- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03245658
The Effect of Cannabis in Pancreatic Cancer
December 11, 2023 updated by: Jens Rikardt Andersen
The Effect of Medical Cannabis Inpatients With Palliative Pancreatic Cancer
Cannabinoids are known to increase appetite, but THC components have psychogenic properties too.
CBD is the main component in the plant, and have only minimal psychogenic effects.
The aim was to test the appetite stimulating effects of CBD in patients with pancreatic cancer in palliative treatment.
Study Overview
Status
Withdrawn
Conditions
Intervention / Treatment
Detailed Description
Randomization of consecutive patients who wanted to participate to a daily dose of CBD or not as a supplement to the standard treatment.
Study Type
Interventional
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Naestved, Denmark, 4700
- Department of clinical oncology, Næstved-Roskilde Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
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
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / 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
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
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
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Jens Rikardt Andersen, MD, MPA, University of Copenhagen
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
October 6, 2017
Primary Completion (Estimated)
May 6, 2018
Study Completion (Estimated)
October 6, 2018
Study Registration Dates
First Submitted
March 21, 2017
First Submitted That Met QC Criteria
August 9, 2017
First Posted (Actual)
August 10, 2017
Study Record Updates
Last Update Posted (Actual)
December 18, 2023
Last Update Submitted That Met QC Criteria
December 11, 2023
Last Verified
December 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- H-17000277
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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