Tolerability and Efficacy of CBD Extract for RLS Treatment
A Randomized, Double-blind, Placebo-controlled Parallel Study of the Tolerability and Efficacy of High Cannabidiol (CBD) Cannabis Extract for the Treatment of Patients With Idiopathic Restless Legs Syndrome (RLS)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Jacquelyn Bainbridge
- Phone Number: 303-810-4254
- Email: Jacci.Bainbridge@cuanschutz.edu
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female subjects between 18 and 79 years of age, inclusive.
- Willing and able to give informed consent.
- Idiopathic RLS, meeting all 4 International RLS Study Group diagnostic criteria.
- Moderate or severe symptoms, defined as an IRLS score ≥ 15 at screening visit.
- RLS medications unchanged for 4 weeks prior to baseline.
- Must have a driver or available transportation (including provided Uber vouchers) to drive them to and from study visits and for other transportation needs during the treatment period.
- Has a significant other, caregiver, or close acquaintance who knows the subject well and agrees to participate in the subject's neuropsychiatric assessment.
- Agrees to not take more than 1 gram per day of acetaminophen.
- Whereas applicable, agrees to utilize an effective method of contraception from screening through at least 4 weeks after the completion of study treatment.
Exclusion Criteria:
- Secondary RLS, such as Parkinson's disease or end-stage renal disease.
- Present or past history of another severe sleep disorder.
- Currently on night shift work schedule.
- History or diagnosis of schizophrenia, bipolar or a psychotic disorder, severe depression, or any mental health illness that would compromise the safety of the participant.
- Current suicidal ideation.
- Severe cognitive impairment (e.g., Alzheimer's Disease, traumatic brain injury).
- Uncontrolled hypertension.
- Known or suspected allergy or hypersensitivity to cannabinoids or excipients used in the study drug formulation.
- Pending legal action or workers compensation.
- Cannabis use (THC) detectable at the screening/baseline visits.
- History of drug or alcohol dependence.
- Use of dopamine blockers, cocaine, or MAO-A inhibitors within 90 days of baseline.
- Use of any drugs with known interactions with cannabinoids (e.g., tolcapone, clopidogrel, felbamate, warfarin, barbiturates, benzodiazepines, niacin, nicotinamide, isoniazid, ketoconazole, clobazam, valproate, mTOR inhibitors) within 90 days of baseline.
- Unstable medical condition.
- Clinically significant laboratory abnormalities.
- Moderate or severe hepatic impairment.
- Is pregnant, lactating, or has a positive pregnancy test result pre-dose.
- Planned elective surgery during study participation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Placebo Comparator: Placebo Comparator
Half of the patients will be randomized to receive placebo orally.
It is an oral solution of mono-, di-, and triglycerides
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Oral solution of mono-, di-, and triglycerides
|
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Experimental: BRC-002
Half of patients will be randomized to receive oral investigational product.
BRC-002 is a non-scheduled high cannabidiol cannabis extract (<0.3% THC).
The cannabinoids in BRC-002 are naturally biosynthesized within the Cannabis sativa L. plant.
|
BRC-002 is a non-scheduled cannabidiol (CBD) formulation (<0.3% THC).
The cannabinoids in BRC-002 are naturally biosynthesized within the Cannabis sativa L. plant.
BRC-002 is a high Cannabidiol Botanical extract (100 mg/mL).
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To examine the safety and tolerability of oral high CBD extract in idiopathic RLS assessed by frequency of adverse events which will be monitored by patient reported adverse events, vital signs, physical exam, and safety labs during study visits.
Time Frame: Baseline, Visit 3, Visit 4, Visit 5
|
Participant reports measures the frequency of adverse events. This will be done with open-ended questions during patient visits and phone calls. Abnormal vital signs (BP, HR, RR) at patient visits measures the frequency of participants with adverse events. BP over 130/80 mmHg indicates worse outcomes. Lower scores indicate worse outcomes. HR ranges from 60 to 100 bpm; Scores outside this range indicates worse outcomes. RR ranges from 12-20 bpm. Scores outside this range indicated worse outcomes. A neurological exam and routine physical exam will be preformed to examine adverse events. Abnormal findings will constitute as an adverse event. Labs (serum CBC w/ diff, serum CMP, urinalysis) will measure frequency of adverse events. Abnormal CBC w/diff, CMP, and urinalysis values will be determined by lab ranges. |
Baseline, Visit 3, Visit 4, Visit 5
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To examine the effect of BRC-002 on RLS symptoms assessed through changes from baseline in RLS-6 Severity Scale
Time Frame: Baseline; Day 20
|
The RLS-6 Severity Scale ranges from 0-60; increasing scores indicates a worse outcome.
|
Baseline; Day 20
|
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To examine the effect of BRC-002 on RLS symptoms assessed through changes from baseline in change from baseline in International Restless Legs Syndrome Study Group Rating Scale (IRLS)
Time Frame: Baseline; Day 20
|
The International Restless Legs Syndrome Study Group Rating Scale (IRLS) measures RLS symptoms.
