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Evaluation of Abuse Potential of SativexPhase 1NCT01323569

Abuse Potential of Sativex

A Phase 1 study testing Sativex and Marinol in people with Evaluation of Abuse Potential of Sativex, run by Jazz Pharmaceuticals at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This crossover study with six treatment sessions is to evaluate the abuse potential of three doses of Sativex as compared to Marinol and placebo, in subjects with a history of recreational marijuana use. Read more about this study

Who is it for?
Ages 19 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Evaluation of Abuse Potential of Sativex
What is being tested?
Sativex and Marinol
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
58 participants
Where
1 siteCanada
Study dates
Feb 2008to Jun 2008
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy male and female subjects, 19 to 45 years of age, inclusive.
  • Current recreational marijuana users, defined as the use of smoked marijuana, hashish, or oral THC, at least once a week for the 3 months prior to screening and, on at least one occasion, four times in a given week in the 3 months prior to screening.
  • Body mass index within the range of 19 to 30 kg/m2 inclusive and a minimum weight of at least 50 kg at screening.
  • Free of any clinically significant abnormality, assessed at screening, on the basis of medical history, vital signs, physical examination, 12-lead ECG, and clinical laboratory tests, including haematology, clinical chemistry, urinalysis, and serology, as judged by the investigator or designee.
  • A positive urine THC drug screen at screening and qualification, which was confirmed by quantitative analysis; the level must have been at least 50 ng of THC/mL.
  • A negative urine drug screen for cocaine, opiates, amphetamine, and benzodiazepines upon admission to the screening, qualification session, or treatment sessions. Subjects who had a positive urine drug screen upon presentation to a study visit could have been rescheduled for another session at the discretion of the investigator.
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  • All female subjects were required to have a negative serum pregnancy test at screening and a negative urine pregnancy test prior to the qualification session and to each drug treatment session.
  • Subjects with reproductive potential could be entered into the study if they had been using and were willing to continue to use two methods of contraception for the duration of the study. These methods included male condom for men in addition to an oral contraceptive, contraceptive implant or injection, intrauterine device, diaphragm, or a contraceptive sponge for women. Adequate protection, as defined above, had to have been used for at least 1 month prior to screening for all, with the exception of oral contraceptives, which should have been used for at least 3 months prior to screening. These methods had to be continually used for 30 days after the end of the study. Subjects that had been surgically sterilized (tubal ligation, hysterectomy, or vasectomy) or had been post-menopausal for at least 2 years (by history) were not considered to be of reproductive potential.
  • Subjects had to pass a qualification session.
  • Must have understood and provided written informed consent, prior to initiation of any protocol-specific procedures.
  • Subjects were able to comply with study procedures.
  • Negative breath alcohol test. Subjects who had a positive breath alcohol test could have been rescheduled at the discretion of the investigator.

