- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04659278
Endourage Complete Spectrum Oral Mucosal Drops (OMD) in Adults Desiring a Reduction in Ethanol Use
A Post Marketing Study to Evaluate the Safety and Efficacy of Endourage Complete Spectrum Oral Mucosal Drops (OMD) in Adults Desiring a Reduction in Ethanol Use
Study Overview
Status
Detailed Description
CBD is the second most abundant component of the cannabis plant after tetrahydrocannabinol (THC). Unlike THC, CBD does not get users high, but there is some evidence suggesting that it might have anti-anxiety, anticonvulsant, anti-inflammatory and immune boosting, antioxidant effects.
Currently, the only CBD product approved by the Food and Drug Administration is a prescription oil called Epidiolex (Greenwich Biosciences, Inc. 2018). It is approved to treat two types of epilepsy. Aside from Epidiolex, state laws on the use of CBD vary. While CBD is being studied as a treatment for a wide range of conditions, including Parkinson's disease, schizophrenia, diabetes, multiple sclerosis and anxiety, and addiction, research supporting the drug's benefits is still limited.
CBD use carries some risks. Though it is often well-tolerated, CBD can cause side effects, such as dry mouth, diarrhea, reduced appetite, drowsiness, and fatigue. CBD can also interact with other medications you are taking, such as blood thinners.
Another cause for concern is the unreliability of the purity and dosage of CBD in products. A recent study of 84 CBD products bought online showed that more than a quarter of the products contained less CBD than labeled. In addition, THC was found in 18 products. If you plan to use products containing CBD, talk to your primary health care provider.
People take cannabidiol by mouth for anxiety, bipolar disorder, a muscle disorder called dystonia, seizures, multiple sclerosis, Parkinson's disease, and schizophrenia.
Cannabidiol is possibly safe when taken by mouth and appropriately in adults. Cannabidiol doses of up to 300 mg daily have been used safely for up to 6 months. Higher doses of 1200-1500 mg daily have been used safely for up to 4 weeks. Cannabidiol sprays used under the tongue have been used in doses of 2.5 mg for up to 2 weeks.
Study Type
Phase
- Not Applicable
Contacts and Locations
Study Locations
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California
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Novato, California, United States, 94947
- Thomas P Young, PhD, NP
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18 years of age or older who can provide informed consent
- Ability to read and write in the English language and follow study-related procedures
- Ability to have mail/ study drug delivered to an address and/or P.O. Box in the recipient's name.
- If a woman of childbearing age, willing to use a dual method of contraception (barrier and/or hormonal)
Exclusion Criteria:
- Active illicit or non-prescribed drug use
- Concomitant use of benzodiazepines
- Concomitant use of Antabuse
- Documented history and active treatment for seizure disorder
- Transaminase elevation
- Hepatitis C infection (currently on therapy and/or any transaminitis elevation)
- Hepatitis B infection (currently on therapy and/or any transaminitis elevation)
- Any form of mental impairment that will/could hinder safe participation in the study
- Pregnancy or breast-feeding
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Placebo Comparator: Group 1 Placebo
Placebo Isolate Placebo (Hemp seed oil and peppermint flavoring)
|
The isolate formulation contains 0% cannabinoids (CBD 0.00%; CBDa 0.00%; detla 9 THC 0.00%; THCa 0.00%).
Total CBD = CBD + (CBD-A * 0.877).
Total THC = THCA-A * 0.877 + Delta 9 THC, ND =
Mentha piperita Leaf /Stem Oil; Physical state: Liquid.
Color: Colorless to pale yellow; Characteristic peppermint odor; Not dangerous goods.
Other Names:
|
|
Active Comparator: Group 2 Isolate Comparator
Isolate Placebo Isolate (CBD no terpenes Hemp seed oil [slightly lower concentration of CBD ratio])
|
The isolate formulation contains 0% cannabinoids (CBD 0.00%; CBDa 0.00%; detla 9 THC 0.00%; THCa 0.00%).
Total CBD = CBD + (CBD-A * 0.877).
Total THC = THCA-A * 0.877 + Delta 9 THC, ND =
Mentha piperita Leaf /Stem Oil; Physical state: Liquid.
Color: Colorless to pale yellow; Characteristic peppermint odor; Not dangerous goods.
Other Names:
|
|
Placebo Comparator: Group 3 Placebo Comparator
Placebo OMD Endourage OMD (Full flower extract with a 1:1 ratio of cannabis terpenes, Hemp seed oil and peppermint flavoring)
|
Total CBD = CBD + (CBD-A * 0.877).
Total THC = THCA-A * 0.877 + Delta 9 THC, ND =
Mentha piperita Leaf /Stem Oil; Physical state: Liquid.
Color: Colorless to pale yellow; Characteristic peppermint odor; Not dangerous goods.
Other Names:
The CBD/THC ratio of OMD 1200 is 14:1 and the CBD/Terpene ratio is 1:1.
Each ¼ dropper contains 10.2 mg of CBD and 0.7 mg of THC.
The total % THC is 0.28%.
These ratios indicate that the product will not cause euphoria.
