- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05020028
Cannabidiol (CBD) in Pain Reduction for Knee Osteoarthritis
The Use of Cannabidiol (CBD) in Pain Reduction for Knee Osteoarthritis. A Double-Blind, Randomized Control Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Contact
- Name: Michael J Alaia, MD
- Phone Number: 646-501-7223
- Email: michael.alaia@nyulangone.org
Study Contact Backup
- Name: Isabel Chalem
- Email: isabel.chalem@nyulangone.org
Study Locations
-
-
New York
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New York, New York, United States, 10016
- Recruiting
- NYU Langone Health
-
Principal Investigator:
- Michael Alaia, MD
-
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients presenting with knee osteoarthritis (KL Grade II-III)
- Knee pain for at least three months, occurring in at least half of the days in that period
- VAS ≥ 4
- Patients ages 40-75, inclusive
- If female patients are pre-menopausal they must be currently practicing effective forms of two types of birth control, which are defined as those, alone or in combination, that result in a low failure rate (less than 1% per year) when used consistently and correctly
- Male patients must be using an effective form of contraception
Exclusion Criteria:
- Knee Injections within the last 3 months (cortisone, PRP, hyaluronic acid)
- Legally incompetent or mentally impaired (e.g., minors, Alzheimer's subjects, dementia, etc.)
- Younger than 40 years of age
- Older than 75 years of age
- Any patient considered a vulnerable subject: pregnant women or fetuses, children, cognitively impaired adults, prisoners
- History of cannabis abuse or dependence
- History of coagulation abnormalities and thromboembolic disease or current abnormal coagulation test values
- History of stroke or acute coronary syndromes within 3 months
- Abnormal coagulation profile
- Renal failure (serum creatinine > 250 μmol/L [2.83 mg/dL]) or liver cirrhosis
- Patients that have been on opioid management for any reason just prior to the study
- Patients with known inflammatory arthritis (such as rheumatoid arthritis, gout, pseudogout etc)
- Patients with a large effusion
- Patients with a BMI > 35
- Patients meeting the DSM-V for major psychiatric illness, such as bipolar disorder
- Patients diagnosed with major depression, psychosis, or substance abuse disorder
- Patients with current or a history of suicidal ideation
- Breastfeeding females
- Abnormal LFTs
- Patients with major neurological disorders, such as dementia, Parkinson's disease, cognitive impairment, epilepsy, history of traumatic brain/head injury, or seizures
- Patients with moderate (Child-Pugh B) and severe hepatic impairment (Child-Pugh C).
- Patients taking moderate or strong inhibitors of CYP3A4 and CYP2C19 (listed below) concomitantly will be considered for exclusion if determined to be clinically significant by the treating physicians
- Patients taking strong CYP3A4 and CYP2C19 inducers (listed below) concomitantly will be considered for exclusion if determined to be clinically significant by the treating physicians
- Patients taking substrates of UTG1A9, UTGB17, CYP2A1, CYP2B6, CYP2C8, CYP2C9 and CYP2C19 (listed below) concomitantly will be considered for exclusion if determined to be clinically significant by the treating physicians
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: CBD Group
The first cohort will take two 25mg cannabidiol (total dose: 50mg) Orally Disintegrating Tablets (CBD ODT) three times daily for a maximum dose of 150mg per day.
|
Patients will be dispensed enough 25mg cannabidiol (CBD) Orally Disintegrating Tablets (ODT) to take a standard dose of 50mg three times daily for 84 days.
Other Names:
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Placebo Comparator: Placebo Group
Cohort 2 will receive the same instructions, but with the placebo Orally Disintegrating Tablets (ODT) instead.
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25mg Placebo ODT looks like the cannabidiol (CBD) Orally Disintegrating Tablets (ODT), but contains no active ingredients.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
VAS Pain Severity Score
Time Frame: Day 1
|
A Visual Analogue Scale (VAS) will be used to measure differences in pain between patients receiving CBD with knee OA undergoing physiotherapy compared to patients who do not receive CBD. Patients rate their pain on a scale ranging from 0 (no pain) to 10 (worst pain imaginable).
