The Effect of Cannabis in Pancreatic Cancer
The Effect of Medical Cannabis Inpatients With Palliative Pancreatic Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Jens Rikardt Andersen, MD, MPA
- Phone Number: 004523346654
- Email: jra@nexs.ku.dk
Study Contact Backup
- Name: Rikke Lundsgaard Nielsen, Msc stud
- Phone Number: 004540461306
- Email: gdz384@alumni.ku.dk
Study Locations
-
-
-
Naestved, Denmark, 4700
- Department of clinical oncology, Næstved-Roskilde Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adult, palliative pancreatic cancer diagnosis, weight loss > 5%, understand and read Danish.
Exclusion Criteria:
- Regular use of cannabis, psychiatric disorders, alcohol abuse, life expectancy < 6 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: THC and CBD Mixture
32 patients with palliative pancreatic cancer, intervention with oral drops of THC, 25mg/ml and CBD 50mg/ml, daily administered for 4 weeks
|
Individually titrated doses on daily basis
Other Names:
|
|
No Intervention: Control
32 patients with palliative pancreatic cancer, no experimental treatment,
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Energy and protein intake
Time Frame: The outcome measure will be assessed at day 0 and at week 4
|
Dietary history (% of estimated needs - NRS 2002)
|
The outcome measure will be assessed at day 0 and at week 4
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lean body mass
Time Frame: The outcome measure will be assessed at day 0 and at week 4
|
Bioimpedance (% of body weight, kg)
|
The outcome measure will be assessed at day 0 and at week 4
|
|
Appetite 1
Time Frame: The outcome measure will be assessed at day 0 and at week 4
|
VAS (cm on 10 cm scale)
|
The outcome measure will be assessed at day 0 and at week 4
|
|
Appetite 2
Time Frame: The outcome measure will be assessed at day 0 and at week 4
|
Dietary history (VAS (cm on 10 cm scale))
|
The outcome measure will be assessed at day 0 and at week 4
|
|
Appetite 3
Time Frame: The outcome measure will be assessed at day 0 and at week 4
|
EORTC QLQ-C30 (score, standard for the Quality of Life entity)
|
The outcome measure will be assessed at day 0 and at week 4
|
|
Appetite 4
Time Frame: The outcome measure will be assessed at day 0 and at week 4
|
EORTC QLQ-PAN26 (score, standard for the Quality of Life entity)
|
The outcome measure will be assessed at day 0 and at week 4
|
|
Quality of life 1
Time Frame: The outcome measure will be assessed at day 0 and at week 4
|
EORTC QLQ-C30 (score, standard for the Quality of Life entity)
|
The outcome measure will be assessed at day 0 and at week 4
|
|
Quality of life 2
Time Frame: The outcome measure will be assessed at day 0 and at week 4
|
EORTC QLQ-PAN26 (score, standard for the Quality of Life entity)
|
The outcome measure will be assessed at day 0 and at week 4
|
|
Quality of life 3
Time Frame: The outcome measure will be assessed at day 0 and at week 4
|
VAS (VAS (cm on 10 cm scale))
|
The outcome measure will be assessed at day 0 and at week 4
|
|
Pain 1
Time Frame: The outcome measure will be assessed at day 0 and at week 4
|
EORTC QLQ-C30 (score, standard for the Quality of Life entity)
|
The outcome measure will be assessed at day 0 and at week 4
|
|
Pain 2
Time Frame: The outcome measure will be assessed at day 0 and at week 4
|
EORTC QLQ-PAN26 (score, standard for the Quality of Life entity)
|
The outcome measure will be assessed at day 0 and at week 4
|
|
Pain 3
Time Frame: The outcome measure will be assessed at day 0 and at week 4
|
VAS (VAS (cm on 10 cm scale))
|
The outcome measure will be assessed at day 0 and at week 4
|
|
Mortality (8 weeks)
Time Frame: 8 weeks
|
Patient records, national register
|
8 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Jens Rikardt Andersen, MD, MPA, University of Copenhagen
Publications and helpful links
General Publications
- Johnson JR, Burnell-Nugent M, Lossignol D, Ganae-Motan ED, Potts R, Fallon MT. Multicenter, double-blind, randomized, placebo-controlled, parallel-group study of the efficacy, safety, and tolerability of THC:CBD extract and THC extract in patients with intractable cancer-related pain. J Pain Symptom Manage. 2010 Feb;39(2):167-79. doi: 10.1016/j.jpainsymman.2009.06.008. Epub 2009 Nov 5.
- Perras C. Sativex for the management of multiple sclerosis symptoms. Issues Emerg Health Technol. 2005 Sep;(72):1-4.
- Gartner S, Kruger J, Aghdassi AA, Steveling A, Simon P, Lerch MM, Mayerle J. Nutrition in Pancreatic Cancer: A Review. Gastrointest Tumors. 2016 May;2(4):195-202. doi: 10.1159/000442873. Epub 2016 Jan 8.
- Ware MA, Daeninck P, Maida V. A review of nabilone in the treatment of chemotherapy-induced nausea and vomiting. Ther Clin Risk Manag. 2008 Feb;4(1):99-107. doi: 10.2147/tcrm.s1132.
- Grotenhermen F. Pharmacokinetics and pharmacodynamics of cannabinoids. Clin Pharmacokinet. 2003;42(4):327-60. doi: 10.2165/00003088-200342040-00003.
- Slatkin NE. Cannabinoids in the treatment of chemotherapy-induced nausea and vomiting: beyond prevention of acute emesis. J Support Oncol. 2007 May;5(5 Suppl 3):1-9.
- Johnson JR, Lossignol D, Burnell-Nugent M, Fallon MT. An open-label extension study to investigate the long-term safety and tolerability of THC/CBD oromucosal spray and oromucosal THC spray in patients with terminal cancer-related pain refractory to strong opioid analgesics. J Pain Symptom Manage. 2013 Aug;46(2):207-18. doi: 10.1016/j.jpainsymman.2012.07.014. Epub 2012 Nov 8.
- Reuter SE, Martin JH. Pharmacokinetics of Cannabis in Cancer Cachexia-Anorexia Syndrome. Clin Pharmacokinet. 2016 Jul;55(7):807-812. doi: 10.1007/s40262-015-0363-2.
- Gamage TF, Lichtman AH. The endocannabinoid system: role in energy regulation. Pediatr Blood Cancer. 2012 Jan;58(1):144-8. doi: 10.1002/pbc.23367.
- Fox KM, Brooks JM, Gandra SR, Markus R, Chiou CF. Estimation of Cachexia among Cancer Patients Based on Four Definitions. J Oncol. 2009;2009:693458. doi: 10.1155/2009/693458. Epub 2009 Jul 1.
- Gullett N, Rossi P, Kucuk O, Johnstone PA. Cancer-induced cachexia: a guide for the oncologist. J Soc Integr Oncol. 2009 Fall;7(4):155-69.
- Blum D, Omlin A, Fearon K, Baracos V, Radbruch L, Kaasa S, Strasser F; European Palliative Care Research Collaborative. Evolving classification systems for cancer cachexia: ready for clinical practice? Support Care Cancer. 2010 Mar;18(3):273-9. doi: 10.1007/s00520-009-0800-6.
Helpful Links
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- H-17000277
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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