Who cannot join

  • History or presence of drug or alcohol dependence (excluding nicotine and caffeine), including subjects who had ever been in a drug rehabilitation program.
  • Clinically important impairment or dysfunction of any body system, including, but not limited to, the following: cardiovascular, haematological, hepatic, gastrointestinal, renal, pulmonary, or neurological, as judged by the investigator or designee.
  • Any known or suspected history (including family history) of schizophrenia or other psychotic illness. Presence or history of a psychiatric disorder, organic brain disorder, or seizure disorder that was deemed clinically significant by the investigator.
  • History of hypersensitivity or allergy to cannabinoids, cannabis and/or its metabolites, to the study drug excipients, or to similar compounds (propylene glycol, ethanol, peppermint, and sesame oils) or allergic reactions to any other medication.
  • Consumed caffeine-containing beverages in excess of 450 mg of caffeine (e.g. 5 cups of tea or 3 cups of regular coffee or 8 cans of cola) per day in the 6 months prior to screening.
  • Consumed greater than 20 cigarettes per day.
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  • Treatment with another investigational or non-approved drug, within 4 weeks prior to the start of qualification session dosing (Day 1).
  • Donated or lost blood (>100 mL) within the 30 days prior to screening.
  • Female subjects who were pregnant or lactating or who were planning to become pregnant within 60 days of last study drug administration.
  • Used prescription drugs (except oral contraceptives or sex hormone replacement), including smoked THC for medicinal purposes, within 14 days of the qualification session and for the duration of the study, unless in the opinion of the investigator (or designee), the medication received would not interfere with the study procedures or data integrity or compromise the safety of the subject.
  • Used non-prescription drugs or natural health products other than acetaminophen up to 2 g per day or vitamin or mineral supplements (including mega dose vitamin therapy), within 7 days prior to the qualification session, and for the duration of the study, unless in the opinion of the investigator (or designee), the medication received would not interfere with the study procedures or data integrity or compromise the safety of the subject.
  • Uncontrolled hypertension at screening that was judged as clinically significant by the investigator (or designee).
  • Subjects who, in the opinion of the investigator (or designee). were not willing, able or capable of following the study schedule for any reason.
  • Subjects who were positive for or were being treated for hepatitis B, hepatitis C, or human immunodeficiency virus (HIV).
  • Subjects facing current or pending legal charges.

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • DecisionLine Clinical Research Corporation

    Toronto, Ontario, M5V 2T3

Other trials in Canada

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Crossover Study to Evaluate the Abuse Potential of Sativex in Subjects With a History of Recreational Marijuana Use

This crossover study with six treatment sessions is to evaluate the abuse potential of three doses of Sativex as compared to Marinol and placebo, in subjects with a history of recreational marijuana use.

Read the detailed description

Subjects attended a two-session, randomized, double-blind, crossover qualification in which they received the positive control drug (Marinol 30 mg) and matching placebo 48 hours apart in a randomized fashion. To qualify, subjects must have discriminated between Marinol and placebo.

Eligible subjects then went on to the main study divided into six treatment sessions each separated by 7-21 days.

Serial pharmacodynamic evaluations were taken at each treatment session as well as occasional pharmacokinetic blood samples to verify proof of exposure. In addition, safety monitoring included regular assessments of vital signs, telemetry, 12-lead ECG, clinical laboratory tests and adverse events (AEs).

Being tested
Sativex, Placebo, Marinol
Keywords
Sativex, Cannabinoids, Abuse potential, Addiction
Medical subject headings
Marijuana Abuse, Behavior, Addictive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SativexDrug

    Sativex dose level 1: 10.8 mg THC/10 mg CBD (4 sprays) + 12 placebo sprays + 4 placebo capsules.

  • SativexDrug

    Sativex dose level 2: 21.6 mg THC/20 mg CBD (8 sprays) + 8 placebo sprays + 4 placebo capsules

  • SativexDrug

    Sativex dose level 3: 43.2 mg THC/40 mg CBD (16 sprays) + 4 placebo capsules

  • PlaceboDrug

    16 placebo sprays and 4 placebo capsules

  • MarinolDrug

    Marinol dose level 1: 20 mg THC (2 marinol capsules) + 2 placebo capsules + 16 placebo sprays

  • MarinolDrug

    Marinol dose level 2: 40 mg THC (4 marinol capsules) + 16 placebo sprays

Study groups in NCT01323569
Study groupRoleWhat they receive
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
Sativex 4 spraysExperimentalNot described
Receives: Drug: Sativex
Sativex 8 spraysExperimentalNot described
Receives: Drug: Sativex
Sativex 16 spraysExperimentalNot described
Receives: Drug: Sativex
Marinol low doseActive comparatorNot described
Receives: Drug: Marinol
Marinol high doseActive comparatorNot described
Receives: Drug: Marinol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Comparison of Subjective Drug Value (SDV)(Balance of effects) between Marinol and Sativex

    Mean difference in Mean peak effect (Emax) between:

    Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg.

