Trial Outcomes & Findings for Clinical and Neurobiological Effects of Cannabis Dependence in Young Adults (NCT NCT00656487)

NCT ID: NCT00656487

Last Updated: 2017-06-19

Results Overview

The MWC is a 28-item instrument that is used to assess the severity of frequently reported cannabis withdrawal symptoms. Each item on the measure is recorded as a severity rating between 0-3 where a zero indicates not present and a three indicates severe. The severity rating of each item was summed to obtain a single marijuana withdrawal severity score ranging between 0- 84. A lower score indicates less severe withdrawal.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

66 participants

Primary outcome timeframe

Day 28

Results posted on

2017-06-19

Participant Flow

Participant milestones

Participant milestones
Measure
Rimonabant
Participants were cannabis dependent and received a single 90 mg dose of rimonabant at baseline visit.
Placebo
Participants were cannabis dependent and received matched placebo.
Control
Participants were non-cannabis using controls.
Overall Study
STARTED
23
23
20
Overall Study
COMPLETED
21
19
20
Overall Study
NOT COMPLETED
2
4
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Clinical and Neurobiological Effects of Cannabis Dependence in Young Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rimonabant
n=21 Participants
Participants were cannabis dependent and received a single 90 mg dose of rimonabant at baseline visit.
Placebo
n=19 Participants
Participants were cannabis dependent and received matched placebo.
Control
n=20 Participants
Participants were non-cannabis using controls.
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
22.33 years
STANDARD_DEVIATION 1.53 • n=5 Participants
23.53 years
STANDARD_DEVIATION 2.76 • n=7 Participants
24.15 years
STANDARD_DEVIATION 2.83 • n=5 Participants
23.32 years
STANDARD_DEVIATION 2.51 • n=4 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
7 Participants
n=7 Participants
6 Participants
n=5 Participants
19 Participants
n=4 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
12 Participants
n=7 Participants
14 Participants
n=5 Participants
41 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Day 28

Population: One participant in the control group who completed monitoring during the double-blind portion of the trial did not complete a Marijuana Withdrawal Checklist at Day 28.

The MWC is a 28-item instrument that is used to assess the severity of frequently reported cannabis withdrawal symptoms. Each item on the measure is recorded as a severity rating between 0-3 where a zero indicates not present and a three indicates severe. The severity rating of each item was summed to obtain a single marijuana withdrawal severity score ranging between 0- 84. A lower score indicates less severe withdrawal.

Outcome measures

Outcome measures
Measure
Rimonabant
n=21 Participants
Participants were cannabis dependent and received a single 90 mg dose of rimonabant at baseline visit.
Placebo
n=19 Participants
Participants were cannabis dependent and received matched placebo.
Control
n=19 Participants
Participants were non-cannabis using controls.
Withdrawal Symptom Severity on the Marijuana Withdrawal Checklist (MWC) at 28 Days Following Single Dose Administration of Rimonabant or Placebo, or Commencement of Monitoring, During the Double-Blind Period
6.62 units on a scale
Standard Deviation 5.59
6.68 units on a scale
Standard Deviation 7.87
1.05 units on a scale
Standard Deviation 2.39

PRIMARY outcome

Timeframe: Day 28

Population: Five control participants who completed the double blind / monitoring portion of the trial did not have samples available for analysis at Day 28. Two participants did not have blood drawn; two additional participant sample results were not returned by the laboratory; and one participant did not return a result due to an ELISA kit error.

Blood samples were obtained and plasma concentrations were determined using validated enzyme-linked immunosorbent assay (ELISA) techniques at 28 days following single dose administration of rimonabant or placebo, or commencement of monitoring, during the double-blind period.

Outcome measures

Outcome measures
Measure
Rimonabant
n=21 Participants
Participants were cannabis dependent and received a single 90 mg dose of rimonabant at baseline visit.
Placebo
n=19 Participants
Participants were cannabis dependent and received matched placebo.
Control
n=15 Participants
Participants were non-cannabis using controls.
Plasma Norepinephrine
2.12 ng/mL
Standard Deviation 1.14
2.04 ng/mL
Standard Deviation 1.05
1.75 ng/mL
Standard Deviation 0.84

PRIMARY outcome

Timeframe: Day 28

Population: Two control participants and one placebo participant who completed the double blind / monitoring portion of the trial did not have samples available for analysis at Day 28. The control participants did not have blood drawn; the placebo participant returned a non-detectable value.

Blood samples were obtained and plasma concentrations were determined using validated enzyme-linked immunosorbent assay (ELISA) techniques at 28 days following single dose administration of rimonabant or placebo, or commencement of monitoring, during the double-blind period.

Outcome measures

Outcome measures
Measure
Rimonabant
n=21 Participants
Participants were cannabis dependent and received a single 90 mg dose of rimonabant at baseline visit.
Placebo
n=18 Participants
Participants were cannabis dependent and received matched placebo.
Control
n=18 Participants
Participants were non-cannabis using controls.
Plasma Cortisol
27.36 ug/dL
Standard Deviation 15.03
19.29 ug/dL
Standard Deviation 7.42
22.72 ug/dL
Standard Deviation 15.21

PRIMARY outcome

Timeframe: Day 0 and Day 28

The CANTAB SWM task is a validated computer-based testing instrument assessing the memory component of executive function. Strategy Score is an estimate of use of the most efficient strategy to complete the task. Scores range from 8-56; higher scores equate to poor use of the most efficient strategy. Change = (Day 28 Score - Day 0 Score). A more negative result indicates greater improvement.

Outcome measures

Outcome measures
Measure
Rimonabant
n=21 Participants
Participants were cannabis dependent and received a single 90 mg dose of rimonabant at baseline visit.
Placebo
n=19 Participants
Participants were cannabis dependent and received matched placebo.
Control
n=20 Participants
Participants were non-cannabis using controls.
Change From Day 0 in Performance on the Cambridge Neuropsychological Test Automated Batteries Spatial Working Memory (CANTAB SWM) Strategy Score at Day 28
-2.67 units on a scale
Standard Deviation 4.15
-1.37 units on a scale
Standard Deviation 5.16
-1.50 units on a scale
Standard Deviation 3.62

PRIMARY outcome

Timeframe: Day 0 and Day 28

The CANTAB SWM task is a validated computer-based testing instrument assessing the memory component of executive function. Total Errors are a measure of performance and are unbounded. Change = (Day 28 Score - Day 0 Score). A more negative result indicates greater improvement.

Outcome measures

Outcome measures
Measure
Rimonabant
n=21 Participants
Participants were cannabis dependent and received a single 90 mg dose of rimonabant at baseline visit.
Placebo
n=19 Participants
Participants were cannabis dependent and received matched placebo.
Control
n=20 Participants
Participants were non-cannabis using controls.
Change From Day 0 in Performance on the Cambridge Neuropsychological Test Automated Batteries Spatial Working Memory (CANTAB SWM) Total Errors at Day 28
-10.62 units on a scale
Standard Deviation 13.46
-1.95 units on a scale
Standard Deviation 11.43
-2.85 units on a scale
Standard Deviation 9.36

PRIMARY outcome

Timeframe: Day 0 and Day 28

The CANTAB SWM task is a validated computer-based testing instrument assessing the memory component of executive function. Mean Time To First Response is a measure of latency and is unbounded. Change = (Day 28 Time - Day 0 Time). A more negative result indicates greater improvement.

Outcome measures

Outcome measures
Measure
Rimonabant
n=21 Participants
Participants were cannabis dependent and received a single 90 mg dose of rimonabant at baseline visit.
Placebo
n=19 Participants
Participants were cannabis dependent and received matched placebo.
Control
n=20 Participants
Participants were non-cannabis using controls.
Change From Day 0 in Performance on the Cambridge Neuropsychological Test Automated Batteries Spatial Working Memory (CANTAB SWM) Mean Time To First Response at Day 28
-139.80 milliseconds
Standard Deviation 414.68
420.24 milliseconds
Standard Deviation 2262.39
22.01 milliseconds
Standard Deviation 1438.16

Adverse Events

Rimonabant

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Rimonabant
n=23 participants at risk
Participants were cannabis dependent and received a single 90 mg dose of rimonabant at baseline visit.
Placebo
n=23 participants at risk
Participants were cannabis dependent and received matched placebo.
Control
n=20 participants at risk
Participants were non-cannabis using controls.
Gastrointestinal disorders
Dyspepsia
8.7%
2/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
0.00%
0/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
0.00%
0/20 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
Gastrointestinal disorders
Nausea
17.4%
4/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
4.3%
1/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
0.00%
0/20 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
General disorders
Fatigue
8.7%
2/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
0.00%
0/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
0.00%
0/20 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
Infections and infestations
Nasopharyngitis
0.00%
0/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
21.7%
5/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
10.0%
2/20 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
Metabolism and nutrition disorders
Decreased appetite
17.4%
4/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
0.00%
0/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
0.00%
0/20 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
Musculoskeletal and connective tissue disorders
Back pain
13.0%
3/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
8.7%
2/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
0.00%
0/20 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
Nervous system disorders
Headache
21.7%
5/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
13.0%
3/23 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.
10.0%
2/20 • Adverse event data was collected at all ten study visits, an average duration of 28 days.
Adverse events, both serious and other, were documented at all ten study visits by the Medical Assistant on the adverse experiences case report form.

Additional Information

Dr. Barbara Mason

The Scripps Research Institute

Phone: (858) 784-7324

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place