This crossover study with six treatment sessions is to evaluate the abuse potential of three doses of Sativex as compared to Marinol and placebo, in subjects with a history of recreational marijuana use.
Subjects attended a two-session, randomized, double-blind, crossover qualification in which they received the positive control drug (Marinol 30 mg) and matching placebo 48 hours apart in a randomized fashion. To qualify, subjects must have discriminated between Marinol and placebo. Eligible subjects then went on to the main study divided into six treatment sessions each separated by 7-21 days. Serial pharmacodynamic evaluations were taken at each treatment session as well as occasional pharmacokinetic blood samples to verify proof of exposure. In addition, safety monitoring included regular assessments of vital signs, telemetry, 12-lead ECG, clinical laboratory tests and adverse events (AEs).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
QUADRUPLE
Enrollment
58
DecisionLine Clinical Research Corporation
Toronto, Ontario, Canada
Comparison of Subjective Drug Value (SDV)(Balance of effects) between Marinol and Sativex
Mean difference in Mean peak effect (Emax) between: Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg.
Time frame: Recorded at 6, 12 and 24 hours during each study arm
Comparison of Bipolar Drug Liking VAS (Balance of effects) between Marinol and Sativex
Mean difference in Mean peak effect (Emax) between: Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg.
Time frame: Recorded at 12 and 24 hours during each study arm
Comparison of Addiction Research Centre Inventory (ARCI) MBG (Positive effects) between Marinol and Sativex
Mean difference in Mean peak effect (Emax) between: Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg.
Time frame: Recorded at 0.5, 1, 2, 3, 4, 6, 8, 12, and 24 hours during each study arm
Comparison of Balance of Effects VASs between Marinol and Sativex
Mean difference in Mean peak effect (Emax) between: Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg. for each of Overall Drug Liking VAS, Take Drug Again VAS, Pleasant Mental state VAS, and Pleasant Physical state VAS.
Time frame: Recorded at 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours during each study arm
Comparison of Positive Effects VASs between Marinol and Sativex
Mean difference in Mean peak effect (Emax) between: Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg; for each of Good effects VAS and High VAS.
Time frame: Recorded at 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours during each study arm
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16 placebo sprays and 4 placebo capsules
Marinol dose level 1: 20 mg THC (2 marinol capsules) + 2 placebo capsules + 16 placebo sprays
Marinol dose level 2: 40 mg THC (4 marinol capsules) + 16 placebo sprays
Comparison of Cannabinoid Effects between Marinol and Sativex
Mean difference in Mean peak effect (Emax) between: Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg; for each of ARCI Marijuana, Stoned VAS, Mellow VAS, Clarity VAS, and Hungry VAS.
Time frame: Recorded at 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours during each study arm
Comparison of Negative Effects Scores between Marinol and Sativex
Mean difference in Mean peak effect (Emax) between: Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg; for each of ARCI Lysergic Acid Diethylamide, Bad Effects VAS, Nausea VAS, Feeling Sick VAS, and Room Spinning VAS.
Time frame: Recordedat 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours during each study arm
Comparison of Other Effects Scores between Marinol and Sativex
Mean difference in Mean peak effect (Emax) between: Marinol 20 mg vs Sativex 21.6 mg; Marinol 20 mg vs Sativex 43.2 mg; Marinol 40 mg vs Sativex 43.2 mg; for each of: Any effects VAS, Dizziness VAS, ARCI Pentobarbital-Chlorpromazine-Alcohol Group, Drowsiness VAS, ARCI Benzedrine Group, and ARCI Amphetamine, Drug similarity VASs, Choice Reaction Time, Divided Attention, Sternberg short-term memory tests.
Time frame: Recorded pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours during each study arm
Area under the concentration-time curve from 0 to 8.5 hours post-dose for plasma THC, CBD, and 11-hydroxy-THC.
Time frame: Pre-dose and at 1, 4, and 8 hours during each study visit
Adverse Events
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Time frame: Recorded pre-dose and at 1, 2, 3, 4, 6, 8, 12 and 24 hours during each study visit