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Cannabis UsePhase 1NCT05602649

The Impact of Product Formulation on the Pharmacokinetics and Pharmacodynamics of Cannabis Edibles

A Phase 1 study testing Cannabis in people with Cannabis Use, run by Johns Hopkins University at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study will examine the pharmacokinetics and pharmacodynamics of delta-9-tetrahydrocannabinol (THC)-infused chocolates, gummies, and drinks. Healthy adults (N=40) will complete 9 drug administration sessions, including an overnight stay prior to each session. Read more about this study

Who is it for?
Ages 21 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Cannabis Use
What is being tested?
Cannabis
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
1 siteUnited States
Study dates
10 Jul 2024to Jan 2027
Phase
Phase 1
Are there results?
Not yet: the study is under way

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 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Have provided written informed consent.
  • Be between the ages of 21 and 55.
  • Be in good general health based on screening procedures (e.g., physical exam, medical history interview, vital signs, routine blood tests).
  • Test negative for illicit drugs (including cannabis) and test negative for alcohol (0% BAC) at screening and before any study sessions.
  • 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 admission for each session.
  • Have prior experience using THC-dominant cannabis.
  • Have a body mass index (BMI) in the range of 16 to 38 kg/m2.
  • Have not donated blood in the past 30 days.

Who cannot join

  • Self-reported use of illicit drugs (e.g., amphetamine, cannabis, cocaine, methamphetamine, MDMA, LSD, ketamine, heroin, psilocybin, prescription medications not prescribed to the person) in the past 30 days.
  • History of significant allergic reaction or significant hypersensitivity to cannabis or to any of the other ingredients in the study products.
  • Current concomitant medication use that may interact with the study drug including inhibitors and inducers of CYP2CP and CYP3A4 as well as highly-protein bound drugs and drugs with a narrow therapeutic index such as warfarin, cyclosporine, and amphotericin B.
  • History of or current evidence of a significant medical condition that, in the opinion of the investigator or medical staff, will impact the participant's safety or interfere with study outcomes.
  • Evidence of current psychiatric condition (based on MINI for DSM-5).
  • Been in treatment previously for cannabis use disorder.
  • Receiving of any drug as part of a research study within the past 30 days.
  • History of epilepsy or other serious medical condition.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Tory Spindle, PhD contact

410-550-0529

tspindle@jhmi.edu

Lindsay Howard contact

410-550-0009

lhowar29@jhmi.edu

United States1 site, 1 recruiting
  • Johns Hopkins Behavioral Pharmacology Research Unit

    Baltimore, Maryland, 21224

    Tory Spindle, PhD, 410-550-0529, tspindle@jhmi.edu

    Recruiting

Other trials in United States

About this study

This study will examine the pharmacokinetics and pharmacodynamics of delta-9-tetrahydrocannabinol (THC)-infused chocolates, gummies, and drinks. Healthy adults (N=40) will complete 9 drug administration sessions, including an overnight stay prior to each session. Participants will consume THC containing products in a fasted state; following drug administration, the participants will complete cognitive and psychomotor tasks, subjective assessments, have blood collected, and vital signs monitored.

Read the detailed description

The purpose of this study is to examine the pharmacokinetics (PK) and pharmacodynamics (PD) of 3 popular types of cannabis edibles: THC-infused chocolates, gummies, and drinks. This study will utilize a rigorous double-blind, placebo-controlled, within-subjects design. Healthy adults (N=40; 20 males, 20 females) will complete 9 outpatient drug administration sessions in a randomized order. After 8 hours of monitored fasting, participants will consume 1 of 3 types of edibles (chocolates, gummies, or drinks) that are representative of current retail cannabis products. Products will contain 0 (placebo), 10, or 25mg THC. PD assessments include a battery of cognitive/psychomotor performance tasks shown to be sensitive to oral cannabis at these doses and subjective drug effects. Blood samples will be drawn to measure THC and its primary metabolites. Vital signs will be recorded. These procedures will be completed during each of the 9 study sessions.