Other Names:
|
|
Experimental: Group 4 Experimental Placebo
OMD Placebo Endourage OMD (Full flower extract with a 1:1 ratio of cannabis terpenes, Hemp seed oil and peppermint flavoring)
|
Total CBD = CBD + (CBD-A * 0.877).
Total THC = THCA-A * 0.877 + Delta 9 THC, ND =
Mentha piperita Leaf /Stem Oil; Physical state: Liquid.
Color: Colorless to pale yellow; Characteristic peppermint odor; Not dangerous goods.
Other Names:
The CBD/THC ratio of OMD 1200 is 14:1 and the CBD/Terpene ratio is 1:1.
Each ¼ dropper contains 10.2 mg of CBD and 0.7 mg of THC.
The total % THC is 0.28%.
These ratios indicate that the product will not cause euphoria.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Anxiety scores
Time Frame: 112 days (4-months)
|
Generalized Anxiety Disorder (GAD-7), measure for anxiety.
Baseline scores will be compared to scores at end of study across arms.
Change in anxiety scores from baseline to end of study will be measured.
Range from 0-4 for minimal; 5-9 mild; 10-14 moderate; 15-21 severe.
Changes will be compared across arms.
Increased scores will indicate that study product was not effective in decreasing symptoms measured (anxiety).
|
112 days (4-months)
|
|
Depression scores
Time Frame: 112 days (4-months)
|
Patient Health Questionnaire (PHQ-9), measure for depression. Change in depression scores from baseline to end of study. Total Score for Depression Severity will be compared across arms from baseline to end of study at 112-days. Score ranges from: 1-4 Minimal depression; 5-9 Mild depression; 10-14 Moderate depression; 15-19 Moderately severe depression; 20-27 Severe depression. Increased scores indicate that study product is not effective in decreasing symptoms measured (depression). |
112 days (4-months)
|
|
Alcohol craving scores
Time Frame: 112 days (4-months)
|
The Alcohol Craving Questionnaire Short Form (ACQ-SF-R) will be compared from baseline to end of study. Changes in craving score will be measured in each arm of study. Scores from 1-7 (strongly disagree to strongly agree) is measured across 12 items and 4 sub-scales ([1] compulsivity, [2] expectancy, [3] purposefulness, and [4] emotionality). The sum of the raw scores for each factor will be calculated and compared from baseline to the end of study across arms. Increased scores indicate that study product is not effective in reducing cravings for alcohol. |
112 days (4-months)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To determine CBDs impact on anxiety, depression, and alcohol craving that trigger desires to consume alcohol versus abstain.
Time Frame: 112 days (4-months)
|
Daily diary of symptom(s), dose(s) of study product and alcohol use will be kept by participants. Diary entries of symptoms, daily dose of study product and daily alcohol use will be measured and compared across study arms from baseline to end of study. |
112 days (4-months)
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Thomas P Young, PhD NP, Michael D Steward, MD + Thomas P Young, PhD, NP
Publications and helpful links
General Publications
- Grotenhermen F. Pharmacokinetics and pharmacodynamics of cannabinoids. Clin Pharmacokinet. 2003;42(4):327-60. doi: 10.2165/00003088-200342040-00003.
- MacCallum CA, Russo EB. Practical considerations in medical cannabis administration and dosing. Eur J Intern Med. 2018 Mar;49:12-19. doi: 10.1016/j.ejim.2018.01.004. Epub 2018 Jan 4.
- Moreira FA, Lutz B. The endocannabinoid system: emotion, learning and addiction. Addict Biol. 2008 Jun;13(2):196-212. doi: 10.1111/j.1369-1600.2008.00104.x. Epub 2008 Apr 16.
- Parsons LH, Hurd YL. Endocannabinoid signalling in reward and addiction. Nat Rev Neurosci. 2015 Oct;16(10):579-94. doi: 10.1038/nrn4004. Epub 2015 Sep 16.
- Laviolette SR, Grace AA. The roles of cannabinoid and dopamine receptor systems in neural emotional learning circuits: implications for schizophrenia and addiction. Cell Mol Life Sci. 2006 Jul;63(14):1597-613. doi: 10.1007/s00018-006-6027-5.
- Everitt BJ, Robbins TW. Neural systems of reinforcement for drug addiction: from actions to habits to compulsion. Nat Neurosci. 2005 Nov;8(11):1481-9. doi: 10.1038/nn1579.
Helpful Links
- Background and summary of legislative Bill on HEMP production and cannabidiol (CBD)
- CannMed promotes understanding of cannabis' complex science and its medical benefits for patients in need. Since its founding, cannabis researchers & industry leaders collaborates with CannMed to announce their latest findings.
Study record dates
Study Major Dates
Study Start (Estimated)
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
- Mental Disorders
- Substance-Related Disorders
- Chemically-Induced Disorders
- Drinking Behavior
- Alcohol Drinking
- Alcohol-Related Disorders
- Alcohol Abstinence
- Physiological Effects of Drugs
- Antiemetics
- Autonomic Agents
- Peripheral Nervous System Agents
- Gastrointestinal Agents
- Parasympatholytics
- Peppermint oil
Other Study ID Numbers
- CSP ENDO 401-2020
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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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