peak Change in Blood Pressure(8 hours post drug exposure)
  • Change in Heart Rate(Baseline, 1, 2, 3, 4, 5, 6, 7, and 8 hours post drug exposure)
  • Mean (SD) Peak Change-from-baseline Drug Effect Rating(Up to 5 hours)
  • Change From Baseline Behavioral Task Performance as Assessed by the DRUID App Score(8 hours)

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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