Status:

RECRUITING

Impact of Daily Oral Cannabis Doses in Patients With Cancer

Lead Sponsor:

Shanna Babalonis, PhD

Conditions:

Cancer

Cancers, Pain

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

This study will enroll patients with cancer and participants will be randomized to receive one dose of cannabis for approximately 4 months. There is a 3/4 (or 75%) chance that a participant will recei...

Detailed Description

Primary Objective: To evaluate the safety and tolerability of daily oral cannabis administration (5 mg THC, 15 mg THC, 15 mg THC+15 mg CBD) relative to placebo in patients with cancer who are on an ac...

Eligibility Criteria

Inclusion

  • Example
  • Histologically or cytologically confirmed locally advanced or metastatic solid tumors with any types. This applies to either newly diagnosed cancer or preexisting ones on treatment.
  • Patients with active cancers and currently under any line of treatment (please see notable exceptions in the exclusion criteria - patients taking checkpoint inhibitors and investigational agents will not be eligible - also exclusionary medications).
  • Patients have been taking their current anti-cancer therapy regimen for at least one month prior to enrollment (to ensure no safety or toxicity issues with study drug initiation).
  • Age ≥18 years.
  • ECG and lab values demonstrating adequate organ and marrow function at baseline (pre-study).
  • Negative urine drug screen for all illicit drugs and THC, CBD prior to randomization
  • Ability to understand and the willingness to sign a written informed consent document
  • Individuals able to become pregnant will agree to practice an effective form of contraception (e.g., oral birth control pills, condoms, abstinence) for the duration of enrollment (note: urine pregnancy testing will occur monthly)

Exclusion

  • History of hypersensitivity to cannabis or cannabinoids
  • Current, regular use of cannabis/marijuana or THC-containing medications (dronabinol, nabilone) or cannabidiol (Epidiolex) or over-the-counter (OTC) CBD oil.
  • Concomitant use of checkpoint inhibitors (e.g., anti-PD1, PDL1, CTLA4) or other drugs for which an cannabinoid interaction may occur.
  • Current use of investigational agents, \<3 months after the use of investigational agents
  • Cardiac conditions contraindicated for cannabis use
  • Diagnosis of HPV-related cancer, as there is some evidence that cannabis is contraindicated
  • Allergy to any constituent/ingredient contained in the edible dose
  • Psychiatric illness/social situations that would limit compliance with study requirements (e.g., bipolar disorder, psychosis, severe depression/anxiety).
  • Pregnant or breastfeeding (note: participants will be tested for pregnancy (urine sample) once per month during enrollment)
  • Current moderate/severe drug or alcohol use disorder (including cannabis use disorder), positive urine drug screen for illicit drugs or cannabis, or positive alcohol (breathalyzer) during screening
  • History of seizure disorder, epilepsy (controlled or uncontrolled)
  • Current legal obligations (parole, probation, incarceration, urine drug screen requirements as part of parole/probation/previous incarceration)
  • Currently enrolled in substance use treatment
  • Self-reported cannabis and synthetic cannabinoid use in the past 30 days (medical or non-medical use is exclusionary)
  • Self-reported illicit drug use in past 60 days (ex: methamphetamine, heroin, illicit fentanyl)
  • Self-reported daily alcohol use
  • Providing a urine sample testing positive for cannabinoids (THC, CBD) or synthetic cannabinoids (K2, Spice-like compounds)
  • Providing a sample testing positive for alcohol (breathalyzer) or non-medical use of other drugs (methamphetamine, cocaine) during screening; testing positive during enrollment will lead to discontinuation of the participant's enrollment
  • No access to internet/data or devices needed to participate in daily video calls

Key Trial Info

Start Date :

June 17 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2030

Estimated Enrollment :

80 Patients enrolled

Trial Details

Trial ID

NCT06601218

Start Date

June 17 2025

End Date

December 1 2030

Last Update

June 24 2025

Active Locations (1)

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1

University of Kentucky

Lexington, Kentucky, United States, 40508