Status:

RECRUITING

Nabilone for Agitation Blinded Intervention Trial

Lead Sponsor:

Sunnybrook Health Sciences Centre

Collaborating Sponsors:

Alzheimer's Drug Discovery Foundation

Conditions:

Alzheimer Disease

Agitation

Eligibility:

All Genders

55+ years

Phase:

PHASE3

Brief Summary

This study will look at whether nabilone is an effective treatment for agitation in Alzheimer's disease (AD) patients. Agitation is highly prevalent in patients with AD and is one of the most distress...

Eligibility Criteria

Inclusion

  • Males or females ≥55 years of age; females must be post-menopausal
  • Diagnostic and Statistical Manual of Mental Disorders-5 (DSM 5) criteria for Major Neurocognitive Disorder due to AD. Patients with Major Neurocognitive Disorder due to multiple etiologies (AD and vascular) will be included
  • sMMSE ≤24
  • Presence of clinically significant agitation based on the IPA definition
  • If treated with cognitive-enhancing medications (cholinesterase inhibitors and/or memantine), dosage must be stable for at least 3 months prior to study randomization
  • Availability of a primary caregiver to accompany the participant to study visits and to participate in the study. The primary caregiver must be sufficiently proficient in English to complete the required study assessments, as per investigator judgement.

Exclusion

  • Change in psychotropic medications less than 1 week prior to study randomization (e.g., concomitant antidepressants)
  • Contraindications to cannabinoids, e.g. allergies to cannabis and cannabis products, potential clinically important drug-drug interactions
  • Current uncontrolled cardiovascular disease (e.g. uncontrolled hypertension, ischemic heart disease, arrhythmia and severe heart failure), as per investigator assessment
  • Current significant liver disease, as per investigator assessment
  • Presence or history of other psychiatric disorders or neurological conditions (e.g. psychotic disorders, schizophrenia, stroke, epilepsy)
  • Participants currently meeting DSM 5 criteria for Major Depressive Episode (MDE)
  • Previous or current abuse of/dependence on marijuana
  • Clinically significant delusions and/or hallucinations (NPI-NH delusion/hallucinations subscore ≥4)
  • Reported recreational use of marijuana or other cannabis products within 3 months prior to study randomization

Key Trial Info

Start Date :

February 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2025

Estimated Enrollment :

112 Patients enrolled

Trial Details

Trial ID

NCT04516057

Start Date

February 1 2021

End Date

October 1 2025

Last Update

April 27 2025

Active Locations (6)

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Page 1 of 2 (6 locations)

1

University of Calgary

Calgary, Alberta, Canada, T2N 4N1

2

London Health Sciences Centre

London, Ontario, Canada, N6A 5W9

3

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada, M4N 3M5

4

Centre for Addiction and Mental Health

Toronto, Ontario, Canada