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Cannabis Reduction and Functional Outcomes

Prospective Changes in Patient-reported and Objective Functioning Following Reduction of Cannabis Use

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07218471
Enrollment
176
Registered
2025-10-20
Start date
2026-03-13
Completion date
2030-01-30
Last updated
2026-03-19

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

Conditions

Cannabis Use Disorder

Brief summary

This study evaluates the effects of cannabis use reduction among adults diagnosed with cannabis use disorder (CUD). Participants will undergo an 8-week intervention combining motivational interviewing, computerized cognitive behavioral therapy (CBT4CBT), and financial incentives for reduction in urinary cannabinoids. The study aims to assess improvements in cannabis-related problems, sleep, cognitive performance, CUD severity, and quality of life.

Interventions

BEHAVIORALCBT4CBT (Computerized Cognitive Behavioral Therapy)

Participants will receive one therapist-led motivational interviewing/goal setting session followed by 7 sessions of computerized CBT4CBT.

BEHAVIORALMotivational Interviewing

Participants will receive one therapist-led motivational interviewing/goal setting session followed by 7 sessions of computerized CBT4CBT.

BEHAVIORALContingency Management

Patients will receive contingent reinforcers (financial incentives for reduction in urinary cannabinoids).

Sponsors

Medical University of South Carolina
Lead SponsorOTHER
National Institutes of Health (NIH)
CollaboratorNIH
National Institute on Drug Abuse (NIDA)
CollaboratorNIH

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Age 18+ * Urinary cannabinoid level ≥ 50 ng/mL * DSM-5 diagnosis of CUD (mild, moderate, or severe) * Willingness to attempt cannabis reduction * Completion of Intake Visit

Exclusion criteria

* Serious medical/psychiatric conditions * Pregnancy or breastfeeding * Use of cannabis in past 30 days was for medical purposes only * Discontinuation or reduction of cannabis use may exacerbate a pre-existing condition * Cognitive or understanding difficulties, as evidenced by inability to pass informed consent quiz

Design outcomes

Primary

MeasureTime frameDescription
Cannabis-Related ProblemsWeek 8 (end-of-treatment)Rutgers Marijuana Problem Index (RMPI)- higher scores associated with worse outcomes.

Secondary

MeasureTime frameDescription
Total minutes of sleep per nightWeek 8 (end-of-treatment)Measured via Fitbit Charge.
Minutes of light sleep per nightWeek 8 (end-of-treatment)Measured via Fitbit Charge.
Minutes of rapid eye movement (REM) sleep per nightWeek 8 (end-of-treatment)Measured via Fitbit Charge.
Minutes of deep sleep per nightWeek 8 (end-of-treatment)Measured via Fitbit Charge.
Sleep efficiency ratingWeek 8 (end-of-treatment)"Sleep score" as provided by Fitbit Charge. Range is 1-100 with higher scores indicating better sleep quality/efficiency.
Rey Auditory Verbal Learning Test (Verbal Memory) Age-Adjusted Standard ScoreWeek 8 (end-of-treatment)NIH Toolbox assessment; Higher scores indicate better cognitive functioning in this domain.
Oral Symbol Digit Test Age-Adjusted Standard ScoreWeek 8 (end-of-treatment)NIH Toolbox assessment; Higher scores indicate better cognitive functioning in this domain.
Face/Name Associative Memory Test (Visual Memory) Age-Adjusted Standard ScoreWeek 8 (end-of-treatment)NIH Toolbox assessment; Higher scores indicate better cognitive functioning in this domain.
Pattern Comparison Processing Speed Test (Processing Speed) Age-Adjusted Standard ScoreWeek 8 (end-of-treatment)NIH Toolbox assessment; Higher scores indicate better cognitive functioning in this domain.

Countries

United States

Contacts

CONTACTRachel Tomko, PhD
tomko@musc.edu(843) 792-5447
CONTACTErin McClure, PhD
mccluree@musc.edu(843) 792-7192
PRINCIPAL_INVESTIGATORRachel Tomko, PhD.

Medical University of South Carolina

PRINCIPAL_INVESTIGATORErin McClure, PhD.

Medical University of South Carolina

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 20, 2026