Trial Outcomes & Findings for A Study of Cannabis Based Medicine Extracts and Placebo in Patients With Pain Due to Spinal Cord Injury (NCT NCT01606202)

NCT ID: NCT01606202

Last Updated: 2023-01-10

Results Overview

The Central Neuropathic Pain Numerical Rating Scale score was recorded three times daily, in the morning (on waking), at lunchtime and in the evening using the scale, 0 = 'No Pain' and 10 = 'Worst Possible Pain'. Patients were instructed to relate 'No Pain' to the time before the start of their spinal cord injury. End of Treatment was defined as the mean of the last seven days in the study or the mean of the last three days if the subject withdrew. A negative value indicates an improvement in pain score from baseline.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

116 participants

Primary outcome timeframe

Up to 51 days

Results posted on

2023-01-10

Participant Flow

Participant milestones

Participant milestones
Measure
GW-1000-02
Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). The maximum permitted dose of was eight actuations in any three hour period, and 48 actuations in any 24 hour period (THC 130 mg : CBD 120 mg).
Placebo
Placebo control.The maximum permitted dose of was eight actuations in any three hour period, and 48 actuations in any 24 hour period.
Overall Study
STARTED
56
60
Overall Study
COMPLETED
49
57
Overall Study
NOT COMPLETED
7
3

Reasons for withdrawal

Reasons for withdrawal
Measure
GW-1000-02
Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). The maximum permitted dose of was eight actuations in any three hour period, and 48 actuations in any 24 hour period (THC 130 mg : CBD 120 mg).
Placebo
Placebo control.The maximum permitted dose of was eight actuations in any three hour period, and 48 actuations in any 24 hour period.
Overall Study
Adverse Event
5
0
Overall Study
Withdrawal by Subject
2
1
Overall Study
Personal problems
0
1
Overall Study
Problems with administration
0
1

Baseline Characteristics

A Study of Cannabis Based Medicine Extracts and Placebo in Patients With Pain Due to Spinal Cord Injury

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
GW-1000-02
n=56 Participants
Active treatment.
Placebo
n=60 Participants
Placebo control.
Total
n=116 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
51 Participants
n=5 Participants
55 Participants
n=7 Participants
106 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Age, Continuous
48.7 years
STANDARD_DEVIATION 12.97 • n=5 Participants
47.6 years
STANDARD_DEVIATION 12.69 • n=7 Participants
48.1 years
STANDARD_DEVIATION 12.69 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
12 Participants
n=7 Participants
25 Participants
n=5 Participants
Sex: Female, Male
Male
43 Participants
n=5 Participants
48 Participants
n=7 Participants
91 Participants
n=5 Participants
Region of Enrollment
United Kingdom
49 participants
n=5 Participants
51 participants
n=7 Participants
100 participants
n=5 Participants
Region of Enrollment
Romania
7 participants
n=5 Participants
9 participants
n=7 Participants
16 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 51 days

Population: All randomised patients who received at least one dose of test treatment and have on-treatment efficacy data were included in the analysis.

The Central Neuropathic Pain Numerical Rating Scale score was recorded three times daily, in the morning (on waking), at lunchtime and in the evening using the scale, 0 = 'No Pain' and 10 = 'Worst Possible Pain'. Patients were instructed to relate 'No Pain' to the time before the start of their spinal cord injury. End of Treatment was defined as the mean of the last seven days in the study or the mean of the last three days if the subject withdrew. A negative value indicates an improvement in pain score from baseline.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=55 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=59 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Change From Baseline in Mean Central Neuropathic Pain 11-Point Numerical Rating Scale Scores at the End of Treatment (up to 51 Days).
-0.74 units on a scale
Standard Deviation 1.12
-0.69 units on a scale
Standard Deviation 1.39

SECONDARY outcome

Timeframe: Up to 51 days

Population: All randomised patients who received at least one dose of test treatment and have on-treatment efficacy data were included in the analysis.

The percentage of days that subjects used escape medication was analysed and is presented as the mean change from baseline at the end of treatment. A negative value from baseline indicates an improvement.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=55 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=59 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Change From Baseline in the Mean Percentage of Days on Which Escape Medication Was Used at the End of Treatment
-4.68 percentage of days
Standard Deviation 18.25
-2.91 percentage of days
Standard Deviation 20.83

SECONDARY outcome

Timeframe: Up to 51 days

Population: All randomised patients who received at least one dose of test treatment and have on-treatment efficacy data were included in the analysis.

