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FracturePhase 2CAM-POTNCT06448923

Cannabidiol After Multi-Trauma for Pain and Opioid Therapy

A Phase 2 study testing Cannabidiol in people with Fracture, run by Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal at 1 site 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
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Trial summary

The aim of this project is to investigate the therapeutic potential and safety of acute Cannabidiol (CBD) treatment on longitudinal pain symptoms, and to assess potential interactions with pain mediators including opioids and sex on CBD treatment response. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Fracture
What is being tested?
Cannabidiol
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
225 participants
Where
1 siteCanada
Study dates
1 Jun 2025to Jun 2027
Phase
Phase 2
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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with a long bone fracture of the lower limb (tibia, fibula, femur, metatarsals, and phalanges) or the upper limb (humerus, radius, ulna, metacarpals, and phalanges) treated to Sacre-Coeur Hospital in Montreal (HSCM) within one week of the accident
  • Participants is between 18 and 70 years of age
  • Patients with or without surgical procedures

Who cannot join

  • Moderate/severe traumatic brain injury (TBI)
  • Diagnosis of any of the following mental disorders as defined by the DSM-5: schizophrenia, intellectual disability, bipolar disorder, major depression, a diagnosed and untreated sleep disorders
  • History of alcohol or opioid misuse/abuse, as defined by the DSM-5
  • Evidence of severe renal (stage 4 or 5) or hepatic impairment (Child B or C)
  • Pregnant or lactating women, women of childbearing potential who are not using medically accepted forms of contraception (e.g., condoms, oral contraceptive or intrauterine device), or women who are actively planning on becoming pregnant
  • History of adverse reactions to cannabis
Show all 13Show fewer
  • Patients taking warfarin, sildenafil, valproate or under opioids treatment prior to the injury
  • Patients experiencing on average mild-to-absent pain in the last 24h preceding recruitment (as per a score <30 on a 0-100mm Visual Analogue Scale (VAS))
  • Transport business drivers and heavy machinery operators
  • A diagnosis of chronic pain, bone pathology (e.g., osteoporosis) or chronic inflammatory disease (e.g., rheumatoid arthritis, arthritis, psoriasis)
  • Not having French or English as a spoken language
  • A weighted MoCA score of less than 24
  • Regular cannabis use more than 5 times a week

Trial locations and contacts

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

Canada1 site, 1 recruiting
  • Hôpital Sacré-Coeur de Montréal

    Montreal, Quebec, H4J 1C5

    Amélie Apinis-Deshaies Research Coordinator, 514-338-2222 ext. 5833265, amelie.apinis-deshaies.cnmtl@ssss.gouv.qc.ca

    Recruiting

Other trials in Canada

About this study

Official title: Effects of an Acute 1-month Cannabidiol Treatment on Pain and Inflammation After a Long Bone Fracture: a Triple-blind Randomized, Placebo Controlled Clinical Trial

The aim of this project is to investigate the therapeutic potential and safety of acute Cannabidiol (CBD) treatment on longitudinal pain symptoms, and to assess potential interactions with pain mediators including opioids and sex on CBD treatment response. To this end, this research protocol proposes a comprehensive translational approach including a placebo-controlled randomized clinical trial comparing two daily doses of CBD treatment administered for one month on pain relief. This study will also compare intervention conditions on inflammation markers, participant quality of life, sleep quality, depression, anxiety, cognition and orthopaedic function.

Read the detailed description

The level of pain in the acute phase after injury is a predictor of the development of chronic pain. Chronic pain is defined as pain that persists for more than 3 months post-accident and impairs functional recovery. Mechanistically, it has been shown that acute nonspecific inflammation triggered after peripheral injury results in the continuous release of proinflammatory cytokines that weaken the blood-brain barrier, facilitating the entry of toxins that can invade the central nervous system (CNS). The resulting sustained inflammation of the CNS plays an important role in establishing the maladaptive plasticity process underlying pain chronification. Cannabidiol (CBD), a component of cannabis devoid of addictive or psychotropic effects, stands out as a potential therapeutic agent given its analgesic and anti-inflammatory properties as well as its potential to enhance the biomechanical properties of bone healing. Given the excellent safety profile of CBD and its inhibitory effects on microglial activity, the primary mechanism of neuroinflammation and pain, CBD has the potential to promote acute pain relief while reducing reliance on addictive opioid treatments, hence facilitating recovery in trauma patients.

This study is a randomized, placebo controlled, human pilot clinical trial evaluating the effects of two doses (low and moderate) of CBD vs. placebo on pain after orthopaedic trauma.

Risks of adverse effects are considered low given the demonstrated excellent safety profile of CBD. CBD was also shown to accentuate opioid analgesic effects, thus reducing required opioid doses for patient comfort. The most likely adverse events associated with CBD in adult patients include somnolence, fatigue, drowsiness and decreased appetite. Access to on-duty emergency physicians at the recruiting site will be provided during the entire treatment duration.

A 30% relative pain intensity reduction on the VAS (expected response of 50% or more in the CBD group and expected 20% in the placebo group) has been used extensively to reflect clinically significant pain relief in clinical trials. Based on a Fisher's exact test, a sample size of 225 participants (3 groups of 75) will be required to reach a power of 80% to detect a statistically significant difference in the proportion of patients who reaches 30% pain reduction between the CBD groups and placebo at 1-month post-injury, assuming a dropout rate of 20% and a significance level of 5%. These parameters are taken from a successful randomised, placebo-controlled clinical trial using Sativex© in treating 125 neuropathic pain patients. Moreover, considering that the placebo group may ingest more opiates and that the anticipated inter-group effect at one month may be reduced to 20%, a total sample size of 225 subjects could be required to achieve 80% power, assuming a drop-out rate of 20% and a significance level of 5%.

Our group has ensured the feasibility of conducting such a pilot clinical trial in multi-trauma patients with the recruitment of 110 patients in less than 18 months to take part in a 10-session, outpatient treatment trial. A partnership with Canadian company EmpowerPharm will enable the use of pharmaceutical-grade synthetic CBD samples and identical placebos. The pharmacokinetic profile of the CBD product has been established.

Conditions
Fracture
Being tested
Cannabidiol, Placebo
Keywords
Cannabidiol, Trauma, Pain, Inflammation, Fracture, Orthopaedic
Medical subject headings
Fractures, Bone, Wounds and Injuries, Pain, Inflammation

What participants receive

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

  • CannabidiolDrug

    25 mg of CBD tablets twice daily

  • CannabidiolDrug

    50 mg of CBD tablets twice daily

  • PlaceboDrug

    Matching placebo tablets twice daily

Study groups in NCT06448923
Study groupRoleWhat they receive
Low CBD doseExperimentalParticipants will receive 25 mg orally twice daily during a meal for a month
Receives: Drug: Cannabidiol
Moderate CBD doseExperimentalParticipants will receive 50 mg orally twice daily during a meal for a month
Receives: Drug: Cannabidiol
PlaceboPlacebo comparatorParticipants will receive matching placebo orally twice daily during a meal for a month
Receives: Drug: Placebo

What is being measured

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

  1. Change From Baseline on Pain Intensity Rating on a Visual Analog Scale (VAS) at Week 4

    VAS pain intensity will be collected at baseline (before the start of treatment), twice a week during treatment, 24 hours after the end of treatment and at the 3-month follow-up. The VAS is a 100 mm line with anchor words ranging from "no pain" to "worst pain imaginable". Participants will be asked to place an intersecting mark along the line to indicate their pain intensity at the specific time of the test.

    Measured: Baseline and 4 weeks

Secondary outcomes (16)
  1. Response Rate - 50 Percent or Greater Reduction in Pain Intensity on a Visual Analog Scale (VAS)

    The response rate was defined as the number of participants with a 50 percent or greater reduction in VAS pain score from baseline to end of treatment. The VAS is a 100 mm line with anchor words ranging from "no pain" to "worst pain imaginable".

    Measured: 4 weeks

  2. Change in Pain Rating on the Brief Pain Inventory Short Form (BPI-sf) Between Interventions

    The Brief Pain Inventory short form (BPI-sf) is a 9-item self-reported questionnaire assessing for the presence, intensity, and location(s) of pain, as well as perceived efficacy of pain relief treatment, and pain interference with activities of daily living. Item scores range from 0-10. The lower the score, the better the subject's pain.

    Measured: 4 weeks and 3 months

  3. Change in Blood Level Inflammation Over Time and Between Interventions

    Blood levels of pro-inflammatory cytokines including interleukins (IL-6, IL-10) and tumor necrosis factor-alpha (TNF-α) will be collected and quantified.

    Measured: Baseline, 4 weeks and 3 months

  4. Opioid Usage Monitoring

    Opioid usage will be collected from daily medication diary for the first month and from number of prescription refills for months 2 and 3.

    Measured: Ongoing from baseline to 3 months

  5. Change in the Orthopaedic Function Using The Short Musculoskeletal Function Assessment (SMFA) Questionnaire Between Interventions

    The SMFA consists of 34 questions covering the assessment of the patients function and 12 questions related to how bothered patients are by their symptoms. All categories are scored together, totaling between 0-100 percent. The lower the score, the better the subject's function.

    Measured: 4 weeks and 3 months

  6. Change in Quality of Life Using the Short Form (36) Health Survey Between Interventions

    The SF-36 is a 36-item self-report questionnaire for measuring quality of life across 9 domains. Scores range from 0-100, the lower the score, the worse is the subject's quality of life.

    Measured: 4 weeks and 3 months

  7. Change in Sleep Quality Using the Pittsburgh Sleep Quality Index (PSQI) Between Interventions

    A self-report questionnaire that assesses sleep quality and quantity during the past 4 weeks. The PSQI contains 19 self-rated questions which measures seven aspects of sleep: (1) subjective sleep quality, (2) sleep latency, (3) sleep duration, (4) habitual sleep efficiency, (5) sleep disturbances, (6) use of sleeping medication, and (7) daytime dysfunction. The 19 self-rated items are combined to form seven component scores, each of which has a range of 0-3 points (0 indicates no difficulty, while 3 indicates severe difficulty). The seven component scores are then summed to yield one global score, with a range of 0-21 points (0 indicating no difficulty, and 21 indicating severe difficulties in all the seven areas of sleep quality).

