Does Cannabidiol Attenuate the Acute Effects of ∆9-tetrahydrocannabinol Intoxication in Individuals Diagnosed With Schizophrenia? A Double-blind, Randomised, Placebo-controlled Experimental Study

NCT ID: NCT04605393

Last Updated: 2023-08-18

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

COMPLETED

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-01

Study Completion Date

2023-07-07

Brief Summary

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This study will recruit schizophrenia patients who use cannabis recreationally. Each participant will attend the laboratory on three occasions: an initial visit to check that they are safe to join the study and two days of testing.

Participants will be administered, in a randomized order, a pre-treatment with either CBD (1000mg) orally or a matching placebo. On both experiments, participants will then inhale cannabis containing THC. The THC administration will follow a standardised inhalation procedure using a medical-grade vaporizer device.

Participants will complete a series of tasks measuring cognition, psychosis, anxiety and other subjective experiences.

The study will be carried out at the NIHR-Wellcome Trust Clinical Research Facility at King's College Hospital.

Detailed Description

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Conditions

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Schizophrenia Cannabis Use

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo/THC

Oral placebo followed by inhalation of cannabis containing THC.

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Placebo

Delta-9-THC

Intervention Type DRUG

THC

CBD/THC

Oral CBD 1000mg followed by inhalation of cannabis containing THC.

Group Type EXPERIMENTAL

Cannabidiol

Intervention Type DRUG

CBD

Delta-9-THC

Intervention Type DRUG

THC

Interventions

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Cannabidiol

CBD

Intervention Type DRUG

Placebo

Placebo

Intervention Type DRUG

Delta-9-THC

THC

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18-65 years.
* Clinical diagnosis of schizophrenia (i.e. documented as such in the patient's clinical records and satisfying ICD-10 criteria for F20)
* Clinically stable for at least three months (since discharge from hospital, home treatment team, or prior clinical deterioration, and with agreement from the patient's responsible clinician)
* Regular (at least weekly) cannabis use for the past 3 months or more
* Evidence from either clinicians or from the patient that cannabis use exacerbates their symptoms or increases their risk of relapse
* Treatment with regular doses of antipsychotic medication for at least 1 month, confirmed by a blood test at the baseline visit, and with the participant agreeing to be maintained at a stable dose over the course of the experiment
* The participant agrees to abstain from cannabis use for at least 24hours prior to study visits
* The participant is willing to have an intravenous cannula inserted to collect blood samples on experimental visits
* Sufficiently fluent English
* Providing written informed consent

Exclusion Criteria

* Extreme cannabis use: participant is estimate to be using over 1gram of cannabis/day
* Dependence on alcohol or illicit substances other than cannabis as defined by ICD-10
* Pregnancy (current or planned) or breastfeeding
* Physical health disorder or another mental health disorder that the study psychiatrist judges may influence the patient's ability to tolerate the procedure, or that may alter the results of the study.
* Taken part in any drug study within the last 3 months or taking part in another study over the course of the trial
* Drug sensitivity/allergy to cannabis or Lorazepam
* Unlikely to be able to complete the study sessions for any reason, as judged by the study psychiatrist

Additional criteria which must be met on experimental visits:

* Negative alcohol breath test
* Negative urine drug screen (apart from cannabis and prescribed medication)
* Negative urine pregnancy test
* Stable mental state as judged by the study psychiatrist
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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King's College London

OTHER

Sponsor Role lead

Responsible Party

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Dr Edward Chesney

Psychiatrist/Clinical Research Fellow/Study Co-ordinator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gill Dale

Role: STUDY_CHAIR

[email protected]

Locations

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South London and Maudsley NHS Foundation Trust

London, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Chesney E, Oliver D, Sarma A, Lamper AD, Slimani I, Lloyd M, Dickens AM, Welds M, Krakstrom M, Gasparini-Andre I, Oresic M, Lawn W, Babayeva N, Freeman TP, Englund A, Strang J, McGuire P. Does cannabidiol reduce the adverse effects of cannabis in schizophrenia? A randomised, double-blind, cross-over trial. Neuropsychopharmacology. 2025 Jul 24. doi: 10.1038/s41386-025-02175-3. Online ahead of print.

Reference Type DERIVED
PMID: 40702165 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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IRAS: 278595

Identifier Type: -

Identifier Source: org_study_id

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