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Chronic PainPhase 2OMNI-CanNCT03944447

Outcomes Mandate National Integration With Cannabis as Medicine

A Phase 2 study testing Cannabis, Medical and RYAH-Medtech Inhaler in people with Chronic Pain and Chronic Pain Syndrome, run by OMNI Medical Services, LLC at 17 sites in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This will be a multistate, multicenter clinical study to determine the efficacy and safety of medical cannabis for a wide variety of chronic medical conditions. Read more about this study

Who is it for?
Ages 7 years and olderHealthy volunteers can take part
What is being tested?
Cannabis, Medical and RYAH-Medtech Inhaler
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200,000 participants
Where
17 sitesUnited States
Study dates
1 Dec 2018to 31 Dec 2025
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 7 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Clinical diagnosis of a Qualifying Condition for Medical Marijuana
  • Must be 18 years or older unless they have consent from their parent or legal guardian as defined under state law parameters
  • Must be willing to complete online surveys at baseline and the follow up points in this study

Who cannot join

  • Pregnancy
  • Breastfeeding
  • Inability to provide informed consent
  • Inability to complete study visits or questionnaires
  • Active suicidality or psychosis, that could be exacerbated by the administration of cannabis

Trial locations and contacts

17 sites in 1 country.

Dr. Ryan O Lakin, MD JD contact

419-214-3220

ryan.lakin.md@gmail.com

17 sites in 1 country

United States17 sites, 17 recruiting
  • OMNI Medical Services

    Beechwood, Ohio, 44122

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Boca Raton, Florida, 33433

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Bowling Green, Ohio, 43402

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Bradenton, Florida, 34209

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Fort Lauderdale, Florida, 33308

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Fort Myers, Florida, 34135

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Gainesville, Florida, 36201

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Merritt Island, Florida, 32952

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Miami, Florida, 33137

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Ocoee, Florida, 34761

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Pensacola, Florida, 32505

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Pompano Beach, Florida, 33060

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Sandusky, Ohio, 44870

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Tampa, Florida, 33614

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Toledo, Ohio, 43604

    Ryan O Lakin, MD JD, 419-214-3220

    Recruiting
  • OMNI Medical Services

    Toledo, Ohio, 43611

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting
  • OMNI Medical Services

    Wesley Chapel, Florida, 33544

    Ryan O Lakin, MD JD, 888-470-0008

    Recruiting

Other trials in United States

About this study

This will be a multistate, multicenter clinical study to determine the efficacy and safety of medical cannabis for a wide variety of chronic medical conditions.

Read the detailed description

Medical cannabis has been legal in parts of the USA since 1996, with the stated intention of reducing pain (both acute and chronic) as well as for treatment of multiple other conditions. The original implementation of medical cannabis in the USA was implemented in California as a compassionate measure to treat the HIV/AIDS epidemic. Additional studies have shown promising outcome for patients with multiple sclerosis, seizures, cancer, and other chronic conditions. However, there have been few comprehensive studies that have actually measured whether cannabis is an effective treatment for pain reduction. There is an absence of multistate, multicenter clinical studies with cannabis as medicine, not only in the USA but globally. With the expansion of medical cannabis into more than 38 states in the US, this type of clinical study is now feasible.

On March 11, 2020, the World Health Organization formally characterized coronavirus, COVID-19, as a global pandemic and health systems globally are continuing their efforts to manage the outbreak. Coronavirus disease COVID-19 is an infectious disease caused by a newly discovered coronavirus. With the rapidly growing pandemic of COVID-19 caused by the new and challenging to treat zoonotic SARS-CoV2 coronavirus, there is an urgent need for new therapies and prevention strategies that can help curtail disease spread and reduce mortality. Inhibition of viral entry and thereby spread constitute plausible therapeutic avenues.

This study will utilize an anonymous novel online questionnaire to determine study participants' qualifying condition(s) for medical cannabis use, cannabis ingestion method, frequency of use, prescription drug use, and demographic information. Secondary factors will include evaluation of pain control, quality of life metrics, any adverse side effects from cannabis use, as well as changes in adjunctive treatments. Patients will be given medical cannabis recommendations and certifications commensurate with the state law in which the encounter occurs. The variations in mechanisms between the states for recommending, registering, certifying, and developing mandated treatment plans or doses will be adhered to; however, variations in state law and cannabis programs should not cause variation in the study design because the end-result is still the same with patients being treated with medical cannabis.

Being tested
Cannabis, Medical, RYAH-Medtech Inhaler
Medical subject headings
Chronic Pain, Fibromyalgia, Seizures, Hepatitis C, Neoplasms, Crohn Disease, Acquired Immunodeficiency Syndrome, Multiple Sclerosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cannabis, MedicalDrug

    Also called Marijuana Medical, Marijuana Treatment

    Patients will be given medical cannabis recommendations and certifications commensurate with the state law in which the encounter occurs. The variations in mechanisms between the states for recommending, registering, certifying, and developing mandated treatment plans or doses will be adhered to; however, variations in state law and cannabis programs should not cause variation in the study design because the end-result is still the same with patients being treated with medical cannabis.

  • RYAH-Medtech InhalerDevice

    Our research study will involve incorporation of RYAH-Medtech company's devices into our protocols. They have an inhaler and a transdermal patch for both hemp-derived CBD and cannabis. RYAH has developed an integrated phone app for tracking product use and patient response. They are currently involved in clinical trials in Europe. OMNI Medical will integrate the partner with RYAH device for several reasons. Primary goals will involve using their integrated smart phone app to collect and secure large quantities of data. Secondary goals will include FDA approval as a medical device. The specific cannabis strain will be tracked using scannable QR codes programed into the smart phone app. This will allow us to track patient feedback and capture data on usage. OMNI Medical will have patients use RYAH's products as part of and FDA Investigational Device Exemption, which requires an IRB. Use of the devices would be completely voluntary by study participants.

Study groups in NCT03944447
Study groupRoleWhat they receive
Cannabis usersExperimentalMost patients will have used cannabis before their initial physician visit, and many current patients will be returning for an in-person follow-up. Patients will be given the survey shortly after the physician encounter to assess baseline parameters with current cannabis use. Any patient who is "cannabis-naïve", defined as no use within the past year or longer, will be placed into a separate data analysis arm. The investigators will follow up with patients again at 3, 6, 9, and 12 months with the online survey. Patients returning for their annual physician encounter will continue on the 3-month survey schedule until the end of the study, or if lost to follow-up. There may be slight variations in the interval based on state law, for example in Florida the in-person follow-up with the physician is required every 210 days, and some states allow for 2 year in-person visits. Every attempt will be made to adhere to a 3-month interval survey distribution.
Receives: Drug: Cannabis, Medical; Device: RYAH-Medtech Inhaler
Cancer preventionExperimentalNon-cancer patient medical cannabis users with extensive or life-long cannabis use will be compared to the general population for incidence and prevalence of development of cancer. The hypothesis is that cannabis use acts as a cancer preventive substance.
Receives: Drug: Cannabis, Medical; Device: RYAH-Medtech Inhaler
Life-Threatening ConditionsExperimentalOpioids are a class of drugs naturally found in the opium poppy plant. Opioids are often used as medicines because they contain chemicals that relax the body and can relieve pain. Prescription opioids are used mostly to treat moderate to severe pain. Opioids can also make people feel very relaxed and "high" - which is why they are sometimes used for non-medical reasons. This can be dangerous because opioids can be highly addictive, and overdoses and death are common. From 1999 to 2017, more than 700,000 people have died from a drug overdose. Around 68% of the more than 70,200 drug overdose deaths in 2017 involved an opioid. In 2017, the number of overdose deaths involving opioids was 6 times higher than in 1999. On average, 130 Americans die every day from an opioid overdose. This study will focus on examining outcomes of patients that have been treated with cannabis as a replacement or alternative to life-threatening opioids or other prescription drugs.
Receives: Drug: Cannabis, Medical; Device: RYAH-Medtech Inhaler
COVID-19 / SARS-CoV-2ExperimentalInhibition of viral entry and thereby spread constitute plausible therapeutic avenues. Similar to other respiratory pathogens, SARS-CoV2 is transmitted through respiratory droplets, with potential for aerosol and contact spread. It uses receptor-mediated entry into the human host via angiotensin-converting enzyme II (ACE2) that is expressed in lung tissue, as well as oral and nasal mucosa. Modulation of ACE2 levels in these gateway tissues may prove a plausible strategy for decreasing disease susceptibility. Cannabis sativa, especially one high in the anti-inflammatory cannabinoid cannabidiol (CBD), has been proposed to modulate gene expression and inflammation and possess anti-cancer and anti-inflammatory properties. Covid-19 infection rates in cannabis users will be compared to rates in the general population. Severity of persistent symptoms in cannabis users testing positive for active infection and/or antibodies will also be compared to the general population.
Receives: Drug: Cannabis, Medical; Device: RYAH-Medtech Inhaler

