- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04587791
Cannabidiol in Opioid Use Disorder and Chronic Pain
Cannabidiol Pharmacotherapy for Co-occurring Opioid Use Disorder and Chronic Pain
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Twenty two male and female (ages 18-70) participants with comorbid opioid use disorder (OUD) and non-cancer chronic pain for at least 6 months, currently receiving methadone or buprenorphine, will be enrolled. Prior to their daily methadone or buprenorphine dose and thus at trough plasma levels of opioid, participants will receive oral CBD (400 mg, 800 mg, 1200 mg) or placebo. Subsequently, all participants will undergo laboratory testing of opioid-related outcomes.
Pain sensitivity will be measures including the well-validated Cold Pressor Test (CPT), Quantitative Sensory Testing (QST), the Short-Form McGill Pain Questionnaire (SF-MPQ) and a pain Visual Analog Scale (VAS). Attentional bias and cue-induced opioid craving will be measured using a visual probe task and the Heroin Craving Scale (HCQ-14). Negative affect will be measured using the Positive and Negative Affect Schedule (PANAS). Cognitive performance will be measured by a comprehensive cognitive battery that includes the Continuous Performance Test (CPT) and the Hopkins Verbal Learning Test (HVLT). The order of study medication administration will be counterbalanced order to minimize carryover effects. On the initial screening day and at the end of medication treatment, blood will be drawn to determine serum drug levels. Participants will be thoroughly evaluated by a physician prior to discharge on each experimental session. One week after the last study medication dose, participants will be conducted by phone for a follow-up session.
Study Type
Enrollment (Estimated)
Phase
- Early Phase 1
Contacts and Locations
Study Contact
- Name: Joao De Aquino, M.D.
- Phone Number: 2916 203-5711
- Email: joao.dequino@yale.edu
Study Contact Backup
- Name: Ellen Mitchell, R.N.
- Phone Number: 3012 203-932-5711
- Email: ellen.mitchell@yale.edu
Study Locations
-
-
Connecticut
-
West Haven, Connecticut, United States, 06516
- Recruiting
- Department of Veterans Affairs Hospital
-
Contact:
- Joao De'Aquino, M.D.
- Phone Number: 3012 203-932-5711
- Email: joao.dequino@yale.edu
-
Principal Investigator:
- Joao De Aquino, M.D.
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Males and females, Veterans and non-Veterans, aged between 18 and 70 years old.
- Diagnosed with OUD and currently enrolled in methadone or buprenorphine maintenance treatment.
- Having chronic pain, uniformly operationalized as grade II (high-intensity) non-cancer musculoskeletal pain for ≥ 6 months 49
- Capable of providing informed consent in English.
- Compliant in opioid maintenance treatment and on a stable dose for two weeks or longer.
- Not meeting DSM-5 criteria for substance use disorders other than OUD or tobacco use disorder within the last 12 months.
- No current medical problems deemed contraindicated for participation by principal investigator.
- For women, not pregnant as determined by pregnancy screening; not breast-feeding; using acceptable birth control methods.
Exclusion Criteria:
- Other current major psychiatric disorders deemed clinically unstable by the principal investigator, such as severe depression and/or active suicidal ideation.
- Having experienced major psychosocial stressors recently (≤ 6 weeks before enrollment), at the discretion of the principal investigator.
- Having received inpatient psychiatric treatment recently (≤ 60 days before enrollment).
- A study physician will determine if participants receiving products containing THC or CBD products may participate in the study.
- Current use benzodiazepines or platelet inhibitors (e.g., clopidogrel, apixaban, ticagrelor).
- Current weight of less of 60 kg.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: CBD 400mg
CBD 400 mg
|
Participants will receive 400mg
Other Names:
|
Active Comparator: CBD 800mg
|
Participants will receive 800mg
Other Names:
|
Active Comparator: CBD 1200mg
|
Participants will receive 1200mg
Other Names:
|
Placebo Comparator: Saline
saline
|
Participants will receive saline
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Systematic Assessment for Treatment Emergent Events (SAFTEE)
Time Frame: up to 4 weeks
|
The safety and tolerability of CBD will be assessed using the SAFTEE
|
up to 4 weeks
|
Quantitative Sensory Testing (QST)
Time Frame: up to 4 weeks
|
Pain will be measured by a comprehensive QST battery
|
up to 4 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Joao De Aquino, M.D., Yale University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- JD001
- 2000029286 (Other Identifier: Yale HRPP)
- 1K23DA052682-01 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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