Alcohol(oral) and placebo
Subjects will be dosed to an approximate peak BAC of 0.065%. Subjects will be tested on the decline such that subjects will be at or above the goal BAC (0.05%) throughout the drive
Ethanol · Ethyl AlcoholLoading study record…
The purpose of this study is to expand understanding of the effects of cannabis on driving performance with and without the presence of low levels of alcohol. This project will involve the development a of a protocol and driving environment that is sensitive to the effects of cannabis on driving performance by building on prior driving situations used previously for testing the effects of alcohol on driving.
Locally preserved from ClinicalTrials.govOpen ClinicalTrials.govlast source update 2018-05-02
What this record can show
Results are reported by the registry submitter and preserved exactly. They are not independent verification or a treatment recommendation.
Registry facts
Individuals will be recruited who are currently users of cannabis and alcohol to participate in this study. They will undergo a physical exam at screening. There will be six study visits where the subject will arrive at the Clinical Research Unit(University of Iowa Hospitals \& Clinics) the night before dosing. At each visit subjects will be receive one of the following six dosing regimens: placebo alcohol with placebo cannabis; placebo alcohol with low-dose cannabis, placebo alcohol with higher-dose of cannabis, low dose alcohol with placebo cannabis; low dose alcohol with low dose cannabis, low dose alcohol with higher-dose of cannabis. After dosing, participants will have provide saliva samples and blood drawn periodically to check cannabis levels and will complete a driving simulation. After completing the drive, additional saliva samples and blood draws will occur and participants will be monitored until it is safe to transport home.
Linked local records
Local links use governed condition terms or exact source-reported intervention names. They are navigation candidates, not efficacy claims.
Interventions
Subjects will be dosed to an approximate peak BAC of 0.065%. Subjects will be tested on the decline such that subjects will be at or above the goal BAC (0.05%) throughout the drive
Ethanol · Ethyl AlcoholCannabis vapor is produced from 500 mg either placebo (0% THC), approximately 2.5-3.5% THC (low dose), or approximately 6.0-7.5% THC (high dose) bulk cannabis plant material to yield doses of approximately 0, 12.5-17.5, or 30-37.5 mg THC
Marihuana · MarijuanaSource-reported results
Results are reported by the registry submitter and preserved exactly. They are not independent verification or a treatment recommendation.
Measured by standard deviation of lane position. Metrics of driving performance were modeled using the SAS GLM Select function to identify changes in driver performance. Numbers represents coefficients on the regression equation such that this increase would be expected for every unit increase. A unit for THC is 1 ng/ml and a unit for BAC is 0.01% BAC. In understanding the regression coefficients, for THC the units for the coefficient would be expressed as cm per (ng/ml of THC), and for BrAC the units for the coefficient would be expressed as cm per (0.01% BrAC). The overall regression equation would be represented as SDLP = Intercept + Cthc x THC + Cbrac x BrAC. The coefficients indicate the strength of the effect on driving performance with higher coefficients indicating larger effects relative to the concentrations. Coefficients of zero indicate no effect or interactive effect.
Population: One subject who was an extreme outlier across driving performance measures was excluded. Due to the variability in THC and BrAC levels across subjects and conditions, a regression model was used which combined all of the data.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Cannabis - THC | 18 | 0.26 | - |
| Alcohol - BrAC (Breath Alcohol Concentration) | 18 | 0.42 | - |
| THC x BrAC | 18 | 0 | - |
Eligibility
primary outcomes
Time frame: Through entire drive, 0.5-1.3 hr post cannabis administration.
Measured by standard deviation of lane position. Metrics of driving performance were modeled using the SAS GLM Select function to identify changes in driver performance. Numbers represents coefficients on the regression equation such that this increase would be expected for every unit increase. A unit for THC is 1 ng/ml and a unit for BAC is 0.01% BAC. In understanding the regression coefficients, for THC the units for the coefficient would be expressed as cm per (ng/ml of THC), and for BrAC the units for the coefficient would be expressed as cm per (0.01% BrAC). The overall regression equation would be represented as SDLP = Intercept + Cthc x THC + Cbrac x BrAC. The coefficients indicate the strength of the effect on driving performance with higher coefficients indicating larger effects relative to the concentrations. Coefficients of zero indicate no effect or interactive effect.
secondary outcomes
Time frame: -0.7 hr, 0.25hr, 1.1 hr, 2 hr, 3 hr, 4.5 hr, 6 hr, 8 hr post cannabis administration
Measurement of THC concentration levels in plasma over the course of each visit compared to that of the other visits.
Time frame: -0.7 hr, 0.25hr, 1.1 hr, 2 hr, 3 hr, 4.5 hr, 6 hr, 8 hr post cannabis
Measurement of THC concentration levels in whole blood over the course of each visit compared to that of the other visits.
Publications
No exact PMID-linked public article is currently readable locally.
Measurement of THC concentration levels in plasma over the course of each visit compared to that of the other visits.
Population: We performed noncompartmental analyses with Phoenix WinNonLin® 6.3 for Windows (Pharsight) for maximum concentration (Cmax) of 11-OH-THC (LOQ 1 μg/L).
| Group | N | Value | Spread / interval |
|---|---|---|---|
| 0% THC With 0.065 g/dL BAC | 19 | 0 | 0 to 3.2 |
| 2.5-3.5% THC With 0.065 g/dL BAC | 19 | 4.8 | 1.3 to 8 |
| 6.0-7.5% THC and 0.065 g/dL BAC | 19 | 7.5 | 0 to 27.3 |
| 2.5-3.5% THC With 0 g/dL BAC | 19 | 4.1 | 0 to 13.7 |
| 6.0-7.5% THC With 0 g/dL BAC | 19 | 7 | 1.0 to 20.3 |
| 0% THC With 0 g/dL BAC | 19 | 0 | 0 to 4.3 |
Measurement of THC concentration levels in whole blood over the course of each visit compared to that of the other visits.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| 0% THC With 0.065 g/dL BAC | 19 | 0 | 0 to 2.4 |
| 2.5-3.5% THC With 0.065 g/dL BAC | 19 | 3.7 | 1.4 to 6.0 |
| 6.0-7.5% THC and 0.065 g/dL BAC | 19 | 6.0 | 0 to 24.8 |
| 2.5-3.5% THC With 0 g/dL BAC | 19 | 2.8 | 0 to 9.1 |
| 6.0-7.5% THC With 0 g/dL BAC | 19 | 5.0 | 0 to 14.2 |
| 0% THC With 0 g/dL BAC | 19 | 0 | 0 to 2.5 |
| Milestone | Overall Study |
|---|---|
| STARTED | 98 |
| COMPLETED | 19 |
| NOT COMPLETED | 79 |
| Event | System | Groups: affected / at risk |
|---|---|---|
| Vomiting | Gastrointestinal disorders | 0% THC With 0.065 g/dL BAC: 3 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 0 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 4 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 1 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |
| Nausea | Gastrointestinal disorders | 0% THC With 0.065 g/dL BAC: 0 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 1 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 3 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 0 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |
| Tooth Ache | Gastrointestinal disorders | 0% THC With 0.065 g/dL BAC: 1 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 0 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 0 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 0 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |
| Loss of Consciousness | Nervous system disorders | 0% THC With 0.065 g/dL BAC: 0 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 1 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 0 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 0 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |
| Loss of Consciousness with IV Insertion | Nervous system disorders | 0% THC With 0.065 g/dL BAC: 0 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 0 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 0 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 1 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |
| Disorientation | Nervous system disorders | 0% THC With 0.065 g/dL BAC: 0 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 0 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 0 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 1 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |
| Dizziness | Nervous system disorders | 0% THC With 0.065 g/dL BAC: 0 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 2 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 2 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 1 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |
| Light-Headed | Nervous system disorders | 0% THC With 0.065 g/dL BAC: 0 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 2 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 0 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 0 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |
| Anxiety | Nervous system disorders | 0% THC With 0.065 g/dL BAC: 0 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 1 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 4 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 0 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |
| Headache | Nervous system disorders | 0% THC With 0.065 g/dL BAC: 0 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 0 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 0 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 0 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |
| Change in Status Perception | Nervous system disorders | 0% THC With 0.065 g/dL BAC: 0 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 1 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 1 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 0 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |
| Diaphoresis | Nervous system disorders | 0% THC With 0.065 g/dL BAC: 0 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 1 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 0 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 0 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |
| Incontinence | Renal and urinary disorders | 0% THC With 0.065 g/dL BAC: 0 / 29 · 2.5-3.5% THC With 0.065 g/dL BAC: 1 / 27 · 6.0-7.5% THC and 0.065 g/dL BAC: 0 / 24 · 2.5-3.5% THC With 0 g/dL BAC: 0 / 26 · 6.0-7.5% THC With 0 g/dL BAC: 0 / 31 · 0% THC With 0 g/dL BAC: 0 / 27 |