Each day, just before going to bed, patients recorded in their patient diary whether they experienced any spasms that day and, if yes, recorded the overall level of the spasm(s) experienced using an Numerical Rating Scale spasm scale ranging from 0 = "Mildest ever spasm" to 10 = "Worst ever spasm". The mean spasm severity scores were summarised and analysed analogously to the primary endpoint. A negative value from baseline indicates an improvement.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=42 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=48 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Change From Baseline in Mean Spasm Severity Numerical Rating Scale Score at the End of Treatment
-0.50 units on a scale
Standard Deviation 1.46
-0.69 units on a scale
Standard Deviation 1.59

SECONDARY outcome

Timeframe: Up to 51 days

Population: All randomised patients who received at least one dose of test treatment and have on-treatment efficacy data were included in the analysis.

Each day, just before going to bed, patients recorded in their patient diary whether they experienced any spasms that day. The percentage of days on which spasm was experienced were summarised and analysed analogously to the primary endpoint. A negative value from baseline indicates an improvement.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=52 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=59 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Change From Baseline in the Percentage of Days on Which Spasm Was Experienced at the End of Treatment
-1.92 percentage of days
Standard Deviation 20.01
-1.57 percentage of days
Standard Deviation 22.62

SECONDARY outcome

Timeframe: 0 - 51 days

Population: All randomised patients who received at least one dose of test treatment and have on-treatment efficacy data were included in the analysis.

Each day at bed time patients recorded whether they experienced any spasticity that day and, if yes, the overall level of spasticity experienced was quantified using an Numerical Rating Scale from 0 = "Mildest ever spasticity" to 10 = "Worst ever spasticity". The mean spasticity severity scores and the changes from baseline to End of Treatment were to be calculated. A negative value indicates an improvement from baseline.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=35 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=43 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Change From Baseline in Mean Spasticity Severity Numerical Rating Scale Scores the End of Treatment.
-0.37 units on a scale
Standard Deviation 1.25
-0.46 units on a scale
Standard Deviation 1.80

SECONDARY outcome

Timeframe: Up to 51 days

Population: All randomised patients who received at least one dose of test treatment and have on-treatment efficacy data were included in the analysis.

Each day, just before going to bed, patients recorded in their patient diary whether they had experienced any spasticity that day or not. The percentage of days on which spasticity was experienced (spasticity incidence) was calculated and summarised analogously to the primary efficacy parameter of Numerical Rating Scale pain score. A negative value from baseline indicates an improvement.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=50 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=59 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Change From Baseline in the Percentage of Days on Which Spasticity Was Experienced at the End of Treatment
0.86 percentage of days
Standard Deviation 6.71
0.48 percentage of days
Standard Deviation 14.76

SECONDARY outcome

Timeframe: Up to 51 days

Population: All randomised patients who received at least one dose of test treatment and have on-treatment efficacy data were included in the analysis.

The Modified Ashworth Scale is a five-point scale conducted on four pre-identified muscle groups. Only the lower limb was assessed because not all Spinal Cord Injury patients upper limb disability. The assessor used the Modified Ashworth scale ranging from 0 ("No increase in muscle tone") to 4 ("Affected part(s) rigid in flexion or extension") to rate the muscle tone for knee and ankle for the left and right sides separately at a pre-dose visit and at the end of treatment. The average of the four individual scores and was taken. A negative value indicates an improvement from baseline.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=40 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=44 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Change From Baseline in Modified Ashworth Scale Score at the End of Treatment
-0.13 units on a scale
Standard Deviation 0.43
-0.01 units on a scale
Standard Deviation 0.42

SECONDARY outcome

Timeframe: Up to 51 days

Population: All patients who were randomised, received at least one actuation of study medication and had on-treatment efficacy data were included in the analysis.

Patients were asked at baseline and end of treatment, to complete the Short Orientation Memory Function Concentration Test as a measure of cognitive function. The minimum score is 0 and maximum of 28 which denoted good cognitive function . A negative value from baseline indicates a deterioration.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=55 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=58 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Change From Baseline in the Mean Short Orientation Memory Function Concentration Test Score at the End of Treatment
0.4 units on a scale
Standard Deviation 2.79
0.2 units on a scale
Standard Deviation 2.98

SECONDARY outcome

Timeframe: Up to 51 days

Population: All patients who were randomised, received at least one actuation of study medication and had on-treatment efficacy data were included in the analysis.

