Understanding the Clinical Pharmacology of Marijuana-Tobacco Co-administration

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age21-65
SponsorUniversity of California, San Francisco

About this trial

This is a crossover, randomized, double-blinded clinical pharmacology study enrolling dual cannabis-tobacco smokers to better understand the combined effects of co-administering cannabis and tobacco. The project aims to describe the pharmacokinetics and pharmacodynamics of marijuana-tobacco co-administration by delivering THC and nicotine in various combinations. This foundational study will establish a research program focused on elucidating the public health consequences of marijuana-tobacco co-use.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Heart rate < 105 beats per minute (BPM)*

Systolic Blood Pressure < 160 and > 90*

Diastolic Blood Pressure < 100 and > 50*

Body Mass Index (BMI) ≤ 38.0 (at investigator's discretion for higher BMI if no other concurrent health issues)

Disqualifiers

Heart disease

Seizures

Cancer

Thyroid disease (okay if controlled with medication)

Trial design

Design model

Crossover

Treatments tested in this trial

  • Cannabis

    Drug

    Participants will vape marijuana in varying doses from the PAX device

  • Nicotine

    Drug

    Participants will vape Regular and Very Low Nicotine content cigarettes from the PAX device

  • Pax Loose Leaf Vaporizer

    Device

    In all arms, participants will be using the PAX Loose Leave Vaporizer.

  • Placebo Marijuana

    Other intervention

    Participants will vape placebo marijuana from the PAX device

Treatment groups

48 Participants
are divided into 8 treatment groups

8

Treatment groups

See each treatment group below.

Group A: Placebo marijuana and regular cigaretteExperimental treatment 3 interventions
Group B: Placebo marijuana and Very Low Nicotine Content cigaretteExperimental treatment 3 interventions
Group C: Medium marijuana and regular cigaretteExperimental treatment 3 interventions
Group D: Medium marijuana and Very Low Nicotine Content cigaretteExperimental treatment 3 interventions
Group E: High marijuana and regular cigaretteExperimental treatment 3 interventions
Group F: High marijuana and Very Low Nicotine Content cigaretteExperimental treatment 3 interventions
Group G: High marijuana onlyExperimental treatment 2 interventions
Group H: Regular cigarette onlyExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Change in peak plasma concentration of THC

To assess the differences between THC dosages, the study investigators will determine maximum plasma THC concentration (Cmax) using plasma THC concentrations from the standardized sessions.

Time frame
From Baseline to Day 1
2

Change in peak plasma concentration of THC

To assess the differences between THC dosages, the study investigators will determine maximum plasma THC concentration (Cmax) using plasma THC concentrations from the standardized sessions.

Time frame
From Day 1 to Day 2
3

Change in peak plasma concentration of THC

To assess the differences between THC dosages, the study investigators will determine maximum plasma THC concentration (Cmax) using plasma THC concentrations from the standardized sessions.

Time frame
From Day 2 to Day 3
4

Change in peak plasma concentration of THC

To assess the differences between THC dosages, the study investigators will determine maximum plasma THC concentration (Cmax) using plasma THC concentrations from the standardized sessions.

Time frame
From Day 3 to Day 4

Secondary outcomes

1

Cardiovascular effects among dosages using heart rate as a measure

The investigators will compare maximum change in heart rate as well as an integrated measure of heart rate over the first 180 minutes after the standardized session among dosages.

Time frame
From Baseline to Day 1
2

Cardiovascular effects among dosages using heart rate as a measure

The investigators will compare maximum change in heart rate as well as an integrated measure of heart rate over the first 180 minutes after the standardized session among dosages.

Time frame
From Day 1 to Day 2
3

Cardiovascular effects among dosages using heart rate as a measure

The investigators will compare maximum change in heart rate as well as an integrated measure of heart rate over the first 180 minutes after the standardized session among dosages.

Time frame
From Day 2 to Day 3
4

Cardiovascular effects among dosages using heart rate as a measure

The investigators will compare maximum change in heart rate as well as an integrated measure of heart rate over the first 180 minutes after the standardized session among dosages.

Time frame
From Day 3 to Day 4

Other outcomes

Sponsors and contacts

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

University of California, San Francisco

Lead sponsor

National Institute on Drug Abuse (NIDA)

Collaborator

National Institutes of Health (NIH)

Collaborator

Food and Drug Administration (FDA)

Collaborator