Trial Outcomes & Findings for Varenicline Treatment for Cannabis Use Disorder (NCT NCT02892110)

NCT ID: NCT02892110

Last Updated: 2019-12-03

Results Overview

For this outcome, the negative affect subscale items of The Cannabis Withdrawal Scale (items 5 \["I felt nervous\], 6 \["I had some angry outbursts"\], 7 \["I had mood swings"\], 8 \["I felt depressed"\], 9 \["I was easily irritated"\], 15 \["Life seemed an uphill struggle"\], 18 \["I felt physically tense"\], restlessness (item 11, "I felt restless), and/or urge to smoke (items 1 and 10, "The only thing I could think about was smoking some cannabis" and "I had been imagining being stoned") were averaged at Weeks 4, 5, and 6 and for an overall 4-6 week value, with minimum score of the subscale being 0 and maximum score being 100 (higher score indicating worse outcome).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

72 participants

Primary outcome timeframe

3 weeks (Week 4-6 of active treatment period)

Results posted on

2019-12-03

Participant Flow

Participant milestones

Participant milestones
Measure
Varenicline
2 mg daily Varenicline: 2 mg daily
Placebo
2 mg daily Placebo: 2 mg daily
Overall Study
STARTED
35
37
Overall Study
COMPLETED
22
25
Overall Study
NOT COMPLETED
13
12

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Varenicline Treatment for Cannabis Use Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Varenicline
n=35 Participants
2 mg daily Varenicline: 2 mg daily
Placebo
n=37 Participants
2 mg daily Placebo: 2 mg daily
Total
n=72 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
35 Participants
n=5 Participants
37 Participants
n=7 Participants
72 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
10 Participants
n=7 Participants
23 Participants
n=5 Participants
Sex: Female, Male
Male
22 Participants
n=5 Participants
27 Participants
n=7 Participants
49 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
34 Participants
n=5 Participants
34 Participants
n=7 Participants
68 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
16 Participants
n=5 Participants
13 Participants
n=7 Participants
29 Participants
n=5 Participants
Race (NIH/OMB)
White
19 Participants
n=5 Participants
23 Participants
n=7 Participants
42 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
35 participants
n=5 Participants
37 participants
n=7 Participants
72 participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 weeks (Week 4-6 of active treatment period)

For this outcome, the negative affect subscale items of The Cannabis Withdrawal Scale (items 5 \["I felt nervous\], 6 \["I had some angry outbursts"\], 7 \["I had mood swings"\], 8 \["I felt depressed"\], 9 \["I was easily irritated"\], 15 \["Life seemed an uphill struggle"\], 18 \["I felt physically tense"\], restlessness (item 11, "I felt restless), and/or urge to smoke (items 1 and 10, "The only thing I could think about was smoking some cannabis" and "I had been imagining being stoned") were averaged at Weeks 4, 5, and 6 and for an overall 4-6 week value, with minimum score of the subscale being 0 and maximum score being 100 (higher score indicating worse outcome).

Outcome measures

Outcome measures
Measure
Varenicline
n=22 Participants
2 mg daily Varenicline: 2 mg daily
Placebo
n=25 Participants
2 mg daily Placebo: 2 mg daily
Cannabis Withdrawal Symptoms During Active Treatment
Overall Week 4-6 average
2.23 score on a scale
Standard Deviation 4.65
3.94 score on a scale
Standard Deviation 6.23
Cannabis Withdrawal Symptoms During Active Treatment
Week 4
2.59 score on a scale
Standard Deviation 6.73
4.07 score on a scale
Standard Deviation 5.81
Cannabis Withdrawal Symptoms During Active Treatment
Week 5
2.15 score on a scale
Standard Deviation 4.84
4.27 score on a scale
Standard Deviation 7.11
Cannabis Withdrawal Symptoms During Active Treatment
Week 6
1.96 score on a scale
Standard Deviation 4.65
3.47 score on a scale
Standard Deviation 6.07

SECONDARY outcome

Timeframe: 3 weeks (Week 4-6 of active treatment period)

