Dronabinol
Dronabinol at physician determined doses of 10-80mg designed to produce intoxication.
oral THCLoading study record…
This study will assess effects of tetrahydrocannabinol (THC) and THC + alcohol in marijuana users on prefrontal brain activity, using functional near-infrared spectroscopy (fNIRS) during resting state and during memory task performance. Participants will complete fNIRS testing 120 minutes following THC or identical placebo (Phase 2A), or THC/ethanol, THC/placebo ethanol, placebo THC/ethanol, and placebo THC/placebo ethanol (Phase 2B), and oxygenated hemoglobin (HbO) concentration will be measured.
Locally preserved from ClinicalTrials.govOpen ClinicalTrials.govlast source update 2022-07-28
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
This study will assess the effects of THC intoxication using dronabinol (synthetic THC) on the oxyhemoglobin (HbO) signal during resting state and task-based activation in the prefrontal cortex (PFC) and resting state connectivity, as well as on neurocognitive task performance and correlations between these measurements and clinical signs of intoxication. Participants will be 150 adults who use marijuana at least monthly (aged 18-55) will be recruited to participate in this study. Participants will be given up to 80 mg of dronabinol, an FDA-approved synthetic form of THC that is used to treat loss of appetite that causes weight loss in people with AIDS. THC is the principle psychoactive drug in marijuana. The study will be conducted in regular cannabis users who present at their first study visit with a positive urine screen for THC metabolites. Phase 2A. Investigate the effect of THC on fNIRS brain signature and its association with self-reported intoxication, laboratory measures of impairment, and the gold-standard behavioral field test of driving impairment used by law enforcement, the primary classifier. Phase 2B. Examine potential interaction following co-administration of THC with oral ethanol exposure in healthy volunteers. Phase II is a randomized, double-blind, placebo-controlled, 2 by 2 crossover study of effect of dronabinol, ethanol, and combined dronabinol and ethanol on brain activation and connectivity as measured by fNIRS.
Linked local records
Local links use governed condition terms or exact source-reported intervention names. They are navigation candidates, not efficacy claims.
Research network
Interventions
Dronabinol at physician determined doses of 10-80mg designed to produce intoxication.
oral THCOral Ethanol, dosed to obtain a breath alcohol concentration (BrAC) of approximately 0.05 BrAC (equal to 1-2 standard drinks).
oral ethanolIdentical in appearance to active dronabinol (overencapsulation of both active and placebo dronabinol)
placebo oral THCPlacebo ethanol will consist of diet soda used in the active ethanol condition with 0.25ml ethanol floated on top to provide the odor of ethanol and blind the study drug.
oral placebo ethanolSource-reported results
Results are reported by the registry submitter and preserved exactly. They are not independent verification or a treatment recommendation.
Subjects completed the N-back task before and after receiving a combination of active dronabinol or placebo dronabinol and active ethanol or placebo ethanol. During the task, the fNIRS device was used to capture change in concentration of oxygenated hemoglobin to assess prefrontal brain activity. Outcomes reflect average change from baseline in HbO concentration over pre-dose scan and average change from baseline in HbO concentration over post-dose scan (expected peak intoxication).
Population: Note: The Participant Flow lists Phase 2A by randomization sequence (recommended for crossover studies). Phase 2A: Includes participants that completed scans after receiving dronabinol (119 subjects) and after placebo (115 subjects) Phase 2B: Incudes participants that completed scans after receiving dronabinol + ethanol (30 subjects), dronabinol + placebo ethanol (31 subjects), placebo dronabinol + ethanol (28 subjects) and placebo dronabinol + placebo ethanol (34 subjects)
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Phase 2A: Dronabinol Only | 119 | 0.00000000042 | 0.00000011109 |
| Phase 2A: Placebo Dronabinol Only | 115 | -0.00000000126 | 0.00000012928 |
| Phase 2B: Dronabinol and Ethanol | 30 | -0.00000000271 |
Eligibility
primary outcomes
Time frame: The first Nback scan session was run before dosing (t ≈ -35min). Drug was administered (t = 0min). The second Nback scan session was run at the time of expected peak pharmacokinetic effect (t ≈ 100min). Each scan session was six minutes in duration.