The Spitzer Quality of Life Index questionnaire consists of five sections, relating to activity, daily living, health, support and outlook. Each section has three choices (numbered 1, 2 and 3) and the patient is required to choose the one that best describes their quality of life during the last week. Choice 1 is scored 2, choice 2 is scored 1 and choice 3 is scored 0. The total Spitzer is the unweighted sum of the five scores. The scale is 0 (bad) to 10 (good). A positive value indicates an improvement from baseline.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=55 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=58 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Change From Baseline in Mean Spitzer Quality of Life Index Score at the End of Treatment
0.1 units on a scale
Standard Deviation 1.41
0.1 units on a scale
Standard Deviation 1.30

SECONDARY outcome

Timeframe: Up to 51 days

Population: All caregivers of patients in the current study who responded to the caregiver strain index questionnaire were included in the analysis.

Carers were asked at baseline and end of treatment to complete the Caregiver Strain Index, as a measure of the strain they felt from being a carer, the maximum possible score being 13. A negative value from baseline indicates an improvement.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=12 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=16 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Change From Baseline in the Mean Caregiver Strain Index Score at the End of Treatment
-0.3 units on a scale
Standard Deviation 2.73
1.2 units on a scale
Standard Deviation 3.45

SECONDARY outcome

Timeframe: Up to 51 days

Population: All patients who were randomised, received at least one actuation of study medication and had on-treatment efficacy data were included in the analysis.

The Patient Global Impression of Change asked patients to give their impression of the overall change in their condition during the study at the end of treatment using the following scale: 1 = Very Much Improved, 2 = Much Improved, 3 = Minimally Improved, 4 = No Change, 5 = Minimally Worse, 6 = Much Worse, 7 = Very Much Worse. The number of patients who scored their condition as 1, 2, or 3 (improved) is presented.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=56 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=60 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Number of Subjects Who Reported an Improvement in Their Overall Condition in the Patient Global Impression of Change at the End of Treatment
30 participants
12 participants

SECONDARY outcome

Timeframe: 0 - 51 days

Population: All randomised patients who received at least one dose of test treatment and have on-treatment efficacy data were included in the analysis.

The Brief Pain Inventory is a 14-item questionnaire that asks patients to rate pain over the prior week and the degree to which it interferes with activities on a 0 to 10 scale, where 0=no pain and 10=pain as bad as you can imagine. Severity is measured as worst pain, least pain, average pain, and pain right now. The severity composite score is calculated as the arithmetic mean of the four severity items(range 0-10). A negative value indicates an improvement in worst pain score from baseline.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=53 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=57 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Change From Baseline in the Mean Brief Pain Inventory Score at the End of Treatment
-3.1 units on a scale
Standard Deviation 5.22
-1.2 units on a scale
Standard Deviation 4.64

SECONDARY outcome

Timeframe: 0 - 51 days

Population: All randomised patients who received at least one dose of test treatment and have on-treatment efficacy data were included in the analysis.

Each day patients recorded in their patient diary whether they woke during the previous night using the following scoring system: 0 = No, 1 = Once, 2 = Twice, 3 = More than twice, 4 = Awake most of the night. A negative value indicates an improvement from baseline.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=55 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=59 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Change From Baseline in the Mean Sleep Disturbance Numerical Rating Scale Score at the End of Treatment
-0.41 units on a scale
Standard Deviation 0.59
-0.38 units on a scale
Standard Deviation 0.73

SECONDARY outcome

Timeframe: Up to 61 days

Population: All randomised patients who received at least one dose of study drug were included in the Safety population.

The number of patients who experienced an adverse event during the study is presented.

