CANnabinoids in Pediatric ONCology

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age4-18
SponsorUniversity of Manitoba

About this trial

CANnabinoids in Pediatric ONCology is a randomized, double blind, adaptive clinical trial looking at the tolerability of cannabinoids in children with cancer across 3 Canadian children's hospitals.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Ages 4-17 years old at the time of enrollment

Diagnosed with relapsed or refractory solid or hematologic malignancy including brain tumours

Currently receiving active cancer treatment or supportive and palliative care

Estimated survival of at least 4 months at the time of enrollment

Disqualifiers

History of cardiovascular disease, severe hepatic or renal impairment defined by alanine transaminase (ALT)/ aspartate aminotransferase (AST) more than 5x upper limit of normal (ULN), creatinine more than 5x ULN or glomerular filtration rate (GFR less than) <60 mL/min/1.73 m273m2, unstable/unmanaged arrhythmias, uncontrolled hypertension with blood pressure above 99th centile for age or history of myocardial infarction

Nabilone or other cannabis-based products use (including for recreational purposes) within the past 2 weeks or planned nabilone use for the duration of their enrollment in the trial. Current use/continued use of recreational cannabis, or not willing to abstain from recreational cannabis use during the trial

Anyone who is pregnant or breast/chest-feeding throughout the duration of the study or has the intention to become pregnant within 3 months of study completion

Participation in other clinical trials that prohibit the concurrent use of cannabis

Trial design

Design model

Parallel

Treatments tested in this trial

  • MPL-001

    Drug

    High-CBD arm (MPL-001) a cannabidiol-enriched cannabis herbal extract which contains a 1:25 ratio of THC:CBD. The MPL-001 oil is produced by MediPharm Labs, each ml contains 50mg CBD and 2mg THC.

  • MPL-005

    Drug

    Medium-CBD arm (MPL-005) a cannabidiol-enriched cannabis herbal extract which contains a 1:5 ratio of THC:CBD. The MPL-005 oil is produced by MediPharm Labs, each ml contains 25mg CBD and 5mg THC.

  • MPL-009

    Drug

    Balanced arm (MPL-009) a balanced 1:1 ratio of THC:CBD. The MPL-009 oil is produced by MediPharm Labs, each ml contains 25mg CBD and 25mg THC.

Treatment groups

60 Participants
are divided into 3 treatment groups
Group A: Arm 1. High-CBD arm (MPL-001)Experimental treatment 1 intervention
Group B: Arm 2. Medium-CBD arm (MPL-005)Experimental treatment 1 intervention
Group C: Arm 3. Balanced arm (MPL-009)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of adverse events (Tolerability)

Reported through study completion

Time frame
14 weeks

Secondary outcomes

1

Pain intensity

Pain will be measured using Faces Pain Scale-Revised reported by the participants daily throughout the study. Pain will be reported for each study visit as a percentage change from the weekly average documented at baseline.

Time frame
daily for 14 weeks
2

Symptom burden

Symptom burden is measured using the score of Symptom Screening in Pediatrics Tool (SSPedi) assessed three times a week throughout the study and will be reported as a weekly average and percentage change from baseline.

Time frame
3 times per week for 14 weeks
3

Quality of life (child)

Pediatric quality of life inventory (PedsQLTM) will be assessed weekly throughout the study

Time frame
once per week for 14 weeks
4

Sleep (hours per night)

Sleep, will be reported as the number of hours per night, measured using Actigraphy and/or parent report, will be reported as an average over a one-week time period.

Time frame
daily for 14 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Manitoba

Lead sponsor

Canadian Cancer Society (CCS)

Collaborator

Canadian Institutes of Health Research (CIHR)

Collaborator