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Cannabidiol Treatment in Patients With Early Psychosis

Cannabidiol Treatment in Patients With Early Psychosis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02504151
Acronym
CBD
Enrollment
18
Registered
2015-07-21
Start date
2016-01-28
Completion date
2018-03-09
Last updated
2022-09-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Schizoaffective Disorder, Schizophrenia

Brief summary

Cannabidiol (CBD) is a component of herbal cannabis that is present in varying concentrations in cannabis extracts. CBD has been shown to produce central effects including hypnotic, anticonvulsive, anxiolytic and neuroprotective effects.The investigators hypothesize that treatment with CBD will result in: 1) Improvement evidenced by a reduction in scores on the Positive and Negative Syndrome Scale for Schizophrenia (PANSS), 2) Improvement evidenced by a reduction in the Clinical Global Impression of Severity scale (CGI); Secondary Hypothesis: 1) Greater improvement in functioning as measured on the Patient Assessment of Own Functioning Inventory: (PAOFI) and the Quality of Life Scale (QLS) In this 2 period cross over design, subjects will be randomized in a 1:1 ratio to receive either: Order 1: CBD (Period 1) followed by placebo (Period 2) or Order 2: Placebo (Period 1) followed by CBD (Period 2) under double-blind conditions. The 2 study periods will be separated by a washout of at least 2 weeks. During each period subjects will receive study medications (CBD \[total 800mg/day\] or placebo) for a period of 4 weeks.

Interventions

DRUGCannabidiol
DRUGPlacebo

Sponsors

Yale University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Male or female * Primary psychotic disorder * Ages 18-65 (inclusive)

Exclusion criteria

* Current significant medical condition or other comorbidities * Current substance depdendence * Women who are pregnant or breastfeeding

Design outcomes

Primary

MeasureTime frameDescription
Positive and Negative Syndrome Scale (PANSS) Over TimeCompleted each time subject is seen over 10 weeks (screening, period 1 baseline, period 1 week 1, period 1 week 2, period 1 week 3, period 1 week 4, period 2 baseline, period 2 week 1, period 2 week 2, period 2 week 3, period 2 week 4)The Positive and Negative Syndrome Scale is a 30-item scale to assess both the positive and negative symptom symptoms of schizophrenia. The range total score is 30-210. An improvement in symptoms is reflected by a lower score.
Clinical Global Impression of Severity Scale Over TimeCompleted each time subject is seen over 10 weeks (screening, period 1 baseline, period 1 week 1, period 1 week 2, period 1 week 3, period 1 week 4, period 2 baseline, period 2 week 1, period 2 week 2, period 2 week 3, period 2 week 4)Clinical Global Impression of Severity Scale score is a global rating of improvement scale, which requires subjects to rate their degree of improvement on a 7-point scale. The total range score is 1-7. A reduction in scores indicates improvement.

Secondary

MeasureTime frameDescription
Patient Assessment of Own Functioning Inventory (PAOFI) Over TimeCompleted each time subject is seen over 10 weeks (screening, period 1 baseline, period 1 week 1, period 1 week 2, period 1 week 3, period 1 week 4, period 2 baseline, period 2 week 1, period 2 week 2, period 2 week 3, period 2 week 4)The PAOFI measures subjects' perceptions of functioning when performing everyday tasks and activities that reflect cognitive strengths and weaknesses. Subjects rate each item on a scale ranging from 0 (almost never) to 5 (almost always). The total score is the sum of the responses to each item (score of 0 to 160). High scores on the PAOFI subscales are indicative of poor perceived cognitive functioning. This scale was modified to remove 3 items- so the highest possible score is 145 for this outcome measure.
Quality of Life Scale (QLS) Over TimeCompleted each time subject is seen over 10 weeks (screening, period 1 baseline, period 1 week 1, period 1 week 2, period 1 week 3, period 1 week 4, period 2 baseline, period 2 week 1, period 2 week 2, period 2 week 3, period 2 week 4)The Quality of Life Scale (QLS) is a 21-item scale rated from a semi structured interview, each item is rated 0-6. The specific descriptors vary among items, but the high end of the scales (scores of 5 and 6) reflects normal or unimpaired functioning, and the low end of the scales (scores of 0 and 1) reflects severe impairment of the function in question. A highest score of 126 would indicate unimpaired functioning.

