Trial Outcomes & Findings for Differences in Cannabis Impairment and Its Measurement Due to Route of Administration (NCT NCT03122691)

NCT ID: NCT03122691

Last Updated: 2023-02-21

Results Overview

Quantitation of active drug (THC) in whole blood (ng/ml).

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

23 participants

Primary outcome timeframe

8 hours

Results posted on

2023-02-21

Participant Flow

This was a within-subjects design, so all participants were exposed to all six conditions in a randomized order.

Participant milestones

Participant milestones
Measure
Oral Cannabis 0mg, 10mg, 25mg; Vaporized Cannabis 0mg, 5mg, 20mg
Participants ingested and vaporized THC in the above order in a within-subject crossover design
Overall Study
STARTED
23
Overall Study
Oral 0mg
22
Overall Study
Oral 10mg
22
Overall Study
Oral 25mg
21
Overall Study
Vape 0mg
20
Overall Study
Vape 5mg
21
Overall Study
Vape 20mg
21
Overall Study
COMPLETED
20
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Differences in Cannabis Impairment and Its Measurement Due to Route of Administration

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Evaluable Study Completers
n=20 Participants
Participants received oral (0, 10, 25mg) and vaporized (0mg, 5, 20mg) THC in a randomized within-subject crossover design
Age, Continuous
28.5 years
STANDARD_DEVIATION 6.2 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 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
7 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
Region of Enrollment
United States
20 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 8 hours

Population: This was a within-subjects design, so all participants were exposed to all six conditions in a randomized order.

Quantitation of active drug (THC) in whole blood (ng/ml).

Outcome measures

Outcome measures
Measure
Placebo Oral Cannabis
n=20 Participants
Single acute administration of placebo cannabis baked into a brownie cannabis: Cannabis will be self-administered by study participants
Low-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 10mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
High-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 25mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
Placebo Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Low-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 5mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
High-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 20mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Tetrahydrocannabinol (THC) Concentration in Blood
0 ng/ml
Standard Deviation 0
1.78 ng/ml
Standard Deviation 1.93
3.06 ng/ml
Standard Deviation 2.41
0 ng/ml
Standard Deviation 0
9.19 ng/ml
Standard Deviation 10.43
37.24 ng/ml
Standard Deviation 22.36

SECONDARY outcome

Timeframe: 8 hours

Population: This was a within-subjects design, so all participants were exposed to all six conditions in a randomized order.

Quantitation of THC metabolite in blood (ng/ml)

Outcome measures

Outcome measures
Measure
Placebo Oral Cannabis
n=20 Participants
Single acute administration of placebo cannabis baked into a brownie cannabis: Cannabis will be self-administered by study participants
Low-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 10mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
High-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 25mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
Placebo Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Low-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 5mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
High-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 20mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
11-hydroxy-tetrahydrocannabinol (11-OH-THC)
0 ng/mL
Standard Deviation 0
1.7 ng/mL
Standard Deviation 1.7
2.5 ng/mL
Standard Deviation 1.0
0 ng/mL
Standard Deviation 0
0.72 ng/mL
Standard Deviation 1.1
1.3 ng/mL
Standard Deviation 1.1

SECONDARY outcome

Timeframe: 8 hours

Population: This was a within-subjects design, so all participants were exposed to all six conditions in a randomized order.

Quantitation of THC metabolite in blood (ng/ml).

Outcome measures

Outcome measures
Measure
Placebo Oral Cannabis
n=20 Participants
Single acute administration of placebo cannabis baked into a brownie cannabis: Cannabis will be self-administered by study participants
Low-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 10mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
High-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 25mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
Placebo Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Low-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 5mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
High-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 20mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Tetrahydrocannabinolic Acid (THCCOOH)
0 ng/mL
Standard Deviation 0
7.7 ng/mL
Standard Deviation 4.5
18.4 ng/mL
Standard Deviation 9.3
0 ng/mL
Standard Deviation 0
2.2 ng/mL
Standard Deviation 2.5
5.6 ng/mL
Standard Deviation 3.3

SECONDARY outcome

Timeframe: Baseline, 1, 2, 3, 4, 5, 6, 7, and 8 hours post drug exposure

Population: This was a within-subjects design, so all participants were exposed to all six conditions in a randomized order.

Peak change from baseline

Outcome measures

Outcome measures
Measure
Placebo Oral Cannabis
n=20 Participants
Single acute administration of placebo cannabis baked into a brownie cannabis: Cannabis will be self-administered by study participants
Low-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 10mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
High-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 25mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
Placebo Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Low-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 5mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
High-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 20mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Change in Heart Rate
-0.7 Beats per minute
Standard Deviation 14.9
3.7 Beats per minute
Standard Deviation 14.8
12.2 Beats per minute
Standard Deviation 14.1
-1.8 Beats per minute
Standard Deviation 11.8
8.7 Beats per minute
Standard Deviation 16.9
20.8 Beats per minute
Standard Deviation 21.4

SECONDARY outcome

Timeframe: Up to 5 hours

Population: This was a within-subjects design, so all participants were exposed to all six conditions in a randomized order.