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Prevention of COVID-19

    Covid-19 infection rates in cannabis users will be compared to rates in the general population. Our online questionnaire responses will compare infection rates of cannabis users in this study against the Johns Hopkins University Coronavirus Research Center data (https://coronavirus.jhu.edu).

    Measured: Five years

  2. Treatment of COVID-19

    Severity of persistent symptoms in cannabis users testing positive for active infection and/or antibodies will also be compared to the general population. Patients will answer the widely used FLU-PRO questionnaire, which asks about flu symptoms and severity, to capture diagnoses, symptoms, and medical interventions related to COVID-19. The data from cannabis user patients will be compared with national and international data surveys, such as the Covid Symptom Study (https://covid.joinzoe.com/us-2).

    Measured: Five years

  3. Treatment of Symptoms

    The primary objective is to assess the efficacy and safety of medical cannabis as medicine for treatment of chronic pain and other chronic debilitating diseases. Pain will be measured by Brief Pain Inventory (BPI) numeric scale. Change from baseline in BPI will be assessed at 3-month intervals. For prospective associations between cannabis use and outcomes, use of a lagged mixed-effects models will examine temporal associations between cannabis use and pain severity, opioid sparing, and patient satisfaction. Data will be analyzed from baseline and the annual follow-up waves.

    Measured: Five years

Secondary outcomes (3)
  1. Cannabis Impact on Quality of Life

    Secondary objectives include evaluating increases or decreases in quality of life, and increases or decreases in concomitant opioid use. Satisfaction with treatment will be measured by a Visual Analog Score (VAS). Change From baseline in Satisfaction with treatment measured by (VAS) be assessed at 3-month intervals.

    Measured: Five years

  2. Cannabis Route and Dosing

    Tertiary objectives will examine preferences for routes of administration, and preferences for THC / CBD ratios. Categorical factors will be summarized using frequencies and percentages, while continuous measure distributions will be described using means, standard deviations, and quartiles of interest.

    Measured: Five years

  3. Monitoring Adverse Events

    Incidence of Treatment-Related Adverse Events will be measured by Physician Global Assessment (PGA) numeric scale. Number of participants with Treatment-Related Adverse Events will be assessed by CTCAE v4.0.

    Measured: Five years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 May 2019
  2. Study start1 Dec 2018
  3. Primary completion31 Dec 2025 (estimated)
  4. Study completion31 Dec 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
200,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03944447
Sponsor's protocol ID
Pro00033337
Acronym
OMNI-Can
Status last verified
Feb 2022
First submitted
3 May 2019
Last updated
2 Jun 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Cannabis, Medical and RYAH-Medtech Inhaler in people with Chronic Pain and Chronic Pain Syndrome, run by OMNI Medical Services, LLC at 17 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 2 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Dr. Ryan O Lakin, MD JD (419-214-3220, ryan.lakin.md@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Prevention of COVID-19 (time frame: Five years). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jun 2022.

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