Countries

United States

Participant flow

Participants by arm

ArmCount
Cannabidiol, Then Placebo
The subject will receive treatment with Cannabidiol (CBD) (800 mg/day) for four weeks, followed by a two week washout period, followed by four weeks of placebo. Period 1: CBD, 800 mg/day Period 2: Placebo
8
Placebo, Then Cannabidiol
The subject will receive placebo for four weeks, followed by a 2 week washout period, followed by four weeks of treatment with Cannabidiol (CBD) (800 mg/day). Period 1: Placebo Period 2: CBD, 800 mg/day
10
Total18

Withdrawals & dropouts

PeriodReasonFG000FG001
First Intervention (4 Weeks)Physician Decision11
Second Intervention (4 Weeks)Physician Decision21
Second Intervention (4 Weeks)Withdrawal by Subject01
Washout (2 Weeks)Lost to Follow-up10

Baseline characteristics

CharacteristicCannabidiol, Then PlaceboTotalPlacebo, Then Cannabidiol
Age, Continuous22.875 years25 years26.1 years
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants4 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants14 Participants9 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
4 Participants9 Participants5 Participants
Race (NIH/OMB)
More than one race
1 Participants3 Participants2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants2 Participants0 Participants
Race (NIH/OMB)
White
1 Participants4 Participants3 Participants
Region of Enrollment
United States
8 participants18 participants10 participants
Sex: Female, Male
Female
2 Participants4 Participants2 Participants
Sex: Female, Male
Male
6 Participants14 Participants8 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 10
other
Total, other adverse events
5 / 86 / 10
serious
Total, serious adverse events
2 / 80 / 10

Outcome results

Primary

Clinical Global Impression of Severity Scale Over Time

Clinical Global Impression of Severity Scale score is a global rating of improvement scale, which requires subjects to rate their degree of improvement on a 7-point scale. The total range score is 1-7. A reduction in scores indicates improvement.

Time frame: Completed each time subject is seen over 10 weeks (screening, period 1 baseline, period 1 week 1, period 1 week 2, period 1 week 3, period 1 week 4, period 2 baseline, period 2 week 1, period 2 week 2, period 2 week 3, period 2 week 4)

Population: The number analyzed in one or more rows differ from the overall number analyzed to reflect the number of participants who completed the scale during each time point.