Outcome measures

Outcome measures
Measure
GW-1000-02
n=56 Participants
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=60 Participants
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Incidence of Adverse Events as a Measure of Patient Safety.
46 participants
29 participants

Adverse Events

GW-1000-02

Serious events: 3 serious events
Other events: 46 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
GW-1000-02
n=56 participants at risk
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=60 participants at risk
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Blood and lymphatic system disorders
Anaemia Not Otherwise Specified Aggravated
1.8%
1/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
General disorders
Fall
1.8%
1/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
1.7%
1/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Infections and infestations
Methicillin-resistant Staphylococcus aureus infection
1.8%
1/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Infections and infestations
Bladder Infection Not Otherwise Specified
0.00%
0/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
1.7%
1/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Infections and infestations
Pneumonia Not Otherwise Specified
0.00%
0/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
1.7%
1/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Injury, poisoning and procedural complications
Tibia Fracture
1.8%
1/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Injury, poisoning and procedural complications
Upper Limb Fracture Not Otherwise Specified
0.00%
0/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
1.7%
1/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Nervous system disorders
Dizziness
0.00%
0/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
1.7%
1/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Psychiatric disorders
Confusion
1.8%
1/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Psychiatric disorders
Paranoia
1.8%
1/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Skin and subcutaneous tissue disorders
Contusion
0.00%
0/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
1.7%
1/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.

Other adverse events

Other adverse events
Measure
GW-1000-02
n=56 participants at risk
Contains THC (27 mg/ml) and CBD (25 mg/ml) delivered in 100 microlitre actuations by a pump action oromucosal spray. Maximum permitted dose was 48 actuations (THC 130 mg: CBD 120 mg) in 24 hours.
Placebo
n=60 participants at risk
Contains no active drug but colourants and excipients. Maximum permitted dose was 48 actuations in 24 hours.
Infections and infestations
Urinary Tract Infection Not Otherwise Specified
14.3%
8/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
6.7%
4/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Investigations
Alanine Aminotransferase Increased
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
5.0%
3/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Investigations
Gamma-Glutamyltransferase Increased
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
5.0%
3/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Gastrointestinal disorders
Nausea
10.7%
6/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
5.0%
3/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Gastrointestinal disorders
Constipation
7.1%
4/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Gastrointestinal disorders
Dry Mouth
7.1%
4/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Gastrointestinal disorders
Oral Pain
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
5.0%
3/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
General disorders
Lethargy
7.1%
4/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
General disorders
Feeling Abnormal
5.4%
3/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
General disorders
Feeling Drunk
5.4%
3/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Nervous system disorders
Dizziness
25.0%
14/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
8.3%
5/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Nervous system disorders
Dysgeusia
16.1%
9/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
6.7%
4/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Nervous system disorders
Somnolence
12.5%
7/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Nervous system disorders
Headache Not Otherwise Specified
8.9%
5/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Nervous system disorders
Disturbance in Attention
5.4%
3/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Eye disorders
Vision Blurred
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Gastrointestinal disorders
Oral Discomfort
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Gastrointestinal disorders
Vomiting Not Otherwise Specified
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
General disorders
Application Site Pain
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
General disorders
Fatigue
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
General disorders
Pain Exacerbated
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
General disorders
Fall
0.00%
0/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
3.3%
2/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
General disorders
Feeling of Relaxation
0.00%
0/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
3.3%
2/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
General disorders
Pyrexia
0.00%
0/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
3.3%
2/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Investigations
Blood Bilirubin Increased
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Investigations
Blood Sodium Decreased
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Investigations
Haematocrit Decreased
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Investigations
Haemoglobin Decreased
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Investigations
Red Blood Cell Count Decreased
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Investigations
White Blood Cell Count Increased
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Investigations
Neutrophil Count Increased
0.00%
0/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
3.3%
2/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Musculoskeletal and connective tissue disorders
Muscle Spasms
0.00%
0/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
3.3%
2/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Nervous system disorders
Speech Disorder
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Nervous system disorders
Paraesthesia
0.00%
0/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
3.3%
2/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Psychiatric disorders
Confusion
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Psychiatric disorders
Insomnia
0.00%
0/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
3.3%
2/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
Vascular disorders
Flushing
3.6%
2/56 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.
0.00%
0/60 • All adverse events occurring from the time of consent to post study follow up (0-61 days) were collected. All deaths and serious adverse events occurring within 28 days of the final dose of study medication were also collected.
All adverse events occurring during the study were reported on the running logs at the back of the study case report form.

Additional Information

Mr Richard Potts, Clinical Operations Director

GW Pharma Ltd.

Phone: 0044 1223 266800

Results disclosure agreements

  • Principal investigator is a sponsor employee GW will coordinate the dissemination of data from this study and may solicit input and assistance from the principal investigator. All publications, for example manuscripts, abstracts, oral/slide presentations or book chapters based on this study, must be submitted to GW for corporate review before release.
  • Publication restrictions are in place

Restriction type: OTHER