The goal of this placebo-controlled study is to learn about the neural mechanisms underlying the acute effects of the synthetical cannabinoid JWH-018 in healthy, occasional cannabis users. It aims to assess neural underpinnings of neurocognitive impairments and psychotomimetic symptoms expected during the intoxication. Neuronal changes similar to those seen in cannabis intoxication are expected, such as altered neurotransmission and loss of functional connectivity within the mesocorticolimbic circuit. MRS, fMRI and blood parameters will be used for assessment. Participants will be asked to complete cognitive tasks and subjective questionnaires related to the subjective experience of the drug.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
24
A vaporized dose of 7.5 mg of JWH-018 will be inhaled by the participants
Participants will inhale from a vaporizer with an empty chamber.
Neurotransmission
neurochemical concentration of glutamate, GABA and dopamine measured with MRS and resting-state fMRI
Time frame: up to 3.5 hours after drug administration
Functional connectivity
Functional connectivity strength as measured by resting-state fMRI
Time frame: during acute intoxication
false memory formation
Deese-Roediger-McDermott paradigm, true and false recognition scores are obtained and confidence ratings.
Time frame: up to 3.5 hours after intoxication
sustained attention
Psychomotor Vigilance Task: reaction time and attentional lapses are measured.
Time frame: up to 3.5 hours after intoxication
attentional salience processing
visual oddball paradigm: neural response to oddball vs standard stimuli presentation, reaction time is measured.
Time frame: up to 3.5 hours after intoxication
Subjective drug effects - drug liking
Sensitivity to Cannabis Reinforcement Questionnaire, scored on a 5 point scale (1= somewhat to 5 = extremely).
Time frame: up to 3.5 hours after intoxication
Subjective drug effects - subjective high
will be self-rated on a 10 cm visual analogue scale. Higher values mean more intense effects.
Time frame: up to 3.5 hours after intoxication
Subjective drug effects - dissociative state
Clinician Administered Dissociative States Scale rated on a 5 point scale. Higher values mean a more intense effect.
Time frame: up to 3.5 hours after intoxication
Subjective drug effects - psychedelic-like effects
Will be assessed using a 10cm Bowdles Visual Analogue Scale with 13 items. Higher values mean more intense effects.
Time frame: up to 3.5 hours after intoxication
Subjective drug effects - Altered States of Consciousness Rating Scale (5D-ASC)
as rated on 10cm Visual Analogue Scales. Higher values mean more intense effects.
Time frame: up to 3.5 hours after intoxication
Subjective drug effects - psychosis-like effects
Based on the investigator-rated semi-structured interview "Positive and negative syndrome scale - positive subscale", psychosis-like symptoms are rated between 1 (absent) and 7 (extreme).
Time frame: up to 3.5 hours after intoxication
Subjective drug effects - retrospective drug reinforcement (RDRV)
Self-rated questionnaire to assess tolerability and reinforcing properties. The subject has to score 1) the overall experience on a visual analog scale \[VAS\] (0 = intolerable to 100: well-tolerated), 2) the likelihood of using the drug again (0= not at all to 100= most of all), 3) how much they are willing to pay for the experience (€0 to €100) and 4) how likely they are to choose this over cannabis (0= not at all to 100= extremely).
Time frame: up to 3.5 hours after intoxication
JWH-018 kinetics
JWH-018 concentration in serum
Time frame: baseline & regular intervals up to 3.5 hours after intoxication
Metabolomics
metabolomic concentration in serum
Time frame: baseline & regular intervals up to 3.5 hours after intoxication
Inflammatory cytokines
cytokines IL-6, TNF-alpha, and C-reactive protein concentration in serum
Time frame: at baseline & within 30 minutes after intoxication
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