ArmMeasureGroupValue (MEAN)Dispersion
Cannabidiol, Then PlaceboClinical Global Impression of Severity Scale Over TimeBaseline period 14.1 score on a scaleStandard Deviation 0.2
Cannabidiol, Then PlaceboClinical Global Impression of Severity Scale Over TimeWeek 1 period 14.1 score on a scaleStandard Deviation 0.2
Cannabidiol, Then PlaceboClinical Global Impression of Severity Scale Over TimeWeek 2 period 14.4 score on a scaleStandard Deviation 0.2
Cannabidiol, Then PlaceboClinical Global Impression of Severity Scale Over TimeWeek 3 period 14.4 score on a scaleStandard Deviation 0.2
Cannabidiol, Then PlaceboClinical Global Impression of Severity Scale Over TimeWeek 4 period 14.3 score on a scaleStandard Deviation 0.2
Cannabidiol, Then PlaceboClinical Global Impression of Severity Scale Over TimeBaseline period 24.3 score on a scaleStandard Deviation 0.2
Cannabidiol, Then PlaceboClinical Global Impression of Severity Scale Over TimeWeek 1 period 24.3 score on a scaleStandard Deviation 0.2
Cannabidiol, Then PlaceboClinical Global Impression of Severity Scale Over TimeWeek 2 period 24.3 score on a scaleStandard Deviation 0.2
Cannabidiol, Then PlaceboClinical Global Impression of Severity Scale Over TimeWeek 3 period 24.3 score on a scaleStandard Deviation 0.2
Cannabidiol, Then PlaceboClinical Global Impression of Severity Scale Over TimeWeek 4 period 24.3 score on a scaleStandard Deviation 0.2
Placebo, Then CannabidiolClinical Global Impression of Severity Scale Over TimeWeek 2 period 24.4 score on a scaleStandard Deviation 0.2
Placebo, Then CannabidiolClinical Global Impression of Severity Scale Over TimeBaseline period 14.2 score on a scaleStandard Deviation 0.2
Placebo, Then CannabidiolClinical Global Impression of Severity Scale Over TimeBaseline period 24.3 score on a scaleStandard Deviation 0.2
Placebo, Then CannabidiolClinical Global Impression of Severity Scale Over TimeWeek 1 period 14.2 score on a scaleStandard Deviation 0.2
Placebo, Then CannabidiolClinical Global Impression of Severity Scale Over TimeWeek 4 period 24.2 score on a scaleStandard Deviation 0.2
Placebo, Then CannabidiolClinical Global Impression of Severity Scale Over TimeWeek 2 period 14.2 score on a scaleStandard Deviation 0.2
Placebo, Then CannabidiolClinical Global Impression of Severity Scale Over TimeWeek 1 period 24.0 score on a scaleStandard Deviation 0.2
Placebo, Then CannabidiolClinical Global Impression of Severity Scale Over TimeWeek 3 period 14.4 score on a scaleStandard Deviation 0.2
Placebo, Then CannabidiolClinical Global Impression of Severity Scale Over TimeWeek 3 period 24.2 score on a scaleStandard Deviation 0.2
Placebo, Then CannabidiolClinical Global Impression of Severity Scale Over TimeWeek 4 period 14.4 score on a scaleStandard Deviation 0.2
Comparison: The p value is based on the interaction of treatment and time.p-value: 0.4895% CI: [-0.12, 0.07]Mixed Models Analysis
Primary

Positive and Negative Syndrome Scale (PANSS) Over Time

The Positive and Negative Syndrome Scale is a 30-item scale to assess both the positive and negative symptom symptoms of schizophrenia. The range total score is 30-210. An improvement in symptoms is reflected by a lower score.

Time frame: Completed each time subject is seen over 10 weeks (screening, period 1 baseline, period 1 week 1, period 1 week 2, period 1 week 3, period 1 week 4, period 2 baseline, period 2 week 1, period 2 week 2, period 2 week 3, period 2 week 4)

Population: The number analyzed in one or more rows differ from the overall number analyzed to reflect the number of participants who completed the scale during each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Cannabidiol, Then PlaceboPositive and Negative Syndrome Scale (PANSS) Over TimeBaseline period 181.3 score on a scaleStandard Error 2.8
Cannabidiol, Then PlaceboPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 1 period 178.3 score on a scaleStandard Error 2.8
Cannabidiol, Then PlaceboPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 2 period 181.4 score on a scaleStandard Error 2.8
Cannabidiol, Then PlaceboPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 3 period 179.6 score on a scaleStandard Error 2.8
Cannabidiol, Then PlaceboPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 4 period 172.0 score on a scaleStandard Error 2.8
Cannabidiol, Then PlaceboPositive and Negative Syndrome Scale (PANSS) Over TimeBaseline period 271.9 score on a scaleStandard Error 3.4
Cannabidiol, Then PlaceboPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 1 period 275.2 score on a scaleStandard Error 3.4
Cannabidiol, Then PlaceboPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 2 period 272.7 score on a scaleStandard Error 3.4
Cannabidiol, Then PlaceboPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 3 period 273.2 score on a scaleStandard Error 3.4
Cannabidiol, Then PlaceboPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 4 period 272.4 score on a scaleStandard Error 3.4
Placebo, Then CannabidiolPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 2 period 270.1 score on a scaleStandard Error 2.5
Placebo, Then CannabidiolPositive and Negative Syndrome Scale (PANSS) Over TimeBaseline period 184.0 score on a scaleStandard Error 2.3
Placebo, Then CannabidiolPositive and Negative Syndrome Scale (PANSS) Over TimeBaseline period 268.5 score on a scaleStandard Error 2.4
Placebo, Then CannabidiolPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 1 period 175.3 score on a scaleStandard Error 2.3
Placebo, Then CannabidiolPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 4 period 266.9 score on a scaleStandard Error 2.6
Placebo, Then CannabidiolPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 2 period 173.9 score on a scaleStandard Error 2.3
Placebo, Then CannabidiolPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 1 period 267.6 score on a scaleStandard Error 2.5
Placebo, Then CannabidiolPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 3 period 170.6 score on a scaleStandard Error 2.4
Placebo, Then CannabidiolPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 3 period 269.7 score on a scaleStandard Error 2.6
Placebo, Then CannabidiolPositive and Negative Syndrome Scale (PANSS) Over TimeWeek 4 period 169.0 score on a scaleStandard Error 2
Comparison: The p value is based on the interaction of treatment and time.p-value: 0.0895% CI: [-2.28, 1.71]Mixed Models Analysis
Secondary

