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Behavioral Pharmacology of THC and D-limonene

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Johns Hopkins University

Status and phase

Completed
Phase 1

Conditions

D-limonene and THC Pharmacodynamics

Treatments

Drug: Vaporized THC, limonene, or THC and limonene
Drug: Placebo

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT03609853
R01DA043475 (U.S. NIH Grant/Contract)
IRB00085652

Details and patient eligibility

About

This study will evaluate the pharmacokinetics and pharmacodynamics of vaporized d-limonene and THC administered via inhalation.

Full description

The proposed study will be conducted at the Johns Hopkins Behavioral Pharmacology Research Unit (BPRU). Participants will complete 9 acute drug administration periods in which they will administer THC alone, limonene alone, THC and limonene together, or placebo. Subjective drug effects and vital signs will be assessed following drug administration. Each participant will receive all 9 dose conditions in a randomized order using a placebo controlled within-subject crossover design. The study will help us understand the individual and interactive effects of THC and d-limonene, two common constituents found in cannabis.

Enrollment

53 patients

Sex

All

Ages

18 to 55 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  1. Have provided written informed consent
  2. Be between the ages of 18 and 55
  3. Be in good general health based on a physical examination, medical history, vital signs, 12-lead ECG and screening urine and blood tests
  4. Test negative for drugs of abuse other than cannabis, including breath alcohol at the screening visit and at clinic admission
  5. Not be pregnant or nursing (if female). All females must have a negative serum pregnancy test at the screening visit and a negative urine pregnancy test at clinic admission.
  6. Have a body mass index (BMI) in the range of 18 to 36 kg/m2
  7. Blood pressure at Screening Visit does not exceed a systolic blood pressure (SBP) of 150 mmHg or a diastolic blood pressure (DBP) of 90 mmHg
  8. Have no allergies to any of the ingredients used to prepare vapor (THC, d-limonene).
  9. Report having experienced anxiety after consuming cannabis in the past.

Exclusion criteria

  1. Non-medical use of psychoactive drugs other than, nicotine, alcohol, or caffeine 3 month prior to the Screening Visit;
  2. History of or current evidence of significant medical (e.g. seizure disorder) or psychiatric illness (e.g. psychosis) judged by the investigator to put the participant at greater risk of experiencing an adverse event due to exposure or completion of other study procedures.
  3. Use of an over the counter, systemic or topical drug(s), herbal supplement(s), or vitamin(s) within 14 days of experimental sessions; which, in the opinion of the investigator or sponsor, will interfere with the study result or the safety of the subject.
  4. Use of a prescription medication (with the exception of birth control prescriptions) within 14 days of experimental sessions; which, in the opinion of the investigator or sponsor, will interfere with the study result or the safety of the subject.
  5. Use of dronabinol (Marinol®) within the past month.
  6. Average use of cannabis more than 2 times per week in the prior 3 months.
  7. History of clinically significant cardiac arrhythmias or vasospastic disease (e.g., Prinzmetal's angina).
  8. Abnormal EKG result that in the investigator's opinion is clinically significant.
  9. Enrolled in another clinical trial or have received any drug as part of a research study within 30 days prior to dosing.
  10. Having previously sought medical attention to manage adverse effects following acute cannabis use.
  11. Individuals with anemia or who have donated blood in the prior 30 days

Trial design

Primary purpose

Basic Science

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

Double Blind

53 participants in 10 patient groups, including a placebo group

Placebo
Placebo Comparator group
Description:
Placebo (5mL distilled water)
Treatment:
Drug: Placebo
Vaporized low THC
Experimental group
Description:
15mg of pure THC
Treatment:
Drug: Vaporized THC, limonene, or THC and limonene
Vaporized high THC
Experimental group
Description:
30mg of pure THC
Treatment:
Drug: Vaporized THC, limonene, or THC and limonene
Vaporized low d-limonene
Experimental group
Description:
1mg of d-limonene
Treatment:
Drug: Vaporized THC, limonene, or THC and limonene
Vaporized high d-limonene
Experimental group
Description:
5mg of d-limonene
Treatment:
Drug: Vaporized THC, limonene, or THC and limonene
Low THC and low d-limonene
Experimental group
Description:
15mg of THC paired with 1mg of d-limonene
Treatment:
Drug: Vaporized THC, limonene, or THC and limonene
High THC and low d-limonene
Experimental group
Description:
30mg of THC paired with 1mg of d-limonene
Treatment:
Drug: Vaporized THC, limonene, or THC and limonene
Low THC and high d-limonene
Experimental group
Description:
15mg of THC paired with 5mg of d-limonene
Treatment:
Drug: Vaporized THC, limonene, or THC and limonene
High THC and high d-limonene
Experimental group
Description:
30mg of THC paired with 5mg of d-limonene
Treatment:
Drug: Vaporized THC, limonene, or THC and limonene
High THC and 15mg d-limonene
Experimental group
Description:
30mg of THC paired with 15mg of d-limonene
Treatment:
Drug: Vaporized THC, limonene, or THC and limonene

Trial documents
1

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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