Cannabis
Cannabis will be orally ingested via a brownie
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This study will evaluate the individual and interactive effects of oral cannabis and alcohol on subjective and behavioral measures of impairment.
Locally preserved from ClinicalTrials.govOpen ClinicalTrials.govlast source update 2026-08-03
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 clinical laboratory study will be double-blind, placebo-controlled and will utilize a within-subjects experimental design. Participants will complete 7 outpatient drug administration sessions that will consist of self-administration of oral cannabis (0, 10 or 25mg THC) and alcohol (either placebo or active; BAC of 0.05 percent); participants will always receive both an alcohol drink (active or placebo) and dose of cannabis (active or placebo). Participants will also complete a condition in which they administer alcohol (BAC: 0.08 percent) with placebo cannabis, as a positive control. Primary outcomes include performance on field sobriety tests, cognitive and psychomotor impairment, subjective drug effects, and simulated driving performance. Blood concentrations of THC and THC metabolites will also be determined.
Linked local records
Local links use governed condition terms or exact source-reported intervention names. They are navigation candidates, not efficacy claims.
Interventions
Cannabis will be orally ingested via a brownie
Alcohol will be orally ingested via a flavored drink
Source-reported results
Results are reported by the registry submitter and preserved exactly. They are not independent verification or a treatment recommendation.
Acute cognitive and behavioral impairment will be assessed with global impairment score (range 0-100) on the DRUID app (higher scores indicate greater impairment). Results are mean change from baseline.
Population: Includes completers (25).
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | -2.1 | 6.8 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 4.6 | 7.8 |
| High Dose Cannabis With Placebo Alcohol | 25 | 5.5 | 7.8 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 3.3 | 7.5 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 2.6 | 20.5 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 2.9 | 8.1 |
| Placebo Cannabis + High Dose Alcohol | 25 | 5.1 | 10.1 |
Eligibility
primary outcomes
Time frame: 7.5 hours, assessed at baseline (prior to drug administration) and again 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours after oral cannabis ingestion.
Acute cognitive and behavioral impairment will be assessed with global impairment score (range 0-100) on the DRUID app (higher scores indicate greater impairment). Results are mean change from baseline.
Time frame: 7.5 hours
Impairment will be assessed using a battery of standard field sobriety tests including: the Horizontal Gaze Nystagmus Test (HGN), the Walk and Turn, the One Leg Stand, and the Modified Romberg Balance. We will report the cumulative amount of clues observed across these tasks (out of a possible 0-22 clues). Higher scores indicate greater/worse impairment. These assessments were completed once after 7.5 hours.
Time frame: 7.5 hours, assessed at baseline (prior to drug administration) and again 0.5, 1, 1.25, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours after oral cannabis ingestion
The DEQ will be used to obtain subjective ratings of "feel drug effects". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation. Results are mean change from baseline and a higher score indicates a more extreme/worse drug effect.
Time frame: 7.5 hours
The DEQ will be used to obtain subjective ratings of "feel high". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation. Higher score greater "feel high" rating.
Time frame: 7.5 hours
The DEQ will be used to obtain subjective ratings of "confidence to drive". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation. Higher scores indicate higher confidence to drive. Results expressed as change from baseline
Time frame: 7.5 hours
The DEQ will be used to obtain subjective ratings of "willingness to drive". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation. Higher score indicates higher willingness to drive.
secondary outcomes
Time frame: Baseline, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. SDSP will be calculated across all drives to get a composite index of the variability in speed (measured in MPH) and is reported as peak change from baseline. Scores range from 0 to no upper limit. Higher scores represent higher magnitude of driving impairment.
Time frame: Baseline, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. Total run length will be calculated across all drives and measured as peak change from baseline score (in seconds). Higher scores represent higher magnitude of driving impairment.
Time frame: Baseline, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. Driving performance will be calculated across all drives to get a cumulative number of times participants exceed the allowable speed limit and reported as peak change from baseline. Scores range from 0 to no upper limit. Higher scores represent higher numbers of speed exceedances.
