The classic website will no longer be available as of June 25, 2024. Please use the modernized ClinicalTrials.gov.
Working…
ClinicalTrials.gov
ClinicalTrials.gov Menu

THC + CBD and Memory Study

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04855526
Recruitment Status : Unknown
Verified January 2022 by Godfrey Pearlson, Hartford Hospital.
Recruitment status was:  Not yet recruiting
First Posted : April 22, 2021
Last Update Posted : January 6, 2022
Sponsor:
Collaborator:
Yale University
Information provided by (Responsible Party):
Godfrey Pearlson, Hartford Hospital

Tracking Information
First Submitted Date  ICMJE April 19, 2021
First Posted Date  ICMJE April 22, 2021
Last Update Posted Date January 6, 2022
Estimated Study Start Date  ICMJE April 1, 2022
Estimated Primary Completion Date June 30, 2022   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: April 19, 2021)
  • fMRI response [ Time Frame: approximately 1 hour following drug administration ]
    Blood oxygen level dependent functional magnetic resonance imaging (fMRI) response during the relational and item specific encoding task. fMRI response will be evaluated during the encoding phase (relational vs. item encoding), item recognition phase (hits vs. misses for item-specific encoding, and hits vs. misses for relational encoding), and associative recognition phase (hits vs. misses).
  • Glutamate [ Time Frame: approximately 1 hour following drug administration ]
    Magnetic resonance spectroscopy (MRS)-acquired glutamate containing compounds (Glx).
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: October 27, 2021)
  • HVLT-R performance [ Time Frame: Approximately 2.50 hours after drug administration ]
    The Hopkins Verbal Learning Test-Revised will ascertain verbal list learning and immediate and delayed recall (~15min); alternate forms have been validated, and the order of versions participants receive will be randomized
  • Performance on CHARLIE cognitive task [ Time Frame: Approximately 3.00 hours after drug administration ]
    This is a computer-based cognitive battery that administers the Digit Span and Letter/Number Sequencing Test (working memory) and the Digit Symbol Coding test (processing speed). It should take about 10 minutes to complete.
  • Blood THC and CBD concentration testing [ Time Frame: Immediately after drug administration (~0.25 hours after drug administration) ]
    A blood sample will be taken once per dose visit to assess the concentration of the following metabolites in ng/mL: delta-9-tetrahydrocannabinol, 11-hydroxy-tetrahydrocannabinol, 11-Nor-9-Carboxy-tetrahydrocannabinol (THCCOOH), tetrahydrocannabinol-Glucuronide, THCCOOH-Glucuronide, cannabinol (CBN), and cannabidiol (CBD).
  • Subjective effects on drug effects questionnaire [ Time Frame: Post drug administration at: 0.00 hours (immediately after); 1.0 hours; 2.0 hours; 3.0 hours ]
    This self-report will be used to assess subjective reports every 60 minutes throughout the dose visit days. These subjective ratings will be obtained using rapidly completed Visual Analog Scales (VASs) scored on a 0-100 scale. Items include: Do you feel a drug effect right now?, Are you high right now?, Do you dislike any of the effects you are feeling right now?, Do you like any of the effects you are feeling right now? and Would you like more of the drug you took, right now?
Original Secondary Outcome Measures  ICMJE
 (submitted: April 19, 2021)
  • HVLT-R performance [ Time Frame: Approximately 2.50 hours after drug administration ]
    The Hopkins Verbal Learning Test-Revised will ascertain verbal list learning and immediate and delayed recall (~15min); alternate forms have been validated, and the order of versions participants receive will be randomized
  • Performance on CHARLIE cognitive task [ Time Frame: Approximately 3.00 hours after drug administration ]
    This is a computer-based cognitive battery that administers the Digit Span and Letter/Number Sequencing Test (working memory) and the Digit Symbol Coding test (processing speed). It should take about 10 minutes to complete.
  • Blood THC and CBD concentration testing [ Time Frame: Immediately after drug administration (~0.25 hours after drug administration) ]
    A blood sample will be taken once per dose visit to assess the concentration of the following metabolites: delta-9-tetrahydrocannabinol, 11-hydroxy-tetrahydrocannabinol, 11-Nor-9-Carboxy-tetrahydrocannabinol (THCCOOH), tetrahydrocannabinol-Glucuronide, THCCOOH-Glucuronide, cannabinol (CBN), and cannabidiol (CBD).
  • Subjective effects on drug effects questionnaire [ Time Frame: Post drug administration at: 0.00 hours (immediately after); 1.0 hours; 2.0 hours; 3.0 hours ]
    This self-report will be used to assess subjective reports every 60 minutes throughout the dose visit days. These subjective ratings will be obtained using rapidly completed Visual Analog Scales (VASs) scored on a 0-100 scale. Items include: Do you feel a drug effect right now?, Are you high right now?, Do you dislike any of the effects you are feeling right now?, Do you like any of the effects you are feeling right now? and Would you like more of the drug you took, right now?
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE THC + CBD and Memory Study
Official Title  ICMJE Effects of Marijuana on Memory-Related Neurochemistry and Neural Response
Brief Summary Memory deficits are one of the most consistently observed cognitive effects of marijuana use. There is evidence that some decrements attributable to the primary psychoactive ingredient, delta-9-tetrahydrocannabinol (THC), may be attenuated by cannabidiol (CBD). This study will help us learn more about the relationship between THC and CBD consumption with memory processes. A combination of MRI and neuropsychological tests (which are computer and paper/pencil tasks) will be used to measure the neurocognitive and behavioral impacts of THC and CBD use.
Detailed Description With increased legalization and medicalization of marijuana (MJ), there is an urgent need to understand the acute effects of use. One of the most consistently observed cognitive outcomes associated with MJ use is memory dysfunction, which may have a substantial impact on daily life in individuals using MJ for recreational or medicinal purposes. Notably, there are numerous preparations of MJ with varying proportions of cannabinoids, which may differ in behavioral and cognitive effects. For instance, there is emerging evidence that acute administration of delta-9-tetrahydrocannabinol (THC), the main psychoactive constituent of MJ, hinders memory and reduces prefrontal and hippocampal functional magnetic resonance imaging (fMRI) activation, but cannabidiol (CBD) may mitigate some of these impairments. Given the role of glutamate in learning and memory, the investigators suggest that these effects may be subserved, in part, by glutamatergic mechanisms. The investigators will use magnetic resonance spectroscopy (MRS) to non-invasively measure glutamate in order to explore the neurochemical underpinnings of memory-related fMRI response changes following acute administration of THC and CBD in a randomized, double-blind, placebo-controlled, cross-over design. A total of 9 healthy participants ages 18-40 will be enrolled. Participants will first undergo one screening visit (~4 hours), comprising informed consent, assessment of health history, psychiatric diagnoses, cognitive function, and substance use history, and a structural MRI session. This will be followed by 3 separate MJ dose visits (~4 hours each), at which participants will complete neuroimaging after administration of one of 3 preparations of vaporized MJ in a randomized, counterbalanced, double-blinded fashion: 1) high THC and no CBD (THC), 2) high THC and high CBD (THC+CBD), and 3) no THC and no CBD (placebo MJ). As in the investigator's ongoing studies, bulk MJ plant material will be provided by the National Institute on Drug Abuse. MJ dose visits will comprise MJ administration, blood collection, MRS/fMRI scan, subjective reports, and a brief cognitive assessment.
Study Type  ICMJE Interventional
Study Phase  ICMJE Early Phase 1
Study Design  ICMJE Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Other
Condition  ICMJE
  • Marijuana Use
  • Cannabis Use
  • Cannabis Intoxication
Intervention  ICMJE
  • Drug: High THC/No CBD Marihuana
    high THC (65 mg THC) and no CBD (0 mg CBD)
  • Drug: High THC/High CBD Marihuana
    high THC (65 mg THC) and high CBD (50 mg CBD)
  • Drug: No THC/No CBD Marihuana
    no THC (0 mg THC) and no CBD (0 mg CBD); placebo drug
Study Arms  ICMJE
  • Experimental: Occasional Users - High THC and High CBD Dose
    People who smoke marijuana occasionally will be given a dose of high THC high CBD marijuana at the study visit
    Intervention: Drug: High THC/High CBD Marihuana
  • Experimental: Occasional Users - High THC and No CBD Dose
    People who smoke marijuana occasionally will be given a dose of high THC and no CBD marijuana at the study visit
    Intervention: Drug: High THC/No CBD Marihuana
  • Experimental: Occasional Users - No THC and No CBD Dose
    People who smoke marijuana occasionally will be given a dose of marijuana that contains no THC or CBD
    Intervention: Drug: No THC/No CBD Marihuana
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Unknown status
Estimated Enrollment  ICMJE
 (submitted: April 19, 2021)
9
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE June 30, 2022
Estimated Primary Completion Date June 30, 2022   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Right-handed
  • Prior MJ users (has used MJ at least once in the past year, but no more than 1x/month in the past 12 months)
  • Medically healthy (as determined by medical history and treatment)
  • Adequate comprehension of English in order to complete study materials
  • Acceptable birth control method for women (i.e., no copper IUD or any device that is not MRI safe)

