Warrior CARE: Cannabis Behavioral Health

NCT ID: NCT06381180

Last Updated: 2025-09-29

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-22

Study Completion Date

2030-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study is a randomized, controlled clinical trial to examine the therapeutic potential of cannabinoids for treating veterans with PTSD and suicidal ideation.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

In this clinical trial, we will recruit veterans with PTSD who report using cannabis or have interest in trying cannabis for symptom relief. Veterans will be randomized into one of four different groups: THC (∆9-tetrahydrocannabinol), CBD (cannabidiol), THC+CBD, and Placebo, and undergo a 12-week treatment phase where they will be asked to smoke their assigned cannabis dose every day for 12 weeks. Participants will complete weekly questionnaires regarding their mood, behavior and drug consumption. Furthermore, there is a laboratory component that will assess cognition, fear conditioning, and other PTSD-related measures.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Post Traumatic Stress Disorder Cannabis Use Suicide Veterans Marijuana

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

THC Group

Cannabis with 5 mg THC; up to a maximum of 5 doses/day (max dose = 25 mg THC)

Group Type EXPERIMENTAL

Tetrahydrocannabinol

Intervention Type DRUG

Plant cannabis that will be smoked

CBD Group

Cannabis with 5 mg CBD; up to a maximum of 5 doses/day (max dose = 25 mg CBD)

Group Type EXPERIMENTAL

Cannabidiol

Intervention Type DRUG

Plant cannabidiol that will be smoked

THC & CBD Group

Cannabis with 5 mg THC and 5 mg CBD; up to a maximum of 5 doses/day (max doses = 25 mg THC and 25 mg CBD)

Group Type EXPERIMENTAL

Tetrahydrocannabinol

Intervention Type DRUG

Plant cannabis that will be smoked

Cannabidiol

Intervention Type DRUG

Plant cannabidiol that will be smoked

Placebo Group

Cannabis with \<1mg THC and \<1mg CBD; up to a maximum of 5 doses/day (max dose = \<5 mg THC and \<5 mg CBD)

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type DRUG

Plant will be smoked.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Tetrahydrocannabinol

Plant cannabis that will be smoked

Intervention Type DRUG

Cannabidiol

Plant cannabidiol that will be smoked

Intervention Type DRUG

Placebo

Plant will be smoked.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

THC CBD

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* a healthy veteran who has served in a branch of the US armed forces
* report using cannabis within the past year
* currently meet DSM-5 criteria for PTSD and a score of 25 or greater on the CAPS-5 (the anchor, or index, trauma does not have to be related to military service)
* between the ages of 19-69 years old
* not seeking treatment for Cannabis Use Disorder
* stable (i.e., under the care of a physician or therapist and not experiencing acute symptoms) on psychotropic medications and/or psychotherapy before the study begins (participants can be in treatment for PTSD)
* agree to adhere to study procedures

Exclusion Criteria

* pregnant, lactating, or heterosexually active women and not using medically approved birth control
* current or past bipolar or psychotic disorder as determined using the SCID-5
* at immediate high risk for suicide based on the C-SSRS
* current SUD other than Nicotine Use Disorder and Alcohol Use Disorder (mild or moderate)
* allergies and/or other contradictions for using cannabis
* any clinically significant medical problems
* systolic/diastolic BP \>140/90 mmHg or systolic BP \<95 mmHg
* elevated liver function tests
* exhibit cognitive impairment (\<80 IQ)
* enrolled in another clinical trial or have received any drug as part of a research study within 30 days of dosing
* used a prescription medication (with the exception of birth control) within 14 days of study entry that in the opinion of the medically responsible investigator will interfere with the safety of the participant or the study results
* unable to provide informed consent
Minimum Eligible Age

19 Years

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Wayne State University

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Leslie Lundahl

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Wayne State University

Detroit, Michigan, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Leslie Lundahl, PhD

Role: CONTACT

3139931374

Paula Qefaliaj, B.S.

Role: CONTACT

2487168321

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Nareen Sadik, B.S.

Role: primary

References

Explore related publications, articles, or registry entries linked to this study.

Tashkin DP, Roth MD. Pulmonary effects of inhaled cannabis smoke. Am J Drug Alcohol Abuse. 2019;45(6):596-609. doi: 10.1080/00952990.2019.1627366. Epub 2019 Jul 12.

