- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04778644
Hippocampal Response to Acute Oral Doses of CBD During an fMRI Memory Task
April 11, 2024 updated by: Godfrey Pearlson, Hartford Hospital
Cannabidiol (CBD) is another cannabis plant derivative for which, like THC, there has been extensive research.
Unlike THC however, CBD is non-intoxicating and non-psychedelic.
CBD has antipsychotic effects.
Logically, if CBD opposes THC effects, it may be a potential antipsychotic treatment.
The purpose of this pilot research is to show target engagement of the hippocampus with the study drug (CBD versus placebo) in patients who have been diagnosed with schizophrenia, schizoaffective disorder, or bipolar disorder with psychosis compared to healthy controls.
Study Overview
Detailed Description
The investigators conjecture that CBD may act both to modify THC effects and to reduce psychosis symptoms (at least in part) through downstream ECS-related mechanisms, both of which actions converge on the hippocampus, a region rich in CB1 receptors.
As such, observing hippocampus activity levels using fMRI can be an effective means of measuring CBD target engagement within this pilot study context.
The purpose of this pilot research is to show target engagement of the hippocampus with the study drug cannabidiol (CBD) versus placebo, in BSNIP Biotype 3 compared to Biotypes 1 and 2 and to healthy control subjects, during performance of an fMRI paired associated memory task.
Here, investigators will use B-SNIP-based observations in already-characterized B-SNIP subjects, to predict in which individuals CBD engages a theoretically-based brain target.
In turn (in future planned studies) such engagement may predict CBD treatment responders.
At present, CBD is still an experimental drug for psychosis treatment (although now FDA-approved for treatment of specific types of childhood seizures), but one with a rather benign side-effect profile that could easily be added to ongoing antipsychotic treatment.
The purpose of the study is to study response to a single, acute dose of CBD compared to placebo, under double-blind conditions in a small-scale pilot study.
Study Type
Interventional
Enrollment (Estimated)
20
Phase
- Phase 2
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Catherine Boyle, BA
- Phone Number: 860-545-7548
- Email: catherine.boyle@hhchealth.org
Study Contact Backup
- Name: Diana King
- Phone Number: 860-545-7563
- Email: diana.king@hhchealth.org
Study Locations
-
-
Connecticut
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Hartford, Connecticut, United States, 06106
- Hartford Hospital
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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
16 years to 48 years (Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- 18-50y/o
- Males and females of all races and ethnicities
- Able to provide written informed consent
- Able to read, speak, and understand English
- Meet DSM-IV (SCID-based) criteria for schizophrenia, schizoaffective disorder, bipolar I disorder with psychotic features OR healthy controlled with no diagnosed severe mental illness
- No history of adverse normal baseline values for liver function tests (LFTs)
Exclusion Criteria:
- Strongly left-handed individuals defined as a 60:40 or greater ratio of left to right hand preference (assessed using the Edinburgh Handedness Inventory)
- Premorbid intellectual ability estimate below 70 (WRAT-4, Word Reading subtest, age-corrected standardized score)
- Comorbid DSM-IV diagnosis of alcohol or substance abuse in prior 1 month or substance dependence in prior 3 months
- Neurological (e.g., seizure disorder, stroke, traumatic brain injury with a loss of consciousness ≥ 30min) or severe medical condition (e.g., decompensated cardiovascular disorder, AIDS) that may affect central nervous system function
- Concomitant medications that may interact with study drug adversely such as platelet inhibitors, benzodiazepines, or valproate
- Initial detection of abnormal liver function tests or previous medical history of abnormal liver function or liver disease
- Vulnerable populations (e.g., pregnant, nursing, incarcerated); unwilling to use reliable means of contraception
- High risk for suicide defined as more than 1 attempt in past 12 months that required medical attention, any attempt in the past 3 months or current suicidal ideation with plan and intent such that outpatient care is precluded
- Current homicidal ideation with plan and intent such that outpatient care is precluded
- Positive result on breathalyzer or positive urine toxicology test for any substance, including CBD
- History of prior allergic reaction with CBD or CBD-containing products
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: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Patients with psychosis
People who are part of a dimensionally-organized psychosis sample spanning several serious mental illness diagnoses including schizophrenia, schizoaffective disorder, or psychotic bipolar I disorder.
Eligible participants will be scheduled for two dose visits where they will receive a 600mg CBD dose on one day and a placebo dose on the other day.
Doses will be randomized and double-blind.
Doses will be administered via oral gel capsules.
|
Oral gel capsule CBD
Other Names:
Oral gel capsule placebo
Other Names:
|
Experimental: Healthy controls
People who do not have a diagnosis of schizophrenia, schizoaffective disorder, or psychotic bipolar I disorder.
Eligible participants will be scheduled for two dose visits where they will receive a 600mg CBD dose on one day and a placebo dose on the other day.
Doses will be randomized and double-blind.
Doses will be administered via oral gel capsules.
|
Oral gel capsule CBD
Other Names:
Oral gel capsule placebo
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
CBD dose-response for fMRI Hippocampal BOLD values
Time Frame: Post drug administration at 3 hours
|
Primary outcome of fMRI-measured hippocampus BOLD values during memory recall task
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Post drug administration at 3 hours
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Godfrey Pearlson, MD, Founding Director Olin Research Center; Professor Yale University
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 (Actual)
December 15, 2021
Primary Completion (Estimated)
December 15, 2025
Study Completion (Estimated)
December 15, 2025
Study Registration Dates
First Submitted
February 26, 2021
First Submitted That Met QC Criteria
February 26, 2021
First Posted (Actual)
March 3, 2021
Study Record Updates
Last Update Posted (Actual)
April 12, 2024
Last Update Submitted That Met QC Criteria
April 11, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
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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