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Bipolar DisorderPhase 3CBD-BDNCT05867849

Cannabidiol for Bipolar Depression (CBD-BD)

A Phase 3 study testing Cannabidiol in people with Bipolar Disorder, run by University of British Columbia at 6 sites in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Bipolar disorder (BD) is a lifelong condition characterized by recurrent episodes of depression and (hypo)mania. Periods of chronic and recurring depressive episodes are more common and can be severely disabling. Read more about this study

Who is it for?
Ages 19 to 70 years
Conditions the study is for
Bipolar Disorder
What is being tested?
Cannabidiol
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
360 participants
Where
6 sitesCanada
Study dates
15 Oct 2023to Dec 2030
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males or females aged 19 to 70 years (inclusive).
  • DSM-5 diagnosis of BD I or BD II, AND a current major depressive episode confirmed by MINI 7.0.2 .
  • All patients must be taking either a mood stabilizer (i.e. lithium or valproate; lamotrigine monotherapy as a mood stabilizer is acceptable for BD II patients only and not for BD I) OR an atypical antipsychotic OR a combination of these (two mood stabilizers or a mood stabilizer plus an atypical antipsychotic), at therapeutic doses. Medications and therapeutic doses are: lithium, serum level 0.6-1.2 mEq/L; divalproex/sodium valproate, serum level 350-700 uM/L(45-125 mcg/ml); risperidone 2-6 mg/day; olanzapine 5-30 mg/day; quetiapine IR or XR 300-900 mg/day; aripiprazole 10-30 mg/day; cariprazine 1.5-6 mg/day; and ziprasidone 80-160 mg/day. Combinations of these medications as outlined above, or the combination of any of them with lamotrigine 100-400 mg daily, or the combination of a mood stabilizer plus asenapine 5-20 mg/day are also permitted.
  • Have received a minimum of 6-weeks treatment at adequate doses for treatment of current depressive episode with at least one CANMAT recommended first-line treatment for bipolar I disorder (i.e. lithium, lamotrigine, lurasidone, or quetiapine either as monotherapy or adjunctive therapy), or at least one first or second-line treatment for bipolar II depression (i.e. quetiapine, lithium, lamotrigine, sertraline, or venlafaxine as monotherapy or adjunctive therapy, or bupropion adjunctive therapy).
  • A MADRS score of ≥ 20 and a YMRS score of ≤ 12 (these cut off scores are standard in bipolar depression RCTs).
  • Inpatient or outpatient status.
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  • All participants are required to agree to practice highly effective methods of contraception (i.e. hormonal contraceptives, intrauterine device or system, vasectomy and tubal ligation, or double barrier methods of contraception) OR agree to completely abstain from heterosexual intercourse. Females who do not have childbearing potential are required to be postmenopausal for at least 1 year before the screening visit (confirmed by an FSH test) OR surgically sterile.
  • The capability of understanding, consenting to and complying with study requirements.
  • All concomitant medication must be at a stable dose for two weeks prior to the randomization visit.

Who cannot join

  • Current depressive episode greater than 12 months.
  • A history of rapid cycling, defined as ≥ 4 mood episodes in the preceding 12 months.
  • Current unstable or inadequately treated medical illness with the exception of current depression.
  • Recently started taking a CANMAT-recommended treatment for the management of acute bipolar depressive episode, but has not had a trial for a minimum of 6 weeks with adequate doses.
  • Recently (i.e. within the past 8 weeks) began structured psychotherapy (i.e. cognitive-behavioral therapy, interpersonal psychotherapy, family-focused therapy, or interpersonal and social rhythm therapy).
  • Recently (i.e. within the past 8 weeks) started taking a stimulant medication. Concomitant treatment with stimulant medication is acceptable provided that the dose has been stable for a minimum of 8 weeks and is taken as prescribed by a physician.
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  • Current use of clozapine, tricyclic antidepressants, monoamine oxidase inhibitors, and first-generation antipsychotics.
  • A history of non-response or intolerance to CBD.
  • Current or past month daily use of CBD, or any product or drug that contains CBD. Occasional users will be included if they agree to refrain from using during the trial.
  • A history of non-response to electroconvulsive therapy for the current depressive episode.
  • A current diagnosis of other primary psychiatric disorders as assessed by a study investigator to be primary and causing greater impairment than BD.
  • A lifetime history of a primary psychotic disorder (e.g. schizoaffective disorder, bipolar subtype) according to DSM-5 criteria.
  • Patients who have met the DSM-5 criteria for a substance use disorder (except for nicotine or caffeine) within the past 6 months.
  • Significant active suicidal ideation (as evidenced by MADRS suicide item ≥ 4).
  • Pregnancy or lactation.
  • Liver function tests (AST and ALT) three times the upper limit of normal.

Trial locations and contacts

6 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Nazlin Walji, BSc contact

604-822-7294

nazlin.walji@ubc.ca

Shannon Reid, BA contact

604-822-8045

shannon.reid@ubc.ca

6 sites in 1 country

Canada6 sites, 6 recruiting
  • St. Joseph's Healthcare

    Hamilton, Ontario, L8N 3K7

    Gomes Fabiano, MD

    Recruiting
  • Providence Care Hospital

    Kingston, Ontario, K7L 4X3

    Roumen Milev, MD

    Recruiting
  • Douglas Mental Health University Institute

    Montreal, Quebec, H4H 1R3

    Serge Beaulieu, MD

    Not yet recruiting
  • Sunnybrook Health Sciences Centre

    Toronto, Ontario, M4N 3M5

    Ayal Schaffer, MD

    Not yet recruiting
  • Centre for Addiction and Mental Health (CAMH)

    Toronto, Ontario, M6J1H4

    Arun Ravindran, MD

    Nisha Ravindran, MD

    Not yet recruiting
  • UBC Mood Disorders Centre

    Vancouver, British Columbia, V6T 1Z3

    Shannon Reid, BA, 604-822-8045, shannon.reid@ubc.ca

    Nazlin Walji, BSc, 604-822-7294, nazlin.walji@ubc.ca

    Recruiting

Other trials in Canada

About this study

Official title: Cannabidiol Adjunctive Therapy for Acute Bipolar Depression: A Randomized Double-Blind, Placebo Controlled Trial

Bipolar disorder (BD) is a lifelong condition characterized by recurrent episodes of depression and (hypo)mania. Periods of chronic and recurring depressive episodes are more common and can be severely disabling. Effective treatments exist; however, a significant portion of bipolar depressed patients do not respond to or have difficulty tolerating many of these interventions and thus look beyond established treatments to achieve symptom relief.

Cannabidiol (CBD), a chemical from the Cannabis sativa plant, has shown to have some beneficial effects on mood symptoms in a few small studies which assessed its effects in other mental and physical health conditions, but no large studies have been conducted to assess its safety and efficacy in bipolar depression. Additionally, several clinical studies have shown CBD to be safe and tolerable.

The primary objective of this study is to assess the effectiveness, safety and tolerability of cannabidiol in patients with bipolar depression (BD I or BD II) who have not responded to adequate trials with at least one first-line treatment for bipolar depression in comparison to those who will be treated with placebo. Placebo is an inactive substance that looks identical to the study medication but contains no therapeutic ingredient. This study is a randomized (like the flip of a coin), double-blind (you and the study team will not know which treatment arm you receive) study in which participants will receive either CBD or placebo added to their current treatment. Participants will have 5 clinical appointments and a phone appointment over a period of 10 weeks.

Read the detailed description

This is a Phase 3, 6-week, double-blind, parallel group randomized controlled trial to assess the efficacy, safety and tolerability of adjunctive CBD vs placebo in patients with acute bipolar depression (BD I or BD II) who have not responded to adequate trials with at least one first-line treatment for bipolar I disorder (i.e. lithium, lamotrigine, lurasidone, or quetiapine either as monotherapy or adjunctive therapy), or at least one first or second-line treatment for bipolar II depression (i.e. quetiapine, lithium, lamotrigine, sertraline, or venlafaxine as monotherapy or adjunctive therapy, or bupropion adjunctive therapy). After the baseline visit, patients who meet the eligibility criteria will enter a 6-week double-blind treatment phase during which participants will be randomized to adjunctive CBD or identical placebo.

Participants will be assessed at the screening visit, baseline visit, weeks 2, 4, and 6, or endpoint visit. All participants will receive a follow-up telephone call 2 weeks after the 6-week study endpoint or early termination visit to assess well-being.

All participants will continue treatment with their mood stabilizer and/or atypical antipsychotic as prescribed by their treating physicians.

Being tested
Cannabidiol, Placebo
Keywords
Cannabidiol, Bipolar Disorder, Bipolar Depression, Mood Disorder, CBD, Depression
Medical subject headings
Bipolar Disorder, Mood Disorders, Depression

What participants receive

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

  • CannabidiolDrug

    Also called CBD

    Cannabinoid

  • PlaceboOther

    Inactive substance

Study groups in NCT05867849
Study groupRoleWhat they receive
CannabidiolExperimentalCannabidiol 200 - 600 mg / day added to current treatment for 6 weeks.
Receives: Drug: Cannabidiol
PlaceboPlacebo comparatorPlacebo added to current treatment for 6 weeks.
Receives: Other: Placebo

What is being measured

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

  1. Improvement in depressive symptoms in bipolar patients treated with Cannabidiol vs Placebo adjunctive therapy

    The Montgomery Asberg Depression Rating Scale (MADRS) will be used to measure change in depressive symptoms from baseline to endpoint. Scores range from 0 to 60, and lower scores reflect better clinical outcomes.

    Measured: 6 weeks

Secondary outcomes (18)
  1. Response rates

    Response rates are defined as patients showing ≥50% reduction in MADRS scores.

    Measured: 6 weeks

  2. Remission rates

    Remission rates are defined as MADRS ≤ 10 and YMRS ≤ 8 at endpoint.

    Measured: 6 weeks

  3. Treatment-emergent manic/hypomanic events

    The Young Mania Rating Scale (YMRS) will be used to determine the presence of any treatment-emergent manic or hypomanic events from baseline to endpoint. Scores range from 0 to 60, and lower scores reflect better clinical outcomes.

    Measured: 6 weeks

  4. Objective depressive symptoms

    The 21-item Hamilton Depression Rating Scale (HAM-D 21) will be used to measure change in objective depressive symptoms from baseline to endpoint. Scores range from 0 to 62, and lower scores reflect better clinical outcomes.

    Measured: 6 weeks

  5. Subjective depressive symptoms

    The Quick Inventory of Depressive Symptomatology-Self Report (QIDS-SR) and the Dimensional Anhedonia Rating Scale (DARS) will be used to measure change in subjective depressive symptoms from baseline to endpoint. Lower scores on the QIDS-SR reflect better clinical outcomes; higher scores on the DARS reflect better clinical outcomes.

    Measured: 6 weeks

  6. Objective anxiety symptoms

    The Hamilton Anxiety Rating Scale (HAM-A) will be used to measure change in objective anxiety symptoms from baseline to endpoint. Scores range from 0 to 56 and lower scores reflect better clinical outcomes.

    Measured: 6 weeks

  7. Subjective anxiety symptoms assessed by STAI

    The State-Trait Anxiety Inventory (STAI) will be used to measure change in subjective anxiety symptoms. Lower scores on the STAI reflect better clinical outcomes.

    Measured: 6 weeks

  8. Subjective anxiety symptoms assessed by GAD-7

    The Generalized Anxiety Disorder 7-item (GAD-7) will be used to measure change in subjective anxiety symptoms. Lower scores on the GAD-7 reflect better clinical outcomes.

    Measured: 6 weeks

  9. Overall psychiatric status

    The Clinical Global Impression - severity \& change scales will be used to measure change in global severity and global improvement in symptoms from baseline to endpoint. Scores range from 3 to 42, and higher scores reflect worsening in overall psychiatric status.

    Measured: 6 weeks

  10. Psychotic symptoms

    The Positive and Negative Syndrome Scale (PANSS) will be used to measure change in psychotic symptoms from baseline to endpoint. Scores range from 7 to 49, and lower scores reflect better clinical outcomes.

    Measured: 6 weeks

  11. Subjective cognitive functioning

    The Cognitive Complaints in Bipolar Disorder Risk Assessment (COBRA) and the Patient-Reported Outcomes Measurement Information System (PROMIS) Cognitive Function scale will be used to measure change in subjective cognitive functioning from baseline to endpoint. COBRA scores range from 0 to 48, and lower scores reflect better outcomes; PROMIS cognitive function scale scores range from 8 to 40, and higher scores reflect better outcomes.

    Measured: 6 weeks

  12. Objective cognitive functioning

    The Screen for Cognitive Impairment in Psychiatry (SCIP) will be used to measure change in objective cognitive functioning from baseline to endpoint. Higher scores reflect better outcomes.

    Measured: Week 6

  13. Sleep quality

    The Pittsburgh Sleep Quality Index (PSQI) will be used to measure changes in sleep quality and disturbance from baseline to endpoint. Lower scores reflect better sleep quality.

    Measured: 6 weeks

  14. Suicidal thoughts and behaviours

    The Columbia-Suicide Severity Rating Scale (C-SSRS) will be used to measure change in suicidal thoughts and behaviours from baseline to endpoint. Scores range from 0 to 37, and lower scores reflect better clinical outcomes.

    Measured: 6 weeks

  15. Quality of Life assessed by QoL.BD

    The Brief Quality of Life in Bipolar Disorder (QoL.BD) will be used to measure change in quality of life from baseline to endpoint. Higher scores reflect higher quality of life.

    Measured: 6 weeks

  16. Daily functioning

    The Functioning Assessment Short Test (FAST) will be used to measure change in daily functioning from baseline to endpoint. Lower scores reflect better daily functioning.

    Measured: 6 weeks

  17. Health services utilization

    A healthcare utilization diary will be used to measure improvement in health services utilization from baseline to endpoint.

    Measured: 6 weeks

  18. Adverse events

    Adverse events will be measured objectively using an open-ended form and subjectively using the Frequency, Intensity, and Burden of Side Effects Rating (FIBSER). FIBSER scores range from 0 to 18, and lower scores reflect better outcomes.

    Measured: 6 weeks

Timeline

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

  1. First posted22 May 2023
  2. Study start15 Oct 2023
  3. Primary completionDec 2029 (estimated)
  4. Study completionDec 2030 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
360 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05867849
Sponsor's protocol ID
H23-00105
Acronym
CBD-BD
Status last verified
Apr 2025
First submitted
9 May 2023
Last updated
23 Apr 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Cannabidiol in people with Bipolar Disorder, run by University of British Columbia at 6 sites 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 9 inclusion and 16 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: looking for participants now, as of the sponsor's last update on 23 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Nazlin Walji, BSc (604-822-7294, nazlin.walji@ubc.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Improvement in depressive symptoms in bipolar patients treated with Cannabidiol vs Placebo adjunctive therapy (time frame: 6 weeks). 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 23 Apr 2025; AzTrials last refreshed its copy on 29 Oct 2026.

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