Reference Type BACKGROUND
PMID: 31298945 (View on PubMed)

Huang YH, Zhang ZF, Tashkin DP, Feng B, Straif K, Hashibe M. An epidemiologic review of marijuana and cancer: an update. Cancer Epidemiol Biomarkers Prev. 2015 Jan;24(1):15-31. doi: 10.1158/1055-9965.EPI-14-1026.

Reference Type BACKGROUND
PMID: 25587109 (View on PubMed)

Taylor DR, Fergusson DM, Milne BJ, Horwood LJ, Moffitt TE, Sears MR, Poulton R. A longitudinal study of the effects of tobacco and cannabis exposure on lung function in young adults. Addiction. 2002 Aug;97(8):1055-61. doi: 10.1046/j.1360-0443.2002.00169.x.

Reference Type BACKGROUND
PMID: 12144608 (View on PubMed)

Tashkin DP, Simmons MS, Sherrill DL, Coulson AH. Heavy habitual marijuana smoking does not cause an accelerated decline in FEV1 with age. Am J Respir Crit Care Med. 1997 Jan;155(1):141-8. doi: 10.1164/ajrccm.155.1.9001303.

Reference Type BACKGROUND
PMID: 9001303 (View on PubMed)

Brauer RW, Dutcher JA, Vorus WS. Effects of prolonged simultaneous exposure of CD-1 mice to high pressures and inert gas narcosis. J Appl Physiol (1985). 1986 Dec;61(6):2129-35. doi: 10.1152/jappl.1986.61.6.2129.

Reference Type BACKGROUND
PMID: 3804920 (View on PubMed)

Baldwin GC, Tashkin DP, Buckley DM, Park AN, Dubinett SM, Roth MD. Marijuana and cocaine impair alveolar macrophage function and cytokine production. Am J Respir Crit Care Med. 1997 Nov;156(5):1606-13. doi: 10.1164/ajrccm.156.5.9704146.

Reference Type BACKGROUND
PMID: 9372683 (View on PubMed)

Tetrault JM, Crothers K, Moore BA, Mehra R, Concato J, Fiellin DA. Effects of marijuana smoking on pulmonary function and respiratory complications: a systematic review. Arch Intern Med. 2007 Feb 12;167(3):221-8. doi: 10.1001/archinte.167.3.221.

Reference Type BACKGROUND
PMID: 17296876 (View on PubMed)

Tashkin DP, Fligiel S, Wu TC, Gong H Jr, Barbers RG, Coulson AH, Simmons MS, Beals TF. Effects of habitual use of marijuana and/or cocaine on the lung. NIDA Res Monogr. 1990;99:63-87. No abstract available.

Reference Type BACKGROUND
PMID: 2267014 (View on PubMed)

Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. Br J Addict. 1991 Sep;86(9):1119-27. doi: 10.1111/j.1360-0443.1991.tb01879.x.

Reference Type BACKGROUND
PMID: 1932883 (View on PubMed)

Russell D, Peplau LA, Ferguson ML. Developing a measure of loneliness. J Pers Assess. 1978 Jun;42(3):290-4. doi: 10.1207/s15327752jpa4203_11.

Reference Type BACKGROUND
PMID: 660402 (View on PubMed)

Stiglmayr C, Schimke P, Wagner T, Braakmann D, Schweiger U, Sipos V, Fydrich T, Schmahl C, Ebner-Priemer U, Kleindienst N, Bischkopf J, Auckenthaler A, Kienast T. Development and psychometric characteristics of the Dissociation Tension Scale. J Pers Assess. 2010 May;92(3):269-77. doi: 10.1080/00223891003670232.

Reference Type BACKGROUND
PMID: 20408027 (View on PubMed)

Briere, J. (2002). Multiscale Dissociation Inventory Professional Manual. Odessa, Florida: Psychological Assessment Resources.

Reference Type BACKGROUND

Delis DC, Freeland J, Kramer JH, Kaplan E. Integrating clinical assessment with cognitive neuroscience: construct validation of the California Verbal Learning Test. J Consult Clin Psychol. 1988 Feb;56(1):123-30. doi: 10.1037//0022-006x.56.1.123. No abstract available.

