About this trial
Marijuana is the most commonly used illicit drug, and there is a high demand for effective treatments for cannabis use disorder, yet few specific pharmacological treatments have been developed. This study will evaluate the efficacy and safety of varenicline for reducing marijuana use in adults who use marijuana frequently. Participants will be randomized to receive either varenicline or placebo for 12 weeks, along with computerized cognitive behavioral therapy. Cannabis use, medication adherence, and safety outcomes will be assessed throughout treatment and at a follow-up visit.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years
DSM-5 diagnosis of cannabis use disorder
Cannabis use ≥ 3 days per week in past 30 days
Ability to read English and provide informed consent
Disqualifiers
Pregnant, breastfeeding, or planning pregnancy
Severe renal impairment (CrCl < 30 mL/min)
Lifetime bipolar I or II disorder, schizophrenia, or other psychotic disorder
Suicidal ideation or behavior within 6 months
Trial design
Parallel
Treatments tested in this trial
Varenicline (Chantix)
DrugVarenicline will be provided at the standard recommended dose of 0.5mg daily for three days, then 0.5mg twice daily for four days, and then 1mg twice daily for the remainder of the 12-week treatment period.
Placebo
DrugMatched placebo administered daily for 12 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Cannabis use reduction
The primary efficacy outcome is cannabis use reduction as measured by daily substance use logs and examined as the total number of use sessions at each weekly visit.
Group equivalence
There will equivalence of the average number of weekly use sessions reported between men and women.
Treatment responder classification
Determine what baseline demographic, cannabis use, and clinical characteristics best differentiate positive study treatment responders as compared to non-responders .
Locations
Sponsors and contacts
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Medical University of South Carolina
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator
National Institutes of Health (NIH)
Collaborator
This trial is not recruiting at the moment. You can still explore other options: