About this trial
This study is a randomized, placebo-controlled, dose-ranging trial of plant-derived cannabidiol (CBD) among people who regularly use cannabis concentrates but are not trying to stop or cut down on their use. The main questions it aims to answer are whether CBD, relative to placebo, reduces cannabis concentrate use, the subjective effects of cannabis, or cannabis craving. Participants will take CBD (200 mg or 400 mg per day) or placebo for 4 weeks and will complete three visits during the study medication period, all conducted using a mobile laboratory.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 25-60.
Regular use (at least 4 times per week) of cannabis concentrates for the last year.
Not currently seeking to cut down or stop cannabis use.
At least one episode of 3 consecutive days of cannabis abstinence with no experience of severe withdrawal symptoms (i.e., >=4 DSM-5 Cannabis Withdrawal symptoms rated as "severe"), in the last 90 days.
Disqualifiers
Use of any illicit substance besides alcohol, nicotine, or cannabis (e.g., cocaine, opiates, methamphetamine, MDMA, benzodiazepines, or barbiturates) in the past 60 days, as indicated by self-report and urine toxicology screening at the beginning of each study visit.
Use of CBD-containing products other than cannabis concentrates in the past 90 days.
Alcohol use on 3 or more days per week, and/or > 3 drinks per drinking day in the past 60 days. Participants must also have a breath alcohol level of 0 at the beginning of each study visit.
Daily nicotine use.
Trial design
Parallel
Treatments tested in this trial
Broad Spectrum Cannabidiol (bsCBD) 400 mg
DrugParticipants in this Arm will take 400 mg of bsCBD daily. Participants will take medication by mouth with food in the morning and evening.
Broad Spectrum Cannabidiol (bsCBD) 200 mg
DrugParticipants in this Arm will take 200 mg of bsCBD daily. Participants will take medication by mouth with food in the morning and evening.
Placebo
DrugParticipants in this Arm will take a medically inert placebo. Participants will take medication by mouth with food in the morning and evening.
Treatment groups
Trial outcomes
Primary outcomes
Difference in blood 11-Nor-9-carboxy-THC (THC-COOH) levels
THC-COOH levels in blood samples collected at baseline, Week 2, and Week 4 of medication ingestion
Difference in blood delta-9-tetrahydrocannabinol (THC) levels
THC levels in blood samples collected before and after cannabis use at baseline and at Week 4 of medication ingestion
Difference in cannabis use
Total number of days of cannabis use during the 4-week medication period as reported on daily diaries
Secondary outcomes
Difference in cannabis-induced intoxication
Drug Effects Questionnaire score following cannabis use at baseline and at Week 4 of medication ingestion (minimum = 0, maximum = 5, higher scores = greater intoxication)
Difference in cannabis-induced subjective effects
Addiction Research Center Inventory Marijuana score following cannabis use at baseline and at Week 4 of medication ingestion (minimum = 0, maximum = 12, higher scores = greater subjective effects)
Difference in cannabis-induced psychotomimetic symptoms
Psychotomimetic States Inventory paranoia and cognitive disorganization item scores following cannabis use at baseline and at Week 4 of medication ingestion (minimum = 0, maximum = 54, higher scores = greater psychotomimetic symptoms)
Difference in cannabis-induced anxiety and negative affect
Profile of Mood States short form tension, vigor, and elation subscale item scores following cannabis use at baseline and at Week 4 of medication ingestion (minimum = 0, maximum = 60, higher scores = greater anxiety and negative affect)
Other outcomes
Difference in blood cannabidiol (CBD) levels
CBD levels in blood samples collected at baseline, Week 2, and Week 4 of medication ingestion
Adverse effects
Adverse effects reported at baseline and Week 4 of medication ingestion
Sponsors and contacts
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University of Colorado, Denver
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator