AzTrials
AzTrials

THCTRDRPNCT04429568

THC Crossover Study

A study testing Smoked Cannabis, Vaped Cannabis and Tobacco Cigarette in people with THC and Cannabis, run by University of California, San Francisco at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a randomized, crossover study enrolling experienced dual cannabis-tobacco smokers (N=18) to describe the differences in THC and toxicant exposure, examining pharmacokinetic, subjective, and cardiovascular effects from smoking and vaping dry herb cannabis. Read more about this study

Who is it for?
Ages 21 years and olderHealthy volunteers can take part
Conditions the study is for
THC, Cannabis, Cannabis Smoking
What is being tested?
Smoked Cannabis, Vaped Cannabis and Tobacco Cigarette
Could I receive a placebo?
No, everyone receives an active treatment
How many people
14 participants
Where
2 sitesUnited States
Study dates
30 Oct 2020to 25 Jun 2024
Phase
Interventional
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 21 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy on the basis of medical history and limited physical examination, as described below:
  • Heart rate < 105 beats per minute (BPM); Systolic Blood Pressure < 160 and > 90; Diastolic Blood Pressure < 100 and > 50
  • Considered out of range if both machine and manual readings are above/below these thresholds.
  • Current regular user of cannabis who smokes cannabis as joint or blunt at least 3 times a week for past 3 months
  • History of cannabis vaporizer use or willingness to use the vaporizer in the study
  • Current tobacco cigarette use who smokes ≥ 5 cigarettes per day
  • Saliva cotinine ≥ 50 ng/ml
  • Test positive for D-9-tetrahydrocannabinol (THC) at screening and self-report of cannabis use

Who cannot join

  • Unstable medical conditions:
  • Heart disease; Uncontrolled hypertension; Thyroid disease (okay if controlled with medication); Diabetes; Hepatitis B or C or Liver disease; Glaucoma; Prostatic hypertrophy
  • Psychiatric conditions:
  • Current or past schizophrenia, and/or current or past bipolar disorder; Adult onset attention deficit hyperactivity disorder (ADHD); Participants with current or past depression and/or anxiety disorders will be reviewed by the study physician and considered for inclusion; History of psychiatric hospitalizations are not exclusionary, but study participation will be determined as per study physician's approval
  • Concurrent regular use of smokeless tobacco or pipes [occasional users of these products may be enrolled if they agree to abstain from their use during the period of the study]
  • Medications:
Show all 18Show fewer
  • Use of medications that are inducers of nicotine metabolizing enzyme CYP2A6 (Example: rifampicin, dexamethasone, phenobarbital, and other anticonvulsant drugs).; Concurrent use of nicotine-containing medications; Psychiatric medications: current regular use of any psychiatric medications with the exception of Selective Serotonin Reuptake Inhibitors (SSRI) and serotonin-norepinephrine reuptake inhibitors (SNRI) and current evaluation by the study physician that the participant is otherwise healthy, stable, and able to participate.
  • Other/Misc. Chronic Health Conditions:
  • Oral thrush; Fainting; Untreated thyroid disease; Other "life threatening illnesses" as per study physician's discretion
  • Pregnancy:
  • Pregnancy (self-reported and urine pregnancy test); Breastfeeding (determined by self-report)
  • Drug/Alcohol Dependence:
  • Alcohol or illicit drug dependence within the past 12 months with the exception of those who have recently completed an alcohol/drug treatment program; Positive toxicology test at the screening visit (THC \& prescribed medications okay); Methadone replacement therapy
  • Concurrent participation in another clinical trial
  • Inability to communicate in English
  • History of marijuana-induced psychosis or paranoia after smoking marijuana
  • Scoring a 2 or higher on the Severity of Dependence Scale for cannabis use
  • Planning to quit smoking or vaping within the next 60 days

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Zuckerberg San Francisco General Hospital

    San Francisco, California, 94110

  • University of California, San Francisco

    San Francisco, California, 94143

Other trials in United States

About this study

Official title: Cardiovascular Effects of Cannabis Compared to Tobacco Use

This is a randomized, crossover study enrolling experienced dual cannabis-tobacco smokers (N=18) to describe the differences in THC and toxicant exposure, examining pharmacokinetic, subjective, and cardiovascular effects from smoking and vaping dry herb cannabis. This study will also examine the differences in toxicant exposure and cardiovascular disease risk between smoking cannabis and smoking tobacco cigarettes.

Read the detailed description

Experienced dual cannabis-tobacco smokers will participate in a within-subject crossover study with three blocks: smoked cannabis (purchased by participants from a local dispensary), dry herb cannabis vaporizer, and usual brand tobacco cigarette. Each block will consist of 2 consecutive days on an inpatient research ward. The first inpatient day of each block will comprise of two sessions: (1) The first session will be a standardized bout to compare pharmacokinetic, physiologic, and subjective effects of cannabis and tobacco use; (2) after 6 hours of abstinence, the second session will be ad libitum access to the assigned product for 2 hours to compare subjective effects (reward, satisfaction, craving reduction) and use patterns. The second inpatient day will consist of ad libitum use of the assigned product from 8:00 in the morning to midnight. An abstinence day will be added after the second day of the last block to assess exposure and effects biomarkers during a period of abstinence from cannabis (smoked/vaped) or tobacco.

