Mechanisms of CBD for Chronic Pain

Sponsor
University of Utah (Other)
Overall Status
Recruiting
CT.gov ID
NCT04044729
Collaborator
(none)
52
1
2
35.4
1.5

Study Details

Study Description

Brief Summary

This is a study designed to examine the neurochemical mechanisms associated with Cannabidiol (CBD) versus placebo for chronic non-cancer pain.

Condition or Disease Intervention/Treatment Phase
Early Phase 1

Detailed Description

The aim of this trial is to examine the neurochemical mechanisms associated with Cannabidiol (CBD) versus placebo for chronic non-cancer pain. Participants will include individuals with chronic pain, who will be randomized into one of two intervention conditions: low THC/high CBD or placebo. In addition to receiving CBD or placebo, participants also will complete symptom assessments of chronic pain data (intensity, quality, interference/disability) throughout the study. These measures will be gathered prior to and following the fifth doses (dosing will occur once per day for five days) of CBD or placebo. A secondary objective will be to examine the association between clinical and inflammatory markers.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
52 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
Exploring the Mechanisms Underlying the Analgesic Properties of Cannabidiol Using Magnetic Resonance Spectroscopy
Actual Study Start Date :
Mar 16, 2020
Anticipated Primary Completion Date :
Dec 30, 2022
Anticipated Study Completion Date :
Feb 28, 2023

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Cannabidiol

Drug: Cannabidiol An oral dose of Cannabidiol (CBD) will be given once a day for five day with pain ratings taken before and after each dose every day. Other Names: CBD

Drug: Cannabidiol
500mg dose, suspended in medical grade olive oil and then mixed into chocolate pudding

Placebo Comparator: Placebo

Drug: Placebos An oral placebo will be given once a day for five day with pain ratings taken before and after each dose every day. Other Names: placebo

Drug: Placebo
Placebo

Outcome Measures

Primary Outcome Measures

  1. Neurochemical Brain Changes [5 Days]

    Participants will undergo MRS scanning to assess neurochemical shifts from the baseline visit (day 1) to the visit five (day 5) in order to determine whether CBD, or Placebo will result in changes to neurochemical ratios in select brain regions. Neurotransmitter levels such as BABA and N-Acetylaspartate will be collected and compared pre and post study drug administration.

Secondary Outcome Measures

  1. Pain Improvement [7 Days]

    Using baseline assessment measures gathered at visit 0 (Screening), assessments collected at visits 1-5 and follow-up will be used to determine whether the administration of CBD or placebo will improve pain relief in individuals with chronic pain. We will measure pain intensity with a visual analog scale from (0-10) with 10 being the worst pain imaginable. We will also measure Objective pain thresholds with a pressure algometer. This is a device that applies pressure to the participants finger until they say stop. The pressure range is 0-50 foot pounds of force.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 50 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Age between 18-50 yrs.

  • Chronic musculoskeletal and joint pain for at least 3 months or longer.

  • Participants must live within a 60 mile radius of Salt Lake City, Utah to be eligible.

Exclusion Criteria:
  • Current or past neurological illness.

  • Substance abuse or dependence within the prior 90 days.

  • Contraindication to brain MRI.

  • Type I and type II diabetes.

  • Unstable medical conditions.

  • Consumption of more than 2 drinks of alcohol per night.

  • Current pregnancy or planning to become pregnant or breastfeeding.

  • History of seizures or head trauma at PI discretion.

  • Active or history of major mental illness

  • Use of opioid medications in the past 30 days.

  • LFT results 3 times greater than the upper limit of normal at the screening.

  • Participants may be excluded if the PI feels they do not meet safety criteria.

Contacts and Locations

Locations

Site City State Country Postal Code
1 University Of Utah Salt Lake City Utah United States 84108

Sponsors and Collaborators

  • University of Utah

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Deborah Yurgelun-Todd, Professor, University of Utah
ClinicalTrials.gov Identifier:
NCT04044729
Other Study ID Numbers:
  • IRB_00124865
First Posted:
Aug 5, 2019
Last Update Posted:
Mar 10, 2022
Last Verified:
Mar 1, 2022
Individual Participant Data (IPD) Sharing Statement:
Undecided
Plan to Share IPD:
Undecided
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Mar 10, 2022