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Verified June 2016 by Yale University

Sponsor:

Information provided by (Responsible Party):

Deepak C. D’Souza, Yale University

ClinicalTrials.gov Identifier:

NCT02811939

First received: March 15, 2016

Last updated: June 20, 2016

Last verified: June 2016

The overall purpose of this study is to examine the effect of Pregnenolone (PREG) on the acute psychosis-like and cognitive effects of Delta-9-Tetrahydrocannabinol (THC). This will be tested by pretreating healthy individuals with PREG, and then assessing their responses to Dronabinol (THC).

Healthy Drug: Active Dronabinol
Drug: Active Pregnenolone
Drug: Placebo Dronabinol
Drug: Placebo Pregnenolone
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Basic Science
Official Title: Testing the Interactive Effects of Delta-9-Tetrahydrocannabinol and Pregnenolone: Sub-Study I

Primary Outcome Measures:

  • Change from Baseline: Positive and Negative Syndrome Scale (PANSS) [ Time Frame: baseline, 30, 110, 180, and 240 minutes after the administration of oral dronabinol/placebo ] [ Designated as safety issue: No ]

    Positive, negative and general symptoms will be assessed using the positive, negative, and general symptom subscale of the PANSS.

Secondary Outcome Measures:

  • Change from Baseline: Clinician Administered Dissociative Symptoms Scale (CADSS) [ Time Frame: baseline, 30, 110, 180, and 240 minutes after the administration of oral dronabinol/placebo ] [ Designated as safety issue: No ]

    Perceptual alterations will be measured using the CADSS. This is a scale consisting of 19 self-reported items, and 9 clinician-rated items. The scale captures alterations in environmental/time/body perception, feelings of unreality, and memory impairment.

  • Change from Baseline: Visual Analog Scale (VAS) [ Time Frame: Baseline; 30 minutes and 10 minutes prior to administration of oral dronabinol or placebo; 20, 90, 110, 150, 180, and 240 minutes after the administration of oral dronabinol/placebo ] [ Designated as safety issue: No ]

    Feeling states associated with cannabis intoxication will be measured using a self-reported visual analog scale of feeling states associated with cannabis effects (ex. “high, “calm”, “anxious”). Subjects will be asked to score the perceived intensity of these feeling states at that moment on a 11mm line. This data will be captured to validate the experiment is relevant to cannabis effect.

  • Change from Baseline: Psychotomimetic States Inventory (PSI) [ Time Frame: baseline, 30, 110, 180, and 240 minutes after the administration of oral dronabinol/placebo ] [ Designated as safety issue: No ]

    The PSI is a measure of drug induced psychotomimetic states. This self-reported scale consists of 28 items rated 0 (not at all) to 3 (extremely) and will facilitate the characterization of a wide range of dissociative/hallucinatory phenomena as well as cognitive disorganization associated with the administration of THC.

  • Cognitive Test Battery [ Time Frame: 25 minutes after Dronabinol is given orally ] [ Designated as safety issue: No ]

    Several computer tasks will be administered in order to evaluate the effects of cannabis on verbal learning and memory. The battery consists of five computer tasks that last no longer than 20 minutes in total.

Estimated Enrollment: 19
Study Start Date: March 2016
Estimated Study Completion Date: February 2018
Estimated Primary Completion Date: February 2018 (Final data collection date for primary outcome measure)
Experimental: Active THC and Placebo Pregnenolone Drug: Active Dronabinol

20 mg capsule of Dronabinol will be administered orally

Drug: Placebo Pregnenolone

Control: Placebo given sublingually (under the tongue)

Experimental: Active THC and Active Pregnenolone Drug: Active Dronabinol

20 mg capsule of Dronabinol will be administered orally

Drug: Active Pregnenolone

1.79 mg/kg of Pregnenolone will be administered sublingually (under the tongue)

Experimental: Placebo THC and Active Pregnenolone Drug: Active Pregnenolone

1.79 mg/kg of Pregnenolone will be administered sublingually (under the tongue)

Drug: Placebo Dronabinol

Control: Placebo pill (no active cannabinoids) administered orally

Placebo Comparator: Placebo THC and Placebo Pregnenolone Drug: Placebo Dronabinol

Control: Placebo pill (no active cannabinoids) administered orally

Drug: Placebo Pregnenolone

Control: Placebo given sublingually (under the tongue)

Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Exposed to cannabis at least once in lifetime

Exclusion Criteria:

  • Cannabis naïve
  • Individuals with a documented reaction/allergy to Pregnenolone
  • Individuals with a documented reaction/allergy to Sesame oil

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02811939

Biological Studies Unit at the VA Connecticut Healthcare System, Yale School of Medicine
West Haven, Connecticut, United States, 06516
Contact: Esra Sefik, BA    203-932-5711 ext 2557    esra.sefik@nullyale.edu   
Contact: Christina Luddy, BS    (203) 932-5711 ext 4549    christina.luddy@nullyale.edu   
Principal Investigator: Deepak Cyril D’Souza, MD         

Yale University

Principal Investigator: Deepak Cyril D’Souza, MD Yale Univerisity, School of Medicine

Responsible Party: Deepak C. D’Souza, Professor of Psychiatry, Yale University
ClinicalTrials.gov Identifier: NCT02811939     History of Changes
Other Study ID Numbers: 1501015242.A 
Study First Received: March 15, 2016
Last Updated: June 20, 2016
Health Authority: United States: Food and Drug Administration

Keywords provided by Yale University:

Cannabis
Marijuana
THC
Dronabinol
Pregnenolone
PREG
Psychotic Disorders

Additional relevant MeSH terms:

Cannabinoid Receptor Agonists
Cannabinoid Receptor Modulators
Dronabinol
Hallucinogens
Physiological Effects of Drugs
Psychotropic Drugs
Analgesics, Non-Narcotic
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Hormones
Hormones, Hormone Substitutes, and Hormone Antagonists

ClinicalTrials.gov processed this record on September 13, 2016