Total scores range from 0-10; higher scores indicates greater pain intensity.
|
Day 1
|
VAS Pain Severity Score
Time Frame: Day 2
|
A Visual Analogue Scale (VAS) will be used to measure differences in pain between patients receiving CBD with knee OA undergoing physiotherapy compared to patients who do not receive CBD. Patients rate their pain on a scale ranging from 0 (no pain) to 10 (worst pain imaginable).
Total scores range from 0-10; higher scores indicates greater pain intensity.
|
Day 2
|
VAS Pain Severity Score
Time Frame: Day 7
|
A Visual Analogue Scale (VAS) will be used to measure differences in pain between patients receiving CBD with knee OA undergoing physiotherapy compared to patients who do not receive CBD. Patients rate their pain on a scale ranging from 0 (no pain) to 10 (worst pain imaginable).
Total scores range from 0-10; higher scores indicates greater pain intensity.
|
Day 7
|
VAS Pain Severity Score
Time Frame: Day 14
|
A Visual Analogue Scale (VAS) will be used to measure differences in pain between patients receiving CBD with knee OA undergoing physiotherapy compared to patients who do not receive CBD. Patients rate their pain on a scale ranging from 0 (no pain) to 10 (worst pain imaginable).
Total scores range from 0-10; higher scores indicates greater pain intensity.
|
Day 14
|
VAS Pain Severity Score
Time Frame: Day 28
|
A Visual Analogue Scale (VAS) will be used to measure differences in pain between patients receiving CBD with knee OA undergoing physiotherapy compared to patients who do not receive CBD. Patients rate their pain on a scale ranging from 0 (no pain) to 10 (worst pain imaginable).
Total scores range from 0-10; higher scores indicates greater pain intensity.
|
Day 28
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VAS Pain Severity Score
Time Frame: Day 42
|
A Visual Analogue Scale (VAS) will be used to measure differences in pain between patients receiving CBD with knee OA undergoing physiotherapy compared to patients who do not receive CBD. Patients rate their pain on a scale ranging from 0 (no pain) to 10 (worst pain imaginable).
Total scores range from 0-10; higher scores indicates greater pain intensity.
|
Day 42
|
VAS Pain Severity Score
Time Frame: Day 84
|
A Visual Analogue Scale (VAS) will be used to measure differences in pain between patients receiving CBD with knee OA undergoing physiotherapy compared to patients who do not receive CBD. Patients rate their pain on a scale ranging from 0 (no pain) to 10 (worst pain imaginable).
Total scores range from 0-10; higher scores indicates greater pain intensity.
|
Day 84
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Knee Injury and Osteoarthritis Outcome Score (KOOS)
Time Frame: Baseline
|
KOOS is a knee-specific instrument, developed to assess patients' opinion about their knee and associated problems. The five patient-relevant subscales of KOOS are scored separately: Pain (9 items); Symptoms (7 items); ADL Function (17 items); Sport and Recreation Function (5 items); Quality of Life (4 items). Patients rank each item using a 5-piont Likert scale ranging from 0 (No Problems) to 4 (Extreme Problems) and each of the five scores are calculated as the sum of the items included. Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems. |
Baseline
|
Knee Injury and Osteoarthritis Outcome Score (KOOS)
Time Frame: Week 6
|
KOOS is a knee-specific instrument, developed to assess patients' opinion about their knee and associated problems. The five patient-relevant subscales of KOOS are scored separately: Pain (9 items); Symptoms (7 items); ADL Function (17 items); Sport and Recreation Function (5 items); Quality of Life (4 items). Patients rank each item using a 5-piont Likert scale ranging from 0 (No Problems) to 4 (Extreme Problems) and each of the five scores are calculated as the sum of the items included. Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems. |
Week 6
|
Knee Injury and Osteoarthritis Outcome Score (KOOS)
Time Frame: Week 12
|
KOOS is a knee-specific instrument, developed to assess patients' opinion about their knee and associated problems. The five patient-relevant subscales of KOOS are scored separately: Pain (9 items); Symptoms (7 items); ADL Function (17 items); Sport and Recreation Function (5 items); Quality of Life (4 items). Patients rank each item using a 5-piont Likert scale ranging from 0 (No Problems) to 4 (Extreme Problems) and each of the five scores are calculated as the sum of the items included. Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems. |
Week 12
|
Knee Injury and Osteoarthritis Outcome Score (KOOS)
Time Frame: Week 60
|
KOOS is a knee-specific instrument, developed to assess patients' opinion about their knee and associated problems. The five patient-relevant subscales of KOOS are scored separately: Pain (9 items); Symptoms (7 items); ADL Function (17 items); Sport and Recreation Function (5 items); Quality of Life (4 items). Patients rank each item using a 5-piont Likert scale ranging from 0 (No Problems) to 4 (Extreme Problems) and each of the five scores are calculated as the sum of the items included. Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems. |
Week 60
|
VAS Satisfaction with Pain Management Score
Time Frame: Day 1
|
A Visual Analogue Scale (VAS) will be used to measure patient satisfaction with pain management.