Conditions
Cannabis Use
Being tested
Cannabis, Placebo

What participants receive

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

  • CannabisDrug

    Also called marijuana

    Cannabis will be orally ingested

  • PlaceboDrug

    Placebo will be orally ingested

Study groups in NCT05602649
Study groupRoleWhat they receive
Placebo GummyPlacebo comparatorParticipants will self-administer a gummy containing 0mg THC
Receives: Drug: Placebo
Low Dose GummyExperimentalParticipants will self-administer a gummy containing 10mg THC
Receives: Drug: Cannabis
High Dose GummyExperimentalParticipants will self-administer a gummy containing 25mg THC
Receives: Drug: Cannabis
Placebo ChocolatePlacebo comparatorParticipants will self-administer chocolate containing 0mg THC
Receives: Drug: Placebo
Low Dose ChocolateExperimentalParticipants will self-administer chocolate containing 10mg THC
Receives: Drug: Cannabis
High Dose ChocolateExperimentalParticipants will self-administer chocolate containing 25mg THC
Receives: Drug: Cannabis
Placebo BeveragePlacebo comparatorParticipants will self-administer a beverage containing 0mg THC
Receives: Drug: Placebo
Low Dose BeverageExperimentalParticipants will self-administer a beverage containing 10mg THC
Receives: Drug: Cannabis
High Dose BeverageExperimentalParticipants will self-administer a beverage containing 25mg THC
Receives: Drug: Cannabis

What is being measured

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

  1. Working memory performance as assessed by the Correct Trials on Paced Auditory Serial Addition Task (PASAT)

    Computerized version of Paced Auditory Serial Addition Task will be administered to assess working memory performance. Total correct trials out of 90 recorded is primary outcome (lower scores indicate worse performance).

    Measured: 8 hours

  2. Psychomotor performance as assessed by the Correct Trials on the Digit Symbol Substitution Task(DSST)

    Computerized version of Digit Symbol Substitution Task will be administered to assess psychomotor performance. Total correct trials in 90 seconds is primary outcome (lower scores indicate worse performance).

    Measured: 8 hours

  3. Attention as assessed by the Mean Distance from the Center Target Stimulus on the Divided Attention Task (DAT)

    Computerized version of the Divided Attention Task will be administered to assess attention. Mean distance (in computer pixels) of the mouse cursor from the center target stimulus is primary outcome (lower scores indicate worse performance).

    Measured: 8 hours

  4. Executive functioning as assessed by the Mean Distance from the Center Target Stimulus on the Divided Attention Task (DAT)

    Computerized version of the Divided Attention Task will be administered to assess executive functioning. Mean distance (in computer pixels) of the mouse cursor from the center target stimulus is primary outcome (lower scores indicate worse performance).

    Measured: 8 hours

  5. DRiving Under the Influence of Drugs (DRUID) application global impairment score - Acute cognitive impairment

    Acute cognitive impairment will be assessed with global impairment score(range 0-100) on the DRUID app (higher scores indicate greater impairment).

    Measured: 8 hours

  6. DRUID application global impairment score - Acute behavioral impairment

    Acute behavioral impairment will be assessed with global impairment score(range 0-100) on the DRUID app (higher scores indicate greater impairment).

    Measured: 8 hours

  7. "Like Drug Effect" as assessed by the Drug Effect Questionnaire (DEQ)

    The DEQ will be used to obtain subjective ratings of "like drug effect". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation.

    Measured: 8 hours

  8. "Want to take again" as assessed by the Drug Effect Questionnaire

    The DEQ will be used to obtain subjective ratings of "want to take drug again". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation.

    Measured: 8 hours

  9. CMax for THC

    Blood concentrations of THC will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The maximum concentrations (Cmax) is determined as the highest concentration reached for each individual.

    Measured: 8 hours

  10. AUC for THC

    Blood concentrations of THC will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The area under the curve (AUC) is calculated across all timepoints, minus the baseline.

    Measured: 8 hours

Secondary outcomes (22)
  1. CMax for THC metabolite - 11-OH-THC

    Blood concentrations of 11-OH-THC will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The maximum concentrations (Cmax) is determined as the highest concentration reached for each individual.

    Measured: 8 hours

  2. CMax for THC metabolite- THCCOOH

    Blood concentrations of THCCOOH will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The maximum concentrations (Cmax) is determined as the highest concentration reached for each individual.

    Measured: 8 hours

  3. AUC for THC metabolite - 11-OH-THC

    Blood concentrations of 11-OH-THC will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The area under the curve (AUC) is calculated across all timepoints, minus the baseline.

    Measured: 8 hours

  4. AUC for THC metabolite - THCCOOH

    Blood concentrations of THCCOOH will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The area under the curve (AUC) is calculated across all timepoints, minus the baseline.

    Measured: 8 hours

  5. Tmax for THC

    Blood concentrations of THC will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. Time to max concentration (Tmax) will be calculated for each cannabinoid.

