Trial Outcomes & Findings for Dronabinol On the Pain Experience (NCT NCT05820685)

NCT ID: NCT05820685

Last Updated: 2025-06-11

Results Overview

This will be calculated by calculated by taking the total of MMEs from all opioids received and dividing by length of stay

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

484 participants

Primary outcome timeframe

From time of admission to time of discharge (about 11 days after admission)

Results posted on

2025-06-11

Participant Flow

Participant milestones

Participant milestones
Measure
Standard of Care
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Overall Study
STARTED
241
243
Overall Study
COMPLETED
235
234
Overall Study
NOT COMPLETED
6
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

102 participant in the Standard of Care arm had rib fractures. 100 participant in the Standard of Care + Dronabinol arm had rib fractures. This baseline measure is for participants with rib fractures.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard of Care
n=235 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=234 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Total
n=469 Participants
Total of all reporting groups
number of rib fractures (only participants with rib fractures)
5 rib fractures
n=102 Participants • 102 participant in the Standard of Care arm had rib fractures. 100 participant in the Standard of Care + Dronabinol arm had rib fractures. This baseline measure is for participants with rib fractures.
4 rib fractures
n=100 Participants • 102 participant in the Standard of Care arm had rib fractures. 100 participant in the Standard of Care + Dronabinol arm had rib fractures. This baseline measure is for participants with rib fractures.
5 rib fractures
n=202 Participants • 102 participant in the Standard of Care arm had rib fractures. 100 participant in the Standard of Care + Dronabinol arm had rib fractures. This baseline measure is for participants with rib fractures.
Age, Continuous
38 years
n=235 Participants
38 years
n=234 Participants
38 years
n=469 Participants
Sex: Female, Male
Female
60 Participants
n=235 Participants
67 Participants
n=234 Participants
127 Participants
n=469 Participants
Sex: Female, Male
Male
175 Participants
n=235 Participants
167 Participants
n=234 Participants
342 Participants
n=469 Participants
Race/Ethnicity, Customized
White
66 Participants
n=235 Participants
77 Participants
n=234 Participants
143 Participants
n=469 Participants
Race/Ethnicity, Customized
Black
66 Participants
n=235 Participants
64 Participants
n=234 Participants
130 Participants
n=469 Participants
Race/Ethnicity, Customized
Hispanic
83 Participants
n=235 Participants
83 Participants
n=234 Participants
166 Participants
n=469 Participants
Race/Ethnicity, Customized
Other
20 Participants
n=235 Participants
10 Participants
n=234 Participants
30 Participants
n=469 Participants
Region of Enrollment
United States
235 participants
n=235 Participants
234 participants
n=234 Participants
469 participants
n=469 Participants
Score on Abbreviated Injury Scale (AIS) - Head
0 score on a scale
n=235 Participants
0 score on a scale
n=234 Participants
0 score on a scale
n=469 Participants
Score on Abbreviated Injury Scale (AIS) - Chest
1 score on a scale
n=235 Participants
2 score on a scale
n=234 Participants
1 score on a scale
n=469 Participants
Score on Abbreviated Injury Scale (AIS) - Abdomen
0 score on a scale
n=235 Participants
0 score on a scale
n=234 Participants
0 score on a scale
n=469 Participants
Score on Abbreviated Injury Scale (AIS) - Extremity
2 score on a scale
n=235 Participants
2 score on a scale
n=234 Participants
2 score on a scale
n=469 Participants
Injury Severity Score (ISS)
17 score on a scale
n=235 Participants
14 score on a scale
n=234 Participants
14 score on a scale
n=469 Participants
Number of Participants with a blunt injury
181 Participants
n=235 Participants
175 Participants
n=234 Participants
356 Participants
n=469 Participants
Number of Participants with Rib Fractures
102 Participants
n=235 Participants
100 Participants