Patients rate their satisfaction on a scale ranging from 0 (no satisfaction) to 10 (as satisfied as possible).
Total scores range from 0-10; higher scores indicates greater satisfaction with pain management.
|
Day 1
|
VAS Satisfaction with Pain Management Score
Time Frame: Day 2
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A Visual Analogue Scale (VAS) will be used to measure patient satisfaction with pain management.
Patients rate their satisfaction on a scale ranging from 0 (no satisfaction) to 10 (as satisfied as possible).
Total scores range from 0-10; higher scores indicates greater satisfaction with pain management.
|
Day 2
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VAS Satisfaction with Pain Management Score
Time Frame: Day 7
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A Visual Analogue Scale (VAS) will be used to measure patient satisfaction with pain management.
Patients rate their satisfaction on a scale ranging from 0 (no satisfaction) to 10 (as satisfied as possible).
Total scores range from 0-10; higher scores indicates greater satisfaction with pain management.
|
Day 7
|
VAS Satisfaction with Pain Management Score
Time Frame: Day 14
|
A Visual Analogue Scale (VAS) will be used to measure patient satisfaction with pain management.
Patients rate their satisfaction on a scale ranging from 0 (no satisfaction) to 10 (as satisfied as possible).
Total scores range from 0-10; higher scores indicates greater satisfaction with pain management.
|
Day 14
|
VAS Satisfaction with Pain Management Score
Time Frame: Day 28
|
A Visual Analogue Scale (VAS) will be used to measure patient satisfaction with pain management.
Patients rate their satisfaction on a scale ranging from 0 (no satisfaction) to 10 (as satisfied as possible).
Total scores range from 0-10; higher scores indicates greater satisfaction with pain management.
|
Day 28
|
VAS Satisfaction with Pain Management Score
Time Frame: Day 42
|
A Visual Analogue Scale (VAS) will be used to measure patient satisfaction with pain management.
Patients rate their satisfaction on a scale ranging from 0 (no satisfaction) to 10 (as satisfied as possible).
Total scores range from 0-10; higher scores indicates greater satisfaction with pain management.
|
Day 42
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VAS Satisfaction with Pain Management Score
Time Frame: Day 84
|
A Visual Analogue Scale (VAS) will be used to measure patient satisfaction with pain management.
Patients rate their satisfaction on a scale ranging from 0 (no satisfaction) to 10 (as satisfied as possible).
Total scores range from 0-10; higher scores indicates greater satisfaction with pain management.
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Day 84
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Number of Patients Requiring Rescue Corticosteroid Use
Time Frame: Up to Week 60
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Up to Week 60
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Michael J Alaia, MD, NYU Langone Health
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
- 21-00334
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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-
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CorinActive, not recruitingOsteo Arthritis Knee | Total Knee Arthroplasty | Total Knee Replacement | Knee DiseaseFrance
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