None listed
Conditions
Brief summary
The purpose of this study is to investigate the preliminary effectiveness and safety of a topical cannabidiol salve for rheumatoid arthritis. We hypothesise that using the salve for 4 weeks will have a clinically significant effect on functional status. This is an open label trial with all participants receiving the intervention for 4 weeks. Participants will apply the salve to affected joints twice daily for 28 days. The primary outcome is change in functional status. Secondary outcomes include health-related quality of life, pain, swollen and tender joint count, side effects, and change in inflammation.
Interventions
Topical cannabidiol (OMG Unwind 2600mg Salve) containing 100% CBD isolate as the Active Pharmaceutical Ingredient (API) with a broad range of excipients. (Total cannabinoid content is 2600mg of CBD in 56g tube. 46mg/g), applied to affected joints twice a day for 28 days. There is no prescribed amount to be administered each time as the instructions are to roll the salve on in a circular motion in the affected area and then gently rub in. There is no minimum time for the salve to remain on affected joints. Adherence will be assessed via a daily medication log.
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion criteria: • I1: Adult aged 18 years and over • I2: Able to provide informed consent, comprehend and follow all study procedures. • I:3 Medically diagnosed with Rheumatoid arthritis with at least 4 affected joints. • I:4 Able and willing to have safety blood samples collected at a Laverty pathology collection centre before the baseline and after the endpoint visit. • I5: Agrees to not start using any medical or recreational cannabis during the 4-week study period and 2 week follow up period. • I6: Resides in NSW and can travel to NICM Health Research Institute in Westmead. • I7: Experiences joint pain, discomfort, or fatigue, is dissatisfied with current treatment, and looking for alternative options to manage these symptoms.
Exclusion criteria
Exclusion criteria: • E1: Currently using medicinal or recreational cannabis or have used within the last 3 months. • E2: If female, currently pregnant or planning to become pregnant over the study intervention period. • E3: History of moderate to severe psychological or other mental health conditions. • E4: History of substance use disorder (alcohol, tobacco, cannabis, and other legal, illicit or prescription substances like opioids and benzodiazepines). • E5: Have started using new medication (such as DMARDs, NSAIDs, CS, Opioids, Benzodiazepines, or anti-depressants) within the last 3 months to manage RA. • E6: Participant has any form of surgery booked within 4 weeks of baseline (Day0) and 4 weeks after follow-up (day 42). • E7: Travel outside of NSW during intervention period. • E8: Diagnosis of dementia. • E9: Participants with known allergies to any ingredients in the salve. • E10: Participants with significant dermatological conditions affecting the intended application site/s.