Effects of Cannabis Abstinence on Symptomology and Cognition in Bipolar Disorder

NCT ID: NCT03629106

Last Updated: 2023-09-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-01

Study Completion Date

2022-08-31

Brief Summary

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The objective of this study is to assess the changes in symptoms and cognition that occur after a 28-day abstinence period in patients with comorbid Cannabis Use Disorder (CUD) and Bipolar (Type I or II) disorder. Stabilized bipolar patients (N=52) with CUD will be randomly assigned to one of two groups: 1) A contingent reinforcement (CR) group (n=26); 2) a non-contingent reinforcement (NCR) group (n=26). The study will include a total of 8 visits to the CAMH Russell site (screening, training, baselines, week 1-4, follow-up). Participants should be between the ages of 18-60, meet criteria for CUD (moderate to severe), meet criteria for Bipolar Disorder, be on a stable dose of mood stabilizing medication(s), and be non-treatment seeking cannabis user. The visits will take up a total of approximately 22.5 hours with compensation for time provided for both groups. These visits will involve multiple clinical, substance use, and cognitive assessments. Abstinence will be maintained by weekly behavioural coaching sessions and contingency reinforcement for the CR group.

Detailed Description

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Conditions

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Cannabis Use Disorder Bipolar Disorder Cognition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized open-label trial to compare two arms: 1) contingent reinforcement and 2) non-contingent reinforcement.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Contingent Reinforcement

The Contingent Reinforcement (CR) group (n=26) will be given an abstinence bonus at the successful completion of a 28-Day cannabis abstinence verified by self-report and urinary THC-COOH level \<20 ng/ml.

Group Type EXPERIMENTAL

Weekly Behavioral Coaching Session

Intervention Type BEHAVIORAL

The participants will be provided with a 20-minute individual behavioral support session weekly for 4 weeks (28 days abstinence), designed to provide them with tools and techniques to manage the craving and withdrawal symptoms that occur with cessation.

No Contingent Reinforcement

The Non-Contingent Reinforcement (NCR) group (n=26) will not be given an abstinence bonus at the successful completion of a 28-Day cannabis abstinence.

Group Type EXPERIMENTAL

Weekly Behavioral Coaching Session

Intervention Type BEHAVIORAL

The participants will be provided with a 20-minute individual behavioral support session weekly for 4 weeks (28 days abstinence), designed to provide them with tools and techniques to manage the craving and withdrawal symptoms that occur with cessation.

Interventions

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Weekly Behavioral Coaching Session

The participants will be provided with a 20-minute individual behavioral support session weekly for 4 weeks (28 days abstinence), designed to provide them with tools and techniques to manage the craving and withdrawal symptoms that occur with cessation.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* All participants must be between the ages 18-60
* Meet SCID for DSM-5 diagnostic criteria for cannabis use disorder, moderate to severe
* Meet SCID for DSM-5 diagnostic criteria for Bipolar Disorder (Type I or II)
* Be an outpatient receiving a stable dose of mood stabilizing medication(s) for at least one month
* Have a Hamilton Depression Rating Scale (HDRS-17) baseline assessment in the range of 12-25
* Have a Full-Scale IQ of at least 80 as determined by the WTAR
* Be a non-treatment seeking cannabis user
* Evidence of sufficient motivation and effort as measured by a Test of Memory Malingering (TOMM) score of at least 45
* Y-MRS baseline score in the range of 0-15

Exclusion Criteria

* Meets criteria for abuse or dependence of alcohol or other illicit substances within the past 6 months (with the exception of cannabis, nicotine, or caffeine)
* Positive urine screen for illicit substances other than cannabis, nicotine, or caffeine
* Current suicidal or homicidal ideation
* Psychotic disorder diagnosis (e.g. schizoaffective disorder, major depression with psychotic features) as determined by the SCID
* Treatment seeking for cannabis use
* Head Injury \> 5 minutes LOC
* Exceed upper and lower cut-offs on HSRD-17 and YMRS
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre for Addiction and Mental Health

OTHER

Sponsor Role lead

Responsible Party

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Tony George

Chief, Addictions Division

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tony George, M.D., FRCPC

Role: PRINCIPAL_INVESTIGATOR

Centre for Addiction and Mental Health

Locations

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Centre for Addiction and Mental Health

Toronto, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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053/2018

Identifier Type: -

Identifier Source: org_study_id

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