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Marijuana SmokingSCRIPTNCT06120855

Study on Regulated Cannabis Sales in Pharmacies

A study testing Regulated cannabis from authorized pharmacies and Cannabis from the illicit market in people with Marijuana Smoking and Cannabis, run by University of Bern at 2 sites in Switzerland.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Though regulated cannabis sales are increasing, little is known about the individual health effects of cannabis regulation. Data from countries with a regulated market can be used to test the effect of regulation on the price of cannabis in the illicit market, and to explore its effect on social and health outcomes at… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Marijuana Smoking, Cannabis, Cannabis Use
What is being tested?
Regulated cannabis from authorized pharmacies and Cannabis from the illicit market
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,177 participants
Where
2 sitesSwitzerland
Study dates
11 Mar 2024to 31 Dec 2029
Phase
Interventional
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • At least 18 years old (validated with valid identification document)
  • Written informed consent
  • Regular cannabis user: Self-reported cannabis use at least once a month over the last 6 months and verified cannabis exposure based on urine analysis at baseline
  • Resident status in the canton of Bern (for cannabis purchase in the cities of Bern or Biel) or in the city of Lucerne (for cannabis purchase in the city of Lucerne) (validated with registration confirmation from the municipality or confirmation of the residential address)

Who cannot join

  • Pregnant women (pregnancy test based on urine sample)
  • Breastfeeding women (self-reported)
  • People with a prescription for medical cannabis (self-reported)
  • People currently in psychiatric inpatient treatment (self-reported)
  • People with current, severe psychosis (self-reported and confirmed by study nurse/study physician)
  • People with current, severe suicidal thoughts (self-reported and confirmed by study nurse/study physician)
Show all 10Show fewer
  • Inability to follow the procedures of the study due to severe cognitive impairment or language problems
  • People who cannot attend the baseline study visit in-person
  • People planning to move out of the canton of residence within 6 months of entering the trial.
  • People who are participating or have participated (inclusion date up to one year ago) in another cannabis pilot trial which allows to buy regulated cannabis (validated by matching untraceable codes between studies witch the same catchment area).

Trial locations and contacts

2 sites in 1 country.

Switzerland2 sites
  • University of Bern

    Bern, 3012

  • Zentrum für Hausarztmedizin und Community Care, University of Lucerne

    Lucerne

Other trials in Switzerland

About this study

Official title: The Safer Cannabis - Research In Pharmacies Randomized Controlled Trial (SCRIPT)

Though regulated cannabis sales are increasing, little is known about the individual health effects of cannabis regulation. Data from countries with a regulated market can be used to test the effect of regulation on the price of cannabis in the illicit market, and to explore its effect on social and health outcomes at the societal level, but strength of evidence for individual health and social outcomes is more limited because it must be aggregated on a state or country level. Data on individual and social outcomes should include baseline measurements before and outcome measurements after regulations changed. In this context, randomized-controlled trials are the least biased source of data on the effects of interventions.

The SCRIPT study aims to investigate the individual health and social impact on recreational cannabis users who are allowed to purchase authorized, regulated cannabis from Swiss pharmacies compared to users who buy cannabis on the illicit market. Participants are randomly allocated in one of the two groups and followed-up for 6 months. After 6 months, all participants are allowed to participate in the intervention and the cohort is followed up for another 18 months.

Read more

The intervention includes various offers: Participants can choose between cannabis sorts and delivery methods, and they are encouraged to shift from smoking cannabis to vaping cannabis-containing e-liquids, vaporizing cannabis blossoms or using oral cannabis. Vaping / vaporizing electronic devices are also recommended. At the same time, pharmacists offer opportunistic smoking cessation and problematic cannabis, alcohol use and further drug use counseling that conforms to motivational interviewing principles.

The SCRIPT study adheres to rigorous quality criteria for the production and storage of regulated cannabis products. Only vaping / vaporizing electronic devices which are validated to reduce exposure to toxicants compared to cannabis smoking are recommended.

Read the detailed description

Cannabis is the most consumed illegal substance in Switzerland. Many countries and an increasing number of US states have regularized cannabis production and distribution for non-medical use. Analyses of the effects of regulation are promising on a population level, but the causal effects of regulation have only been assessed in before-after studies or ecological comparisons between countries or states. Randomized controlled trials (RCT) are needed to better assess the effects of cannabis regulation on individuals. Since May 2021, the conduct of scientific pilot studies are allowed in Switzerland. While rigorous quality and safety standards cannot be implemented in illicit production and distribution networks, they can be implemented in regulated markets. Beyond psychiatric outcomes, the major hazard associated with cannabis use on somatic health outcomes are mostly related to smoking cannabis and mixing it with tobacco. Regulation therefore also opens the door to harm reduction strategies like counseling users to vape, vaporize, or eat cannabis instead of smoking it. Regulated sale in pharmacies would further facilitate smoking cessation counseling and access to health and social care for those in need. The SCRIPT trial aims to investigate the individual health and social impact on recreational cannabis users who are offered a multimodal intervention of authorized, regulated cannabis sale in combination with counselling on reducing harm (intervention group) compared to users who continue to buy cannabis on the illicit market (control group).

