About this trial
Restless Legs Syndrome (RLS) is a disorder that causes painful and uncomfortable sensations in the legs, and its symptoms have a significant impact on sleep and quality of life. Cannabis has been used by some RLS patients as a treatment due to its painkilling and drowsiness effects, however there has never been a clinical research trial investigating cannabis in patients with RLS. A controlled trial is needed to establish how safe and feasible cannabis is as a treatment for RLS. The investigators plan to randomize 30 participants with moderate-to-severe RLS to receive either cannabis or placebo for 8 weeks. The investigators will measure patients sleep quality and quality of life at baseline and 8-week follow-up. The investigators will also monitor patients for any adverse reactions to the study drug.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
≥25 years of age
diagnosis of RLS based on the International RLS Study Group criteria
refractory RLS symptoms despite use of dopaminergic and/or alpha-2-delta ligand therapy
onset of RLS at least 6 months before screening
Disqualifiers
sleep disordered breathing, or sleep disordered breathing that is not adequately controlled on therapy (apnea-hypopnea index of >15)
cannabis use within 4 weeks of study enrollment
known allergy to cannabis, cannabinoids or palm/coconut oil
Currently pregnant or breast-feeding (a negative urine pregnancy test must be obtained for women of childbearing potential during pretreatment evaluation)
Trial design
Parallel
Treatments tested in this trial
Cannabis oil
Drug5:1 CBD:THC oral formulation with a concentration of 25 mg/g CBD and 5 mg/g THC in a pharmaceutical grade medium chain triglyceride (MCT) oil.
Cannabis placebo
DrugPlacebo oil
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Adverse Events and Serious Adverse Events
We will measure the rate and type of treatment related adverse events
Rate of Study Completion
The percentage of enrolled participants who complete the study
Secondary outcomes
Change from Baseline in Restless Legs Syndrome Quality of Life (RLSQoL) at 8 Weeks
The Summary Score of the RLSQoL will be calculated, ranging from 0 (worse quality of life) to 100 (best quality of life).
Change from Baseline in Self-Reported Quality of Life on the Short Form-36 (SF-36) Health Survey Questionnaire at 8 Weeks
The SF-36 Questionnaire has 36-items that covers eight areas: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. Scores for each domain range from 0 to 100, with a higher score indicating better health.
Change in Restless Legs Syndrome Severity using the International RLS Study Group Rating Scale from Baseline to Follow-up
The International RLS Study Group Rating Scale measures RLS severity based on the following summary scale: Very severe=31-40 points Severe=21-30 points Moderate=11-20 points Mild=1-10 points None=0 points
Change in Sleep Quality as assessed by the Pittsburgh Sleep Quality Index from Baseline to Follow-Up
Sleep quality as assessed by the Pittsburgh Sleep Quality Index. The questionnaire is scored on a range from 0-21 points, with "0" indicating no difficulty and "21" indicating severe difficulties in all areas.
Sponsors and contacts
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Sunnybrook Health Sciences Centre
Lead sponsor
University Health Network, Toronto
Collaborator