Patient Assessment of Own Functioning Inventory (PAOFI) Over Time

The PAOFI measures subjects' perceptions of functioning when performing everyday tasks and activities that reflect cognitive strengths and weaknesses. Subjects rate each item on a scale ranging from 0 (almost never) to 5 (almost always). The total score is the sum of the responses to each item (score of 0 to 160). High scores on the PAOFI subscales are indicative of poor perceived cognitive functioning. This scale was modified to remove 3 items- so the highest possible score is 145 for this outcome measure.

Time frame: Completed each time subject is seen over 10 weeks (screening, period 1 baseline, period 1 week 1, period 1 week 2, period 1 week 3, period 1 week 4, period 2 baseline, period 2 week 1, period 2 week 2, period 2 week 3, period 2 week 4)

Population: The number analyzed in one or more rows differ from the overall number analyzed to reflect the number of participants who completed the scale during each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Cannabidiol, Then PlaceboPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeBaseline period 190.1 score on a scaleStandard Error 11.3
Cannabidiol, Then PlaceboPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 1 period 185.3 score on a scaleStandard Error 11.3
Cannabidiol, Then PlaceboPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 2 period 195.3 score on a scaleStandard Error 11.3
Cannabidiol, Then PlaceboPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 3 period 193.0 score on a scaleStandard Error 11.3
Cannabidiol, Then PlaceboPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 4 period 195.6 score on a scaleStandard Error 11.3
Cannabidiol, Then PlaceboPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeBaseline period 2105.4 score on a scaleStandard Error 12.2
Cannabidiol, Then PlaceboPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 1 period 2108.4 score on a scaleStandard Error 12.2
Cannabidiol, Then PlaceboPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 2 period 2104.7 score on a scaleStandard Error 12.2
Cannabidiol, Then PlaceboPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 3 period 2105.2 score on a scaleStandard Error 12.2
Cannabidiol, Then PlaceboPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 4 period 2107.2 score on a scaleStandard Error 12.2
Placebo, Then CannabidiolPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 2 period 290.7 score on a scaleStandard Error 9.7
Placebo, Then CannabidiolPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeBaseline period 185.1 score on a scaleStandard Error 9.4
Placebo, Then CannabidiolPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeBaseline period 287.3 score on a scaleStandard Error 9.6
Placebo, Then CannabidiolPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 1 period 187.5 score on a scaleStandard Error 9.4
Placebo, Then CannabidiolPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 4 period 295.6 score on a scaleStandard Error 9.9
Placebo, Then CannabidiolPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 2 period 174.9 score on a scaleStandard Error 9.4
Placebo, Then CannabidiolPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 1 period 288.5 score on a scaleStandard Error 9.7
Placebo, Then CannabidiolPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 3 period 189.9 score on a scaleStandard Error 9.4
Placebo, Then CannabidiolPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 3 period 286.3 score on a scaleStandard Error 9.9
Placebo, Then CannabidiolPatient Assessment of Own Functioning Inventory (PAOFI) Over TimeWeek 4 period 189.0 score on a scaleStandard Error 9.6
Comparison: The p value is based on the interaction of treatment and time.p-value: 0.48595% CI: [-9.87, -0.06]Mixed Models Analysis
Secondary

Quality of Life Scale (QLS) Over Time

The Quality of Life Scale (QLS) is a 21-item scale rated from a semi structured interview, each item is rated 0-6. The specific descriptors vary among items, but the high end of the scales (scores of 5 and 6) reflects normal or unimpaired functioning, and the low end of the scales (scores of 0 and 1) reflects severe impairment of the function in question. A highest score of 126 would indicate unimpaired functioning.