n=234 Participants
202 Participants
n=469 Participants
Number of participants with flail segment
19 Participants
n=235 Participants
6 Participants
n=234 Participants
25 Participants
n=469 Participants
Number of participants with long bone fracture
79 Participants
n=235 Participants
72 Participants
n=234 Participants
151 Participants
n=469 Participants
Number of participants with vertebral body fracture
39 Participants
n=235 Participants
43 Participants
n=234 Participants
82 Participants
n=469 Participants
Number of participants with pelvis or acetabulum fracture
49 Participants
n=235 Participants
37 Participants
n=234 Participants
86 Participants
n=469 Participants
Number of participants with traumatic brain injury
25 Participants
n=235 Participants
32 Participants
n=234 Participants
57 Participants
n=469 Participants
Number of participants who underwent laparotomy procedure
24 Participants
n=235 Participants
30 Participants
n=234 Participants
54 Participants
n=469 Participants
Number of participants who underwent thoracotomy procedure
0 Participants
n=235 Participants
0 Participants
n=234 Participants
0 Participants
n=469 Participants
Number of participants who underwent amputation procedure
7 Participants
n=235 Participants
3 Participants
n=234 Participants
10 Participants
n=469 Participants
Number of participants who underwent any procedure
181 Participants
n=235 Participants
184 Participants
n=234 Participants
365 Participants
n=469 Participants
Number of Participants With Prior Opioid Use
No
145 Participants
n=235 Participants
151 Participants
n=234 Participants
296 Participants
n=469 Participants
Number of Participants With Prior Opioid Use
Yes
84 Participants
n=235 Participants
68 Participants
n=234 Participants
152 Participants
n=469 Participants
Number of Participants With Prior Opioid Use
Unknown
6 Participants
n=235 Participants
15 Participants
n=234 Participants
21 Participants
n=469 Participants
Number of Participants with a History of Smoking
No
149 Participants
n=235 Participants
146 Participants
n=234 Participants
295 Participants
n=469 Participants
Number of Participants with a History of Smoking
Yes
76 Participants
n=235 Participants
76 Participants
n=234 Participants
152 Participants
n=469 Participants
Number of Participants with a History of Smoking
Unknown
10 Participants
n=235 Participants
12 Participants
n=234 Participants
22 Participants
n=469 Participants
Number of Participants with a Positive Alcohol Screen
No
91 Participants
n=235 Participants
85 Participants
n=234 Participants
176 Participants
n=469 Participants
Number of Participants with a Positive Alcohol Screen
Yes
37 Participants
n=235 Participants
35 Participants
n=234 Participants
72 Participants
n=469 Participants
Number of Participants with a Positive Alcohol Screen
Not Performed
107 Participants
n=235 Participants
114 Participants
n=234 Participants
221 Participants
n=469 Participants
Number of Participants with a Positive Drug Screen
No
145 Participants
n=235 Participants
140 Participants
n=234 Participants
285 Participants
n=469 Participants
Number of Participants with a Positive Drug Screen
Yes
44 Participants
n=235 Participants
39 Participants
n=234 Participants
83 Participants
n=469 Participants
Number of Participants with a Positive Drug Screen
Not Performed
46 Participants
n=235 Participants
55 Participants
n=234 Participants
101 Participants
n=469 Participants
Number of rib fractures (all participants)
0 rib fractures
n=235 Participants
0 rib fractures
n=234 Participants
0 rib fractures
n=469 Participants
Unit of admission
Floor
164 Participants
n=235 Participants
167 Participants
n=234 Participants
331 Participants
n=469 Participants
Unit of admission
Intermediate unit
32 Participants
n=235 Participants
31 Participants
n=234 Participants
63 Participants
n=469 Participants
Unit of admission
Intensive care unit
32 Participants
n=235 Participants
33 Participants
n=234 Participants
65 Participants
n=469 Participants
Unit of admission
Other
7 Participants
n=235 Participants
3 Participants
n=234 Participants
10 Participants
n=469 Participants