Self reported abstinence from Timeline Followback, verified by urine cannabinoid measures

Outcome measures

Outcome measures
Measure
Varenicline
n=22 Participants
2 mg daily Varenicline: 2 mg daily
Placebo
n=25 Participants
2 mg daily Placebo: 2 mg daily
Number of Participants With Cannabis Abstinence
Week 4
5 Participants
3 Participants
Number of Participants With Cannabis Abstinence
Week 5
4 Participants
2 Participants
Number of Participants With Cannabis Abstinence
Week 6
6 Participants
2 Participants

SECONDARY outcome

Timeframe: 3 weeks (Week 4-6 of active treatment period)

Cannabis use sessions per day measured by Timeline Followback (self-report) at twice weekly visits during Weeks 4, 5 and 6 of the active treatment phase.

Outcome measures

Outcome measures
Measure
Varenicline
n=22 Participants
2 mg daily Varenicline: 2 mg daily
Placebo
n=25 Participants
2 mg daily Placebo: 2 mg daily
Cannabis Use Quantity
Week 4
0.93 sessions per day
Interval 0.54 to 1.33
1.33 sessions per day
Interval 0.96 to 1.7
Cannabis Use Quantity
Week 5
0.89 sessions per day
Interval 0.5 to 1.28
1.19 sessions per day
Interval 0.82 to 1.56
Cannabis Use Quantity
Week 6
0.89 sessions per day
Interval 0.5 to 1.29
1.21 sessions per day
Interval 0.84 to 1.58

Adverse Events

Varenicline

Serious events: 1 serious events
Other events: 30 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 32 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Varenicline
n=35 participants at risk
2 mg daily Varenicline: 2 mg daily
Placebo
n=37 participants at risk
2 mg daily Placebo: 2 mg daily
Infections and infestations
Cellulitis
2.9%
1/35 • Number of events 1 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
0.00%
0/37 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).

Other adverse events

Other adverse events
Measure
Varenicline
n=35 participants at risk
2 mg daily Varenicline: 2 mg daily
Placebo
n=37 participants at risk
2 mg daily Placebo: 2 mg daily
General disorders
Allergies
2.9%
1/35 • Number of events 1 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
10.8%
4/37 • Number of events 4 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
Metabolism and nutrition disorders
Decreased appetite
11.4%
4/35 • Number of events 4 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
13.5%
5/37 • Number of events 5 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
General disorders
Dream disturbance
42.9%
15/35 • Number of events 15 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
18.9%
7/37 • Number of events 8 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
Gastrointestinal disorders
Fatigue
11.4%
4/35 • Number of events 4 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
2.7%
1/37 • Number of events 1 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
General disorders
Headache
25.7%
9/35 • Number of events 11 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
32.4%
12/37 • Number of events 15 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
General disorders
Insomnia
22.9%
8/35 • Number of events 8 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
24.3%
9/37 • Number of events 10 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
General disorders
Irritability
5.7%
2/35 • Number of events 2 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
21.6%
8/37 • Number of events 9 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
Musculoskeletal and connective tissue disorders
Musculoskeletal
2.9%
1/35 • Number of events 1 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
10.8%
4/37 • Number of events 4 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
Gastrointestinal disorders
Nausea
45.7%
16/35 • Number of events 19 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
24.3%
9/37 • Number of events 10 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
Respiratory, thoracic and mediastinal disorders
URI/cold symptoms
20.0%
7/35 • Number of events 8 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
18.9%
7/37 • Number of events 11 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
Gastrointestinal disorders
Vomiting
17.1%
6/35 • Number of events 7 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
13.5%
5/37 • Number of events 7 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
Gastrointestinal disorders
Other GI
22.9%
8/35 • Number of events 9 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
24.3%
9/37 • Number of events 10 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
General disorders
Dizziness
8.6%
3/35 • Number of events 4 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).
2.7%
1/37 • Number of events 1 • Adverse event data were collected from time of consent through last study visit (approximately 8 weeks).

Additional Information

Amanda Wagner, Program Manager

MUSC

Phone: 843-792-0484

Results disclosure agreements

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