Interaction Between Cannabidiol, Meal Ingestion, and Liver Function

NCT ID: NCT04971837

Last Updated: 2024-11-15

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-20

Study Completion Date

2021-12-09

Brief Summary

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According to a recent consumer poll, over 20 million Americans regularly use cannabidiol (CBD). Moreover, 64 million Americans (over 25% of the population) report trying CBD at least once within the previous 2 years. Since the passing of the 2018 Agriculture Improvement Act, the use of hemp-derived products, such as CBD, is highly prevalent across North America. The acceleration of the use of CBD has outpaced our understanding of the associated potential risks and benefits, and the way it is processed within the body.

In the current proposed project, investigators wish to continue our ongoing collaboration with Caliper Foods, a Colorado-based manufacturer of CBD products. The focus of this project is three-fold: (1) investigators will compare the pharmacokinetics of different formulations of ingestible CBD; (2) investigators will examine the potential two-way interaction between a meal and one formulation of ingestible CBD; and, (3) investigators will examine the influence of different formulations of CBD on markers of liver function.

Detailed Description

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Pharmacokinetics describes the speed in which something that is ingested is made available within the body (i.e. bioavailability).There are many different preparations/formulations of CBD and they may differ from one another with regards to their pharmacokinetics. One important consideration when evaluating CBD formulations is the pharmacokinetic goal and intended use. For example, if the indication for the CBD is to treat acute pain, then a faster time to peak concentration (Tmax) and higher maximal concentration (Cmax) may be desirable, and also may help to decrease the risk of overdose due to premature repeat self administration. Alternatively, as a chronic treatment for anxiety, a larger area under the curve (AUC) may be preferable if a user follows a regular dosing schedule.

One purpose of the proposed project is to compare the pharmacokinetics of different formulations of CBD. The formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble).

Several previous studies have demonstrated an influence of eating on the pharmacokinetics of ingested CBD. The general consensus appears to be that prior ingestion of a high-fat meal increases the maximal concentration of circulating CBD (Cmax) and lowers the time to attain peak circulating concentration (Tmax).

One purpose of the proposed project is to study the influence of a standardized meal on the pharmacokinetics of a CBD formulation.

Little is known about the influence of ingested CBD on postprandial metabolism. The thermic effect of feeding (i.e. the increase in metabolic rate above resting metabolism) is considered an important physiological determinant of energy balance, and therefore also of weight gain or loss. Further, the dynamics of circulating glucose and triglycerides following a meal are reflective of metabolic health and predictive of future cardiometabolic disease risk. CBD has been purported to have a variety of beneficial physiological properties, including anti-inflammatory and antioxidant actions. Either of these individual properties alone could favorably modify postprandial metabolism, given that CBD potentially does both, it appears likely that CBD might improve the physiological regulation of postprandial metabolism.

One purpose of the proposed project is to determine the influence of CBD on postprandial metabolism.

The liver plays a critical regulatory role in postprandial metabolism, and also with the physiological processing of cannabinoids. The relationship between the use of cannabinoids and liver health is unclear. While early studies implied that exposure of the liver to very high daily dosing of cannabinoids may be detrimental, more recent studies are suggesting that some cannabinoids, including CBD, may have therapeutic potential for the treatment of non-alcoholic fatty liver disease. The acute effects of low dose CBD (e.g. 30 mg) on liver function in healthy adults have not been well described, and may be influenced by the formulation of the CBD product (i.e. whether it is water or lipid soluble).

One purpose of the proposed project is to determine the acute influence of different formulations of CBD on circulating markers of liver function.

Conditions

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Metabolism Liver Function Pharmacokinetics

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Outcome Assessors
The CBD and placebo formulations are prepared, bottled and coded by Caliper Foods. The participants will receive a coded bottle to consume of the different formulations of CBD and placebo.

Study Groups

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Two Visits Including A Test Meal

Separated by a minimum of 4 days.

Group Type EXPERIMENTAL

Cannabidiol (CBD) powder formulation

Intervention Type DIETARY_SUPPLEMENT

T-P-S-10 Caliper powder - 30 mg CBD in the form of 300 mg of 10% CBD isolate (Formulation 725: Water soluble.Contains sorbitol)

CBD matching Placebo

Intervention Type DIETARY_SUPPLEMENT

Matching Placebo

Five Visits Not Involving A Test Meal

Separated by a minimum of 14 days.