Reference Type BACKGROUND
PMID: 3346437 (View on PubMed)

Budney AJ, Novy PL, Hughes JR. Marijuana withdrawal among adults seeking treatment for marijuana dependence. Addiction. 1999 Sep;94(9):1311-22. doi: 10.1046/j.1360-0443.1999.94913114.x.

Reference Type BACKGROUND
PMID: 10615717 (View on PubMed)

Heishman SJ, Evans RJ, Singleton EG, Levin KH, Copersino ML, Gorelick DA. Reliability and validity of a short form of the Marijuana Craving Questionnaire. Drug Alcohol Depend. 2009 Jun 1;102(1-3):35-40. doi: 10.1016/j.drugalcdep.2008.12.010. Epub 2009 Feb 13.

Reference Type BACKGROUND
PMID: 19217724 (View on PubMed)

Woskie SR, Bello A, Rennix C, Jiang L, Trivedi AN, Savitz DA. Burn Pit Exposure Assessment to Support a Cohort Study of US Veterans of the Wars in Iraq and Afghanistan. J Occup Environ Med. 2023 Jun 1;65(6):449-457. doi: 10.1097/JOM.0000000000002788. Epub 2023 Jan 11.

Reference Type BACKGROUND
PMID: 36728333 (View on PubMed)

Steele L. Prevalence and patterns of Gulf War illness in Kansas veterans: association of symptoms with characteristics of person, place, and time of military service. Am J Epidemiol. 2000 Nov 15;152(10):992-1002. doi: 10.1093/aje/152.10.992.

Reference Type BACKGROUND
PMID: 11092441 (View on PubMed)

Knopf, Alison. (2021). NIDA sets 5 mg of THC as standard cannabis unit for research. Alcoholism & Drug Abuse Weekly. 33. 6-7. 10.1002/adaw.33068.

Reference Type BACKGROUND

Lake S, Kerr T, Buxton J, Walsh Z, Marshall BD, Wood E, Milloy MJ. Does cannabis use modify the effect of post-traumatic stress disorder on severe depression and suicidal ideation? Evidence from a population-based cross-sectional study of Canadians. J Psychopharmacol. 2020 Feb;34(2):181-188. doi: 10.1177/0269881119882806. Epub 2019 Nov 5.

Reference Type BACKGROUND
PMID: 31684805 (View on PubMed)

Kimbrel NA, Newins AR, Dedert EA, Van Voorhees EE, Elbogen EB, Naylor JC, Ryan Wagner H, Brancu M; VA Mid-Atlantic MIRECC Workgroup; Beckham JC, Calhoun PS. Cannabis use disorder and suicide attempts in Iraq/Afghanistan-era veterans. J Psychiatr Res. 2017 Jun;89:1-5. doi: 10.1016/j.jpsychires.2017.01.002. Epub 2017 Jan 5.

Reference Type BACKGROUND
PMID: 28129565 (View on PubMed)

Americ, I.a.A.V.o. 2019 Member Survey. Perceptions and views of Iraq and Afghanistan veterans on the challenges and successes of the next greatest generation of veterans. . 2019; Available from: https://iava.org/iavas-2019-member-survey-results/.

Reference Type BACKGROUND

Olenick M, Flowers M, Diaz VJ. US veterans and their unique issues: enhancing health care professional awareness. Adv Med Educ Pract. 2015 Dec 1;6:635-9. doi: 10.2147/AMEP.S89479. eCollection 2015.

Reference Type BACKGROUND
PMID: 26664252 (View on PubMed)

Boden MT, Babson KA, Vujanovic AA, Short NA, Bonn-Miller MO. Posttraumatic stress disorder and cannabis use characteristics among military veterans with cannabis dependence. Am J Addict. 2013 May-Jun;22(3):277-84. doi: 10.1111/j.1521-0391.2012.12018.x.

Reference Type BACKGROUND
PMID: 23617872 (View on PubMed)

Adkisson K, Cunningham KC, Dedert EA, Dennis MF, Calhoun PS, Elbogen EB, Beckham JC, Kimbrel NA. Cannabis Use Disorder and Post-Deployment Suicide Attempts in Iraq/Afghanistan-Era Veterans. Arch Suicide Res. 2019 Oct-Dec;23(4):678-687. doi: 10.1080/13811118.2018.1488638. Epub 2018 Nov 17.