Being tested
Smoked Cannabis, Vaped Cannabis, Tobacco Cigarette
Keywords
vape, cannabis, tobacco cigarette, thc, marijuana, smoking
Medical subject headings
Marijuana Abuse, Marijuana Smoking, Cigarette Smoking, Tobacco Use, Tobacco Use Disorder, Vaping, Wiskott-Aldrich Syndrome, Smoking

What participants receive

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

  • Smoked CannabisOther

    Cannabis will be purchased by the participants and reimbursed the full cost by the study. Participants will be asked to purchase enough to last 2 full days of use. To reduce variability between products, participants will be asked to purchase cannabis from one dispensary near the research facility (Purple Star MD at 2520 Mission St., San Francisco). Receipt must be provided to study staff.

  • Vaped CannabisOther

    Cannabis will be purchased by the participants and reimbursed the full cost by the study. Participants will be asked to purchase enough to last 2 full days of use. To reduce variability between products, participants will be asked to purchase cannabis from one dispensary near the research facility (Purple Star MD at 2520 Mission St., San Francisco). Receipt must be provided to study staff. All participants will use the study-provided PAX® (PAX 2) dry herb vaporizer, one of the most popular handheld vaporizers.

  • Tobacco CigaretteOther

    Tobacco cigarettes of participants' choice (usual brand) will be provided by research staff for use on the study.

Study groups in NCT04429568
Study groupRoleWhat they receive
Smoked Cannabis, Vaped Cannabis, or Tobacco CigaretteOther* Abstinence from any product night before hospital admission * Standardized Session of assigned product: smoked cannabis, vaped cannabis, or tobacco cigarette * 6-hr abstinence and blood draws (PK) * 2 hr Free use session w/ video monitoring * Free use of assigned product * 12-hr cardiovascular (CV) monitoring * Circadian blood draws * 12-hr urine collection
Receives: Other: Smoked Cannabis; Other: Vaped Cannabis; Other: Tobacco Cigarette
Either of the 2 remaining productsOther* Abstinence from any product night before hospital admission * Standardized Session of assigned product: smoked cannabis, vaped cannabis, or tobacco cigarette * 6-hr abstinence and blood draws (PK) * 2 hr Free use session w/ video monitoring * Free use of assigned product * 12-hr CV monitoring * Circadian blood draws * 12-hr urine collection
Receives: Other: Smoked Cannabis; Other: Vaped Cannabis; Other: Tobacco Cigarette
Remaining productOther* Abstinence from any product night before hospital admission * Standardized Session of assigned product: smoked cannabis, vaped cannabis, or tobacco cigarette * 6-hr abstinence and blood draws (PK) * 2 hr Free use session w/ video monitoring * Free use of assigned product * 12-hr CV monitoring * Circadian blood draws * 12-hr urine collection
Receives: Other: Smoked Cannabis; Other: Vaped Cannabis; Other: Tobacco Cigarette

What is being measured

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

  1. Peak plasma concentration

    To assess the differences between smoked and vaped cannabis, we will determine maximum plasma THC concentration (Cmax) using plasma THC concentrations from the standardized sessions.

    Measured: Day 1 of each arm

  2. Time to peak plasma concentration

    To assess the differences of these variables between smoked and vaped cannabis, we will determine the time to max concentration (Tmax) using plasma THC concentrations from the standardized sessions.

    Measured: Day 1 of each arm

  3. Area under the plasma concentration versus time curve (AUC)

    To assess the differences of these variables between smoked and vaped cannabis, we will determine the AUC using plasma THC concentrations from the standardized sessions.

    Measured: Day 1 of each arm

  4. Subjective effects between cannabis products using the Marijuana Cravings Questionnaire

    We will assess measures from the Marijuana Cravings Questionnaire (MCQ) and compare them between smoked and vaped cannabis.

    Measured: Days 1-2 of each arm

  5. Subjective effects between cannabis products using the Visual Analog Scale

    We will assess measures from the Visual Analog Scale (VAS) and compare them between smoked and vaped cannabis.

    Measured: Days 1-2 of each arm

  6. Subjective effects between cannabis products using the Drug Effects Questionnaire

    We will assess measures from the Drug Effects Questionnaire (DEQ) and compare them between smoked and vaped cannabis.

    Measured: Days 1-2 of each arm

  7. Max change of expired carbon monoxide

    We will examine differences in max change of expired carbon monoxide (CO) from day 1 between smoked and vaped cannabis.

    Measured: Days 1-2 of the cannabis arms

  8. Area under the expired carbon monoxide (CO) curve (AUC)

    We will examine differences in integrated AUC of expired carbon monoxide from day 1 between smoked and vaped cannabis.