The intervention group is allowed to purchase regulated cannabis in authorized pharmacies. The intervention includes various offers: Participants can choose between cannabis sorts and delivery methods, and they are encouraged to shift from smoking cannabis to vaping cannabis-containing e-liquids, vaporizing cannabis blossoms or using oral cannabis. Vaping / vaporizing electronic devices are also recommended. At the same time, pharmacists offer opportunistic smoking cessation and problematic cannabis, alcohol use and further drug use counseling that conforms to motivational interviewing principles. The control group receives no intervention and is expected to continue purchasing cannabis from the illicit market.

This is a multicenter, pragmatic, open-labelled randomized controlled trial from baseline to 6-months follow-up. After 6 months, the control group is allowed to purchase cannabis in pharmacies, too, and the study designs changes to a cohort-study.

Being tested
Regulated cannabis from authorized pharmacies, Cannabis from the illicit market
Keywords
Cannabis, Cannabis Use, Cannabis sativa, Cannabinoids
Medical subject headings
Marijuana Smoking, Marijuana Abuse

What participants receive

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

  • Regulated cannabis from authorized pharmaciesDrug

    The intervention group is allowed to purchase regulated cannabis in authorized pharmacies. The intervention includes various offers: Participants can choose between cannabis sorts and delivery methods, and they are encouraged to shift from smoking cannabis to vaping cannabis-containing e-liquids, vaporizing cannabis blossoms or using oral cannabis. Vaping / vaporizing electronic devices are also recommended. At the same time, pharmacists offer opportunistic smoking cessation and problematic cannabis, alcohol use and further drug use counseling that conforms to motivational interviewing principles.

    Study participants can choose between different cannabis-containing products such as dried cannabis flowers, cannabis concentrates (colloquially called hashish or hash), e-liquids and oral cannabis. Besides the cannabis products, participants can buy vaping or vaporizing electronic devices at the pharmacy (they are not considered as study products).

  • Cannabis from the illicit marketDrug

    The control group receives no intervention and is expected to continue purchasing cannabis from the illicit market.

Study groups in NCT06120855
Study groupRoleWhat they receive
Regulated cannabis from authorized pharmacies (intervention group)ExperimentalMultimodal intervention of authorized, regulated cannabis sale in combination with counselling on reducing harms for recreational cannabis users in Swiss pharmacies (intervention group).
Receives: Drug: Regulated cannabis from authorized pharmacies
Cannabis from the illicit market (control group)Active comparatorThe control group receives no intervention and is expected to continue purchasing cannabis from the illicit market.
Receives: Drug: Cannabis from the illicit market

What is being measured

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

  1. Self-reported cannabis and tobacco smoking abstinence in the 7 days prior to the 6-months follow-up visit, validated by carbon monoxide (CO) in exhaled air

    To distinguish between non-smoker and smoker, the cut-off for the CO measurement is <10 parts per million (ppm) and no self-reported combustible cannabis and tobacco use within the last 7 days (7-day point prevalence of abstinence). The validation is based on the worst-case principle. Smokers are considered as

    • participants with a positive CO measurement, even if the self-report is negative.
    • participants with a positive self-declaration, even if the CO measurement is negative.

    Measured: 6 months

Secondary outcomes (37)
  1. Self-reported reported 7-days point prevalence abstinence from cannabis and tobacco smoking at 6 months follow-up, without validation by CO in exhaled air.

    Based on interviews by phone or online

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  2. Shift from smoking to safer, alternative delivery methods of cannabis and, if applicable, tobacco.

    Shift from smoking cannabis to safer, alternative delivery methods of cannabis and, if applicable, from smoking tobacco to alternative nicotine delivery systems or nicotine cessation between groups among those who were smoking cannabis at baseline and/or were smoking tobacco at baseline, with and without validation

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  3. Concentration of toxicants in urine

    Measured in urine from a sub-sample

    Measured: 6 months

  4. Type of cannabis sold per participant in pharmacies

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  5. Amount of cannabis sold per participant in pharmacies

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  6. Self-reported cannabis purchase on the illicit market

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  7. Self-reported frequency of use

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  8. Concentration of THC and CBD in cannabis bought on the illicit market

    Measured in cannabis from a random sub-sample.

    Measured: 6 months

  9. Concentration of contaminants in cannabis bought on the illicit market

    Measured in cannabis from a random sub-sample.

    Measured: 6 months

  10. Severity of generalised anxiety disorder

    Recorded as participant-reported outcome. Measured by Generalised Anxiety Disorder (GAD-7) questionnaire (scores range from 0 to 21, with higher scores indicating higher levels of generalised anxiety)

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  11. Attention Deficit Hyperactivity Disorder (ADHD) symptoms in adults

    Recorded as participant-reported outcome. Measured by Adult ADHD Self-Report Scale (ASRS) questionnaire.

