Trial Outcomes & Findings for Nabilone for Cannabis Dependence: A Pilot Study (NCT NCT01347762)

NCT ID: NCT01347762

Last Updated: 2018-06-01

Results Overview

Quantitative cannabis urine screens (THC-COOH:Creatinine ratio)

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

84 participants

Primary outcome timeframe

baseline and 10 weeks

Results posted on

2018-06-01

Participant Flow

14 potential subjects were screened but did not qualify for Phase 1 and 18 for Phase 2. Reasons included: positive urine screen for opiates or cocaine, lost to follow up after screening visit, withdrew from the study due to time constraints before randomization, met criteria for alcohol dependence or did not test positive for THC urine screen

Participant milestones

Participant milestones
Measure
Nabilone Titrated 2 mg Daily (Phase 1)
nabilone titrated to 2 mg daily Nabilone: nabilone titrated to 1 mg by mouth twice daily
Placebo (Phase 1)
Placebo Placebo: one placebo capsule by mouth twice daily
Nabilone Titrated to 4 mg Daily (Phase 2)
nabilone titrated to 4 mg daily Nabilone: nabilone titrated to 2 mg by mouth twice daily
Placebo (Phase 2)
Placebo Placebo: one placebo capsule by mouth twice daily
Overall Study
STARTED
10
8
16
18
Overall Study
COMPLETED
6
6
7
10
Overall Study
NOT COMPLETED
4
2
9
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Nabilone Titrated 2 mg Daily (Phase 1)
nabilone titrated to 2 mg daily Nabilone: nabilone titrated to 1 mg by mouth twice daily
Placebo (Phase 1)
Placebo Placebo: one placebo capsule by mouth twice daily
Nabilone Titrated to 4 mg Daily (Phase 2)
nabilone titrated to 4 mg daily Nabilone: nabilone titrated to 2 mg by mouth twice daily
Placebo (Phase 2)
Placebo Placebo: one placebo capsule by mouth twice daily
Overall Study
Lost to Follow-up
0
1
6
5
Overall Study
Withdrawal by Subject
4
1
3
3

Baseline Characteristics

Nabilone for Cannabis Dependence: A Pilot Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nabilone Titrated 2 mg Daily (Phase 1)
n=10 Participants
nabilone titrated to 2 mg daily Nabilone: nabilone titrated to 1 mg by mouth twice daily
Placebo (Phase 1)
n=8 Participants
Placebo Placebo: one placebo capsule by mouth twice daily
Nabilone Titrated to 4 mg Daily (Phase 2)
n=16 Participants
nabilone titrated to 4 mg daily Nabilone: nabilone titrated to 2 mg by mouth twice daily
Placebo (Phase 2)
n=18 Participants
Placebo Placebo: one placebo capsule by mouth twice daily
Total
n=52 Participants
Total of all reporting groups
Age, Continuous
24.40 years
STANDARD_DEVIATION 5.17 • n=93 Participants
28.88 years
STANDARD_DEVIATION 7.53 • n=4 Participants
27.81 years
STANDARD_DEVIATION 6.81 • n=27 Participants
28.11 years
STANDARD_DEVIATION 7.26 • n=483 Participants
27.42 years
STANDARD_DEVIATION 6.79 • n=36 Participants
Sex: Female, Male
Female
3 Participants
n=93 Participants
3 Participants
n=4 Participants
11 Participants
n=27 Participants
11 Participants
n=483 Participants
28 Participants
n=36 Participants
Sex: Female, Male
Male
7 Participants
n=93 Participants
5 Participants
n=4 Participants
5 Participants
n=27 Participants
7 Participants
n=483 Participants
24 Participants
n=36 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
1 Participants
n=36 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=93 Participants
2 Participants
n=4 Participants
6 Participants
n=27 Participants
2 Participants
n=483 Participants
13 Participants
n=36 Participants
Race (NIH/OMB)
White
6 Participants
n=93 Participants
6 Participants
n=4 Participants
9 Participants
n=27 Participants
15 Participants
n=483 Participants
36 Participants
n=36 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
0 Participants
n=483 Participants
2 Participants
n=36 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Baseline Urine THC/Creatinine Ratio
491.6 Ratio
STANDARD_DEVIATION 283.0 • n=93 Participants
458.7 Ratio
STANDARD_DEVIATION 568.9 • n=4 Participants
633.2 Ratio
STANDARD_DEVIATION 728.5 • n=27 Participants
371.0 Ratio
STANDARD_DEVIATION 265.4 • n=483 Participants
489.8 Ratio
STANDARD_DEVIATION 496.1 • n=36 Participants
Average Number of Inhales of Marijuana Per Day
50.1 Inhales per day
STANDARD_DEVIATION 43.8 • n=93 Participants
27.1 Inhales per day
STANDARD_DEVIATION 13.2 • n=4 Participants
28.9 Inhales per day
STANDARD_DEVIATION 31.8 • n=27 Participants
16.53 Inhales per day
STANDARD_DEVIATION 29.13 • n=483 Participants
30.52 Inhales per day
STANDARD_DEVIATION 33.65 • n=36 Participants

PRIMARY outcome

Timeframe: baseline and 10 weeks

Population: Fewer participants had their THC:creatinine ratios analyzed than were randomized due to a high number of subject drop-out. Any subject who dropped out before completing the 10 weeks of treatment were not analyzed using this measure.

