About this trial
This study plans to evaluate the effects of chronic cannabis smoking on lung health by evaluating its effects on pulmonary health, lung physiology and alveolar macrophage function.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Daily or near daily cannabis use (inhaled via joint/cigarette or pipe) equivalent to AT LEAST 20 "joint years" (number of joints/cigarettes per day multiplied by number of years during which cannabis was smoked) by self-report and validated through urine drug screen.
Never or limited exposure to inhaled tobacco products (equivalent to LESS THAN one "pack year" in a lifetime) by selfreport and validated through negative urine cotinine screen.
Capacity to answer screening questions and provide informed consent at time of interview, along with contact information
No cannabis use ever by self-report, and validated through urine drug screen.
Disqualifiers
LESS THAN near daily cannabis use (inhaled via joint/cigarette or pipe) equivalent to LESS THAN 20 "joint years" (number of joints/cigarettes per day multiplied by number of years during which cannabis was smoked) or a negative urine drug screen (for cannabis)
Inhaled tobacco product exposure EXCEEDING one "pack year" or a positive urine cotinine screen
Elevated AUDIT-C score: A 3 item questionnaire to identify subjects with alcohol use disorders.
Prior medical history of liver disease: cirrhosis, total bilirubin > 2.0 mg/dL or albumin <3
Trial population
Adults aged 18 to 55 who have been exposed to chronic cannabis smoking (without a history of tobacco smoking) and health, non-smoking controls.
Trial design
Cohort
Retrospective
Treatments tested in this trial
Bronchoscopy
Procedure/SurgeryPassage of a thin flexible tube through the mouth, into the windpipe and then into the bronchial tubes so that the study doctor can look into the lungs to perform Bronchoalveolar lavage (BAL), cytologic brushing, and protected specimen brushing.
Chest X-ray
RadiationTo identify any previously undiagnosed lung disease that will either increase the risk of bronchoscopy or confound results of the study.
Venipuncture
Procedure/SurgeryTo collect blood cells and serum for analyses.
Intravenous Catheter
Procedure/SurgeryTo administer the appropriate medications for the bronchoscopy procedure.
Treatment groups
Trial outcomes
Primary outcomes
Change in alveolar macrophage phagocytosis related to the use of cannabis
Alveolar macrophage phagocytosis, secretion of pro-inflammatory cytokines, and cellular apoptosis, both at baseline, and after stimulation with pathogen-associated molecular patterns.
Evaluation of intrapulmonary oxidative stress indices in bronchalveolar lavage (BAL)
Intrapulmonary oxidative stress indices will be measured in both isolated alveolar macrophages (AM) and acellular epithelial lining fluid derived from bronchoalveolar lavage (BAL).
Assessment of Lung Function
Spirometry/Pulmonary function testing
Sponsors and contacts
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University of Colorado, Denver
Lead sponsor
National Center for Advancing Translational Sciences (NCATS)
Collaborator