Group Type EXPERIMENTAL

Cannabidiol (CBD) powder formulation

Intervention Type DIETARY_SUPPLEMENT

T-P-S-10 Caliper powder - 30 mg CBD in the form of 300 mg of 10% CBD isolate (Formulation 725: Water soluble.Contains sorbitol)

Cannabidiol (CBD) Oil based tincture formulation

Intervention Type DIETARY_SUPPLEMENT

30 mg CBD isolate in MCT oil,1:1 ratio of CBD to Medium Chain Triglycerides oil. (Formulation 088: Not water soluble. Contains medium chain triglyceride coconut oil.)

Cannabidiol (CBD) Gum Arabic, maltodextrin base formulation

Intervention Type DIETARY_SUPPLEMENT

10% CBD Gum Arabic, maltodextrin base(Formulation 126: Water soluble. Contains gum arabic and maltodextrin)

Cannabidiol (CBD) Gum Arabic, sorbitol base formulation

Intervention Type DIETARY_SUPPLEMENT

10% CBD Gum Arabic, sorbitol base (Formulation 213: Water soluble. Contains gum arabic and sorbitol)

Cannabidiol (CBD) Isolate in water formulation

Intervention Type DIETARY_SUPPLEMENT

Pure CBD as crystalline powder (\>99% purity) (Formulation 625 Not water soluble)

Interventions

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Cannabidiol (CBD) powder formulation

T-P-S-10 Caliper powder - 30 mg CBD in the form of 300 mg of 10% CBD isolate (Formulation 725: Water soluble.Contains sorbitol)

Intervention Type DIETARY_SUPPLEMENT

Cannabidiol (CBD) Oil based tincture formulation

30 mg CBD isolate in MCT oil,1:1 ratio of CBD to Medium Chain Triglycerides oil. (Formulation 088: Not water soluble. Contains medium chain triglyceride coconut oil.)

Intervention Type DIETARY_SUPPLEMENT

Cannabidiol (CBD) Gum Arabic, maltodextrin base formulation

10% CBD Gum Arabic, maltodextrin base(Formulation 126: Water soluble. Contains gum arabic and maltodextrin)

Intervention Type DIETARY_SUPPLEMENT

Cannabidiol (CBD) Gum Arabic, sorbitol base formulation

10% CBD Gum Arabic, sorbitol base (Formulation 213: Water soluble. Contains gum arabic and sorbitol)

Intervention Type DIETARY_SUPPLEMENT

Cannabidiol (CBD) Isolate in water formulation

Pure CBD as crystalline powder (\>99% purity) (Formulation 625 Not water soluble)

Intervention Type DIETARY_SUPPLEMENT

CBD matching Placebo

Matching Placebo

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Participants must be greater than 18 years of age
* Weigh more than 110 pounds
* Have a body mass index greater than 25kg/m\^2
* Be free of any gastrointestinal or metabolic diseases
* Be able to refrain from use of any Cannabis or cannabis containing products for three days prior to participating in the study.

Exclusion Criteria

* Less than 18 years of age
* Pregnant or breastfeeding
* Food allergies
* Autoimmune disorders or with compromised immune function,
* Celiac disease
* Inflammatory bowel Diseases
* Gastrointestinal cancers
* Diabetes
* HIV
* Adverse reactions to ingesting Cannabis spp. or cannabis-containing products (including, but not limited to, marijuana, CBD oils, or CBD/THC containing food products)
* Taking any of the follow medications: steroids, HMG-CoA reductase inhibitors, calcium channel blockers, antihistamines, HIV antivirals, immune modulators, benzodiazepines, antiarrythmics, antibiotics, anesthetics, antipsychotics, antidepressants, anti-epileptics, beta blockers, proton pump inhibitors, NSAIDs, angiotension II blockers, oral hypoglycemic agents, and sulfonylureas.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Colorado State University

OTHER

Sponsor Role lead

Responsible Party

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Christopher Bell

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Colorado State University, Dept. of Health and Exercise Science

Fort Collins, Colorado, United States

Site Status

Countries

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United States

References

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Abbotts KSS, Ewell TR, Butterklee HM, Bomar MC, Akagi N, Dooley GP, Bell C. Cannabidiol and Cannabidiol Metabolites: Pharmacokinetics, Interaction with Food, and Influence on Liver Function. Nutrients. 2022 May 21;14(10):2152. doi: 10.3390/nu14102152.

Reference Type RESULT
PMID: 35631293 (View on PubMed)

Provided Documents

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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form

View Document

Other Identifiers

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21-10634H

Identifier Type: -

Identifier Source: org_study_id

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