Arthritis, RheumatoidPhase 1/2NCT07087938
Cannabichromene Safety in Rheumatoid Arthritis
A Phase 1/2 study testing Cannabichromene in people with Arthritis, Rheumatoid, run by Crystal Lederhos Smith at 1 site in United States.
Trial summary
For this quantitative study, the investigators will collect data on human safety and side-effects of Cannabichromene (CBC) and whether CBC reduces blood inflammatory markers and Rheumatoid Arthritis (RA) disease activity. The participants will participate in an ABAB design with 2 doses of CBC across the A phases. Read more about this study
- Who is it for?
- Ages 21 years and older
- Conditions the study is for
- Arthritis, Rheumatoid
- What is being tested?
- Cannabichromene
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- 1 siteUnited States
- Study dates
- 15 Jul 2028to 31 May 2030
- Phase
- Phase 1/2
- 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 21 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have a current diagnosis of RA
- Having stable treatment for at least 1 month prior to the study and being willing to continue that treatment for the duration of the study
- Having some degree of disease activity present at research study intake (determined by research study personnel)
- Aged 21+
- Able to read and speak English, and provide written consent
- Not currently pregnant or planning to become pregnant during the trial
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- Not currently planning any surgeries during the course of the trial
- Willing to use a form of birth control for the duration of the study (all participants will be required to use birth control for the duration of the study)
- Willing to refrain from cannabis use (other than study provided CBC) over the course of the study
Who cannot join
- Do not have a current diagnosis of RA
- Has not received stable treatment for at least 1 month prior to the study or is unwilling to continue treatment for the duration of the study
- No degree of disease activity present at research study intake (determined by research study personnel)
- Under age 21
- Unable to read and speak English, or provide written consent
- Are currently pregnant or planning to become pregnant during the course of the trial
Show all 9Show fewer
- Unwilling to use a form of birth control during the duration of the study
- Is planning a surgery during the course of their participation in the trial
- Unwilling to refrain from cannabis use (other than study provided CBC) over the course of the study
Trial locations and contacts
1 site in 1 country.
United States1 site
Washington State University
Spokane, Washington, 99202
About this study
Official title: Safety and Behavioral Pharmacology of Cannabichromene as an Adjunct to Rheumatoid Arthritis Treatment; Effects on Inflammatory Markers and Rheumatoid Arthritis Disease Activity
For this quantitative study, the investigators will collect data on human safety and side-effects of Cannabichromene (CBC) and whether CBC reduces blood inflammatory markers and Rheumatoid Arthritis (RA) disease activity. The participants will participate in an ABAB design with 2 doses of CBC across the A phases. They will attend 5 in-person clinic visits where they will have physical evaluations, complete self-report forms, and have blood drawn for the following tests: hs-CRP, ESR, IL-6, TNF, Complete Blood Count [CBC], and CMP.
Read the detailed description
Due to their anti-inflammatory effects, cannabinoids have been considered as a potential therapy for the treatment of rheumatic diseases in humans. However, there is not yet significant evidence for the efficacy of cannabinoid-based treatments for rheumatoid arthritis, even though it is included in the list of eligible conditions for medical cannabis in Canada and many US states. In this study, the investigators propose to examine the safety and human behavioral pharmacology of CBC:
No statistical hypotheses have been developed for Aims 1 and 2 as they are descriptive in nature. Aim 3 has the statistical hypothesis embedded within it. These are reiterated below:
Aim 1: Assess human safety of CBC through a count of the number of treatment-related adverse events experienced by participants. This is a descriptive aim and therefore does not have an associated hypothesis.
Aim 2: Assess human safety of CBC through measurement of blood markers indicating organ function. This is a descriptive aim wherein the investigators will provide a qualitative description of changes in blood markers during treatment; it therefore does not have an associated hypothesis.
Aim 3: Determine if CBC reduces blood inflammatory markers and overall rheumatoid arthritis disease activity (as measured by the DAS28), across 2 dosages (400mg and 600mg CBC daily), each administered for an 8-week period. The investigators hypothesize that CBC will yield lower levels of inflammatory markers and overall disease activity during the treatment period and that levels of inflammatory markers will return to baseline at the 2-week follow-up for both of the doses.
- Conditions
- Arthritis, Rheumatoid
- Being tested
- Cannabichromene
- Keywords
- Cannabichromene, CBCH, CBC, Minor cannabinoid, CBC in humans, Rheumatoid Arthritis, Safety
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CannabichromeneDrug
Also called CAS Number: 20675-51-8, CBC, NSC 291831
Participants will be assigned (using block randomization) to begin with one of the two study doses of CBC (400mg or 600mg). Participants will be blinded to dose. They will be asked to take half of their dose in the morning and half in the evening. Participants will be administered dose one for eight weeks. After this, participants will have a two-week timeframe where they will be asked not to take any study medication and to continue refraining from cannabis use, thus providing a washout period. Then, at visit three, they will receive dose two and will take it for eight weeks, concluding the study with another two-week washout period. At each clinic visit participants will complete assessments (self-report and physical examination), urine, and blood samples.
| Study group | Role | What they receive |
|---|---|---|
| Study Group 1 | Active comparator | Participants will be administered dose one (400mg CBC daily) for eight weeks, and at visit three they will receive dose two (600mg CBC daily) and will take it for eight weeks, concluding the study with another two-week washout period. Receives: Drug: Cannabichromene |
| Study Group 2 | Active comparator | Participants will be administered dose one (600mg CBC daily) for eight weeks, and at visit three they will receive dose two (400mg CBC daily) and will take it for eight weeks, concluding the study with another two-week washout period. Receives: Drug: Cannabichromene |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Observed Adverse Events
Observed Adverse events
Measured: 20 Weeks
Incidence of Serious Adverse Events
Observed Serious adverse events
Measured: 20 Weeks
Incidence of Side-Effects Reported by Participants
Participant self-report of side-effects
Measured: 20 Weeks
Description of Safety Focused Blood Markers (CMP)
Safety focused blood marker levels aggregated through Comprehensive Metabolic Panel (CMP) during the treatment and post treatment phases.
Measured: 20 Weeks
Description of Safety Focused Blood Markers (CBC)
Safety focused blood marker levels aggregated through Complete Blood Count (CBC) during the treatment and post treatment phases.
Measured: 20 Weeks
Secondary outcomes (2)
Number of Participants With CBC Treatment-Related Reduction of RA Disease Activity as Assessed by DAS28.
Overall Rheumatoid Arthritis disease activity as assessed by the DAS28 (Disease Activity Score in 28 joints) tool across 2 dosages (400mg and 600mg daily), administered for 8 weeks per dose.
Measured: 20 Weeks
Number of Participants With CBC Treatment-Related Reduced Inflammatory Blood Markers as Assessed by hs-CRP, ESR, IL-6, and TNF Tests.
This will be measured across 2 dosages (400mg and 600mg daily), administered for 8 weeks per dose.
This will be determined through the collection of inflammation focused blood marker levels during the treatment and post treatment phases: (High sensitivity C-reactive protein (hs-CRP); Erythrocyte Sedimentation Rate (ESR); Interleukin-6 (IL-6); Tumor Necrosis Factor (TNF) )
Measured: 20 Weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jul 2025
- Study start15 Jul 2028 (estimated)
- Primary completion31 May 2030 (estimated)
- Study completion31 May 2030 (estimated)
Why it stopped: Study did not begin recruiting participants due to insufficient preclinical evidence resulting in FDA clinical hold.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Arthritis, RheumatoidStudies 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 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants will be randomized to begin with one of two study doses (400mg or 600mg daily) using a block randomization schedule.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Crystal Lederhos Smith
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Crystal Lederhos Smith, Washington State University
- Investigators
- Crystal L Smith, PhD, Principal investigator, Assistant Professor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07087938
- Sponsor's protocol ID
- 20353-001
- Status last verified
- Aug 2026
- First submitted
- 31 May 2024
- Last updated
- 23 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No: Deidentified and summarized participant data will be available to other researchers upon request. No IPD will be available due to the focused recruitment strategy, in an effort to provide protection to participants identities.
Study at a glance
From the registry record, last updated by the sponsor on 23 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Safety and Behavioral Pharmacology of Cannabichromene as an Adjunct to Rheumatoid Arthritis Treatment; Effects on Inflammatory Markers and Rheumatoid Arthritis Disease Activity
- ClinicalTrials.gov ID
- NCT07087938
- Acronym / sponsor ID
- 20353-001
- Conditions
- Arthritis, Rheumatoid
- Keywords
- Cannabichromene, CBCH, CBC, Minor cannabinoid, CBC in humans, Rheumatoid Arthritis, Safety
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Study did not begin recruiting participants due to insufficient preclinical evidence resulting in FDA clinical hold.
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Crystal Lederhos SmithUniversity, hospital or other
- Study start
- 15 Jul 2028 (estimated)
- Primary completion
- 31 May 2030 (estimated)
- Study completion
- 31 May 2030 (estimated)
- First posted
- 28 Jul 2025 (actual)
- 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.
For this quantitative study, the investigators will collect data on human safety and side-effects of Cannabichromene (CBC) and whether CBC reduces blood inflammatory markers and Rheumatoid Arthritis (RA) disease activity. The participants will participate in an ABAB design with 2 doses of CBC across the A phases. They will attend 5 in-person clinic visits where they will have physical evaluations, complete self-report forms, and have blood drawn for the following tests: hs-CRP, ESR, IL-6, TNF, Complete Blood Count [CBC], and CMP.
Detailed description
Due to their anti-inflammatory effects, cannabinoids have been considered as a potential therapy for the treatment of rheumatic diseases in humans. However, there is not yet significant evidence for the efficacy of cannabinoid-based treatments for rheumatoid arthritis, even though it is included in the list of eligible conditions for medical cannabis in Canada and many US states. In this study, the investigators propose to examine the safety and human behavioral pharmacology of CBC:
No statistical hypotheses have been developed for Aims 1 and 2 as they are descriptive in nature. Aim 3 has the statistical hypothesis embedded within it. These are reiterated below:
Aim 1: Assess human safety of CBC through a count of the number of treatment-related adverse events experienced by participants. This is a descriptive aim and therefore does not have an associated hypothesis.
Aim 2: Assess human safety of CBC through measurement of blood markers indicating organ function. This is a descriptive aim wherein the investigators will provide a qualitative description of changes in blood markers during treatment; it therefore does not have an associated hypothesis.
Aim 3: Determine if CBC reduces blood inflammatory markers and overall rheumatoid arthritis disease activity (as measured by the DAS28), across 2 dosages (400mg and 600mg CBC daily), each administered for an 8-week period. The investigators hypothesize that CBC will yield lower levels of inflammatory markers and overall disease activity during the treatment period and that levels of inflammatory markers will return to baseline at the 2-week follow-up for both of the doses.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- Participants will be randomized to begin with one of two study doses (400mg or 600mg daily) using a block randomization schedule.
| Arm | Type | Receives |
|---|---|---|
| Study Group 1 | Active comparator | Drug: CannabichromeneParticipants will be administered dose one (400mg CBC daily) for eight weeks, and at visit three they will receive dose two (600mg CBC daily) and will take it for eight weeks, concluding the study with another two-week washout period. |
| Study Group 2 | Active comparator | Drug: CannabichromeneParticipants will be administered dose one (600mg CBC daily) for eight weeks, and at visit three they will receive dose two (400mg CBC daily) and will take it for eight weeks, concluding the study with another two-week washout period. |
Who may qualify
- Ages
- 21 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Have a current diagnosis of RA
- Having stable treatment for at least 1 month prior to the study and being willing to continue that treatment for the duration of the study
- Having some degree of disease activity present at research study intake (determined by research study personnel)
- Aged 21+
- Able to read and speak English, and provide written consent
Key exclusion criteria (9 listed)
- Do not have a current diagnosis of RA
- Has not received stable treatment for at least 1 month prior to the study or is unwilling to continue treatment for the duration of the study
- No degree of disease activity present at research study intake (determined by research study personnel)
- Under age 21
- Unable to read and speak English, or provide written consent
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 |
|---|---|---|
| CannabichromeneAlso: CAS Number: 20675-51-8, CBC, NSC 291831Participants will be assigned (using block randomization) to begin with one of the two study doses of CBC (400mg or 600mg). Participants will be blinded to dose. They will be asked to take half of their dose in the morning and half in the evening. Participants will be administered dose one for eight weeks. After this, participants will have a two-week timeframe where they will be asked not to take any study medication and to continue refraining from cannabis use, thus providing a washout period. Then, at visit three, they will receive dose two and will take it for eight weeks, concluding the study with another two-week washout period. At each clinic visit participants will complete assessments (self-report and physical examination), urine, and blood samples. | Drug | Study Group 1, Study Group 2 |
Primary outcome
Incidence of Observed Adverse Events
Time frame: 20 Weeks
Observed Adverse events
Incidence of Serious Adverse Events
Time frame: 20 Weeks
Observed Serious adverse events
Incidence of Side-Effects Reported by Participants
Time frame: 20 Weeks
Participant self-report of side-effects
Description of Safety Focused Blood Markers (CMP)
Time frame: 20 Weeks
Safety focused blood marker levels aggregated through Comprehensive Metabolic Panel (CMP) during the treatment and post treatment phases.
Description of Safety Focused Blood Markers (CBC)
Time frame: 20 Weeks
Safety focused blood marker levels aggregated through Complete Blood Count (CBC) during the treatment and post treatment phases.
2 secondary outcomes
Number of Participants With CBC Treatment-Related Reduction of RA Disease Activity as Assessed by DAS28.
Time frame: 20 Weeks
Number of Participants With CBC Treatment-Related Reduced Inflammatory Blood Markers as Assessed by hs-CRP, ESR, IL-6, and TNF Tests.
Time frame: 20 Weeks
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 23 Sep 2026.
- Individual participant dataSharing planned: No. Deidentified and summarized participant data will be available to other researchers upon request. No IPD will be available due to the focused recruitment strategy, in an effort to provide protection to participants identities.
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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.
Crystal L Smith, PhD principal investigator
Assistant Professor
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Cannabichromene in people with Arthritis, Rheumatoid, run by Crystal Lederhos Smith 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 9 inclusion and 9 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 23 Sep 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 combined 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.
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?
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?
Incidence of Observed Adverse Events (time frame: 20 Weeks). The study lists 5 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 23 Sep 2026.