    Measured: 4 weeks and 3 months

  8. Change in Depression Symptoms Assessment Using the Beck's Depression Inventory-II Between Interventions

    A 21-item multiple-choice self-report questionnaire for measuring depression symptoms. Scores range from 0 to 63, with higher scores representing more severe symptoms of depression.

    Measured: Baseline, 4 weeks and 3 months

  9. Change in Anxiety Symptoms Assessment Using the Beck's Anxiety Inventory Between Interventions

    A 21-question multiple-choice self-report inventory used for measuring the severity of anxiety symptoms. Score range from 0 to 63. Higher scores indicate more severe anxiety symptoms.

    Measured: Baseline, 4 weeks and 3 months

  10. Change in Speed of Information Processing using Symbol Search from the WAIS-IV Battery Between Intervention

    A neuropsychological test highly sensitive to both mild traumatic brain injury (mTBI) and pain and which do not require the use of injured limbs will be administered. Symbol Search from the WAIS-IV Battery, a tasks assessing speed of information processing, will be administered. Scaled Score range from 0 to 19. Higher scores indicate better processing speed.

    Measured: Baseline, 4 weeks and 3 months

  11. Change in Attention using Elevator counting with distraction from the Test of Everyday Attention Battery Between Intervention

    A neuropsychological test highly sensitive to both mild traumatic brain injury (mTBI) and pain and which do not require the use of injured limbs will be administered. Elevator counting with distraction from the Test of Everyday Attention Battery, a tasks assessing attention, will be administered. Scaled Score range from 0 to 19. Higher scores indicate better attention.

    Measured: Baseline, 4 weeks and 3 months

  12. Change in Attention using Elevator counting from the Test of Everyday Attention Battery Between Intervention

    A neuropsychological test highly sensitive to both mild traumatic brain injury (mTBI) and pain and which do not require the use of injured limbs will be administered. Elevator counting from the Test of Everyday Attention Battery, a tasks assessing attention, will be administered. Scaled Score range from 0 to 19. Higher scores indicate better attention.

    Measured: Baseline, 4 weeks and 3 months

  13. Change in Memory using the California Verbal Learning Test Between Interventions

    A neuropsychological test highly sensitive to both mild traumatic brain injury (mTBI) and pain and which do not require the use of injured limbs will be administered. The California Verbal Learning Test, a tasks assessing memory, will be administered. Standard Score range from -5 to 5. Higher scores indicate better memory.

    Measured: Baseline, 4 weeks and 3 months

  14. Change in Memory using Digit Span from the WAIS-IV Battery Between Intervention

    A neuropsychological test highly sensitive to both mild traumatic brain injury (mTBI) and pain and which do not require the use of injured limbs will be administered. Digit Span from the WAIS-IV Battery, a tasks assessing memory, will be administered. Scaled Score range from 0 to 19. Higher scores indicate better memory.

    Measured: Baseline, 4 weeks and 3 months

  15. Change in Executive Fonction using the D-KEFS Color-Word Between Interventions

    A neuropsychological test highly sensitive to both mild traumatic brain injury (mTBI) and pain and which do not require the use of injured limbs will be administered. The D-KEFS Color-Word, a tasks assessing executive function, will be administered. Scaled Score range from 1 to 19. Higher scores indicate better executive function.

    Measured: Baseline, 4 weeks and 3 months

  16. Change in Executive Function using the D-KEFS Verbal Fluency Between Interventions

    A neuropsychological test highly sensitive to both mild traumatic brain injury (mTBI) and pain and which do not require the use of injured limbs will be administered. The D-KEFS Verbal Fluency, a tasks assessing executive function, will be administered. Scaled Score range from 1 to 19. Higher scores indicate better executive function.

    Measured: Baseline, 4 weeks and 3 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 Jun 2024
  2. Study start1 Jun 2025
  3. Primary completionJun 2027 (estimated)
  4. Study completionJun 2027 (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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
225 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06448923
Sponsor's protocol ID
2025-2105
Acronym
CAM-POT
Status last verified
Jul 2025
First submitted
28 May 2024
Last updated
30 Jul 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Brazeau D, Deshaies AA, Williamson D, Bernard F, Arbour C, Pinard AM, Rouleau D, De Beaumont L. Impact of an acute 1-month cannabidiol treatment on pain and inflammation after a long bone fracture: a triple-blind randomised, placebo-controlled, clinical trial protocol. BMJ Open. 2025 Feb 20;15(2):e092919. doi: 10.1136/bmjopen-2024-092919.

    PubMed 39979051

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Cannabidiol in people with Fracture, run by Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal 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 3 inclusion and 13 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 30 Jul 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 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 Louis De Beaumont, PhD (514-338-2222 ext. 5833263, louis.de.beaumont@umontreal.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline on Pain Intensity Rating on a Visual Analog Scale (VAS) at Week 4 (time frame: Baseline and 4 weeks). 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 NCT06448923, 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 30 Jul 2025.

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