Time frame: Completed each time subject is seen over 10 weeks (screening, period 1 baseline, period 1 week 1, period 1 week 2, period 1 week 3, period 1 week 4, period 2 baseline, period 2 week 1, period 2 week 2, period 2 week 3, period 2 week 4)

Population: The number analyzed in one or more rows differ from the overall number analyzed to reflect the number of participants who completed the scale during each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Cannabidiol, Then PlaceboQuality of Life Scale (QLS) Over TimeBaseline period 170.4 score on a scaleStandard Error 7.7
Cannabidiol, Then PlaceboQuality of Life Scale (QLS) Over TimeWeek 1 period 173.4 score on a scaleStandard Error 7.7
Cannabidiol, Then PlaceboQuality of Life Scale (QLS) Over TimeWeek 2 period 169.9 score on a scaleStandard Error 7.7
Cannabidiol, Then PlaceboQuality of Life Scale (QLS) Over TimeWeek 3 period 169.0 score on a scaleStandard Error 7.7
Cannabidiol, Then PlaceboQuality of Life Scale (QLS) Over TimeWeek 4 period 172.3 score on a scaleStandard Error 7.7
Cannabidiol, Then PlaceboQuality of Life Scale (QLS) Over TimeBaseline period 268.6 score on a scaleStandard Error 8.6
Cannabidiol, Then PlaceboQuality of Life Scale (QLS) Over TimeWeek 1 period 268.6 score on a scaleStandard Error 8.6
Cannabidiol, Then PlaceboQuality of Life Scale (QLS) Over TimeWeek 2 period 270.1 score on a scaleStandard Error 8.6
Cannabidiol, Then PlaceboQuality of Life Scale (QLS) Over TimeWeek 3 period 266.3 score on a scaleStandard Error 8.6
Cannabidiol, Then PlaceboQuality of Life Scale (QLS) Over TimeWeek 4 period 271.8 score on a scaleStandard Error 8.6
Placebo, Then CannabidiolQuality of Life Scale (QLS) Over TimeWeek 2 period 277.6 score on a scaleStandard Error 6.7
Placebo, Then CannabidiolQuality of Life Scale (QLS) Over TimeBaseline period 172.9 score on a scaleStandard Error 6.4
Placebo, Then CannabidiolQuality of Life Scale (QLS) Over TimeBaseline period 273.3 score on a scaleStandard Error 6.5
Placebo, Then CannabidiolQuality of Life Scale (QLS) Over TimeWeek 1 period 174.9 score on a scaleStandard Error 6.4
Placebo, Then CannabidiolQuality of Life Scale (QLS) Over TimeWeek 4 period 282.7 score on a scaleStandard Error 6.8
Placebo, Then CannabidiolQuality of Life Scale (QLS) Over TimeWeek 2 period 167.1 score on a scaleStandard Error 6.4
Placebo, Then CannabidiolQuality of Life Scale (QLS) Over TimeWeek 1 period 276.7 score on a scaleStandard Error 6.7
Placebo, Then CannabidiolQuality of Life Scale (QLS) Over TimeWeek 3 period 171.1 score on a scaleStandard Error 6.4
Placebo, Then CannabidiolQuality of Life Scale (QLS) Over TimeWeek 3 period 278.1 score on a scaleStandard Error 6.8
Placebo, Then CannabidiolQuality of Life Scale (QLS) Over TimeWeek 4 period 170.7 score on a scaleStandard Error 6.5
Comparison: The p value is based on the interaction of treatment and time.p-value: 0.99495% CI: [0.07, 8.19]Mixed Models Analysis

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026