    Measured: Recorded at 6, 12 and 24 hours during each study arm

  2. Comparison of Bipolar Drug Liking VAS (Balance of effects) between Marinol and Sativex

    Mean difference in Mean peak effect (Emax) between:

    Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg.

    Measured: Recorded at 12 and 24 hours during each study arm

  3. Comparison of Addiction Research Centre Inventory (ARCI) MBG (Positive effects) between Marinol and Sativex

    Mean difference in Mean peak effect (Emax) between:

    Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg.

    Measured: Recorded at 0.5, 1, 2, 3, 4, 6, 8, 12, and 24 hours during each study arm

Secondary outcomes (7)
  1. Comparison of Balance of Effects VASs between Marinol and Sativex

    Mean difference in Mean peak effect (Emax) between:

    Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg. for each of Overall Drug Liking VAS, Take Drug Again VAS, Pleasant Mental state VAS, and Pleasant Physical state VAS.

    Measured: Recorded at 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours during each study arm

  2. Comparison of Positive Effects VASs between Marinol and Sativex

    Mean difference in Mean peak effect (Emax) between:

    Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg; for each of Good effects VAS and High VAS.

    Measured: Recorded at 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours during each study arm

  3. Comparison of Cannabinoid Effects between Marinol and Sativex

    Mean difference in Mean peak effect (Emax) between:

    Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg; for each of ARCI Marijuana, Stoned VAS, Mellow VAS, Clarity VAS, and Hungry VAS.

    Measured: Recorded at 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours during each study arm

  4. Comparison of Negative Effects Scores between Marinol and Sativex

    Mean difference in Mean peak effect (Emax) between:

    Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg; for each of ARCI Lysergic Acid Diethylamide, Bad Effects VAS, Nausea VAS, Feeling Sick VAS, and Room Spinning VAS.

    Measured: Recordedat 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours during each study arm

  5. Comparison of Other Effects Scores between Marinol and Sativex

    Mean difference in Mean peak effect (Emax) between:

    Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg; for each of: Any effects VAS, Dizziness VAS, ARCI Pentobarbital-Chlorpromazine-Alcohol Group, Drowsiness VAS, ARCI Benzedrine Group, and ARCI Amphetamine, Drug similarity VASs, Choice Reaction Time, Divided Attention, Sternberg short-term memory tests.

    Measured: Recorded pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours during each study arm

  6. Area under the concentration-time curve from 0 to 8.5 hours post-dose for plasma THC, CBD, and 11-hydroxy-THC.

    Measured: Pre-dose and at 1, 4, and 8 hours during each study visit

  7. Adverse Events

    Number of Participants with Adverse Events as a Measure of Safety and Tolerability

    Measured: Recorded pre-dose and at 1, 2, 3, 4, 6, 8, 12 and 24 hours during each study visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Mar 2011 (estimated)
  2. Study startFeb 2008
  3. Primary completionJun 2008
  4. Study completionJun 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
58 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01323569
Sponsor's protocol ID
GWCP0605
Status last verified
Apr 2023
First submitted
23 Mar 2011
Last updated
10 Apr 2023
Results posted
No
Data monitoring committee
No

Publications

  • Schoedel KA, Chen N, Hilliard A, White L, Stott C, Russo E, Wright S, Guy G, Romach MK, Sellers EM. A randomized, double-blind, placebo-controlled, crossover study to evaluate the subjective abuse potential and cognitive effects of nabiximols oromucosal spray in subjects with a history of recreational cannabis use. Hum Psychopharmacol. 2011 Apr;26(3):224-36. doi: 10.1002/hup.1196.

    PubMed 21671456

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Sativex and Marinol in people with Evaluation of Abuse Potential of Sativex, run by Jazz Pharmaceuticals at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Comparison of Subjective Drug Value (SDV)(Balance of effects) between Marinol and Sativex (time frame: Recorded at 6, 12 and 24 hours during each study arm). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01323569, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Apr 2023.

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