Effect of Cannabis on Cigarette Use Behavior

NCT ID: NCT06609083

Last Updated: 2026-01-16

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-22

Study Completion Date

2029-10-01

Brief Summary

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The purpose of this study is to determine the impact of tetrahydrocannabinol (THC) administration on motivational, subjective, and physiological effects of cigarettes. The study's goals are to test demand for cigarettes, tobacco craving, affect, heart rate, blood pressure, expired breath carbon monoxide, and cognitive performance. Researchers will compare multiple doses of THC and a placebo in participants who smoke cigarettes and either smoke or vape THC in the laboratory.

Detailed Description

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A full-factorial laboratory study will be conducted to determine the impact of acute THC administration on the dose-related motivational, subjective, and physiological effects of combustible cigarettes. This study will employ a double-blind, placebo-controlled, within-subjects crossover design to examine the dose-effects of THC on combustible tobacco use. The study will use multiple active doses of THC and placebo (0, 5, and 30 mg; corresponding to 0, 1, and 6 standard THC unit doses). Participants will be randomized to either smoked or vaporized THC administration using a between-subjects approach to evaluate the effect of congruent versus incongruent routes of THC and tobacco administration on study outcomes.

Conditions

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Cannabis Use Tobacco Use Cigarette Smoking

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Smoked THC

Each participant in this arm will receive 0, 5, and 30mg of THC over the course of six visits. Each participant will also receive combustible cigarettes containing 0.03mg and 0.80mg of nicotine.

Group Type EXPERIMENTAL

THC 30mg

Intervention Type DRUG

High dose of THC (30 mg)

THC 5mg

Intervention Type DRUG

Low dose of THC (5 mg)

THC 0mg

Intervention Type DRUG

Placebo dose of THC (0 mg)

Cigarette Full Nicotine

Intervention Type DRUG

Full nicotine cigarette

Cigarette Reduced Nicotine

Intervention Type DRUG

Reduced nicotine cigarette

Vaporized THC

Each participant in this arm will receive 0, 5, and 30mg of THC over the course of six visits. Each participant will also receive combustible cigarettes containing 0.03mg and 0.80mg of nicotine.

Group Type EXPERIMENTAL

THC 30mg

Intervention Type DRUG

High dose of THC (30 mg)

THC 5mg

Intervention Type DRUG

Low dose of THC (5 mg)

THC 0mg

Intervention Type DRUG

Placebo dose of THC (0 mg)

Cigarette Full Nicotine

Intervention Type DRUG

Full nicotine cigarette

Cigarette Reduced Nicotine

Intervention Type DRUG

Reduced nicotine cigarette

Interventions

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THC 30mg

High dose of THC (30 mg)

Intervention Type DRUG

THC 5mg

Low dose of THC (5 mg)

Intervention Type DRUG

THC 0mg

Placebo dose of THC (0 mg)

Intervention Type DRUG

Cigarette Full Nicotine

Full nicotine cigarette

Intervention Type DRUG

Cigarette Reduced Nicotine

Reduced nicotine cigarette

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Healthy non-treatment seeking adults aged 21 or older
2. Report daily use of combustible tobacco cigarettes
3. Biological confirmation of cigarette use: have an expired carbon monoxide (CO) level of more than 5 ppm and a positive urine cotinine test at screening
4. Report current use of cannabis (at least 1 occasion per week)
5. Have experience with the inhalation route of administration for cannabis
6. Biological confirmation of cannabis use: have a positive urinary THC drug test at screening.
7. For women of children bearing potential and men with female partners of child-bearing potential, must be willing to use an effective form of contraception during the study.

Exclusion Criteria

1. Report current intention to reduce or quit cannabis or tobacco use within the next 30 days
2. Meet Diagnostic and Statistical Manual (DSM-5) criteria for a substance use disorder other than alcohol, cannabis, or nicotine
3. Test positive for illicit drugs other than cannabis and tobacco
4. Positive breath alcohol test at study admission
5. Have a current physical or mental illness judged by the study team to negatively impact participant safety or scientific integrity
6. Have a lifetime history of suicidal behavior (i.e. past suicide attempt), or current suicidal behavior or ideation as assessed by the Columbia Suicide Severity Rating Scale (C-SSRS)
7. Are currently pregnant, planning to become pregnant in the next three months or are currently breastfeeding
8. Have a history of clinically significant cardiac arrhythmias or vasospastic disease (e.g., Prinzmetal's angina)
9. Are currently enrolled in another clinical trial or have received any drug as part of a research study within 30 days of study participation.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dustin Lee, PhD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins School of Medicine

Locations

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Johns Hopkins University Behavioral Pharmacology Research Unit

Baltimore, Maryland, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Lauren Brogdon, MHS

Role: CONTACT

410-550-6953

Dustin Lee, PhD

Role: CONTACT

410-550-4035

Facility Contacts

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Dustin Lee, PhD

Role: primary

410-550-4035

Lauren Morris, MHS

Role: backup

410-550-6953

Other Identifiers

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R01DA058624

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB00435111

Identifier Type: -

Identifier Source: org_study_id

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