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Chemotherapy-Induced Peripheral NeuropathyPhase 1NCT07016971

CBG/CBD Oil for Chemotherapy-Induced Peripheral Neuropathy

A Phase 1 study testing CBG/CBD Oil in people with Chemotherapy-Induced Peripheral Neuropathy, run by Milton S. Hershey Medical Center at 1 site in United States.

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 goal of this clinical trial is to learn if a commercially available cannabigerol (CBG)/cannabidiol (CBD) oil is safe, feasible to use, and can help reduce symptoms of chemotherapy-induced peripheral neuropathy (CIPN) in adults who have completed platinum-based chemotherapy for gastrointestinal cancers. Read more about this study

Who is it for?
Ages 21 years and older
What is being tested?
CBG/CBD Oil
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
1 siteUnited States
Study dates
3 Apr 2026to 3 Jul 2029
Phase
Phase 1
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 21 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged 21 years or older.
  • Patients with grade 1 or greater CIPN symptoms, such as neuropathic pain, paresthesia, or muscle weakness, persisting for more than 2 weeks as defined by the National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) version 5.
  • Patients who have completed platinum-based chemotherapy for colorectal carcinoma, biliary tract carcinoma, pancreatic carcinoma, esophageal carcinoma, gastric carcinoma, or small intestinal carcinoma within the past 2 years.
  • Patients currently taking any treatment for CIPN must discontinue such treatments at least 2 weeks prior to enrollment.
  • Women of childbearing potential (WOCBP): negative urine or serum pregnancy test. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required (A pregnancy teste will be performed during screening (up to 28 days before treatment and repeated within 7 days prior to study drug initiation to confirm baseline status and minimize risk of unrecognized pregnancy).
  • Agreement by females and males of childbearing potential to use an effective method of birth control or abstain from heterosexual activity for the course of the study through at least 1 months after the last dose of protocol therapy. Childbearing potential defined as not being surgically sterilized (men and women) or have not been free from menses for > 1 year (women only).
  • Patients from Penn State Health.

Who cannot join

  • Patients under the age of 21 years.
  • Patients with a history of preexisting neuropathy prior to chemotherapy.
  • Pregnant and nursing women.
  • Patients with hypertension that, in the investigator's judgement, is uncontrolled despite the use of anti-hypertensives, or with hypotension (systolic blood pressure <90 mmHg and/or diastolic blood pressure <60 mmHg).
  • History of or active arterial thromboembolic event (e.g. stroke, myocardial infarction).
  • Patients who have used an investigational drug within 30 days prior to the screening visit or are currently participating in another interventional investigational study.
Show all 17Show fewer
  • Patients who have liver function tests AST/ALT > 3 times above the upper limits of normal (ULN) in the past year.
  • Patients who have suicidal ideation or uncontrolled depression within the past year.
  • Patients with known sensitivity to any components of CBG/CBD hemp extract.
  • Patients with known sensitivity to coconut oil.
  • Patients currently receiving active systemic anti-cancer therapies, including but not limited to chemotherapy, immunotherapy, targeted therapy (e.g., tyrosine kinase inhibitors, anti-HER2 therapy), or any other ongoing systemic treatment intended to control or reduce tumor burden.
  • Current use of moderate or strong inhibitors or inducers of CYP3A4 or CYP2C19.
  • Current use of sensitive CYP2C19 substrates with narrow therapeutic indices (e.g., diazepam, clobazam), unless the subject's primary physician agrees to adjust the dose and provide close therapeutic monitoring.
  • Current use of valproate or other medications known to significantly increase the risk of liver enzyme elevations when co-administered with cannabidiol.
  • Current use of medications that are primarily metabolized by CYP1A2 (e.g., theophylline) or CYP2B6 (e.g., bupropion, efavirenz) that cannot be safely monitored or dose-adjusted per the discretion of the study investigator. Occasional or dietary caffeine intake is permitted.
  • Current use of medications that are substrates of UGT1A9 (e.g., diflunisal, propofol, fenofibrate), UGT2B7 (e.g., gemfibrozil, lamotrigine, morphine, lorazepam), CYP2C8, or CYP2C9 (e.g., phenytoin) that cannot be safely monitored or dose-adjusted per the discretion of the study investigator.
  • Current use of other known hepatotoxic drugs unless the potential risk has been evaluated and deemed acceptable by the study investigator.

Trial locations and contacts

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

United States1 site, 1 recruiting
  • Penn State Cancer Institute

    Hershey, Pennsylvania, 17033

    717-531-5471, PSCI-CTO@pennstatehealth.psu.edu

    Recruiting

Other trials in United States

About this study

Official title: A Pilot Study to Evaluate the Feasibility, Safety, and Efficacy of Cannabigerol/Cannabidiol Oil for Chemotherapy-Induced Peripheral Neuropathy

The goal of this clinical trial is to learn if a commercially available cannabigerol (CBG)/cannabidiol (CBD) oil is safe, feasible to use, and can help reduce symptoms of chemotherapy-induced peripheral neuropathy (CIPN) in adults who have completed platinum-based chemotherapy for gastrointestinal cancers. The main questions it aims to answer are:

Is CBG/CBD oil safe and well-tolerated over a 12-week treatment period?

Read more

Can participants with CIPN use CBG/CBD oil consistently as part of their care?

Does CBG/CBD oil help reduce pain, numbness, or other symptoms of CIPN?

Participants will:

Take CBG/CBD oil under the tongue (sublingually) twice daily for 12 weeks

Complete regular symptom assessments and functional tests during study visits

Provide blood samples for cannabinoid and metabolite level testing

Read the detailed description

This pilot clinical trial is designed to evaluate the safety, feasibility, and preliminary efficacy of a commercially available cannabigerol (CBG)/cannabidiol (CBD) oil in treating chemotherapy-induced peripheral neuropathy (CIPN) in adult patients who have completed platinum-based chemotherapy for gastrointestinal malignancies. The study is based on preclinical findings from Dr. Wesley Raup-Konsavage's laboratory, which showed that CBG and CBD reduced neuropathic pain in animal models of CIPN. This clinical trial seeks to translate these findings into a patient population with persistent CIPN symptoms.

The study intervention uses a high-CBG/CBD hemp oil extract that is marketed as a dietary supplement and contains a verified profile of cannabinoids and terpenes. The formulation also includes small amounts of cannabichromene (CBC), which may contribute to analgesic effects via the "entourage effect." Subjects will administer 0.5 mL sublingually twice daily during the first week, followed by 1 mL sublingually twice daily for the remaining 11 weeks of the 12-week treatment period.

The treatment period is divided into three 4-week cycles to structure visit scheduling and assessments. The study will collect data on symptom changes, physical function, mental health, tolerability, and cannabinoid levels over time.

Primary objectives include evaluating the safety and tolerability of CBG/CBD oil and the feasibility of its use in this patient population. Secondary objectives include measuring changes in CIPN symptoms, physical and mental function, adherence, pharmacological tolerance, and circulating cannabinoid/metabolite levels.

The study addresses an urgent need for effective treatments for CIPN, as current therapies (e.g., duloxetine, gabapentin, NSAIDs) are often inadequate and poorly tolerated. By assessing a hemp extract rather than a purified compound, this study also explores the broader applicability and real-world relevance of cannabinoid-based supplements for supportive cancer care.

Being tested
CBG/CBD Oil

What participants receive

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

  • CBG/CBD OilDrug

    Participants will receive a commercially available high CBG/CBD hemp extract oil that also contains small amounts of cannabichromene (CBC). The product is formulated as a sublingual oil and administered twice daily. Participants will take 0.5 mL of the oil sublingually twice daily during the first week, followed by 1 mL sublingually twice daily for the remaining 11 weeks. The oil has a defined and independently verified cannabinoid and terpene profile and is marketed as a dietary supplement.

