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.
COMPLETED
PHASE2
23 participants
180 minutes after marijuana administration, during each of 8 outpatient sessions over the course of 3-6 weeks.
2018-09-14
Participant Flow
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
| 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
| 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.
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|---|---|
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Age, Categorical
<=18 years
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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
| 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)
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|---|---|---|---|---|---|---|
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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)
Placebo Naltrexone + Active Marijuana (5.5% THC)
Placebo Naltrexone + Active Marijuana (6.2% THC)
Naltrexone + Inactive Marijuana (0.0% THC)
Naltrexone + Active Marijuana (5.5% THC)
Naltrexone + Active Marijuana (6.2% THC)
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
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place