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  12. Severity of depression

    Recorded as participant-reported outcome. Measured by the Patient Health Questionnaire-9 (PHQ-9) (scores range from 0 to 27, with higher scores indicating more depressive symptoms)

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  13. Number of psychotic symptoms

    Recorded as participant-reported outcome. Measured by the Psychotic Symptoms (PS) Checklist

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  14. Somatic health

    Recorded as participant-reported outcome. Measured by Pittsburgh Sleep Quality Index (PSQ-I) questionnaire.

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  15. Impact of COPD

    Recorded as participant-reported outcome. Measured by COPD Assessment Test (CAT) questionnaire (scores range from 0 to 40, with higher scores indicating indicating a more severe impact of COPD on a patient's life).

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  16. Severity of dyspnea

    Recorded as participant-reported outcome. Measured by Modified Medical Research Council (MMRC) scale for dyspnea.

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  17. COPD exacerbation assessment

    Recorded as participant-reported outcome.

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  18. Quality of life (health-related)

    Recorded as participant-reported outcome. Measured by the European Quality of Life-5 Dimensions (EQ-5D) questionnaire.

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  19. Perception of stress

    Recorded as participant-reported outcome. Measured by the Perceived Stress Scale (PSS).

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  20. Cannabis use and purchase behavior

    Recorded as participant-reported outcome.

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  21. Cannabis use disorder

    Recorded as participant-reported outcome. Measured by Cannabis Use Disorders Identification Test - Revised (CUDIT-R) questionnaire.

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  22. Consumption motives

    Recorded as participant-reported outcome.

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  23. Consumption competence

    Recorded as participant-reported outcome.

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  24. Consumption risk perception

    Recorded as participant-reported outcome.

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  25. Nicotine/tobacco use behavior

    Recorded as participant-reported outcome

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  26. Exposure to second-hand smoke

    Recorded as participant-reported outcome

    Measured: 6, 12, 18, 24, 30, 36, 42 & 48 months

  27. Alcohol consumption behavior

    Recorded as participant-reported outcome. Measured by Alcohol Use Disorders Identification Test (AUDIT-C).

    Measured: 6, 12, 18, & 24 months

  28. Drug consumption behavior

    Recorded as participant-reported outcome. Measured by Alcohol, Smoking and Substance Involvement Screening Test (ASSIST V3.0).

    Measured: 6, 12, 18, & 24 months

  29. Medication use behavior

    Recorded as participant-reported outcome

    Measured: 6, 12, 18, & 24 months

  30. Treatment/Counseling Experience

    Recorded as participant-reported outcome

    Measured: 6, 12, 18, & 24 months

  31. Use of health and social services

    Recorded as participant-reported outcome.

    Measured: 6, 12, 18, & 24 months

  32. Body mass index

    Cardiovascular risk factor (CVRF) measured at physical examinations.

    Measured: 6 months

  33. Blood pressure

    Cardiovascular risk factor (CVRF) measured at physical examinations.

    Measured: 6 months

  34. Waist-to-hip ratio

    Cardiovascular risk factor (CVRF) measured at physical examinations.

    Measured: 6 months

  35. Number of safety events

    Recorded as participant-reported outcome.

    Measured: 6, 12, 18, & 24 months

  36. Inflammation-related protein biomarkers

    Measured from blood samples from a sub-sample. Analysis of 92 protein biomarkers associated with inflammatory and immune response processes using the Olink® Target 96 Inflammation Panels.

    Measured: 6 months

  37. Blood biomarker for alcohol and cannabis exposure

    Validation of the self-reported exposure to alcohol and cannabis through biomarkers of exposure, measured from blood samples from a sub-sample

    Measured: 6 months

Timeline

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

  1. First posted7 Nov 2023
  2. Study start11 Mar 2024
  3. Primary completion30 Sep 2026 (estimated)
  4. Study completion31 Dec 2029 (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 N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a multicenter, pragmatic, open-labelled randomized controlled trial from baseline to 6-months follow-up. After 6 months, the control group is allowed to purchase cannabis in pharmacies, too, and the study design changes to a cohort-study.
Masking
None (open label)
Enrolment
1,177 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06120855
Sponsor's protocol ID
SCRIPT
Acronym
SCRIPT
Status last verified
May 2026
First submitted
19 Oct 2023
Last updated
11 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Regulated cannabis from authorized pharmacies and Cannabis from the illicit market in people with Marijuana Smoking and Cannabis, run by University of Bern at 2 sites in Switzerland.

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 4 inclusion and 10 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: under way, not looking for participants, as of the sponsor's last update on 11 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Switzerland. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

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?

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?

Self-reported cannabis and tobacco smoking abstinence in the 7 days prior to the 6-months follow-up visit, validated by carbon monoxide (CO) in exhaled air (time frame: 6 months). 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 11 May 2026.

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