Time frame: Baseline, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. Driving performance will be calculated across all drives to get a cumulative number of accidents (including car collisions, pedestrians hit, etc.) and reported as peak change from baseline. Scores range from 0 to no upper limit. Higher scores represent higher numbers of accidents.
Time frame: Baseline, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. Driving performance will be calculated across all drives to get a cumulative number of total rule violations (including number of missed stop signs, illegal turns, speed exceedances, etc.) and reported as peak change from baseline. Scores range from 0 to no upper limit. Higher scores represent higher numbers of rule violations. All scores reported are relative to baseline, thus negative values represent a lower number of rule violations than at baseline.
Publications
No exact PMID-linked public article is currently readable locally.
Impairment will be assessed using a battery of standard field sobriety tests including: the Horizontal Gaze Nystagmus Test (HGN), the Walk and Turn, the One Leg Stand, and the Modified Romberg Balance. We will report the cumulative amount of clues observed across these tasks (out of a possible 0-22 clues). Higher scores indicate greater/worse impairment. These assessments were completed once after 7.5 hours.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 0.2 | 1.3 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 0.4 | 1.3 |
| High Dose Cannabis With Placebo Alcohol | 25 | 1.4 | 1.5 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 0.8 | 2.2 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 2.1 | 3.0 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 0 | 1.6 |
| Placebo Cannabis + High Dose Alcohol | 25 | 2.2 | 2.2 |
The DEQ will be used to obtain subjective ratings of "feel drug effects". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation. Results are mean change from baseline and a higher score indicates a more extreme/worse drug effect.
Population: Includes all completers (25)
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 11.9 | 12.7 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 23.5 | 21.0 |
| High Dose Cannabis With Placebo Alcohol | 25 | 50.8 | 28.9 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 53.0 | 22.0 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 67.2 | 18.4 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 33.7 | 25.2 |
| Placebo Cannabis + High Dose Alcohol | 25 | 53.0 | 22.6 |
The DEQ will be used to obtain subjective ratings of "feel high". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation. Higher score greater "feel high" rating.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 8.7 | 10.9 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 21.8 | 19.3 |
| High Dose Cannabis With Placebo Alcohol | 25 | 49.8 | 27.5 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 35.4 | 23.0 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 56.1 | 29.3 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 13.2 | 16.9 |
| Placebo Cannabis + High Dose Alcohol | 25 | 28.7 | 25.9 |
The DEQ will be used to obtain subjective ratings of "confidence to drive". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation. Higher scores indicate higher confidence to drive. Results expressed as change from baseline
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | -14.2 | 19.1 |
| Low Dose Cannabis With Placebo Alcohol | 25 | -25.2 | 25.7 |
| High Dose Cannabis With Placebo Alcohol | 25 | -60.0 | 30.8 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | -56.1 | 25.1 |
| High Dose Cannabis With Low Dose Alcohol | 25 | -63.0 | 24.3 |
| Placebo Cannabis + Low Dose Alcohol | 25 | -44.8 | 31.5 |
| Placebo Cannabis + High Dose Alcohol | 25 | -61.8 | 26.5 |
The DEQ will be used to obtain subjective ratings of "willingness to drive". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation. Higher score indicates higher willingness to drive.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 21 | 84 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 13 | 52 |
| High Dose Cannabis With Placebo Alcohol | 25 | 7 | 28 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 5 | 20 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 2 | 8 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 9 | 36 |
| Placebo Cannabis + High Dose Alcohol | 25 | 4 | 16 |
The BAES is used to assess sedative and stimulant subjective effects of alcohol. There are 7 sedative-related questionnaire items, each presented on a scale of 0 (not at all) to 10 (extremely), which are integrated to produce an overall sedative score (0-70). Higher scores indicating greater sedative effects of alcohol. Scores presented show the change from baseline to 7.5 hours.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 0.9 | 1.4 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 1.2 | 1.6 |
| High Dose Cannabis With Placebo Alcohol | 25 | 2.6 | 2.4 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 2.3 | 1.7 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 2.9 | 2.1 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 1.6 | 1.3 |
| Placebo Cannabis + High Dose Alcohol | 25 | 2.0 | 1.9 |
The BAES is used to assess sedative and stimulant subjective effects of alcohol. There are 7 stimulant-related questionnaire items, each presented on a scale of 0 (not at all) to 10 (extremely), which are integrated to produce an overall stimulant score (0-70). Higher scores indicating greater stimulant effects of alcohol.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 0 | 1.9 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 0.4 | 1.3 |
| High Dose Cannabis With Placebo Alcohol | 25 | 0 | 1.8 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 1.7 | 2.4 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 2.4 | 2.3 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 0.6 | 2.8 |
| Placebo Cannabis + High Dose Alcohol | 25 | 2.3 | 2.7 |
For the SHAS, participants are presented with 13 questionnaire items, displayed on a visual analog scale anchored from 0 (normal) to 10 (extremely), which assess subjective effects of alcohol. These items are integrated to produce an overall SHAS score (0-130). Higher score indicates greater effects of alcohol.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 1.6 | 8.8 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 9.7 | 12.2 |
| High Dose Cannabis With Placebo Alcohol | 25 | 23.6 | 20.1 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 23.9 | 14.5 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 33.7 | 21.7 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 15.7 | 10.6 |
| Placebo Cannabis + High Dose Alcohol | 25 | 23.9 | 14.0 |
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. SDLP (measured in cm) was calculated across all drives to get a composite index of lateral control and reported as peak change from baseline. SDLP is the gold standard of quantifying the magnitude of driving impairment from drugs and alcohol and has excellent predictive validity to actual driving. Scores range from 0 to no upper limit. Higher scores represent higher magnitude of driving impairment.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 2.2 | 6.0 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 2.4 | 8.3 |
| High Dose Cannabis With Placebo Alcohol | 25 | 8.9 | 7.6 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 6.3 | 8.3 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 9.3 | 11.8 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 3.7 | 9.9 |
| Placebo Cannabis + High Dose Alcohol | 25 | 6.5 | 7.0 |
Driving impairment will be assessed via a composite drive score. The composite drive score is derived by integrating various driving outcomes (see primary and secondary driving outcomes). Higher z-score indicates worse performance. The score is on a z-score scale, meaning a score of 1 equates to 1 standard deviation outside of the participants' mean baseline performance and a Z-score of 0 represents the mean baseline performance. This was calculated across all drives and reported as peak change from baseline.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 0.2 | 1.1 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 0.7 | 1.1 |
| High Dose Cannabis With Placebo Alcohol | 25 | 1.5 | 1.3 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 1.6 | 1.4 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 2.5 | 1.7 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 1.3 | 1.5 |
| Placebo Cannabis + High Dose Alcohol | 25 | 1.6 | 1.6 |
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. SDSP will be calculated across all drives to get a composite index of the variability in speed (measured in MPH) and is reported as peak change from baseline. Scores range from 0 to no upper limit. Higher scores represent higher magnitude of driving impairment.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 0.2 | 2.0 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 0.0 | 2.3 |
| High Dose Cannabis With Placebo Alcohol | 25 | 0.7 | 2.2 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 0.3 | 2.4 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 0.7 | 2.4 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 0.8 | 3.3 |
| Placebo Cannabis + High Dose Alcohol | 25 | 0.8 | 2.7 |
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. Total run length will be calculated across all drives and measured as peak change from baseline score (in seconds). Higher scores represent higher magnitude of driving impairment.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 1.46 | 115.55 |
| Low Dose Cannabis With Placebo Alcohol | 25 | -27.64 | 83.64 |
| High Dose Cannabis With Placebo Alcohol | 25 | -86.25 | 310.65 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | -41.64 | 84.05 |
| High Dose Cannabis With Low Dose Alcohol | 25 | -40.52 | 399.99 |
| Placebo Cannabis + Low Dose Alcohol | 25 | -37.79 | 128.41 |
| Placebo Cannabis + High Dose Alcohol | 25 | -8.39 | 160.12 |
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. Driving performance will be calculated across all drives to get a cumulative number of times participants exceed the allowable speed limit and reported as peak change from baseline. Scores range from 0 to no upper limit. Higher scores represent higher numbers of speed exceedances.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 1.8 | 6.5 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 1.92 | 6.46 |
| High Dose Cannabis With Placebo Alcohol | 25 | 4.04 | 6.96 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 3.64 | 6.76 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 4.56 | 5.39 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 4.84 | 5.79 |
| Placebo Cannabis + High Dose Alcohol | 25 | 4.44 | 5.78 |
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. Driving performance will be calculated across all drives to get a cumulative number of accidents (including car collisions, pedestrians hit, etc.) and reported as peak change from baseline. Scores range from 0 to no upper limit. Higher scores represent higher numbers of accidents.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 1.16 | 3.65 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 1.4 | 2.97 |
| High Dose Cannabis With Placebo Alcohol | 25 | 3.72 | 7.6 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 2.8 | 6.17 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 3.36 | 4.58 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 1.56 | 2.83 |
| Placebo Cannabis + High Dose Alcohol | 25 | 3.2 | 4.64 |
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. Driving performance will be calculated across all drives to get a cumulative number of total rule violations (including number of missed stop signs, illegal turns, speed exceedances, etc.) and reported as peak change from baseline. Scores range from 0 to no upper limit. Higher scores represent higher numbers of rule violations. All scores reported are relative to baseline, thus negative values represent a lower number of rule violations than at baseline.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 0.16 | 0.08 |
| Low Dose Cannabis With Placebo Alcohol | 25 | -0.08 | 0.08 |
| High Dose Cannabis With Placebo Alcohol | 25 | -0.04 | 0.09 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 0.32 | 0.08 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 0.16 | 0.14 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 0.2 | 0.12 |
| Placebo Cannabis + High Dose Alcohol | 25 | 0.16 | 0.6 |
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. Driving performance will be calculated across all drives to get the mean distance (in meters) maintained to lead vehicles during car-following segments and reported as peak change from baseline. Scores range from 0 to no upper limit. Higher scores represent greater distance maintained to lead vehicles. All scores reported are relative to baseline, thus negative values represent a shorter distance maintained than at baseline.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 0.0 | 0.1 |
| Low Dose Cannabis With Placebo Alcohol | 25 | -0.1 | 0.2 |
| High Dose Cannabis With Placebo Alcohol | 25 | -0.2 | 0.2 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | -0.1 | 0.2 |
| High Dose Cannabis With Low Dose Alcohol | 25 | -0.2 | 0.3 |
| Placebo Cannabis + Low Dose Alcohol | 25 | -0.1 | 0.1 |
| Placebo Cannabis + High Dose Alcohol | 25 | 0.2 | 0.1 |
Impairment will be assessed using performance on the Horizontal Gaze Nystagmus Test (HGN). Total score will be recorded (out of possible 0-6 clues) with higher scores indicating higher impairment. Assessed at baseline and 7.5 hours, change from baseline to 7.5 hours reported
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 0.2 | 0.5 |
| Low Dose Cannabis With Placebo Alcohol | 25 | -0.1 | 0.4 |
| High Dose Cannabis With Placebo Alcohol | 25 | 0.4 | 0.9 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 0.6 | 1.1 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 1.2 | 1.7 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 0.2 | 0.5 |
| Placebo Cannabis + High Dose Alcohol | 25 | 1.2 | 1.9 |
Impairment will be assessed using performance on the the Walk and Turn. Total score will be recorded (out of a possible 0-8 clues) with higher scores indicating higher impairment. Assessed at baseline and 7.5 hours, change from baseline to 7.5 hours reported
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 0.0 | 0.8 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 0.4 | 0.9 |
| High Dose Cannabis With Placebo Alcohol | 25 | 0.7 | 1.0 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 0.4 | 1.3 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 0.5 | 1.1 |
| Placebo Cannabis + Low Dose Alcohol | 25 | -0.1 | 1.1 |
| Placebo Cannabis + High Dose Alcohol | 25 | 0.4 | 1.0 |
Impairment will be assessed using performance on the One Leg Stand test. Total score will be recorded (out of a possible 0-4 clues) with higher scores indicating higher impairment. Assessed at baseline and 7.5 hours, change from baseline to 7.5 hours reported
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 0.1 | 0.8 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 0.2 | 0.8 |
| High Dose Cannabis With Placebo Alcohol | 25 | 0.5 | 0.8 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 0.3 | 1.0 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 0.2 | 1.4 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 0.0 | 1.0 |
| Placebo Cannabis + High Dose Alcohol | 25 | 0.7 | 0.8 |
Impairment will be assessed using performance on the Modified Romberg Balance test. Total score will be recorded (out of a possible 0-4 clues) with higher scores indicating higher impairment. Assessed at baseline and 7.5 hours, change from baseline to 7.5 hours reported
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 0.3600 | 0.7572 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 0.4000 | 0.5774 |
| High Dose Cannabis With Placebo Alcohol | 25 | 0.2400 | 0.9695 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 0.0800 | 0.7594 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 0.1200 | 0.9713 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 0.2400 | 0.9256 |
| Placebo Cannabis + High Dose Alcohol | 25 | 0.6400 | 0.7000 |
The DEQ will be used to obtain subjective ratings of "like drug effect". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation. Higher score indicating greater "liked drug effect" rating.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 24.0 | 26.6 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 31.4 | 27.2 |
| High Dose Cannabis With Placebo Alcohol | 25 | 49.2 | 24.0 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 59.5 | 21.7 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 68.8 | 18.7 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 40.2 | 33.8 |
| Placebo Cannabis + High Dose Alcohol | 25 | 57.5 | 24.0 |
The DEQ will be used to obtain subjective ratings of "dislike drug effect". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation. Higher score indicating greater "dislike drug effect" rating.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Placebo Alcohol | 25 | 1.3 | 2.7 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 5.0 | 9.7 |
| High Dose Cannabis With Placebo Alcohol | 25 | 13.6 | 18.1 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 9.8 | 12.4 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 16.4 | 21.2 |
| Placebo Cannabis + Low Dose Alcohol | 25 | 7.2 | 14.1 |
| Placebo Cannabis + High Dose Alcohol | 25 | 8.9 | 13.7 |
Whole blood concentrations of THC, 11-OH-THC, and THCCOOH will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The maximum concentration (Cmax) is determined as the highest concentration reached for each individual (ng/mL) across all timepoints.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Low Dose Cannabis With Placebo Alcohol | 25 | 0.67 | 0.00 to 1.82 |
| High Dose Cannabis With Placebo Alcohol | 25 | 3.21 | 1.34 to 6.70 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 0.67 | -1.51 to 2.10 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 2.98 | 0.74 to 8.28 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 0.86 | -1.57 to 2.69 |
| High Dose Cannabis With Placebo Alcohol | 25 | 2.90 | -2.88 to 5.39 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 1.03 | -1.81 to 3.17 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 3.24 | 1.13 to 9.64 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 5.30 | -23.91 to 19.10 |
| High Dose Cannabis With Placebo Alcohol | 25 | 17.52 | -55.61 to 37.07 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 2.31 | -33.58 to 14.32 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 11.11 | -25.55 to 25.23 |
Whole blood concentrations of THC, 11-OH-THC, and THCCOOH will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The area under the curve (AUC) is calculated cumulative across all timepoints.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Low Dose Cannabis With Placebo Alcohol | 25 | 3.66 | 0.00 to 39.85 |
| High Dose Cannabis With Placebo Alcohol | 25 | 12.57 | 3.27 to 82.63 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 3.81 | 0.00 to 35.84 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 9.96 | 0.96 to 47.90 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 4.62 | 0.00 to 37.75 |
| High Dose Cannabis With Placebo Alcohol | 25 | 14.06 | 3.38 to 64.32 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 5.53 | 0.00 to 40.47 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 13.22 | 3.10 to 52.42 |
| Low Dose Cannabis With Placebo Alcohol | 25 | 53.24 | 9.90 to 375.38 |
| High Dose Cannabis With Placebo Alcohol | 25 | 117.80 | 24.63 to 593.64 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 54.24 | 11.49 to 406.32 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 88.90 | 21.10 to 358.89 |
BAC will be measured using the Alco-Sensor IV. Measuring BAC is needed to confirm that participants reached the targeted BAC for a given session and to confirm adherence to pre-session alcohol abstinence requirements (g/210L). The maximum concentration (Cmax) is determined as the highest concentration reached for each individual (ng/mL) across all timepoints.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Low Dose Alcohol | 25 | 0.056 | 0.042 to 0.085 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 0.053 | 0.036 to 0.076 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 0.055 | 0.038 to 0.075 |
| Placebo Cannabis + High Dose Alcohol | 25 | 0.082 | 0.058 to 0.122 |
Whole blood concentrations of Alcohol will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The area under the curve (AUC) is calculated cumulative across all timepoints.
| Group | N | Value | Spread / interval |
|---|---|---|---|
| Placebo Cannabis + Low Dose Alcohol | 25 | 0.31 | 0.17 to 0.43 |
| Low Dose Cannabis With Low Dose Alcohol | 25 | 0.30 | 0.20 to 0.45 |
| High Dose Cannabis With Low Dose Alcohol | 25 | 0.31 | 0.20 to 0.41 |
| Placebo Cannabis + High Dose Alcohol | 25 | 0.53 | 0.39 to 0.78 |
70 participants were enrolled (consented) and 25 were considered eligible and went on to complete all study procedures.
| Milestone | The Impact of Oral Cannabis Administration and Co-Administration of Alcohol on Impairment |
|---|---|
| STARTED | 25 |
| Placebo Cannabis and Placebo Alcohol | 25 |
| Low Dose Cannabis With Placebo Alcohol | 25 |
| High Dose Cannabis With Placebo Alcohol | 25 |
| Low Dose Cannabis With Low Dose Alcohol | 25 |
| High Dose Cannabis With Low Dose Alcohol | 25 |
| Placebo Cannabis + Low Dose Alcohol | 25 |
| Placebo Cannabis + High Dose Alcohol | 25 |
| COMPLETED | 25 |
| NOT COMPLETED | 0 |
| Event | System | Groups: affected / at risk |
|---|---|---|
| Lightheaded/Dizzy | Nervous system disorders | Placebo Cannabis + Placebo Alcohol: 2 / 25 · Low Dose Cannabis With Placebo Alcohol: 0 / 25 · High Dose Cannabis With Placebo Alcohol: 3 / 25 · Low Dose Cannabis With Low Dose Alcohol: 0 / 25 · High Dose Cannabis With Low Dose Alcohol: 4 / 25 · Placebo Cannabis + Low Dose Alcohol: 0 / 25 · Placebo Cannabis + High Dose Alcohol: 0 / 25 |
Time frame: Baseline, 7.5 hours
The BAES is used to assess sedative and stimulant subjective effects of alcohol. There are 7 sedative-related questionnaire items, each presented on a scale of 0 (not at all) to 10 (extremely), which are integrated to produce an overall sedative score (0-70). Higher scores indicating greater sedative effects of alcohol. Scores presented show the change from baseline to 7.5 hours.
Time frame: 7.5 hours
The BAES is used to assess sedative and stimulant subjective effects of alcohol. There are 7 stimulant-related questionnaire items, each presented on a scale of 0 (not at all) to 10 (extremely), which are integrated to produce an overall stimulant score (0-70). Higher scores indicating greater stimulant effects of alcohol.
Time frame: 7.5 hours
For the SHAS, participants are presented with 13 questionnaire items, displayed on a visual analog scale anchored from 0 (normal) to 10 (extremely), which assess subjective effects of alcohol. These items are integrated to produce an overall SHAS score (0-130). Higher score indicates greater effects of alcohol.
Time frame: Baseline, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. SDLP (measured in cm) was calculated across all drives to get a composite index of lateral control and reported as peak change from baseline. SDLP is the gold standard of quantifying the magnitude of driving impairment from drugs and alcohol and has excellent predictive validity to actual driving. Scores range from 0 to no upper limit. Higher scores represent higher magnitude of driving impairment.
Time frame: Baseline, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours
Driving impairment will be assessed via a composite drive score. The composite drive score is derived by integrating various driving outcomes (see primary and secondary driving outcomes). Higher z-score indicates worse performance. The score is on a z-score scale, meaning a score of 1 equates to 1 standard deviation outside of the participants' mean baseline performance and a Z-score of 0 represents the mean baseline performance. This was calculated across all drives and reported as peak change from baseline.
Time frame: Baseline, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours
The STISIM Drive® M4000-R Console system will be used to assess driving performance, a state-of-the-art technology that has been independently validated to reflect real-world driving conditions. Driving performance will be calculated across all drives to get the mean distance (in meters) maintained to lead vehicles during car-following segments and reported as peak change from baseline. Scores range from 0 to no upper limit. Higher scores represent greater distance maintained to lead vehicles. All scores reported are relative to baseline, thus negative values represent a shorter distance maintained than at baseline.
Time frame: Baseline, 7.5 hours
Impairment will be assessed using performance on the Horizontal Gaze Nystagmus Test (HGN). Total score will be recorded (out of possible 0-6 clues) with higher scores indicating higher impairment. Assessed at baseline and 7.5 hours, change from baseline to 7.5 hours reported
Time frame: Baseline, 7.5 hours
Impairment will be assessed using performance on the the Walk and Turn. Total score will be recorded (out of a possible 0-8 clues) with higher scores indicating higher impairment. Assessed at baseline and 7.5 hours, change from baseline to 7.5 hours reported
Time frame: Baseline, 7.5 hours
Impairment will be assessed using performance on the One Leg Stand test. Total score will be recorded (out of a possible 0-4 clues) with higher scores indicating higher impairment. Assessed at baseline and 7.5 hours, change from baseline to 7.5 hours reported
Time frame: Baseline, 7.5 hours
Impairment will be assessed using performance on the Modified Romberg Balance test. Total score will be recorded (out of a possible 0-4 clues) with higher scores indicating higher impairment. Assessed at baseline and 7.5 hours, change from baseline to 7.5 hours reported
Time frame: 7.5 hours
The DEQ will be used to obtain subjective ratings of "like drug effect". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation. Higher score indicating greater "liked drug effect" rating.
Time frame: 7.5 hours
The DEQ will be used to obtain subjective ratings of "dislike drug effect". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation. Higher score indicating greater "dislike drug effect" rating.
Time frame: Baseline, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours
Whole blood concentrations of THC, 11-OH-THC, and THCCOOH will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The maximum concentration (Cmax) is determined as the highest concentration reached for each individual (ng/mL) across all timepoints.
Time frame: Baseline, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours
Whole blood concentrations of THC, 11-OH-THC, and THCCOOH will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The area under the curve (AUC) is calculated cumulative across all timepoints.
Time frame: Baseline, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours
BAC will be measured using the Alco-Sensor IV. Measuring BAC is needed to confirm that participants reached the targeted BAC for a given session and to confirm adherence to pre-session alcohol abstinence requirements (g/210L). The maximum concentration (Cmax) is determined as the highest concentration reached for each individual (ng/mL) across all timepoints.
Time frame: Baseline, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, and 7.5 hours
Whole blood concentrations of Alcohol will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The area under the curve (AUC) is calculated cumulative across all timepoints.