Exclusion Criteria:

  • Participant currently uses psychoactive medications or substances
  • Psychiatric diagnoses (determined by DSM-V)
  • Participant heavily or regularly uses MJ (more than 1x/month in the past year)
  • Current or past substance dependence (including MJ)
  • Positive urine toxicology screens
  • Positive pregnancy screens
  • MRI contraindications (e.g., heart pacemaker)
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years to 40 Years   (Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Not Provided
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT04855526
Other Study ID Numbers  ICMJE R-HHC-2019-0137
126663 ( Other Grant/Funding Number: Hartford Hospital )
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE Not Provided
Current Responsible Party Godfrey Pearlson, Hartford Hospital
Original Responsible Party Same as current
Current Study Sponsor  ICMJE Hartford Hospital
Original Study Sponsor  ICMJE Same as current
Collaborators  ICMJE Yale University
Investigators  ICMJE
Principal Investigator: Godfrey Pearlson, MD Hartford Hospital - Olin Neuropsychiatry Research Center; Yale University
Principal Investigator: Alecia Dager, PhD Hartford Hospital - Olin Neuropsychiatry Research Center; Yale University
Principal Investigator: Michael Stevens, PhD Hartford Hospital - Olin Neuropsychiatry Research Center
PRS Account Hartford Hospital
Verification Date January 2022

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP