Healthy VolunteersPhase 1NCT02492074
Gene-Environment-Interaction: Influence of the COMT Genotype on the Effects of Different Cannabinoids - a PET Study
A Phase 1 study testing Delta-9-tetrahydrocannabinol and Cannabidiol in people with Healthy Volunteers and Modeling Psychosis, run by Central Institute of Mental Health, Mannheim at 1 site in Germany.
Trial summary
The study evaluates the gene-environment interaction of the COMT-genotype on the effects of the phytocannabinoids delta-9-tetrahydrocannabinol, cannabidiol or a combination of both on induction of psychotic symptoms, endocannabinoid levels in human body fluids, neuronal processing, and neural oscillations. Read more about this study
- Who is it for?
- Ages 18 to 45 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Healthy Volunteers, Modeling Psychosis
- What is being tested?
- Delta-9-tetrahydrocannabinol and Cannabidiol
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 0 participants
- Where
- 1 siteGermany
- Study dates
- Dec 2024to May 2025
- 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 18 to 45 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Informed consent given by the subject
- Healthy young man (age between 18 and 45) insightful to the study (WST> 95)
- Right handedness
- At least one time consumption of Cannabis but less than 10 times/ per lifetime, no consumption of other psychotropic agents (despite coffee or nicotine), no alcohol abuse
- Negative drug-screening at the time of screening
- Body Mass Index between 18 and 30
Who cannot join
- Lack of accountability
- Participation in other interventional trials
- Severe medical or neurological illness, especially cardiovascular, renal, advanced respiratory, hematological or endocrinological failures or infectious diseases (acute hepatitis A, B or C or HIV) assessed at the time of the screening by the subject's history, clinical examination and laboratory testing, at the discretion of the investigator
- Any known psychiatric illness in the participant's history
- Known family history concerning psychiatric disorders
- Cannabis consumption within the last six months
Show all 11Show fewer
- Consumption of any illegal drugs (except cannabis in history, see above)
- Intake of interfering medication, at the discretion of the investigator
- High intracranial pressure
- Any disorders in stereoscopic vision (measured by the TNO-Test, Lamerics, Utrecht) or hearing deficits
- Contraindications due to the Investigators Brochure Contraindication for Magnetic Resonance Imaging (e.g. cardiac pacemaker, claustrophobia, attached brace, in body metal, tattoos) or lumbar puncture (e.g. local or systemic infection, disturbance of blood coagulation, medication with anticoagulants like Phenprocoumon) or contradiction for the PET-CT method and the radiopharmaceutical
Trial locations and contacts
1 site in 1 country.
Germany1 site
Central Institute of Mental Health
Mannheim, Baden-Wurttemberg, 68159
About this study
Official title: Gene-Environment-Interaction: Influence of the COMT Genotype on the Effects of Different Cannabinoids on the Endocannabinoid System and Brain Function
The study evaluates the gene-environment interaction of the COMT-genotype on the effects of the phytocannabinoids delta-9-tetrahydrocannabinol, cannabidiol or a combination of both on induction of psychotic symptoms, endocannabinoid levels in human body fluids, neuronal processing, and neural oscillations. In addition the effects of the phytocannabinoids on lipid levels in serum and cerebrospinal fluid, cognition, neuronal processing assessed by fMRI as well as D2-receptor availability assessed by [18F] desmethoxyfallypride.