Quantitative cannabis urine screens (THC-COOH:Creatinine ratio)

Outcome measures

Outcome measures
Measure
Nabilone Titrated 2 mg Daily (Phase 1)
n=6 Participants
nabilone titrated to 2 mg daily Nabilone: nabilone titrated to 1 mg by mouth twice daily
Placebo (Phase 1)
n=6 Participants
Placebo Placebo: one placebo capsule by mouth twice daily
Nabilone Titrated to 4 mg Daily (Phase 2)
n=8 Participants
nabilone titrated to 4 mg daily Nabilone: nabilone titrated to 2 mg by mouth twice daily
Placebo (Phase 2)
n=10 Participants
Placebo Placebo: one placebo capsule by mouth twice daily
Change From Baseline in Cannabis Use at 10 Weeks
268.8 Ratio
Standard Deviation 183.0
286.7 Ratio
Standard Deviation 349.7
490.3 Ratio
Standard Deviation 615.0
216.9 Ratio
Standard Deviation 188.5

PRIMARY outcome

Timeframe: Week 10

Population: Fewer participants had their "average number of inhales per day" analyzed than were randomized due to a high number of subject drop-out. Any subject who dropped out before completing the 10 weeks of treatment were not analyzed using this measure.

Average # of marijuana inhales per day during baseline compared to after 10 weeks of treatment.

Outcome measures

Outcome measures
Measure
Nabilone Titrated 2 mg Daily (Phase 1)
n=6 Participants
nabilone titrated to 2 mg daily Nabilone: nabilone titrated to 1 mg by mouth twice daily
Placebo (Phase 1)
n=6 Participants
Placebo Placebo: one placebo capsule by mouth twice daily
Nabilone Titrated to 4 mg Daily (Phase 2)
n=8 Participants
nabilone titrated to 4 mg daily Nabilone: nabilone titrated to 2 mg by mouth twice daily
Placebo (Phase 2)
n=10 Participants
Placebo Placebo: one placebo capsule by mouth twice daily
Number of Marijuana Inhales Per Day
33.8 Inhales per day
Standard Deviation 31.0
22.6 Inhales per day
Standard Deviation 30.6
15.8 Inhales per day
Standard Deviation 35.6
10.6 Inhales per day
Standard Deviation 14.6

SECONDARY outcome

Timeframe: baseline and 4 weeks

Population: Due to funding and the principal investigator's change in institutions, this data was not analyzed and is no longer available to the investigator.

performance on neuropsychological tests administered inside of the fMRI scanner and outside of the fMRI scanner

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: baseline and 14 weeks

Population: Fewer participants had their THC:creatinine ratios analyzed than were randomized due to a high number of subject drop-out. Any subject who dropped out before completing the 10 weeks of treatment were not analyzed using this measure.

quantitative urine screens - Comparing the THC-COOH to creatinine ratio at baseline and at the end of the study (Week 14)

Outcome measures

Outcome measures
Measure
Nabilone Titrated 2 mg Daily (Phase 1)
n=6 Participants
nabilone titrated to 2 mg daily Nabilone: nabilone titrated to 1 mg by mouth twice daily
Placebo (Phase 1)
n=6 Participants
Placebo Placebo: one placebo capsule by mouth twice daily
Nabilone Titrated to 4 mg Daily (Phase 2)
n=8 Participants
nabilone titrated to 4 mg daily Nabilone: nabilone titrated to 2 mg by mouth twice daily
Placebo (Phase 2)
n=10 Participants
Placebo Placebo: one placebo capsule by mouth twice daily
Change From Baseline Cannabis Use at 14 Weeks
524.2 Ratio
Standard Deviation 466.2
326.7 Ratio
Standard Deviation 403.7
297.7 Ratio
Standard Deviation 291.8
222 Ratio
Standard Deviation 186.53

SECONDARY outcome

Timeframe: baseline and 10 weeks

Population: Due to funding and the principal investigator's change in institutions, this data was not analyzed and is no longer available to the investigator.

performance on neuropsychological tests administered inside of the fMRI scanner and outside of the fMRI scanner

Outcome measures

Outcome data not reported

Adverse Events

Nabilone Titrated 2 mg Daily (Phase 1)

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

Placebo (Phase 1)

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

Nabilone Titrated to 4 mg Daily (Phase 2)

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

Placebo (Phase 2)

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

Kevin P. Hill, M.D., M.H.S., Principal Investigator

Beth Israel Deaconess Medical Center

Phone: 617 667 1597

Results disclosure agreements

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