Reference Type BACKGROUND
PMID: 29952737 (View on PubMed)

Hill MN, Bierer LM, Makotkine I, Golier JA, Galea S, McEwen BS, Hillard CJ, Yehuda R. Reductions in circulating endocannabinoid levels in individuals with post-traumatic stress disorder following exposure to the World Trade Center attacks. Psychoneuroendocrinology. 2013 Dec;38(12):2952-61. doi: 10.1016/j.psyneuen.2013.08.004. Epub 2013 Sep 10.

Reference Type BACKGROUND
PMID: 24035186 (View on PubMed)

Hill MN, Miller GE, Ho WS, Gorzalka BB, Hillard CJ. Serum endocannabinoid content is altered in females with depressive disorders: a preliminary report. Pharmacopsychiatry. 2008 Mar;41(2):48-53. doi: 10.1055/s-2007-993211.

Reference Type BACKGROUND
PMID: 18311684 (View on PubMed)

deRoon-Cassini TA, Stollenwerk TM, Beatka M, Hillard CJ. Meet Your Stress Management Professionals: The Endocannabinoids. Trends Mol Med. 2020 Oct;26(10):953-968. doi: 10.1016/j.molmed.2020.07.002. Epub 2020 Aug 28.

Reference Type BACKGROUND
PMID: 32868170 (View on PubMed)

Abizaid A, Merali Z, Anisman H. Cannabis: A potential efficacious intervention for PTSD or simply snake oil? J Psychiatry Neurosci. 2019 Mar 1;44(2):75-78. doi: 10.1503/jpn.190021. No abstract available.

Reference Type BACKGROUND
PMID: 30810022 (View on PubMed)

Zachary RA (1991) Shipley Institute of Living Scale: revised manual. Los Angeles: Western Psychological Services

Reference Type BACKGROUND

First MB, Williams JBW, Karg RS, Spitzer RL (2015) User's Guide for the Structured Clinical Interview for DSM-5 Disorders, Research Version (SCID-5-RV). Arlington, VA, American Psychiatric Association

Reference Type BACKGROUND

Weathers, F.W., et al., The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). 2013, Washington DC: National Center for PTSD.

Reference Type BACKGROUND

Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov.

Reference Type BACKGROUND

Weathers FW, Bovin MJ, Lee DJ, Sloan DM, Schnurr PP, Kaloupek DG, Keane TM, Marx BP. The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5): Development and initial psychometric evaluation in military veterans. Psychol Assess. 2018 Mar;30(3):383-395. doi: 10.1037/pas0000486. Epub 2017 May 11.

Reference Type BACKGROUND
PMID: 28493729 (View on PubMed)

Posner K, Brown GK, Stanley B, Brent DA, Yershova KV, Oquendo MA, Currier GW, Melvin GA, Greenhill L, Shen S, Mann JJ. The Columbia-Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry. 2011 Dec;168(12):1266-77. doi: 10.1176/appi.ajp.2011.10111704.

Reference Type BACKGROUND
PMID: 22193671 (View on PubMed)

Osman A, Bagge CL, Gutierrez PM, Konick LC, Kopper BA, Barrios FX. The Suicidal Behaviors Questionnaire-Revised (SBQ-R): validation with clinical and nonclinical samples. Assessment. 2001 Dec;8(4):443-54. doi: 10.1177/107319110100800409.

Reference Type BACKGROUND
PMID: 11785588 (View on PubMed)

Beck, A.T., Steer, R.A., & Brown, G.K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.

Reference Type BACKGROUND

Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.

Reference Type BACKGROUND

Wechsler, D. (2009). Wechsler Memory Scale - 4th Edition. Pearson Assessments.

Reference Type BACKGROUND

BERG EA. A simple objective technique for measuring flexibility in thinking. J Gen Psychol. 1948 Jul;39:15-22. doi: 10.1080/00221309.1948.9918159. No abstract available.

Reference Type BACKGROUND
PMID: 18889466 (View on PubMed)

Milner, B. (1963). Effects of different brain lesions on card sorting. Archives of Neurology, 9, 90-100.

Reference Type BACKGROUND

Bechara A, Damasio H, Tranel D, Damasio AR. Deciding advantageously before knowing the advantageous strategy. Science. 1997 Feb 28;275(5304):1293-5. doi: 10.1126/science.275.5304.1293.

