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Reducing the Harmful Effects of Cannabis Use: Finding the Optimal CBD:THC Ratio

Reducing the Harmful Effects of Cannabis Use: Finding the Optimal CBD:THC Ratio

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05170217
Acronym
eCBD
Enrollment
46
Registered
2021-12-27
Start date
2017-11-08
Completion date
2019-06-09
Last updated
2021-12-27

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

Conditions

Cannabis Use

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

DRUGTHC

Inhaled cannabis containing 10mg THC

DRUGCannabidiol

Inhaled cannabis containing 10mg CBD

Sponsors

King's College London
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
21 Years to 50 Years
Healthy volunteers
Yes

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

MeasureTime frameDescription
Hopkins Verbal Learning Task40-45 minutes post cannabis inhalationDelayed verbal recall

Secondary

MeasureTime frameDescription
Plasma CBD concentrationPre-cannabis, 0 minutes post-cannabis, 5 minutes post-cannabis, 15 minutes post-cannabis, 90 minutes post-cannabis
Plasma 11-OH-THC concentrationPre-cannabis, 0 minutes post-cannabis, 5 minutes post-cannabis, 15 minutes post-cannabis, 90 minutes post-cannabis
Hopkins Verbal Learning Task20-40 minutes post cannabis inhalationImmediate verbal recall
Forward and Reverse Digit span20-40 minutes post cannabis inhalationWorking memory
Spatial N-back task20-40 minutes post cannabis inhalationSpatial working memory
Positive and Negative Syndrome ScaleBaseline; 3-4 hours post cannabis inhalationPositive subscale
Plasma THC concentrationPre-cannabis, 0 minutes post-cannabis, 5 minutes post-cannabis, 15 minutes post-cannabis, 90 minutes post-cannabis
Community assessment of Psychic Experiences - state3-4 hours post cannabis inhalation
Psychotomimetic states inventory3-4 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-cannabisIncreased or decreased pleasure from chocolate and music during intoxication
Plasma 11-COOH-THC concentrationPre-cannabis, 0 minutes post-cannabis, 5 minutes post-cannabis, 15 minutes post-cannabis, 90 minutes post-cannabis
Plasma 7-OH-CBD concentrationPre-cannabis, 0 minutes post-cannabis, 5 minutes post-cannabis, 15 minutes post-cannabis, 90 minutes post-cannabis
State Social Paranoia Scale3-4 hours post cannabis inhalation

Countries

United Kingdom

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 10, 2026