Trial Outcomes & Findings for Cannabinoid Medication for Adults With OCD (NCT NCT02911324)

NCT ID: NCT02911324

Last Updated: 2020-08-06

Results Overview

Yale-Brown Obsessive Compulsive Scale (YBOCS) Minimum Value: 0 Maximum Value: 40 Higher scores indicate more severe symptoms Change in YBOCS is calculated by subtracting the Week 4 score from the baseline score

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

16 participants

Primary outcome timeframe

Baseline (Week 0) and Week 4

Results posted on

2020-08-06

Participant Flow

Participant milestones

Participant milestones
Measure
Nabilone
Will receive nabilone at 1 mg daily (BID) over 4 weeks. Nabilone: Nabilone is a synthetic cannabinoid that is thought to be a Cannabinoid receptor type 1 (CB 1) agonist. It acts on the brain's "endocannabinoid system," which has been hypothesized to play a role in OCD.
Nabilone and EX/RP
Will receive nabilone at 1 mg daily (BID) plus therapist-guided Exposure and Response Prevention Therapy during 4 weeks. Nabilone: Nabilone is a synthetic cannabinoid that is thought to be a Cannabinoid receptor type 1 (CB 1) agonist. It acts on the brain's "endocannabinoid system," which has been hypothesized to play a role in OCD. Exposure and Response Prevention Therapy: Exposure and Response Prevention Therapy (EX/RP) is a type of Cognitive-Behavioral Therapy for OCD that involves intentionally confronting situations that trigger obsessional distress while refraining from doing compulsions.
Overall Study
STARTED
9
7
Overall Study
COMPLETED
6
6
Overall Study
NOT COMPLETED
3
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cannabinoid Medication for Adults With OCD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nabilone
n=6 Participants
Will receive nabilone at 1 mg daily (BID) over 4 weeks. Nabilone: Nabilone is a synthetic cannabinoid that is thought to be a Cannabinoid receptor type 1 (CB 1) agonist. It acts on the brain's "endocannabinoid system," which has been hypothesized to play a role in OCD.
Nabilone and EX/RP
n=5 Participants
Will receive nabilone at 1 mg daily (BID) plus therapist-guided Exposure and Response Prevention Therapy during 4 weeks. Nabilone: Nabilone is a synthetic cannabinoid that is thought to be a Cannabinoid receptor type 1 (CB 1) agonist. It acts on the brain's "endocannabinoid system," which has been hypothesized to play a role in OCD. Exposure and Response Prevention Therapy: Exposure and Response Prevention Therapy (EX/RP) is a type of Cognitive-Behavioral Therapy for OCD that involves intentionally confronting situations that trigger obsessional distress while refraining from doing compulsions.
Total
n=11 Participants
Total of all reporting groups
Age, Continuous
35.5 years
STANDARD_DEVIATION 14.6 • n=5 Participants
30.8 years
STANDARD_DEVIATION 10.4 • n=7 Participants
33.4 years
STANDARD_DEVIATION 12.5 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 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
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 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
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
6 participants
n=5 Participants
5 participants
n=7 Participants
11 participants
n=5 Participants
Yale-Brown Obsessive-Compulsive Scale (YBOCS)
26.5 units on a scale
STANDARD_DEVIATION 4.2 • n=5 Participants
25.4 units on a scale
STANDARD_DEVIATION 5.0 • n=7 Participants
26.0 units on a scale
STANDARD_DEVIATION 4.3 • n=5 Participants
Hamilton Depression Rating Scale, 17-Item (HDRS-17)
6.5 units on a scale
STANDARD_DEVIATION 5.3 • n=5 Participants
5.0 units on a scale
STANDARD_DEVIATION 1.0 • n=7 Participants
5.8 units on a scale
STANDARD_DEVIATION 3.9 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline (Week 0) and Week 4

Yale-Brown Obsessive Compulsive Scale (YBOCS) Minimum Value: 0 Maximum Value: 40 Higher scores indicate more severe symptoms Change in YBOCS is calculated by subtracting the Week 4 score from the baseline score

