Cannabis Withdrawal
Conditions
Keywords
Cannabis Use Disorder, Marijuana Use Disorder
Brief summary
This study will be a randomized, double-blind, placebo-controlled, multicenter trial conducted to evaluate whether PP-01 mitigates the withdrawal symptoms associated with discontinuing cannabis in participants with moderate to severe Cannabis Use Disorder (CUD). The study will enroll approximately 225 participants with moderate to severe CUD and will include 5 arms, including a placebo arm, to help assess the incidence and severity of withdrawal symptoms in heavy long-term users of cannabis. Participants receive study medication for 34 days and participate in 11 visits (7 at a clinic and 4 telemedicine).
Interventions
COMBINATION_PRODUCTPP-01 High Dose
Cannabinoid-1 (CB1) partial agonist / GABAergic modulator
COMBINATION_PRODUCTPP-01 Low Dose
CB1 partial agonist / GABAergic modulator
DRUGPlacebo
Placebo comparator
DRUGNabilone
CB1 receptor
DRUGGabapentin
GABAergic modulator
Sponsors
PleoPharma, Inc.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
1. Generally healthy individuals between the ages of 18 and 55, inclusive 2. Meets Diagnostic and Statistical Manual (DSM)-5 diagnostic criteria for current moderate to severe CUD as confirmed by a licensed physician or psychologist or addiction medicine specialist 3. BMI within 18.0 to 38.0 kg/m2, inclusive 4. Seeking to minimize withdrawal symptoms related to cannabis discontinuation in people seeking to discontinue cannabis 5. Meet DSM-5 Cannabis Withdrawal 6. Report heavy use of daily/near daily cannabis 7. Have a urine drug screen positive for tetrahydrocannabinol (THC)/THC metabolites at Screening and Randomization 8. Capable of giving informed consent and complying with study procedures 9. Stated willingness to comply with all study procedures including twice weekly visits, daily evening video calls, restrictions, and availability for the duration of the study
Exclusion criteria
1. Lifetime history of DSM-5 diagnosis of schizophrenia or schizoaffective disorder, or Bipolar 1 within the previous 2 years 2. Current DSM-5 criteria for a psychiatric disorder that in the Investigator's judgment is unstable, would be disrupted by the study medication, or is likely to require new pharmacotherapy or psychotherapy during the study period. Individuals who are currently stable on psychotropic medication for at least 3 months may be included at the discretion of the Investigator's judgement 3. Participants who meet DSM-5 criteria for any substance use disorder other than cannabis, nicotine, or caffeine use disorders 4. Participants using cannabis for a medical condition requiring use such as epilepsy 5. Clinically significant unstable medical disorders 6. Any clinically important abnormalities on Screening physical examination (PE), assessments, ECG, or laboratory tests 7. Use of an investigational drug or biologic within 30 days or 5 times the half-life (whichever is longer) prior to the Screening Visit 8. Pregnant or lactating female participants, or a positive urine pregnancy test 9. COVID-19
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluation of a patient reported outcome measure of cannabis withdrawal over 5 days | Over 5 days |
Countries
United States
Outcome results
None listed