Hyperalgesia, Pain
Conditions
Keywords
Pain, Cannabis, Analgesic
Brief summary
The purpose of this study is to determine whether or not inhaled marijuana displays any pain-relieving properties on experimentally-induced pain.
Detailed description
It is important to evaluate the effects of the cannabinoids on facilitated pain as conditions of hyperalgesia more closely approximates the clinical situation. There are limited clinical studies on the effect of the cannabinoids on facilitated pain states. Noyes et al evaluated the analgesic effects of Delta-9-THC in 34 cancer patients with pain. They concluded that 20mg of oral Delta-9-THC was similar to 120mg of codeine (Noyes et al, 1975). Jain et al concluded that 1.5-3mg of intramuscular Levonantradol resulted in significant pain relief as compared to placebo in 56 patients with acute postoperative pain (Jain et al, 1981). Comparison(s): Three different doses of smoked cannabis will be compared to placebo for the reduction of experimentally induced pain.
Interventions
DRUGSmoked Cannabis
Sponsors
Center for Medicinal Cannabis Research
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
Yes
Inclusion criteria
* Age 18-90 * Male or Female * Subject smoked cannabis within the last six months
Exclusion criteria
* Active opportunistic infections or opportunistic malignancies requiring acute treatment * Active substance abuse (alcohol or injection drug) * Pulmonary complications (e.g., tuberculosis, asthma) * Current use of cannabis (e.g., within 30 days of randomization) * Pregnancy as ascertained by a self-report and a mandatory commercial pregnancy test before any cannabis or placebo consumption condition * Personal or familial history of psychiatric disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Score on a Visual Analog Scale (VAS) of pain severity | — |
| McGill Pain Questionnaire (MPQ) Short Form | — |
| Neurosensory testing of: 1) warm and cold sensation, 2) warm and cold pain, 3) touch, and 4) mechanical pain. Testing administered using a Thermal Sensory Analyzer, von Frey hair filaments, and a pinch algometer, respectively. | — |
Secondary
| Measure | Time frame |
|---|---|
| Trail Making Test (TMT) as a measure of psychomotor speed. | — |
| Paced Auditory Serial Attention Test (PASAT) as a measure of speed of information processing. | — |
Countries
United States
Outcome results
None listed