    Measured: Days 1-2 of the cannabis arms

  9. Differences in metabolites of volatile organic compounds (VOCs)

    We will examine differences in 12-hour urine mercapturic acid metabolites of volatile organic compounds (from day 2) between smoked and vaped cannabis.

    Measured: Days 1-2 of the cannabis arms

  10. Exposure to toxicants between cannabis products

    We will also examine how measures of use (number of puss, amount use, number of use episodes) correlate with biomarker concentrations between smoked and vaped cannabis.

    Measured: Days 1-2 of the cannabis arms

  11. Cardiovascular effects between cannabis products using heart rate as a measure

    We will compare maximum change in heart rate as well as an integrated measure of heart rate over the first 30 minutes after the standardized session (day 1) between smoked and vaped cannabis.

    Measured: Day 1 of each arm

  12. Cardiovascular effects between cannabis products using epinephrine as a measure

    Urine catecholamine excretion, particularly epinephrine, will be examined in 12-hour urines and compared between smoked and vaped cannabis.

    Measured: Day 2 of each cannabis arm

  13. Cardiovascular effects between cannabis products using platelet activation as a measure

    We will examine differences in blood and urine biomarkers of platelet activation between smoked and vaped cannabis.

    Measured: Day 2 of each cannabis arm

  14. Cardiovascular effects between cannabis products using oxidant stress as a measure

    We will examine differences in blood and urine biomarkers of oxidant stress between smoked and vaped cannabis.

    Measured: Day 2 of each cannabis arm

  15. Cardiovascular effects between cannabis products using endothelial dysfunction as a measure

    We will examine differences in blood and urine biomarkers of endothelial dysfunction and inflammation between smoked and vaped cannabis.

    Measured: Day 2 of each cannabis arm

Secondary outcomes (9)
  1. Toxicant exposure between smoked tobacco and cannabis using expired carbon monoxide as the measure

    We will examine differences in expired carbon monoxide (CO) from day 1 (both max change and integrated AUC of expired CO) between smoked tobacco and cannabis.

    Measured: Day 1 of each arm

  2. Toxicant exposure between smoked tobacco and cannabis using mercapturic acid as the measure

    We will examine differences in 12-hour urine mercapturic acid metabolites of volatile organic compounds (VOCs) (from day 2) between smoked tobacco and cannabis.

    Measured: Day 2 of each arm

  3. Toxicant exposure between smoked tobacco and cannabis using use as a measure

    We will also examine how measures of use (number of puffs, amount use, number of use episodes) correlate with biomarker concentrations between smoked tobacco and cannabis.

    Measured: Days 1-2 of each arm

  4. Cardiovascular effects between smoked tobacco and cannabis using heart rate as a measure

    We will compare maximum change in heart rate as well as an integrated measure of heart rate over the first 30 minutes after the standardized session (day 1) between smoked tobacco and cannabis.

    Measured: Day 1 of each arm

  5. Cardiovascular effects between smoked tobacco and cannabis using epinephrine as a measure

    Urine catecholamine excretion, particularly epinephrine, will be examined in 12-hour urines.

    Measured: Day 2 of each arm

  6. Cardiovascular effects between smoked tobacco and cannabis using platelet activation as a measure

    We will examine differences in blood and urine biomarkers of platelet activation between smoked tobacco and cannabis.

    Measured: Day 2 of each arm

  7. Cardiovascular effects between smoked tobacco and cannabis using oxidant stress as a measure

    We will examine differences in blood and urine biomarkers of oxidant stress between smoked tobacco and cannabis.

    Measured: Day 2 of each arm

  8. Cardiovascular effects between smoked tobacco and cannabis using endothelial dysfunction as a measure

    We will examine differences in blood and urine biomarkers of endothelial dysfunction and inflammation between smoked tobacco and cannabis.

    Measured: Day 2 of each arm

  9. Puffing behaviors across all products

    We will examine how puffing behaviors are different between all products (smoked and vaped cannabis, as well as with smoked tobacco cigarettes) and how they correlate with toxicant biomarker concentrations. Vaping topography measures will be obtained from frame by frame analysis of high definition videos.

    Measured: Days 1-2 of each arm

Timeline

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

  1. First posted12 Jun 2020
  2. Study start30 Oct 2020
  3. Primary completion25 Jun 2024
  4. Study completion25 Jun 2024

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 N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
14 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04429568
Sponsor's protocol ID
17-24117
Acronym
TRDRP
Status last verified
Jun 2024
First submitted
20 Aug 2019
Last updated
1 Jul 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Smoked Cannabis, Vaped Cannabis and Tobacco Cigarette in people with THC and Cannabis, run by University of California, San Francisco at 2 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 8 inclusion and 18 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: finished, as of the sponsor's last update on 1 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 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.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Peak plasma concentration (time frame: Day 1 of each arm). The study lists 15 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 1 Jul 2024.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in