PRIMARY outcome

Timeframe: From time of admission to time of discharge (about 11 days after admission)

This will be calculated by calculated by taking the total of MMEs from all opioids received and dividing by length of stay

Outcome measures

Outcome measures
Measure
Standard of Care
n=235 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=234 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Total Morphine Milligram Equivalents (MME) Per Day
15 MME Per Day
Interval 9.0 to 25.0
17 MME Per Day
Interval 10.0 to 26.0

SECONDARY outcome

Timeframe: From time of admission to time of discharge (about 11 days after admission)

This will be calculated by calculated by taking the total of MMEs from all opioids received

Outcome measures

Outcome measures
Measure
Standard of Care
n=235 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=234 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Total Morphine Milligram Equivalents (MME) Over Hospital Stay
99 Morphine Milligram Equivalents (MME)
Interval 50.0 to 197.0
99 Morphine Milligram Equivalents (MME)
Interval 48.0 to 182.0

SECONDARY outcome

Timeframe: From time of admission to time of discharge (about 11 days after admission)

Population: Data were not collected for this outcome measure because it was not charted by the bedside nurse.

This is a 4 item questionnaire and each is scored from 0(no pain) to 10( as bad as it could be, nothing else matters), enhanced with functional word descriptor anchors at each pain level and "traffic light" color coded bars to delineate levels of pain; mild (1 to 4, green), moderate (5 to 6, yellow), and severe (7 to 10, red) pain a higher number indicating more pain Average pain score during the course of the hospital stay will be reported.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Discharge (about 11 days after admission)

Outcome measures

Outcome measures
Measure
Standard of Care
n=235 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=234 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Number of Participants Discharged Form Hospital With a Prescription for an Opioid Medication
133 Participants
144 Participants

SECONDARY outcome

Timeframe: Discharge (about 11 days after admission)

Outcome measures

Outcome measures
Measure
Standard of Care
n=235 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=234 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Number of Participants Discharged Form Hospital Without a Prescription for an Opioid Medication
102 Participants
90 Participants

SECONDARY outcome

Timeframe: From time of admission to time of discharge (about 11 days after admission)

Outcome measures

Outcome measures
Measure
Standard of Care
n=235 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=234 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Number of Participants That Have Incidences of Opioid-related Complications, Such as Ileus, Aspiration, Unplanned Intubation, Unplanned Admission to an Intensive Care Unit, and Use of an Opioid-reversal Agent.
10 Participants
13 Participants

SECONDARY outcome

Timeframe: From time of admission to time of discharge (about 11 days after admission)

Outcome measures

Outcome measures
Measure
Standard of Care
n=235 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=234 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Hospital Length of Stay
6 days
Interval 4.0 to 11.0
6 days
Interval 3.0 to 9.0

SECONDARY outcome

Timeframe: 30 days

This will be calculated as (30 days-length of stay (LOS))

Outcome measures

Outcome measures
Measure
Standard of Care
n=235 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=234 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Number of Hospital Free Days
24 Days
Interval 19.0 to 26.0
24 Days
Interval 21.0 to 27.0

SECONDARY outcome

Timeframe: From time of admission to ICU to time of discharge from ICU (about 12 days after admission)

Population: Only the participants with \> 0 ICU days were analyzed for this outcome measure.

Outcome measures

Outcome measures
Measure
Standard of Care
n=39 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=42 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
ICU Length of Stay (Participants With >0 ICU Days)
5 days
Interval 3.0 to 12.0
6 days
Interval 3.0 to 10.0

SECONDARY outcome

Timeframe: From time of intubation to time of extubation (about 14 days after admission)

Population: Only the participants with \> 0 days on a ventilator were analyzed for this outcome measure.

Outcome measures

Outcome measures
Measure
Standard of Care
n=23 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=23 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Number of Days on a Ventilator (Participants With > 0 Days on a Ventilator)
3 days
Interval 2.0 to 11.0
6 days
Interval 3.0 to 14.0

SECONDARY outcome

Timeframe: 30 days

Population: Only the participants with \> 0 ICU days were analyzed for this outcome measure.

This will be calculated as (30 days-number of days in ICU)

Outcome measures

Outcome measures
Measure
Standard of Care
n=39 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=42 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Number of ICU Free Days (Participants With >0 ICU Days)
25 days
Interval 18.0 to 27.0
25 days
Interval 20.0 to 27.0

SECONDARY outcome

Timeframe: 30 days

Population: Only the participants with \> 0 days on a ventilator were analyzed for this outcome measure.

This will be calculated as (30 days-number of days spent on ventilator)

Outcome measures

Outcome measures
Measure
Standard of Care
n=23 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=23 Participants
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Number of Ventilator Free Days (Participants With >0 Days on a Ventilator)
27 days
Interval 19.0 to 28.0
24 days
Interval 16.0 to 27.0

Adverse Events

Standard of Care

Serious events: 10 serious events
Other events: 0 other events
Deaths: 5 deaths

Standard of Care + Dronabinol

Serious events: 13 serious events
Other events: 0 other events
Deaths: 4 deaths

Serious adverse events

Serious adverse events
Measure
Standard of Care
n=235 participants at risk
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement.
Standard of Care + Dronabinol
n=234 participants at risk
Standard of Care (acetaminophen +naproxen +gabapentin + as needed oxycodone or Tramadol): Participants will receive acetaminophen 1000 mg every six hours, naproxen 500 mg every 12 hours, and gabapentin 300 mg every eight hours. Participants will also receive Oxycodone 5 mg or Tramadol 50 mg every six hours as needed for breakthrough pain. Providers will have the ability to adjust this pain regimen based on clinical judgement. Dronabinol: Participants will receive Dronabinol 10 mg every 12 hours scheduled. Providers will have the ability to adjust this pain regimen based on clinical judgement.
General disorders
Unplanned intubation
1.3%
3/235 • From hospital admission up to hospital discharge (about 11 days)
1.7%
4/234 • From hospital admission up to hospital discharge (about 11 days)
Gastrointestinal disorders
Unplanned ICU
3.4%
8/235 • From hospital admission up to hospital discharge (about 11 days)
5.6%
13/234 • From hospital admission up to hospital discharge (about 11 days)

Other adverse events

Adverse event data not reported

Additional Information

John Harvin, MD, FACS

The University of Texas Health Science Center at Houston

Phone: 713-500-7244

Results disclosure agreements

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