POT-GFR-PK is a single dose pharmacokinetic study oral tetrahydrocannabinol (THC) and cannabidiol (CBD) in healthy adult controls and individuals with chronic kidney disease including those treated with in-center hemodialysis.
Adults aged greater than 25 years including 6 with eGFR\>60ml/min/1.73m2, 6 eGFR 30-59ml/min/1.73m2, 6 eGFR \<30ml/min/1.73m2 (CKD Epidemiology Collaboration equation) and 6 receiving in-center hemodialysis at least 2x weekly via a tunnelled catheter will receive THC 0.1mg/kg and CBD 2mg/kg by mouth in the form of MediPharm Labs-001 (MPL-001) (50mg CBD/2mg THC per 1mL). In healthy controls and participants with chronic kidney disease, blood samples will be collected at t=0, 1, 2, 3, 3.5 and 4 hours post THC/CBD administration. In participants receiving in-center hemodialysis, blood samples will be collected at t=0, 1, 2, 3, 3.5 and 4 hours post THC/CBD administration and during hemodialysis at t=0, 60, 120, 180 minutes and 15 minutes prior to the end of hemodialysis (at a reduced pump speed with blood flow 50-100ml/min) and 60 minutes post-hemodialysis. A 24 hour urine will be collected in all participants except those receiving hemodialysis without any residual urine output. Dialysate samples will be collected at 1,2,3 hours during hemodialysis and at the end of hemodialysis. Blood samples will also be collected at 24 and 48 hours. Plasma, urine and dialysis cannabinoids (THC, CBD and their metabolites) will be quantified using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
24
Oral THC 0.1mg/kg and CBD 2.5mg/kg
St. Joseph's Healthcare Hamilton
Hamilton, Ontario, Canada
Tetrahydrocannabinol and its metabolites maximum concentration (Cmax)
Maximum concentration (Cmax)
Time frame: 48 hours
Tetrahydrocannabinol and its metabolites time to Cmax
Time to Cmax
Time frame: 48 hours
Tetrahydrocannabinol and its metabolites last detection time
Last detection time
Time frame: 48 hours
Tetrahydrocannabinol and its metabolites area under the curve
Area under the curve
Time frame: 48 hours
Tetrahydrocannabinol and its metabolites renal clearance
Renal clearance
Time frame: 48 hours
Tetrahydrocannabinol and its metabolites dialytic clearance
Dialytic clearance
Time frame: 48 hours
Cannabidiol and its metabolites maximum concentration (Cmax)
Maximum concentration (Cmax)
Time frame: 48 hours
Cannabidiol and its metabolites time to Cmax
Time to Cmax
Time frame: 48 hours
Cannabidiol and its metabolites last detection time
Last detection time
Time frame: 48 hours
Cannabidiol and its metabolites area under the curve
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Area under the curve
Time frame: 48 hours
Cannabidiol and its metabolites renal clearance
Renal clearance
Time frame: 48 hours
Cannabidiol and its metabolites dialytic clearance
Dialytic clearance
Time frame: 48 hours
Other cannabinoids and their metabolites maximum concentration (Cmax)
Maximum concentration (Cmax)
Time frame: 48 hours
Other cannabinoids and their metabolites time to Cmax
Time to Cmax
Time frame: 48 hours
Other cannabinoids and their metabolites last detection time
Last detection time
Time frame: 48 hours
Other cannabinoids and their metabolites area under the curve
Area under the curve
Time frame: 48 hours
Other cannabinoids and their metabolites renal clearance
Renal clearance
Time frame: 48 hours
Other cannabinoids and their metabolites dialytic clearance
Dialytic clearance
Time frame: 48 hours
Adverse events
Weakness, fatigue, pain, falls, abnormal coordination, numbness or tingling, sedation, sleepiness, tremor, confusion, disorientation, dissociation, abnormal speech, muscle spasms, nausea, vomiting, diarrhea, altered mood, depression, euphoric mood, hallucinations, blurred vision, dizziness, imbalance, palpitations, hypotension, syncope, urinary tract infection, allergic reactions, shortness of breath, lung infection, fever, sweatiness, headache
Time frame: 48 hours
Blood pressure
Systolic and diastolic blood pressure in mmHg
Time frame: 48 hours
Heart rate
Heart rate in beats per minute
Time frame: 48 hours