Subjects completed the N-back task before and after receiving a combination of active dronabinol or placebo dronabinol and active ethanol or placebo ethanol. During the task, the fNIRS device was used to capture change in concentration of oxygenated hemoglobin to assess prefrontal brain activity. Outcomes reflect average change from baseline in HbO concentration over pre-dose scan and average change from baseline in HbO concentration over post-dose scan (expected peak intoxication).
other outcomes
Time frame: The first resting-state scan session was run before dosing (t ≈ -45min). Drug was administered (t = 0min). The second resting-state scan session was run at the time of expected peak high (t ≈ 90min). Each scan session was six minutes in duration.
Subjects completed resting-state fNIRS scans before and after receiving a combination of active dronabinol or placebo dronabinol and active ethanol or placebo ethanol. During the task, the fNIRS device was used to capture concentration of oxygenated hemoglobin to assess prefrontal brain activity. Outcomes reflect average change from baseline in HbO concentration over pre-dose scan and average change from baseline in HbO concentration over post-dose scan (expected peak intoxication).
Publications
| 0.00000015932 |
| Phase 2B: Dronabinol and Placebo Ethanol | 31 | -0.00000000114 | 0.00000015048 |
| Phase 2B: Placebo Dronabinol and Ethanol | 28 | -0.00000000151 | 0.00000009318 |
| Phase 2B: Placebo Dronabinol and Placebo Ethanol | 34 | -0.00000000219 | 0.00000012507 |
| Phase 2A: Dronabinol Only | 119 | 0.00000000013 | 0.00000010190 |
| Phase 2A: Placebo Dronabinol Only | 115 | 0.00000000029 | 0.00000012394 |
| Phase 2B: Dronabinol and Ethanol | 30 | -0.00000000041 | 0.00000010552 |
| Phase 2B: Dronabinol and Placebo Ethanol | 31 | -0.00000000020 | 0.00000012457 |
| Phase 2B: Placebo Dronabinol and Ethanol | 28 | -0.00000000018 | 0.00000009089 |
| Phase 2B: Placebo Dronabinol and Placebo Ethanol | 34 | 0.00000000070 | 0.00000011546 |
Subjects completed resting-state fNIRS scans before and after receiving a combination of active dronabinol or placebo dronabinol and active ethanol or placebo ethanol. During the task, the fNIRS device was used to capture concentration of oxygenated hemoglobin to assess prefrontal brain activity. Outcomes reflect average change from baseline in HbO concentration over pre-dose scan and average change from baseline in HbO concentration over post-dose scan (expected peak intoxication).
Population: Note: The Participant Flow lists Phase 2A by randomization sequence (recommended for crossover studies). Phase 2A: Includes participants that completed scans after receiving dronabinol (119 subjects) and after placebo (115 subjects) Phase 2B: Incudes participants that completed scans after receiving dronabinol + ethanol (30 subjects), dronabinol + placebo ethanol (31 subjects), placebo dronabinol + ethanol (28 subjects) and placebo dronabinol + placebo ethanol (34 subjects)
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Phase 2A: Dronabinol Only | 119 | -0.00000000056 | 0.00000014233 |
| Phase 2A: Placebo Dronabinol Only | 115 | 0.00000000009 | 0.00000011881 |
| Phase 2B: Dronabinol and Ethanol | 30 | 0.00000000198 | 0.00000010153 |
| Phase 2B: Dronabinol and Placebo Ethanol | 31 | 0.00000000021 | 0.00000015753 |
| Phase 2B: Placebo Dronabinol and Ethanol | 28 | 0.00000000144 | 0.00000017047 |
| Phase 2B: Placebo Dronabinol and Placebo Ethanol | 34 | -0.00000000051 | 0.00000011795 |
| Phase 2A: Dronabinol Only | 119 | -0.00000000043 | 0.00000010544 |
| Phase 2A: Placebo Dronabinol Only | 115 | 0.00000000115 | 0.00000014174 |
| Phase 2B: Dronabinol and Ethanol | 30 | 0.00000000025 | 0.00000008717 |
| Phase 2B: Dronabinol and Placebo Ethanol | 31 | 0.00000000190 | 0.00000013848 |
| Phase 2B: Placebo Dronabinol and Ethanol | 28 | 0.00000000195 | 0.00000011273 |
| Phase 2B: Placebo Dronabinol and Placebo Ethanol | 34 | -0.00000000014 | 0.00000008289 |
A screening visit took place before randomization. After randomization, phase 2A completed two visits and phase 2B completed four visits. Washout achieved with at least one week between visits. Participant dropout affected by the COVID-19 pandemic. Due to character limit, sequences coded as follows: A: Placebo Dronabinol B: Dronabinol C: Placebo Dronabinol \& Placebo Ethanol D: Dronabinol \& Placebo Ethanol E: Placebo Dronabinol \& Ethanol F: Dronabinol \& Ethanol
| Milestone | Phase 2A: AB | Phase 2A: BA | Phase 2B: CDEF | Phase 2B: CDFE | Phase 2B: CEDF | Phase 2B: CEFD | Phase 2B: CFDE | Phase 2B: CFED | Phase 2B: DCEF | Phase 2B: DCFE | Phase 2B: DECF | Phase 2B: DEFC | Phase 2B: DFCE | Phase 2B: DFEC | Phase 2B: ECDF | Phase 2B: ECFD | Phase 2B: EDCF | Phase 2B: EDFC | Phase 2B: EFCD | Phase 2B: EFDC | Phase 2B: FCDE | Phase 2B: FCED | Phase 2B: FDCE | Phase 2B: FDEC | Phase 2B: FECD | Phase 2B: FEDC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STARTED | 70 | 68 | 2 | 1 | 0 | 3 | 3 | 3 | 2 | 1 | 1 | 3 | 2 | 3 | 2 | 2 | 2 | 2 | 3 | 3 | 2 | 3 | 2 | 4 | 1 | 2 |
| COMPLETED | 60 | 56 | 1 | 0 | 0 | 1 | 0 | 2 | 0 | 0 | 1 | 1 | 2 | 0 | 2 | 1 | 2 | 2 | 2 | 2 | 2 | 2 | 0 | 2 | 0 | 2 |
| NOT COMPLETED | 10 | 12 | 1 | 1 | 0 | 2 | 3 | 1 | 2 | 1 | 0 | 2 | 0 | 3 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 1 | 2 | 2 | 1 | 0 |
| Event | System | Groups: affected / at risk |
|---|---|---|
| Anxiety | Psychiatric disorders | Phase 2A: Dronabinol Only: 5 / 128 · Phase 2A: Placebo Dronabinol Only: 2 / 126 · Phase 2B: Dronabinol and Ethanol: 3 / 39 · Phase 2B: Dronabinol and Placebo Ethanol: 4 / 39 · Phase 2B: Placebo Dronabinol and Ethanol: 0 / 32 · Phase 2B: Placebo Dronabinol and Placebo Ethanol: 0 / 38 |
| Cold | Infections and infestations | Phase 2A: Dronabinol Only: 5 / 128 · Phase 2A: Placebo Dronabinol Only: 2 / 126 · Phase 2B: Dronabinol and Ethanol: 2 / 39 · Phase 2B: Dronabinol and Placebo Ethanol: 1 / 39 · Phase 2B: Placebo Dronabinol and Ethanol: 2 / 32 · Phase 2B: Placebo Dronabinol and Placebo Ethanol: 2 / 38 |
| Vomiting | Gastrointestinal disorders | Phase 2A: Dronabinol Only: 2 / 128 · Phase 2A: Placebo Dronabinol Only: 2 / 126 · Phase 2B: Dronabinol and Ethanol: 1 / 39 · Phase 2B: Dronabinol and Placebo Ethanol: 3 / 39 · Phase 2B: Placebo Dronabinol and Ethanol: 1 / 32 · Phase 2B: Placebo Dronabinol and Placebo Ethanol: 1 / 38 |
| Tachycardia | Cardiac disorders | Phase 2A: Dronabinol Only: 1 / 128 · Phase 2A: Placebo Dronabinol Only: 0 / 126 · Phase 2B: Dronabinol and Ethanol: 1 / 39 · Phase 2B: Dronabinol and Placebo Ethanol: 4 / 39 · Phase 2B: Placebo Dronabinol and Ethanol: 0 / 32 · Phase 2B: Placebo Dronabinol and Placebo Ethanol: 1 / 38 |