Study groups in NCT07016971
Study groupRoleWhat they receive
CBG/CBD Oil Treatment ArmExperimentalThis is a single-arm, open-label study in which all participants will receive the intervention of CBG/CBD oil treatment. Participants will be administered sublingual CBG/CBD oil for 12 weeks. The initial dose will be 0.5 mL (17 mg of cannabinoids) twice daily for the first week, followed by 1 mL (33 mg of cannabinoids) twice daily for the remaining 11 weeks. The treatment period is divided into three 4-week cycles. Weekly remote safety phone calls will be conducted, and follow-up phone calls will take place one month after the last dose to monitor safety. The primary goals are to evaluate the safety, tolerability, and feasibility of the CBG/CBD oil, while secondary goals include assessing changes in CIPN symptoms, physical function, mental health, pharmacological tolerance, and adherence to the treatment.
Receives: Drug: CBG/CBD Oil

What is being measured

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

  1. Safety and Tolerability of CBG/CBD Oil

    Evaluated by the incidence and severity of adverse events according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0. The NCI CTCAE v5.0 grades adverse events on a scale from 1 to 5, where:

    Grade 1: Mild; asymptomatic or mild symptoms. Grade 2: Moderate; minimal, local, or noninvasive intervention indicated. Grade 3: Severe or medically significant but not immediately life-threatening. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death related to adverse event. Minimum value: Grade 1 (mild). Maximum value: Grade 5 (death). Interpretation: Higher grades indicate worse outcomes (more severe adverse events).

    Focus will be on toxicities of grade 2 or higher throughout the 12-week treatment period (Cycles 1-3).

    Measured: Through study completion (12 weeks)

  2. Feasibility of Treatment with CBG/CBD Oil

    Defined as the percentage of participants who complete Cycle 1 (Weeks 1-4) of study participation, including all required visits, assessments, and adherence to CBG/CBD oil dosing.

    Measured: Week 4 (End of Cycle 1)

Secondary outcomes (7)
  1. Changes in CIPN Symptoms

    The PNQ grades the severity of chemotherapy-induced peripheral neuropathy (CIPN) symptoms on a scale from 0 to 4, where:

    0: No neuropathy.

    1. Mild neuropathy; does not interfere with daily activities.
    2. Moderate neuropathy; some interference with daily activities.
    3. Severe neuropathy; significant interference with daily activities.
    4. Disabling neuropathy; prevents daily activities. Minimum value: 0 (no neuropathy). Maximum value: 4 (disabling neuropathy). Interpretation: Higher scores indicate worse outcomes (more severe neuropathy symptoms).

    Symptoms will be assessed for changes in sensory and motor disturbances and their impact on daily activities.

    Measured: Baseline (Cycle 1 Day 1, Week 0), Cycle 2 Day 1 (Week 4), Cycle 3 Day 1 (Week 8), and End of Treatment (Week 12; approximately 4 weeks after last dose). Each cycle is 28 days.

  2. Changes in Physical Function

    Measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Short Form 20a. This scale assesses the impact of muscle weakness associated with chemotherapy-induced peripheral neuropathy (CIPN) on daily activities. The PROMIS Physical Function Short Form 20a consists of 20 items, with responses scored from 1 to 5:

    1: Unable to do or severe limitation. 5: No difficulty or limitation. Minimum value: 20 (indicating severe limitation across all items). Maximum value: 100 (indicating no limitation across all items). Interpretation: Higher scores indicate better outcomes (better physical function).

    Physical function will be assessed by comparing baseline scores to those collected at the end of each cycle.

    Measured: Baseline (Cycle 1 Day 1, Week 0), Cycle 2 Day 1 (Week 4), Cycle 3 Day 1 (Week 8), and End of Treatment (Week 12; approximately 4 weeks after last dose). Each cycle is 28 days.

  3. Changes in Mental Health Scores

    Assessed using Patient-Reported Outcomes Measurement Information System (PROMIS) Emotional Distress - Anxiety Short Form 8a and PROMIS Cognitive Function - Short Form 8a.

    Anxiety Short Form 8a: 8 items, scored 1 (never) to 5 (always); T-scores range from ~37.1 (minimal anxiety) to ~83.1 (severe anxiety). Higher T-scores indicate worse outcomes.

    Cognitive Function Short Form 8a: 8 items, scored 1 (poor function) to 5 (good function); T-scores range from ~25.0 (poor) to ~75.0 (excellent). Higher T-scores indicate better outcomes.

    Changes in T-scores from baseline to end of each cycle.