- Conditions
- Healthy Volunteers, Modeling Psychosis
- Being tested
- Delta-9-tetrahydrocannabinol, Cannabidiol, Placebo
- Keywords
- delta-9-tetrahydrocannabinol, cannabidiol, COMT
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Delta-9-tetrahydrocannabinolDrug
Also called Dronabinol
oral administration of delta-9-tetrahydrocannabinol
CannabidiolDrug
oral administration of cannabidiol
PlaceboDrug
oral administration of placebo
| Study group | Role | What they receive |
|---|---|---|
| THC | Experimental | Subjects receive 20 mg delta-9-tetrahydrocannabinol (2 capsules containing 10 mg each) and corresponding cannabidiol placebo capsules. Receives: Drug: Delta-9-tetrahydrocannabinol; Drug: Placebo |
| CBD | Experimental | Subjects receive 800 mg cannabidiol (4 capsules containing 200 mg each) and corresponding delta-9-tetrahydrocannabinol placebo capsules. Receives: Drug: Cannabidiol; Drug: Placebo |
| CBD+THC | Experimental | Subjects receive 800 mg cannabidiol (4 capsules containing 200 mg each) and 20 mg delta-9-tetrahydrocannabinol (2 capsules containing 10 mg each) Receives: Drug: Delta-9-tetrahydrocannabinol; Drug: Cannabidiol |
| Placebo | Placebo comparator | Subjects receive corresponding delta-9-tetrahydrocannabinol and cannabidiol placebo capsules Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Positive and Negative Syndrome Scale (total score, PANSS T) from baseline to post drug intake of both on induction of psychotic symptoms, endocannabinoid levels in human body fluids, neuronal processing, and D2-receptor availability
Measured: up to 6 hours
Secondary outcomes (13)
Change in PANSS subscores and clusters (baseline to post drug intake)
Measured: up to 4 hours
Change in Digit Symbol Coding
Measured: up to 6 hours
Change in Letter-Number-Sequencing
Measured: up to 6 hours
Change in emotional state (EWL, "Eigenschaftswörterliste")
Measured: up to 6 hours
Change in attentional state (d2-test of attention d2-R)
Measured: up to 6 hours
Change in imagination (Bett's Questionaire upon Mental Imagery)
Measured: up to 6 hours
Change in binocular depth inversion illusion (BDII)
Measured: up to 6 hours
Change in Wisconsin Card Sorting Test Performance
Measured: up to 6 hours
Assessment of hallucinogenic states scale (APZ) (post drug intake)
questionaire
Measured: 1 day
Safety and tolerability assessments including (S)AEs, physical examination, vital signs (including heart rate and systolic and diastolic blood pressure in both supine and standing positions), and detailed laboratory assessments
Measured: 1 day
Metabolic markers post drug intake (blood)
Measured: up to 4 hours
Metabolic markers post drug intake (cerebrospinal fluid)
Measured: up to 4 hours
D2-receptor availability post drug intake
Measured: up to 5 hours
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jul 2015 (estimated)
- Study startDec 2024 (estimated)
- Primary completionApr 2025 (estimated)
- Study completionMay 2025 (estimated)
Why it stopped: No documents were ever submitted to the Ethics Committee or the competent authority because it was not possible to establish the planned PET measurements in Germany. Therefore, the study never started.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Healthy VolunteersStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Central Institute of Mental Health, Mannheim
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- F. Markus Leweke, MD, Principal investigator, Central Institute of Mental Health
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02492074
- Sponsor's protocol ID
- GEI-TCP I
- Status last verified
- Mar 2025
- First submitted
- 3 Jul 2015
- Last updated
- 13 Mar 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Gene-Environment-Interaction: Influence of the COMT Genotype on the Effects of Different Cannabinoids on the Endocannabinoid System and Brain Function
- ClinicalTrials.gov ID
- NCT02492074
- Acronym / sponsor ID
- GEI-TCP I
- Conditions
- Healthy Volunteers, Modeling Psychosis
- Keywords
- delta-9-tetrahydrocannabinol, cannabidiol, COMT
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: No documents were ever submitted to the Ethics Committee or the competent authority because it was not possible to establish the planned PET measurements in Germany. Therefore, the study never started.
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Central Institute of Mental Health, MannheimUniversity, hospital or other
- Study start
- Dec 2024 (estimated)
- Primary completion
- Apr 2025 (estimated)
- Study completion
- May 2025 (estimated)
- First posted
- 8 Jul 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study evaluates the gene-environment interaction of the COMT-genotype on the effects of the phytocannabinoids delta-9-tetrahydrocannabinol, cannabidiol or a combination of both on induction of psychotic symptoms, endocannabinoid levels in human body fluids, neuronal processing, and neural oscillations. In addition the effects of the phytocannabinoids on lipid levels in serum and cerebrospinal fluid, cognition, neuronal processing assessed by fMRI as well as D2-receptor availability assessed by [18F] desmethoxyfallypride.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| THC | Experimental | Drug: Delta-9-tetrahydrocannabinol, Drug: PlaceboSubjects receive 20 mg delta-9-tetrahydrocannabinol (2 capsules containing 10 mg each) and corresponding cannabidiol placebo capsules. |
| CBD | Experimental | Drug: Cannabidiol, Drug: PlaceboSubjects receive 800 mg cannabidiol (4 capsules containing 200 mg each) and corresponding delta-9-tetrahydrocannabinol placebo capsules. |
| CBD+THC | Experimental | Drug: Delta-9-tetrahydrocannabinol, Drug: CannabidiolSubjects receive 800 mg cannabidiol (4 capsules containing 200 mg each) and 20 mg delta-9-tetrahydrocannabinol (2 capsules containing 10 mg each) |
| Placebo | Placebo comparator | Drug: PlaceboSubjects receive corresponding delta-9-tetrahydrocannabinol and cannabidiol placebo capsules |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Informed consent given by the subject
- Healthy young man (age between 18 and 45) insightful to the study (WST> 95)
- Right handedness
- At least one time consumption of Cannabis but less than 10 times/ per lifetime, no consumption of other psychotropic agents (despite coffee or nicotine), no alcohol abuse
- Negative drug-screening at the time of screening
Key exclusion criteria (11 listed)
- Lack of accountability
- Participation in other interventional trials
- Severe medical or neurological illness, especially cardiovascular, renal, advanced respiratory, hematological or endocrinological failures or infectious diseases (acute hepatitis A, B or C or HIV) assessed at the time of the screening by the subject's history, clinical examination and laboratory testing, at the discretion of the investigator
- Any known psychiatric illness in the participant's history
- Known family history concerning psychiatric disorders
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Delta-9-tetrahydrocannabinolAlso: Dronabinoloral administration of delta-9-tetrahydrocannabinol | Drug | CBD+THC, THC |
| Cannabidioloral administration of cannabidiol | Drug | CBD, CBD+THC |
| Placebooral administration of placebo | Drug | CBD, Placebo, THC |
Primary outcome
Change in Positive and Negative Syndrome Scale (total score, PANSS T) from baseline to post drug intake of both on induction of psychotic symptoms, endocannabinoid levels in human body fluids, neuronal processing, and D2-receptor availability
Time frame: up to 6 hours
13 secondary outcomes
Change in PANSS subscores and clusters (baseline to post drug intake)
Time frame: up to 4 hours
Change in Digit Symbol Coding
Time frame: up to 6 hours
Change in Letter-Number-Sequencing
Time frame: up to 6 hours
Change in emotional state (EWL, "Eigenschaftswörterliste")
Time frame: up to 6 hours
Change in attentional state (d2-test of attention d2-R)
Time frame: up to 6 hours
Change in imagination (Bett's Questionaire upon Mental Imagery)
Time frame: up to 6 hours
Change in binocular depth inversion illusion (BDII)
Time frame: up to 6 hours
Change in Wisconsin Card Sorting Test Performance
Time frame: up to 6 hours
Assessment of hallucinogenic states scale (APZ) (post drug intake)
Time frame: 1 day
Safety and tolerability assessments including (S)AEs, physical examination, vital signs (including heart rate and systolic and diastolic blood pressure in both supine and standing positions), and detailed laboratory assessments
Time frame: 1 day
Metabolic markers post drug intake (blood)
Time frame: up to 4 hours
Metabolic markers post drug intake (cerebrospinal fluid)
Time frame: up to 4 hours
D2-receptor availability post drug intake
Time frame: up to 5 hours
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Mar 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
F. Markus Leweke, MD principal investigator
Central Institute of Mental Health
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Delta-9-tetrahydrocannabinol and Cannabidiol in people with Healthy Volunteers and Modeling Psychosis, run by Central Institute of Mental Health, Mannheim at 1 site in Germany.
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 6 inclusion and 11 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: withdrawn, as of the sponsor's last update on 13 Mar 2025. 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 Germany. 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 was withdrawn before enrolling participants, so there are no results.
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?
Change in Positive and Negative Syndrome Scale (total score, PANSS T) from baseline to post drug intake of both on induction of psychotic symptoms, endocannabinoid levels in human body fluids, neuronal processing, and D2-receptor availability (time frame: up to 6 hours). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 13 Mar 2025.