Outcome measures

Outcome measures
Measure
Nabilone
n=6 Participants
Will receive nabilone at 1 mg daily (BID) over 4 weeks. Nabilone: Nabilone is a synthetic cannabinoid that is thought to be a Cannabinoid receptor type 1 (CB 1) agonist. It acts on the brain's "endocannabinoid system," which has been hypothesized to play a role in OCD.
Nabilone and EX/RP
n=5 Participants
Will receive nabilone at 1 mg daily (BID) plus therapist-guided Exposure and Response Prevention Therapy during 4 weeks. Nabilone: Nabilone is a synthetic cannabinoid that is thought to be a Cannabinoid receptor type 1 (CB 1) agonist. It acts on the brain's "endocannabinoid system," which has been hypothesized to play a role in OCD. Exposure and Response Prevention Therapy: Exposure and Response Prevention Therapy (EX/RP) is a type of Cognitive-Behavioral Therapy for OCD that involves intentionally confronting situations that trigger obsessional distress while refraining from doing compulsions.
Change in Yale-Brown Obsessive Compulsive Scale
Week 4 YBOCS Score
24.0 score on a scale
Standard Deviation 6.9
14.2 score on a scale
Standard Deviation 4.8
Change in Yale-Brown Obsessive Compulsive Scale
YBOCS Change
2.5 score on a scale
Standard Deviation 3.6
11.2 score on a scale
Standard Deviation 3.4

SECONDARY outcome

Timeframe: Through study completion, an average of 1 year.

Population: 16 total participants were recruited for participation in this study

Number of eligible participants recruited per month over a 1 year period.

Outcome measures

Outcome measures
Measure
Nabilone
n=16 Participants
Will receive nabilone at 1 mg daily (BID) over 4 weeks. Nabilone: Nabilone is a synthetic cannabinoid that is thought to be a Cannabinoid receptor type 1 (CB 1) agonist. It acts on the brain's "endocannabinoid system," which has been hypothesized to play a role in OCD.
Nabilone and EX/RP
Will receive nabilone at 1 mg daily (BID) plus therapist-guided Exposure and Response Prevention Therapy during 4 weeks. Nabilone: Nabilone is a synthetic cannabinoid that is thought to be a Cannabinoid receptor type 1 (CB 1) agonist. It acts on the brain's "endocannabinoid system," which has been hypothesized to play a role in OCD. Exposure and Response Prevention Therapy: Exposure and Response Prevention Therapy (EX/RP) is a type of Cognitive-Behavioral Therapy for OCD that involves intentionally confronting situations that trigger obsessional distress while refraining from doing compulsions.
Feasibility of Recruitment
0.73 participants per month

Adverse Events

Nabilone

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

Nabilone and EX/RP

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Nabilone
n=9 participants at risk
Will receive nabilone at 1 mg daily (BID) over 4 weeks. Nabilone: Nabilone is a synthetic cannabinoid that is thought to be a Cannabinoid receptor type 1 (CB 1) agonist. It acts on the brain's "endocannabinoid system," which has been hypothesized to play a role in OCD.
Nabilone and EX/RP
n=7 participants at risk
Will receive nabilone at 1 mg daily (BID) plus therapist-guided Exposure and Response Prevention Therapy during 4 weeks. Nabilone: Nabilone is a synthetic cannabinoid that is thought to be a Cannabinoid receptor type 1 (CB 1) agonist. It acts on the brain's "endocannabinoid system," which has been hypothesized to play a role in OCD. Exposure and Response Prevention Therapy: Exposure and Response Prevention Therapy (EX/RP) is a type of Cognitive-Behavioral Therapy for OCD that involves intentionally confronting situations that trigger obsessional distress while refraining from doing compulsions.
Nervous system disorders
Anxiety
11.1%
1/9 • Number of events 1 • 18 months
28.6%
2/7 • Number of events 2 • 18 months

Additional Information

Reilly Kayser, MD

Columbia University/New York State Psychiatric Institute

Phone: 646-774-8118

Results disclosure agreements

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