    Measured: Baseline (Cycle 1 Day 1, Week 0), Cycle 2 Day 1 (Week 4), Cycle 3 Day 1 (Week 8), and End of Treatment (Week 12; approximately 4 weeks after last dose). Each treatment cycle is 28 days.

  4. Pharmacological Tolerance to CBG/CBD Oil

    Measured by changes in Patient Neurotoxicity Questionnaire (PNQ) scores, assessing the decrease in the effectiveness of CBG/CBD oil treatment for chemotherapy-induced peripheral neuropathy (CIPN) symptoms. The PNQ grades the severity of sensory and motor disturbances on a scale from 0 to 4, where:

    0: No neuropathy.

    1. Mild neuropathy; does not interfere with daily activities.
    2. Moderate neuropathy; some interference with daily activities.
    3. Severe neuropathy; significant interference with daily activities.
    4. Disabling neuropathy; prevents daily activities. Minimum value: 0 (no neuropathy). Maximum value: 4 (disabling neuropathy). Interpretation: Higher scores indicate worse outcomes (more severe neuropathy symptoms, suggesting decreased treatment effectiveness).

    Changes in PNQ scores will be evaluated by comparing baseline scores to those collected at the end of each cycle to assess potential pharmacological tolerance.

    Measured: Baseline (Cycle 1 Day 1, Week 0), Cycle 2 Day 1 (Week 4), Cycle 3 Day 1 (Week 8), and End of Treatment (Week 12; approximately 4 weeks after last dose). Each treatment cycle is 28 days.

  5. Changes in Circulating Cannabinoids and CBD Metabolites

    Measured as the difference in plasma concentrations of cannabinoids and CBD metabolites (e.g., CBG, CBD, and their metabolites) from baseline to the end of Cycle 2. Plasma levels will be quantified using validated analytical methods (liquid chromatography-mass spectrometry).

    Measured: At the end of Cycle 2 (Week 8); each cycle is 28 days.

  6. Adherence to CBG/CBD Oil Treatment

    Defined as the proportion of prescribed CBG/CBD oil doses taken per cycle. Measured using Patient-Reported Outcomes Measurement Information System (PROMIS) Medication Adherence Scale and patient drug diaries.

    PROMIS Medication Adherence Scale: Items scored 1 (never) to 5 (always); T-scores range from ~30.0 (poor adherence) to ~70.0 (excellent adherence). Higher T-scores indicate better outcomes.

    Drug Diaries: Record daily doses to calculate proportion taken. Adherence assessed by combining T-scores and diary data per cycle.

    Measured: Cycle 2 Day 1 (Week 4), Cycle 3 Day 1 (Week 8), and End of Treatment (Week 12; approximately 4 weeks after last dose), corresponding to adherence during Cycles 1-3 (each cycle is 28 days).

  7. Change in acute sensory neuropathy symptoms and correlation with plasma cannabinoid concentrations following CBG/CBD oil administration

    Acute sensory symptoms are assessed using the Patient Neurotoxicity Questionnaire sensory item (PNQ1). PNQ1 scores are analyzed in relation to plasma cannabinoid concentrations collected at corresponding timepoints.

    Measured: Cycle 3 Day 1 at 1 hour, 4 hours, and 6 hours post-dose.

Timeline

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

  1. First posted12 Jun 2025
  2. Study start3 Apr 2026
  3. Primary completion3 Apr 2029 (estimated)
  4. Study completion3 Jul 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 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
All participants receive the same intervention.
Masking
None (open label)
Enrolment
12 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07016971
Sponsor's protocol ID
PSCI-24-119
Status last verified
May 2026
First submitted
30 May 2025
Last updated
11 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing CBG/CBD Oil in people with Chemotherapy-Induced Peripheral Neuropathy, run by Milton S. Hershey Medical Center at 1 site in United States.

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 7 inclusion and 17 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 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 1 site in United States. 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.

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?

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 Crystal Sowers (7175315471, psci-cto@pennstatehealth.psu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety and Tolerability of CBG/CBD Oil (time frame: Through study completion (12 weeks)). The study lists 2 primary outcomes in all. 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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