About this trial
This study will examine sex differences in the effects of cannabis in people that regularly use it. Men and women that use cannabis at least 4 days a week will participate in a study involving 3 in-person visits. The first visit will be used to determine eligibility for the study. The other two visits will last 7 hours each and take place at least two days apart. Visits include administration of either THC, the chemical responsible for many of the psychoactive effects of cannabis, or a placebo; completion of questionnaires; and a 1-hour brain scan. One visit will also include a blood draw for genetic testing.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Able and willing to provide informed consent
Age 21-45
Meet DSM-5 criteria for CUD
Report cannabis use ≥4 days/week on average in the last 30 days at screening
Disqualifiers
Meet DSM-5 criteria for any lifetime psychotic or bipolar disorder
Urinalysis results indicative of recent drug use other than cannabis
Current use of any psychotropic medication or over-the-counter supplements deemed by the investigator to have the potential to interfere with study outcomes
Current treatment-seeking for CUD or other SUDs
Trial design
Crossover
Treatments tested in this trial
Dronabinol
DrugOral dronabinol capsules (40 mg)
Placebo
DrugMatched placebo capsules
Treatment groups
Trial outcomes
Primary outcomes
Nucleus accumbens glutamate
Concentrations of nucleus accumbens glutamate measured via proton magnetic resonance spectroscopy
Drug Effects Questionnaire (DEQ) - Like Drug Effect
Visual Analog Scale rating of subjective drug liking included in the Drug Effects Questionnaire. Score ranges from 0 (not at all) to 100 (extremely) using a 100mm line anchored with none/extreme designation.
Sex differences in genetics
Blood-based DNA sample will be tested for genetic variants of interest involved in the endocannabinoid system
Secondary outcomes
Dorsal striatal glutamate
Concentrations of dorsal striatal glutamate measured via proton magnetic resonance spectroscopy
Drug Effects Questionnaire (DEQ) - Want More
Visual Analog Scale rating of subjective desire for more of the same drug included in the Drug Effects Questionnaire. Score ranges from 0 (not at all) to 100 (extremely) using a 100mm line anchored with none/extreme designation.
Drug Effects Questionnaire (DEQ) - High
Visual Analog Scale rating of subjective "high" included in the Drug Effects Questionnaire. Score ranges from 0 (not at all) to 100 (extremely) using a 100mm line anchored with none/extreme designation.
Sponsors and contacts
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Medical University of South Carolina
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator