VER-01
standardised cannabis extract (containing 21 mg THC per gram drug product)
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Analysis of the efficacy, maintenance of efficacy, long-term safety, and investigation of the potential for dependence and abuse and the effect of abrupt drug withdrawal of VER-01 in the treatment of patients with chronic non-specific low back pain when drug treatment is indicated and previous optimised treatments with non-opioid analgesics have not led to sufficient pain relief or were unsuitable due to contraindications or intolerance.
Locally preserved from ClinicalTrials.govOpen ClinicalTrials.govlast source update 2024-04-08
What this record can show
This locally preserved record separates the registered protocol from source-reported registry results. Neither is a treatment recommendation.
Registry facts
The study is divided into four phases: Phase A, B, C and D. All patients who have completed Phase A and for whom the investigator considers further participation to be safe shall begin Phase B. Phases C and D run in parallel, so that patients who have completed Phase B and for whom the investigator considers further participation to be safe can be assigned to one of the two phases. Phases A and D follow a double-blind, placebo-controlled design, while Phase B and C have an open-label design. The main goal of Phase A is to demonstrate the efficacy of VER-01 compared to placebo. In Phase B and C the main goal is the investigation of long-term safety of VER-01. In Phase D the primary objective is to demonstrate the maintenance of efficacy of VER-01 on a placebo-controlled basis. The potential for dependence and abuse will be analyzed in all Phases (A,B,C,D), while the effect of abrupt drug withdrawal of VER-01 will be analyzed in Phase C and D.
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
standardised cannabis extract (containing 21 mg THC per gram drug product)
comparator without active ingredient
Eligibility
primary outcomes
Time frame: Baseline up to 15 weeks
Change in average pain intensity compared to baseline on an 11-point Numerical Rating Scale (NRS, where 0=no pain to 10=worst pain imaginable) (mean value of study week 15 compared to the mean value of the seven-day run-in phase with daily documentation of pain intensity in the morning).
Time frame: Up to 29 weeks
Safety and adverse reactions based on occurrence of treatment-related AEs/SAEs
Time frame: Up to 28 weeks
Safety and adverse reactions based on occurrence of treatment-related AEs/SAEs
Time frame: Up to 4 weeks (from date of randomization R2 until the first day of treatment failure)
Time until treatment failure defined as the time in days from randomization to phase D (R2) until the first day of treatment failure. Treatment failure is assessed by the daily calculated seven-day mean value of the pain score (11 point Numerical Rating Scale, NRS, where 0=no pain to 10=worst pain imaginable) in the morning during the treatment period, which must have deteriorated by at least 20% and at least one point compared to baseline (mean value of study week 43). The first day of treatment failure is then the earliest day within this seven-day time window to which this criterion applies as a single day. Furthermore, treatment failure is defined as a premature discontinuation of treatment for selected reasons.
secondary outcomes
Time frame: Day 1, day 106, day 309, day 351, day 505
Absolute change compared to baseline (day1) Neuropathic Pain Symptom Inventory (NPSI) total score at the end of each treatment phase in patients with neuropathic pain
Time frame: Baseline up to 72 weeks
Absolute changes from baseline in mean pain intensity at the end of each treatment phase measured in the morning (primary endpoint of Phase A) or morning and evening on an 11-point Numerical Rating Scale (NRS, where 0=no pain to 10=worst pain imaginable)
Time frame: Baseline up to 72 weeks
The number and proportion of 30 percent and 50 percent pain responders in the morning, and morning and evening at the end of each treatment phase.
Time frame: Baseline up to 72 weeks
The absolute change from baseline in mean sleep quality at the end of each treatment phase measured on an 11-point Numerical Rating Scale (NRS, where 0=not impacted to 10=completely impacted)
Time frame: Day 1, Day 22, Day 50, Day 78, Day 106
Absolute changes from baseline of sleep quality measured by Medical Outcomes Study Sleep Scale (MOS-SS) per survey point
Time frame: Up to 16 weeks
Cumulative dose of rescue medication taken in Phase A
Time frame: Up to 6 weeks
Cumulative dose of rescue medication taken in Phase D
Time frame: Baseline up to 72 weeks
Scores and absolute changes from baseline of depression, anxiety and stress levels measured by the DASS (where 0=did not apply to me at all to 3=affected me very greatly or most of the time) per time point of assessment
Time frame: Day 106, day 309, day 491, day 337
Percentage of patients by category of the global assessment of symptoms (PGIC, 7-point Likert scale where 0=very much better to 6=very much worse) by the patient per survey point
Time frame: Day 106, day 309, day 491, day 337
Percentage of patients by category of the satisfaction with the treatment outcome (5-point Likert scale, where 0=very satisfied to 4=very unsatisfied) by the patient per survey point
Time frame: Day 106, day 309, day 491, day 337
Percentage of patients by category of satisfaction with the treatment outcome (5-point Likert scale, where 0=very satisfied to 4=very unsatisfied) by the investigator per survey point.
Time frame: Day 106, day 309, day 491, day 337
Percentage of patients by category of satisfaction with the tolerability (5-point Likert scale, where 0=very satisfied to 4=very unsatisfied) by the patient per survey point
Time frame: Up to 16 weeks
Safety and adverse reactions based on occurrence of treatment-related AEs/SAEs
Time frame: Up to 6 weeks
Safety and adverse reactions based on occurrence of treatment-related AEs/SAEs
Time frame: Day 1, day 22, day 50, day 78, day 106, day 309, day 491, day 337
Scores in quality of life measured per survey point
Time frame: Day 1, day 22, day 50, day 78, day 106, day 309, day 491, day 337
Absolute changes in quality of life from baseline (day 1) measured per survey point
Time frame: Day 1, day 22, day 106
Scores in bodily function and impairment due to low back pain assessed by the RMD per survey point
Time frame: Day 1, day 22, day 106
Absolute changes in bodily function and impairment due to low back pain assessed by the RMD per survey point
Time frame: Day 22, day 50, day 78, day 106, day 127, day 183, day 239, day 309, day 365, day 421, day 491, day 337
The absolute number of positive answers of the ABC
Time frame: Day 491
The absolute number of positive answers according to the German Bundesärztekammer (2007) is summarized descriptively according to the standard for continuous parameters.
Time frame: Through study completion, up to 72 weeks
Occurrence of AEs/SAEs
Time frame: Up to 2 weeks
Sum scores for intensity and functional impairment are descriptively analysed according to Allsop et al.
Time frame: Up to 4 weeks
Sum scores for intensity and functional impairment are descriptively analysed according to Allsop et al.
Publications