Reference Type BACKGROUND
PMID: 9036851 (View on PubMed)

Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83.

Reference Type BACKGROUND
PMID: 1593914 (View on PubMed)

Frisch, M.B., Cornell, J., Villanueva, M. & Retzlaff, P.J. (1992). Clinical validation of the quality of life inventory: A measure of life satisfaction for treatment planning and outcome assessment. Psychological Assessment, 4, 92-101.

Reference Type BACKGROUND

Cleeland CS, Ryan KM. Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singap. 1994 Mar;23(2):129-38.

Reference Type BACKGROUND
PMID: 8080219 (View on PubMed)

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991 Dec;14(6):540-5. doi: 10.1093/sleep/14.6.540.

Reference Type BACKGROUND
PMID: 1798888 (View on PubMed)

Marczylo TH, Lam PM, Nallendran V, Taylor AH, Konje JC. A solid-phase method for the extraction and measurement of anandamide from multiple human biomatrices. Anal Biochem. 2009 Jan 1;384(1):106-13. doi: 10.1016/j.ab.2008.08.040. Epub 2008 Sep 18.

Reference Type BACKGROUND
PMID: 18823934 (View on PubMed)

Haney M, Ward AS, Comer SD, Foltin RW, Fischman MW. Abstinence symptoms following smoked marijuana in humans. Psychopharmacology (Berl). 1999 Feb;141(4):395-404. doi: 10.1007/s002130050849.

Reference Type BACKGROUND
PMID: 10090647 (View on PubMed)

Haney M, Hart CL, Ward AS, Foltin RW. Nefazodone decreases anxiety during marijuana withdrawal in humans. Psychopharmacology (Berl). 2003 Jan;165(2):157-65. doi: 10.1007/s00213-002-1210-3. Epub 2002 Nov 19.

Reference Type BACKGROUND
PMID: 12439626 (View on PubMed)

Bilgin M, Bindila L, Graessler J, Shevchenko A. Quantitative profiling of endocannabinoids in lipoproteins by LC-MS/MS. Anal Bioanal Chem. 2015 Jul;407(17):5125-31. doi: 10.1007/s00216-015-8559-8. Epub 2015 Mar 18.

Reference Type BACKGROUND
PMID: 25782872 (View on PubMed)

Gachet MS, Rhyn P, Bosch OG, Quednow BB, Gertsch J. A quantitiative LC-MS/MS method for the measurement of arachidonic acid, prostanoids, endocannabinoids, N-acylethanolamines and steroids in human plasma. J Chromatogr B Analyt Technol Biomed Life Sci. 2015 Jan 22;976-977:6-18. doi: 10.1016/j.jchromb.2014.11.001. Epub 2014 Nov 18.

Reference Type BACKGROUND
PMID: 25436483 (View on PubMed)

Marczylo TH, Lam PM, Amoako AA, Konje JC. Anandamide levels in human female reproductive tissues: solid-phase extraction and measurement by ultraperformance liquid chromatography tandem mass spectrometry. Anal Biochem. 2010 May 15;400(2):155-62. doi: 10.1016/j.ab.2009.12.025. Epub 2009 Dec 22.

Reference Type BACKGROUND
PMID: 20026294 (View on PubMed)

Watkins BA, Kim J, Kenny A, Pedersen TL, Pappan KL, Newman JW. Circulating levels of endocannabinoids and oxylipins altered by dietary lipids in older women are likely associated with previously identified gene targets. Biochim Biophys Acta. 2016 Nov;1861(11):1693-1704. doi: 10.1016/j.bbalip.2016.07.007. Epub 2016 Jul 22.

Reference Type BACKGROUND
PMID: 27452639 (View on PubMed)

Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988 Jun;54(6):1063-70. doi: 10.1037//0022-3514.54.6.1063.

Reference Type BACKGROUND
PMID: 3397865 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

Warrior CARE: CBH

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Short-Term Exposure for PTSD
NCT02874898 COMPLETED NA
Ketamine and Prolonged Exposure in PTSD
NCT03960658 COMPLETED PHASE1/PHASE2
Ketamine Treatment for PTSD and MDD in TBI
NCT06228391 NOT_YET_RECRUITING PHASE2
Mitigating PTSD-CUD After Sexual Assault
NCT05989841 RECRUITING PHASE1/PHASE2