103 Participants Needed

THC for Cannabis Intoxication

(SAGE Trial)

ZD
VA
Overseen ByVincent Acebo

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how different forms of THC, both smoked and oral, affect potential misuse, feelings of being high, pain relief, and impairment based on age. Participants will receive either a placebo or varying strengths of cannabis or oral THC, such as Dronabinol, a synthetic form of THC, to help understand these effects. The trial seeks adults aged 18-65 who regularly use cannabis (at least weekly) and have not experienced serious issues with it. Those not seeking cannabis treatment and without adverse reactions to it may find this trial suitable. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants a chance to contribute to groundbreaking insights.

Will I have to stop taking my current medications?

Yes, you will need to stop taking any prescription or regular over-the-counter medications, except for hormonal contraceptives and hormone replacement therapy, to participate in this trial.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that cannabis and THC (the active ingredient in cannabis) have been studied for safety in humans. For low-strength cannabis (10 mg THC), short-term effects can include coordination problems, muscle weakness, and fatigue, as seen in various studies. These effects are temporary but can be unpleasant.

For higher-strength cannabis (20 mg THC), studies indicate that stronger doses can lead to more serious effects, such as an increased risk of mental health issues, especially with frequent use. While higher doses might be safe for some, they can pose risks for others.

Low-strength oral THC (10 mg) is generally well-tolerated. Research on dronabinol, a synthetic form of THC, has shown it can alleviate symptoms like nausea and loss of appetite, with few side effects at low doses.

Higher-strength oral THC (20 mg) can affect memory and concentration. Some users may feel more intoxicated, but it is usually safe if doses are managed carefully.

Overall, cannabis and THC are generally considered safe for most adults in controlled amounts. However, side effects can vary based on the dose and individual reactions. It's important to understand how your body responds and to start with lower doses if uncertain.12345

Why are researchers excited about this trial's treatments?

Unlike the standard of care for cannabis intoxication, which often involves supportive care and benzodiazepines, this trial explores the effects of both smoked and oral THC to manage the condition. Researchers are excited because these treatments use THC itself, either smoked or in pill form, to potentially counteract over-intoxication by engaging the same cannabinoid receptors in a controlled way. This approach could offer a more targeted response by modulating the endocannabinoid system directly, potentially leading to quicker and more effective symptom relief.

What evidence suggests that this trial's treatments could be effective for cannabis intoxication?

Research shows that THC, the main active ingredient in cannabis, affects people differently depending on the dose. In this trial, participants may receive low-strength smoked cannabis, which studies have found can increase heart rate and cause a moderate "high." Another group will receive stronger smoked cannabis, usually leading to a more intense high and greater enjoyment. Additionally, some participants will receive low or high doses of oral THC. Studies suggest that both low and high doses of oral THC can effectively reduce pain and increase pain tolerance. High doses of oral THC can also improve mood and reduce cravings for cannabis. Overall, these findings suggest THC influences the intensity of the high and its effectiveness in relieving pain.678910

Who Is on the Research Team?

ZC

Ziva Cooper, PhD

Principal Investigator

University of California, Los Angeles

Are You a Good Fit for This Trial?

This trial is for males and non-pregnant females aged 18-65 who use cannabis weekly to monthly, primarily by inhalation, over the last 6 months. They should not be seeking treatment for cannabis use, have no significant adverse effects from it, and must have a BMI of 18.5-34kg/m2. Women must use effective birth control if pre-menopausal.

Inclusion Criteria

Not currently seeking treatment for their cannabis use
I have used cannabis by smoking or vaping weekly to monthly for the last 6 months.
I have used cannabis without any major side effects.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive smoked and oral THC or placebo to assess effects on abuse liability, intoxication, analgesia, and impairment

6 hours per session
Multiple sessions (outpatient)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Cannabis
  • Dronabinol
Trial Overview The study examines how smoked and oral THC affects people differently based on their age. It looks at potential abuse, intoxication levels, pain relief (analgesia), and impairment in adults grouped as emerging (18-25), middle-aged (35-45), and late middle-aged (55-65).
How Is the Trial Designed?
5Treatment groups
Experimental Treatment
Placebo Group
Group I: Experimental: Low strength oral THCExperimental Treatment2 Interventions
Group II: Experimental: Low strength cannabisExperimental Treatment2 Interventions
Group III: Experimental: Higher strength oral THCExperimental Treatment2 Interventions
Group IV: Experimental: Higher strength cannabisExperimental Treatment2 Interventions
Group V: Placebo Comparator: PlaceboPlacebo Group2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, Los Angeles

Lead Sponsor

Trials
1,594
Recruited
10,430,000+

National Institute on Drug Abuse (NIDA)

Collaborator

Trials
2,658
Recruited
3,409,000+

Published Research Related to This Trial

In a study involving six volunteers, both liquid and capsule forms of THC-containing hemp oils produced plasma THC levels comparable to synthetic THC (dronabinol) used for appetite stimulation, indicating their potential efficacy as dietary supplements.
The study found that THC and its metabolites were detectable in plasma for varying durations, with THCCOOH persisting for up to 39.5 hours after dosing, suggesting a prolonged effect of THC from hemp oils compared to synthetic forms.
Delta(9)-tetrahydrocannabinol, 11-hydroxy-delta(9)-tetrahydrocannabinol and 11-nor-9-carboxy-delta(9)-tetrahydrocannabinol in human plasma after controlled oral administration of cannabinoids.Goodwin, RS., Gustafson, RA., Barnes, A., et al.[2022]
This paper introduces a framework for assessing the safety of additives in cannabis concentrates, aimed at helping regulators and manufacturers without extensive toxicological expertise.
Based on data from over 54,000 users of smart vaporization devices, the study suggests a standard consumption assumption of 100 mg per day for cannabis concentrates to facilitate risk assessments of these additives.
A First-Tier Framework for Assessing Toxicological Risk from Vaporized Cannabis Concentrates.Vreeke, S., Faulkner, DM., Strongin, RM., et al.[2022]
Two pediatric patients were admitted to the intensive care unit after unintentionally ingesting delta-8 THC products that resembled candy, highlighting the risks associated with these products for children.
While both patients experienced bradypnea and agitation, they were treated with supportive care and discharged after approximately 45 hours, indicating that while delta-8 THC can cause significant symptoms, timely medical intervention can lead to recovery.
Unintentional ingestion of putative delta-8 tetrahydrocannabinol by two youth requiring critical care: a case report.Bradley, EK., Hoots, BE., Bradley, ES., et al.[2023]

Citations

The effect of high-dose dronabinol (oral THC) maintenance ...Similarly, high-dose dronabinol maintenance significantly reduced ratings of depressed mood, decreased appetite, irritability, sleep difficulty, ...
THC for Cannabis Intoxication (SAGE Trial)THC, the main active ingredient in cannabis, can cause sedation, euphoria, and relaxation, but higher doses may lead to fear, hallucinations, and seizures.
Acute objective and subjective intoxication effects of legal- ...THC-dominant concentrates induced higher intoxication, and higher ratings of drug effect and drug liking than the CBD-dominant concentrate.
Cannabinoids for the treatment of cannabis use disorderDronabinol decreased withdrawal symptoms compared to placebo during cannabis abstinence. Dronabinol decreased ratings of cannabis craving compared to placebo.
Oral Cannabis Extract for Secondary Prevention of ...Our data support the claim that oral THC:CBD is an effective and safe option for the prevention of refractory CINV. Availability, access, ...
Cannabinoid PoisoningAcute cannabis toxicity results in difficulty with coordination, decreased muscle strength, decreased hand steadiness, postural hypotension, lethargy, ...
Adverse Health Effects of Marijuana Use - PubMed Central - NIHDaily use, especially of high-potency cannabis, drives the earlier onset of psychosis in cannabis users. Schizophr Bull. 2014 Mar 19; doi: 10.1093/schbul ...
Marijuana: Rising THC Concentrations in Cannabis Can Pose ...Marijuana: Rising THC Concentrations in Cannabis Can Pose Health Risks · Brain changes and other cannabis side effects need more study, say Yale ...
Injury and Death - The Health Effects of Cannabis and ... - NCBIThis chapter discusses the association between cannabis use and all-cause mortality, occupational injury, motor vehicle accidents, and overdose injuries and ...
Cannabis and PoisoningChildren who consume THC-containing products can become very sick. They may have problems walking or sitting up or may have a hard time breathing.
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