    Measured: 8 hours

  6. Tmax for THC metabolite - 11-OH-THC

    Blood concentrations of 11-OH-THC will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. Time to max concentration (Tmax) will be calculated for each cannabinoid.

    Measured: 8 hours

  7. Tmax for THC metabolite - THCCOOH

    Blood concentrations of THCCOOH will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. Time to max concentration (Tmax) will be calculated for each cannabinoid.

    Measured: 8 hours

  8. Cmax for CBD

    Blood concentrations of CBD will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The maximum concentrations (Cmax) is determined as the highest concentration reached for each individual.

    Measured: 8 hours

  9. Cmax for CBN

    Blood concentrations of CBN will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The maximum concentrations (Cmax) is determined as the highest concentration reached for each individual.

    Measured: 8 hours

  10. Cmax for CBG

    Blood concentrations of CBG will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The maximum concentrations (Cmax) is determined as the highest concentration reached for each individual.

    Measured: 8 hours

  11. AUC for CBD

    Blood concentrations of CBD will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The area under the curve (AUC) is calculated across all timepoints, minus the baseline.

    Measured: 8 hours

  12. AUC for CBN

    Blood concentrations of CBN will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The area under the curve (AUC) is calculated across all timepoints, minus the baseline.

    Measured: 8 hours

  13. AUC for CBG

    Blood concentrations of CBG will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. The area under the curve (AUC) is calculated across all timepoints, minus the baseline.

    Measured: 8 hours

  14. Tmax for CBD

    Blood concentrations of CBD will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. Time to max concentration (Tmax) will be calculated for each cannabinoid.

    Measured: 8 hours

  15. Tmax for CBN

    Blood concentrations of CBN will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. Time to max concentration (Tmax) will be calculated for each cannabinoid.

    Measured: 8 hours

  16. Tmax for CBG

    Blood concentrations of CBG will be measured using quantitative liquid chromatography-tandem mass spectrometry (LC-MS-MS) analysis. Time to max concentration (Tmax) will be calculated for each cannabinoid.

    Measured: 8 hours

  17. Psychomotor performance as assessed by attempted Trials on the Digit Symbol Substitution Task(DSST)

    Computerized version of Digit Symbol Substitution Task will be administered to assess psychomotor performance. Number of attempted trials is a secondary outcome.

    Measured: 8 hours

  18. Working memory performance as assessed by Reaction Time on Paced Auditory Serial Addition Task (PASAT)

    Computerized version of Paced Auditory Serial Addition Task will be administered to assess working memory performance. The secondary outcome is the mean reaction time (in milliseconds) to select correct responses.

    Measured: 8 hours

  19. Attention as assessed by the Number of peripheral integers correct on Divided Attention Task (DAT)

    Computerized version of the Divided Attention Task will be administered to assess attention. The secondary outcome is the number of peripheral stimuli correctly identified.

    Measured: 8 hours

  20. Executive functioning as assessed by the Number of peripheral integers correct on Divided Attention Task (DAT)

    Computerized version of the Divided Attention Task will be administered to assess executive functioning. The secondary outcome is the number of peripheral stimuli correctly identified.

    Measured: 8 hours

  21. "Unpleasant Drug Effect" as assessed by the Drug Effect Questionnaire

    The DEQ will be used to obtain subjective ratings of "unpleasant drug effect". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation.

    Measured: 8 hours

  22. "Feel Drug Effect" as assessed by the Drug Effect Questionnaire-

    The DEQ will be used to obtain subjective ratings of "feel drug effect". Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation.

    Measured: 8 hours

Timeline

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

  1. First posted2 Nov 2022
  2. Study start10 Jul 2024
  3. Primary completionJan 2027 (estimated)
  4. Study completionJan 2027 (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 1
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Model description
All participants will complete all dose conditions in a randomized order.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05602649
Sponsor's protocol ID
IRB00354926
Other IDs
1R01DA057201-01
Status last verified
Apr 2026
First submitted
27 Oct 2022
Last updated
13 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Cannabis in people with Cannabis Use, run by Johns Hopkins University at 1 site 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 8 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: looking for participants now, as of the sponsor's last update on 13 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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. Some participants in this study may receive a placebo. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Tory Spindle, PhD (410-550-0529, tspindle@jhmi.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Working memory performance as assessed by the Correct Trials on Paced Auditory Serial Addition Task (PASAT) (time frame: 8 hours). The study lists 10 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 13 Apr 2026.

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