Cannabis Use
Conditions
Brief summary
This study will recruit healthy volunteers who use cannabis infrequently. Each participant will attend the laboratory on five occasions: an initial visit to check that they are safe to join the study and four days of testing. Participants will be administered, in a randomized order, vaporized cannabis containing one of four different ratios of CBD:THC (0:1, 1:1, 2:1, 3:1). The cannabis administration will follow a standardised inhalation procedure using a medical-grade vaporizer device. Participants will complete a series of tasks measuring cognition, psychosis, anxiety and other subjective experiences. The study will be carried out at the NIHR-Wellcome Trust Clinical Research Facility at King's College Hospital.
Interventions
Inhaled cannabis containing 10mg THC
Inhaled cannabis containing 10mg CBD
Sponsors
Study design
Eligibility
Inclusion criteria
* Female and male volunteers aged 21-50 * Have used cannabis at least once * Willing to provide written informed consent * Willing to provide blood samples * Fluent English speaker
Exclusion criteria
* Past or present major mental illness * Past or present major physical illness * Past or present substance use disorder * Past or present use of anti-psychotic or anti-depressant medications * First degree relative with psychotic disorder * Currently taking psychotropic medication * Positive urine drug screen at screening or experimental visits * Use of alcohol 24h prior to experimental visit or tobacco on the day of experiment * Pregnancy (current or planned) or lactation in women * Significant abnormality detected during physical examination at screening visit * Cannabis use (defined as days in which cannabis is used recreationally) more than once per week on average over the last 12 months * Any past use of synthetic cannabinoids * Score of 5 and above on the Fagerstrom Nicotine dependence questionnaire * BMI classified as obese or underweight * Taken part in any drug study within the last 30 days or taking part in another study over the course of the trial * Known drug sensitivity/allergy towards cannabis or Lorazepam
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hopkins Verbal Learning Task | 40-45 minutes post cannabis inhalation | Delayed verbal recall |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Plasma CBD concentration | Pre-cannabis, 0 minutes post-cannabis, 5 minutes post-cannabis, 15 minutes post-cannabis, 90 minutes post-cannabis | — |
| Plasma 11-OH-THC concentration | Pre-cannabis, 0 minutes post-cannabis, 5 minutes post-cannabis, 15 minutes post-cannabis, 90 minutes post-cannabis | — |
| Hopkins Verbal Learning Task | 20-40 minutes post cannabis inhalation | Immediate verbal recall |
| Forward and Reverse Digit span | 20-40 minutes post cannabis inhalation | Working memory |
| Spatial N-back task | 20-40 minutes post cannabis inhalation | Spatial working memory |
| Positive and Negative Syndrome Scale | Baseline; 3-4 hours post cannabis inhalation | Positive subscale |
| Plasma THC concentration | Pre-cannabis, 0 minutes post-cannabis, 5 minutes post-cannabis, 15 minutes post-cannabis, 90 minutes post-cannabis | — |
| Community assessment of Psychic Experiences - state | 3-4 hours post cannabis inhalation | — |
| Psychotomimetic states inventory | 3-4 hours post cannabis inhalation | — |
| Visual analogue scales (0 to 100 millimetres) | Baseline; Pre-cannabis, 10 minutes post-cannabis, 50 minutes post-cannabis, 1 hour 10 minutes post-cannabis, discharge | * Feel drug effect * Like drug effect * Want more drug * Mentally impaired * Dry Mouth * Enhanced colour perception * Enhanced sound perception * Want food * Want alcohol * Feel high * Feel anxious * Feel paranoid * Feel tired * Feel calm and relaxed * Feel stoned * The drug effects are pleasurable |
| Pleasurable responses - Visual analogue scale (-50 to 50 millimetres) | 1 hour post-cannabis | Increased or decreased pleasure from chocolate and music during intoxication |
| Plasma 11-COOH-THC concentration | Pre-cannabis, 0 minutes post-cannabis, 5 minutes post-cannabis, 15 minutes post-cannabis, 90 minutes post-cannabis | — |
| Plasma 7-OH-CBD concentration | Pre-cannabis, 0 minutes post-cannabis, 5 minutes post-cannabis, 15 minutes post-cannabis, 90 minutes post-cannabis | — |
| State Social Paranoia Scale | 3-4 hours post cannabis inhalation | — |
Countries
United Kingdom