Scores range from 0 to 40, with higher scores indicating a worse outcome.
|
Baseline; Day 20
|
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To examine the effect of BRC-002 on RLS symptoms assessed through changes in sleep quality index (SQI) as measured by the SleepImage Ring
Time Frame: Baseline; Day 20
|
The SleepImage Recorder ring measures quality of sleep.
Scores range from 0 to 100, with higher scores indicating a better outcome.
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Baseline; Day 20
|
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To examine the effect of BRC-002 on RLS symptoms assessed through changes in the Pittsburgh Sleep Quality Index (PSQI).
Time Frame: Baseline; Day 20
|
The Pittsburg Sleep Quality Index (PSQI) measures sleep quality.
Scores range from 0 to 21, with higher scores indicating a worse outcome.
|
Baseline; Day 20
|
|
To examine the effect of BRC-002 in sleep measured by change in the Epworth Sleepiness Scale (ESS)
Time Frame: Baseline; Day 20
|
The Epworth Sleepiness Scale (ESS)measures daytime sleepiness.
Scores range from 0 to 24, with higher scores indicating a worse outcome.
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Baseline; Day 20
|
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To examine the effect of BRC-002 on RLS symptoms assessed through changes in the Fatigue Severity Scale (FSS).
Time Frame: Baseline; Day 20
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The Fatigue Severity Scale (FSS) measures fatigue.
Scores range from 9 to 63, with higher scores indicating a worse outcome.
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Baseline; Day 20
|
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To examine the effect of BRC-002 in cognition measured by change in the Montreal Cognitive Assessment (MoCA)
Time Frame: Baseline; Day 20
|
The Montreal Cognitive Assessment (MoCA) measures cognitive impairment.
Scores range from 0 to 30, with higher scores indicating a better outcome.
|
Baseline; Day 20
|
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To examine the effect of BRC-002 in psychiatric symptoms measured by change in the Neuropsychiatric Inventory (NPI) assessment.
Time Frame: Baseline; Day 20
|
Neuropsychiatric Inventory (NPI) measures behavior.
Scores range from 0 to 144, with higher scores indicating a worse outcome.
|
Baseline; Day 20
|
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To examine the effect of BRC-002 in mood measured by change in the Emotional and Behavioral Dyscontrol Short Form.
Time Frame: Baseline; Day 20
|
The Quality of Life in Neurological Disorders Measurement System (Neurol-QOL) measures mood.
Scores range from 0 to 100, with higher scores indicating a better outcome.
|
Baseline; Day 20
|
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To examine the effect of BRC-002 on RLS symptoms assessed through changes in Patient Reported Outcome Measurement Information System (PROMIS).
Time Frame: Baseline; Day 20
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Patient Reported Outcome Measurement Information System (PROMIS) measures pain.
Scores range from 0 to 100, with higher scores indicating a worse outcome.
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Baseline; Day 20
|
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To examine the effect of BRC-002 in suicidality measured by change in the Columbia-Suicide Severity Rating Scale (C-SSRS).
Time Frame: Baseline; Day 20
|
The C-SSRS measures suicidality in participants.
The scores range from 2 through 25; with higher scores indicating worse outcomes.
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Baseline; Day 20
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To examine the effect of BRC-002 on RLS symptoms assessed through changes in Clinical Global Impression (CGI) Scales
Time Frame: Baseline; Day 20
|
Clinical Global Impression (CGI) Scales measures improvement in RLS.
Scores range from 0 to 7, with higher scores indicating a worse outcome.
|
Baseline; Day 20
|
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To examine the effect of BRC-002 on RLS symptoms assessed through changes in Johns Hopkins Restless Legs Syndrome Quality of Life Questionnaire (RLSQoL).
Time Frame: Baseline; Day 20
|
The Johns Hopkins Restless Legs Syndrome Quality of Life Questionnaire (RLSQoL) measures severity of RLS symptoms.
Scores range from 0 to 72; with higher scores indicating better outcomes.
|
Baseline; Day 20
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Jacquelyn Bainbridge, Skaggs School of Pharmacy
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 (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 23-0682
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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