About this trial
This clinical trial assesses differences in the delivery of THC to the bloodstream depending on whether nicotine vapes are used before or after THC. While there has been much recent publicity about vaping products and concern about their safety considering their increasing use for THC administration, the THC delivery profile associated with THC liquid vaping products in human subjects is currently unknown. Importantly, how the delivery to the bloodstream of THC vaping liquids compare to delivery from smoked cannabis, which is the most used method of cannabis delivery, will serve as an important benchmark for evaluating the delivery and effects of THC vaping products, and their relative safety.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age ≥ 21 years of age; (self-reported on screening, verified at study visit).
Report use of commercial THC vaping cartridges for at least 3 months prior to enrollment; (self-reported).
Experience with THC potency at or above the study product AND experience with chasing THC with nicotine (at least monthly); (self-reported).
Report use of THC vaping liquids at least weekly (4x/month); (self-reported).
Disqualifiers
Detection level 4-5 (> 300 ng/mL) on urinary THCA rapid test (NarcoCheck® THC PreDosage Ref#: DOA-M03-9B) and a positive result on THC saliva test (NarcoCheck Ref#: NCE-S-THC-1).
Illegal or non-prescription drug use within the past 90 days. As detected by NarcoCheck® Évolutive® (detection in human urine of the 12 most currently abused drugs) at the first session and prior to receiving any study product. THC use detected by NarcoCheck® Évolutive® is permitted
Illegal or non-prescription drug use/alcohol substance use disorder (SUD) within the past year; (self-reported).
Report 2 or more drinking occasions/week with 4 or more drinks/occasion; (self-reported).
Trial design
Crossover
Treatments tested in this trial
Biospecimen Collection
Procedure/SurgeryUndergo blood collection
Cannabis sativa Extract
DrugVape THC
Nicotine
DrugVape active nicotine
Placebo Administration
DrugVape placebo nicotine
Questionnaire Administration
Other interventionAncillary studies
Treatment groups
Trial outcomes
Primary outcomes
Maximum concentration of THC in plasma (Cmax)
Pharmacokinetics (PK) profiles of THC in plasma will be determined using a visual plot of plasma THC concentrations by time. Parameters will be derived using non-compartmental analysis in Phoenix WinNonlin and adjusted for baseline THC levels. Will be summarized by nicotine status using the appropriate descriptive statistics and graphical summaries.
Area under the plasma concentration-time curve from 0-360 minutes (AUC0-360)
Blood samples will be collected for plasma levels of THC. Parameters will be derived using linear mixed models
Time to maximum concentration of THC in plasma (Tmax)
Blood samples will be collected for plasma levels of THC. Parameters will be derived using linear mixed models.
Secondary outcomes
Incidence of adverse events (AEs)
AEs will be summarized by nicotine condition and grade using frequencies and relative frequencies. Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 will be utilized for AE reporting.
Puffing behaviors
puff duration
Puffing behaviors
puff number
Short-term drug effects
The short-term drug effects (Drug Effects Questionnaire \[DEQ), The DEQ rates sixteen component items using a visual analog scale (0-100) to examine drug effects pre- and post-use
Sponsors and contacts
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Roswell Park Cancer Institute
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator
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