About this trial
This study is a randomized, double-blind, placebo and active-controlled, multicenter trial conducted to evaluate whether PP-01 mitigates the withdrawal symptoms associated with discontinuing cannabis in participants with moderate to severe cannabis use disorder (CUD). Study participants will receive PP-01, nabilone, or placebo every day for 34 days. The total study duration will be approximately 78 days, including screening and a one-week inpatient stay. Following the initial inpatient portion of the study, participants will return to the clinic for six clinic visits and complete two telemedicine appointments. Participants will complete daily symptom diaries and other study-related questionnaires.
Participants who complete the core study may be eligible to participate in a repeat dosing extension study if they meet required criteria.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Generally healthy adults between the ages of 18 and 55, inclusive.
Meet DSM-5 diagnostic criteria for current moderate to severe CUD as confirmed by a licensed physician or psychologist or addiction medicine specialist.
BMI within 18.0 to 38.0 kg/m2, inclusive.
Female participants must not be pregnant or lactating. If of childbearing potential - the participant agrees to use an accepted contraceptive regimen.
Disqualifiers
Lifetime history of DSM-5 diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder.
Current DSM-5 criteria for a psychiatric disorder that in the Investigator's judgment is unstable, would be disrupted by the study medication, or is likely to require new pharmacotherapy or psychotherapy during the study period. Individuals who are currently stable on psychotropic medication for at least 3 months may be included at the discretion of the Investigator's judgement.
Participants who meet DSM-5 criteria for any history of or current drug use disorder within the previous 2 years, other than cannabis, nicotine, or caffeine use disorders.
Participants who consume alcohol on a regular or frequent basis and who do not agree or are deemed by the Investigator to be unable to discontinue alcohol for the duration of the study.
Trial design
Parallel
Treatments tested in this trial
PP-01
Combination productCannabinoid-1 (CB1) partial agonist / GABAergic modulator
Nabilone
DrugCB1 partial agonist
Placebo
DrugPlacebo comparator
Treatment groups
Trial outcomes
Primary outcomes
AUCs of the CSCW over Days 2 to 7, inclusive, comparing PP-01 vs Placebo
AUCs of the CSCW over Days 25 to 35, inclusive, comparing PP-01 vs Nabilone to assess rebound
Secondary outcomes
AUCs of CWS-20 Irritability Domain scores over Days 2 to 35 comparing PP-01 vs Placebo
AUCs of CWS-20 Irritability Domain scores over Days 25 to 35 comparing PP-01 vs Nabilone
AUCs of the CSCW over Days 2 to 35 comparing PP-01 vs Placebo
AUCs of CWS-20 Sleep Domain scores over Days 2 to 35 comparing PP-01 vs Placebo
Sponsors and contacts
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PleoPharma, Inc.
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator