Trial Outcomes & Findings for Effects of Low-dose Naltrexone in Combination With a Range of Smoked Marijuana (NCT NCT00743145)

NCT ID: NCT00743145

Last Updated: 2018-09-14

Results Overview

Subjective ratings of marijuana's quality and effect ('Strength', 'Good Effect', 'High', 'Stimulation') and craving ('Want Marijuana') as a function of active puffs and naltrexone, using a visual analogue scale with a series of 100 mm long lines labeled 'not at all' at one end (0 mm) and 'extremely' at the other end (100 mm). Participants were instructed to indicate how they felt at that particular moment. Higher ratings indicate more agreement with the statement.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

23 participants

Primary outcome timeframe

180 minutes after marijuana administration, during each of 8 outpatient sessions over the course of 3-6 weeks.

Results posted on

2018-09-14

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo, Naltrexone, Marijuana
A total of 23 participants enrolled but only 19 completed. All patients participated in all conditions; they were randomized to placebo or naltrexone treatment in a counterbalanced fashion, and underwent all smoking conditions in separate, counterbalanced sessions.
Overall Study
STARTED
23
Overall Study
COMPLETED
19
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo, Naltrexone, Marijuana
A total of 23 participants enrolled but only 19 completed. All patients participated in all conditions; they were randomized to placebo or naltrexone treatment in a counterbalanced fashion, and underwent all smoking conditions in separate, counterbalanced sessions.
Overall Study
Withdrawal by Subject
1
Overall Study
Adverse Event
2
Overall Study
Pregnancy
1

Baseline Characteristics

Effects of Low-dose Naltrexone in Combination With a Range of Smoked Marijuana

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo, Naltrexone, Marijuana
n=19 Participants
During each of the 8 outpatient sessions, participants smoked a total of 6 puffs from 3 marijuana cigarettes (2 puffs from each cigarette). Marijuana administration occurred 45 minutes after capsule administration. The number of active versus inactive cigarettes smoked during each session varied, according to active puff conditions (i.e., 0 puffs = 3 inactive cigarettes; 2 puffs = 1 active + 2 inactive cigarette; 4 puffs = 2 active + 1 inactive cigarette; 6 puffs = 3 active + 0 inactive cigarette). Cigarettes were color coded, indicating the order in which they were to be smoked and active cigarettes were always smoked before inactive. A within-subject design was used in which all participants were exposed to each of the puff conditions in combination with naltrexone or placebo. The order of naltrexone dosing and puff condition was randomized within the session and across participants.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
19 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
27.0 years
STANDARD_DEVIATION 4.0 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
19 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 180 minutes after marijuana administration, during each of 8 outpatient sessions over the course of 3-6 weeks.

Subjective ratings of marijuana's quality and effect ('Strength', 'Good Effect', 'High', 'Stimulation') and craving ('Want Marijuana') as a function of active puffs and naltrexone, using a visual analogue scale with a series of 100 mm long lines labeled 'not at all' at one end (0 mm) and 'extremely' at the other end (100 mm). Participants were instructed to indicate how they felt at that particular moment. Higher ratings indicate more agreement with the statement.

Outcome measures

Outcome measures
Measure
Placebo Naltrexone + Inactive Marijuana
n=19 Participants
Placebo naltrexone capsules (0mg), inactive marijuana (0% THC). Each study participant underwent 8 conditions in a randomized order. Inactive Marijuana (0% THC): Marijuana cigarette containing 0% THC Placebo naltrexone: Naltrexone (0mg)
Placebo Naltrexone + Active Marijuana (5.5% THC)
n=19 Participants
Placebo naltrexone capsules (0mg), active marijuana (5.5% THC). Each study participant underwent 8 conditions in a randomized order. Active Marijuana (5.5% THC): Marijuana cigarette containing 5.5% THC Placebo naltrexone: Naltrexone (0mg)
Placebo Naltrexone + Active Marijuana (6.2% THC)
n=19 Participants
Placebo naltrexone capsules (0mg), active marijuana (6.2% THC). Each study participant underwent 8 conditions in a randomized order. Active Marijuana (6.2% THC): Marijuana cigarette containing 6.2% THC Placebo naltrexone: Naltrexone (0mg)
Naltrexone + Active Marijuana (5.5% THC)
n=19 Participants
Naltrexone capsules (12mg), active marijuana (5.5% THC). Each study participant underwent 8 conditions in a randomized order. Active Marijuana (5.5% THC): Marijuana cigarette containing 5.5% THC Naltrexone: Naltrexone (12mg/70kg)
Naltrexone + Active Marijuana (6.2% THC)
n=19 Participants
Naltrexone capsules (0mg), active marijuana (6.2% THC). Each study participant underwent 8 conditions in a randomized order. Active Marijuana (6.2% THC): Marijuana cigarette containing 6.2% THC Naltrexone: Naltrexone (12mg/70kg)
Naltrexone + Inactive Marijuana
n=19 Participants
Naltrexone capsules (12mg), inactive marijuana (0% THC). Each study participant underwent 8 conditions in a randomized order. Inactive Marijuana (0% THC): Marijuana cigarette containing 0% THC Naltrexone: Naltrexone (12mg/70kg)
Subjective Marijuana Effects
"Marijuana High"
10 units on a scale (0-100mm)
Standard Error 1
10.5 units on a scale (0-100mm)
Standard Error 0.5
10 units on a scale (0-100mm)
Standard Error 1
11 units on a scale (0-100mm)
Standard Error 1.5
16 units on a scale (0-100mm)
Standard Error 1.5
10 units on a scale (0-100mm)
Standard Error 1.5
Subjective Marijuana Effects
"Want Marijuana"
50 units on a scale (0-100mm)
Standard Error 1.5
48 units on a scale (0-100mm)
Standard Error 1
37 units on a scale (0-100mm)
Standard Error 1.5
49 units on a scale (0-100mm)
Standard Error 1
45 units on a scale (0-100mm)
Standard Error 1.5
50 units on a scale (0-100mm)
Standard Error 1.5
Subjective Marijuana Effects
"Marijuana Strength"
13 units on a scale (0-100mm)
Standard Error 1
15 units on a scale (0-100mm)
Standard Error 1
16 units on a scale (0-100mm)
Standard Error 2
16 units on a scale (0-100mm)
Standard Error 2
20 units on a scale (0-100mm)
Standard Error 2
16 units on a scale (0-100mm)
Standard Error 2
Subjective Marijuana Effects
"Marijuana Good Effect"
14 units on a scale (0-100mm)
Standard Error 2
37 units on a scale (0-100mm)
Standard Error 3
30 units on a scale (0-100mm)
Standard Error 2.5
31 units on a scale (0-100mm)
Standard Error 3
46 units on a scale (0-100mm)
Standard Error 2
26 units on a scale (0-100mm)
Standard Error 2
Subjective Marijuana Effects
"Marijuana Stimulation"
16 units on a scale (0-100mm)
Standard Error 2
20 units on a scale (0-100mm)
Standard Error 2
16 units on a scale (0-100mm)
Standard Error 2
20 units on a scale (0-100mm)
Standard Error 1.5
30 units on a scale (0-100mm)
Standard Error 2
22 units on a scale (0-100mm)
Standard Error 2

Adverse Events

Placebo Naltrexone + Inactive Marijuana (0.0% THC)

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

Placebo Naltrexone + Active Marijuana (5.5% THC)

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

Placebo Naltrexone + Active Marijuana (6.2% THC)

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

Naltrexone + Inactive Marijuana (0.0% THC)

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

Naltrexone + Active Marijuana (5.5% THC)

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

Naltrexone + Active Marijuana (6.2% THC)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Margaret Haney, PhD

New York State Psychiatric Institute

Phone: 646-774-6153

Results disclosure agreements

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