Subjective rating of drug effect (0-100) at peak effect: between 2 and 5 hours for oral dosing conditions and 0 and 2 hours for vaporized conditions. Higher numbers mean stronger drug effects, where 0 means no drug effect and 100 means extremely strong drug effect.

Outcome measures

Outcome measures
Measure
Placebo Oral Cannabis
n=20 Participants
Single acute administration of placebo cannabis baked into a brownie cannabis: Cannabis will be self-administered by study participants
Low-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 10mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
High-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 25mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
Placebo Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Low-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 5mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
High-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 20mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Mean (SD) Peak Change-from-baseline Drug Effect Rating
4.5 Score on a scale
Standard Deviation 12.5
36.9 Score on a scale
Standard Deviation 31.8
59.5 Score on a scale
Standard Deviation 36.6
5.6 Score on a scale
Standard Deviation 15.4
58.2 Score on a scale
Standard Deviation 37.0
84.1 Score on a scale
Standard Deviation 26.2

SECONDARY outcome

Timeframe: 8 hours

Population: This was a within-subjects design, so all participants were exposed to all six conditions in a randomized order.

Composite Global Impairment Score on the DRUID (DRiving Under the Influence of Drugs) App, a measure of behavioral task performance (range 0-100) where lower scores indicate better performance. ≥13-point change (from baseline) on DRUID global impairment score = "impaired"; \<13-point change (from baseline) = "not impaired".

Outcome measures

Outcome measures
Measure
Placebo Oral Cannabis
n=20 Participants
Single acute administration of placebo cannabis baked into a brownie cannabis: Cannabis will be self-administered by study participants
Low-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 10mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
High-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 25mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
Placebo Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Low-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 5mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
High-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 20mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Change From Baseline Behavioral Task Performance as Assessed by the DRUID App Score
-0.1 score on a scale
Standard Deviation 6.5
4.5 score on a scale
Standard Deviation 9.3
12.9 score on a scale
Standard Deviation 8.2
1.3 score on a scale
Standard Deviation 6.9
4.7 score on a scale
Standard Deviation 8.9
10.5 score on a scale
Standard Deviation 15.2

SECONDARY outcome

Timeframe: 8 hours post drug exposure

Population: This was a within-subjects design, so all participants were exposed to all six conditions in a randomized order.

Systolic and Diastolic blood pressure will be measured at baseline and repeatedly for 8 hours after drug exposure. Outcome is the peak change from baseline assessed within the 8 hour period of assessment.

Outcome measures

Outcome measures
Measure
Placebo Oral Cannabis
n=20 Participants
Single acute administration of placebo cannabis baked into a brownie cannabis: Cannabis will be self-administered by study participants
Low-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 10mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
High-Dose Oral Cannabis
n=20 Participants
Single acute administration of cannabis containing 25mg THC baked into a brownie cannabis: Cannabis will be self-administered by study participants
Placebo Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Low-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 5mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
High-Dose Vaporized Cannabis
n=20 Participants
Single acute administration of placebo cannabis containing 20mg THC via commercial vaporizer cannabis: Cannabis will be self-administered by study participants
Peak Change in Blood Pressure
Systolic BP
1.1 mm/Hg
Standard Deviation 13.8
1.0 mm/Hg
Standard Deviation 16.1
0.5 mm/Hg
Standard Deviation 15.4
-2.4 mm/Hg
Standard Deviation 13.5
-2.8 mm/Hg
Standard Deviation 15.3
-4.8 mm/Hg
Standard Deviation 15.6
Peak Change in Blood Pressure
Diastolic BP
-2.3 mm/Hg
Standard Deviation 11.7
-0.9 mm/Hg
Standard Deviation 14.4
-1.1 mm/Hg
Standard Deviation 15.2
2.8 mm/Hg
Standard Deviation 12.7
2.9 mm/Hg
Standard Deviation 11.2
0.2 mm/Hg
Standard Deviation 14.0

Adverse Events

Placebo Oral Cannabis

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

Low-Dose Oral Cannabis

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

High-Dose Oral Cannabis

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

Placebo Vaporized Cannabis

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

Low-Dose Vaporized Cannabis

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

High-Dose Vaporized Cannabis

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

Dr. Ryan Vandrey

Johns Hopkins University School of Medicine

Phone: 410-550-4036

Results disclosure agreements

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