Actively Recruiting

Phase 2
Age: 30Years +
All Genders
ID06946940

Biosignature of the Response to Treatment With Cannabis Oil in Individuals With Fibromyalgia

Led by Rambam Health Care Campus · Updated on 2025-04-27

150

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

Sponsors

R

Rambam Health Care Campus

Lead Sponsor

A

American Fibromyalgia Syndrome Association

Collaborating Sponsor

AI-Summary

What this Trial Is About

Fibromyalgia is a long-lasting condition causing widespread pain, fatigue, and other symptoms that greatly affect daily life. This research aims to find out how the gut microbiome, the community of microbes in the digestive system, may influence how individuals with fibromyalgia respond to cannabis oil treatment. The study is a double-blinded randomized controlled trial involving 150 patients to explore this connection and improve personalized treatments for fibromyalgia. Participants will receive either cannabis oil containing 5% THC and 5% CBD or a placebo oil without active cannabinoids. The treatment lasts three months, starting with a six-week period to carefully adjust doses, followed by a maintenance phase. The cannabis or placebo oil is taken under the tongue and dose adjustments depend on individual tolerance and effects. The study groups include 120 patients receiving cannabis oil and 30 receiving placebo. During the study, participants will report their symptoms and undergo tests measuring pain, sleep quality, anxiety, depression, and quality of life. Researchers will analyze gut microbiome and blood metabolite changes at the beginning and end of the study and relate these to clinical outcomes. The main goal is to find a link between microbiome or metabolite profiles and pain relief after three months. Safety and response will be monitored throughout the trial, which is sponsored by Rambam Health Care Campus.

CONDITIONS

Brief Title

Biosignature of the Response to Treatment With Cannabis Oil in Individuals With Fibromyalgia

Who Can Participate

Age: 30Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult men and women aged 30 years and over
  • Diagnosis of fibromyalgia confirmed by a pain specialist with symptoms lasting 12 months or more
  • Average reported pain of 6 or higher during the preceding week
  • Eligible for cannabis treatment as determined by the treating physician
  • Remained symptomatic despite standard care including analgesics, antidepressants, and anti-epileptic agents
Not Eligible

You will not qualify if you...

  • Use of cannabis during the preceding month
  • Significant comorbid conditions such as inflammatory arthritis, inflammatory bowel disease, or cancer
  • Personal or family history of psychotic disorders
  • Current or past anxiety disorder
  • Any uncontrolled psychiatric condition
  • Current or past substance addiction or abuse
  • Diagnosed dementia or cognitive impairment
  • Personal history of cardiovascular disease
  • Pregnancy, lactation, or intention to conceive
  • Known allergy to cannabis oil ingredients
  • History of seizure disorder (excluding childhood febrile convulsions) or epilepsy
  • Active liver disease
  • Any contraindication to medical cannabis
  • Inflammatory Bowel Disease (IBD)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Run-in Period

Duration - 6 weeks

Participants begin a six-week titration phase to optimize dosing of cannabis oil or placebo, self-administered sublingually.

Weekly visits for up to 6 weeks

Treatment

Duration - 6 weeks

Participants continue maintenance dosing of cannabis oil or placebo for the remaining duration of the three-month treatment period, with ongoing monitoring of clinical outcomes and biological samples.

Biweekly visits for 6 weeks

Follow-up

Duration - Up to 1 week after treatment

Participants complete assessments comparing baseline and end-of-study outcomes, including clinical symptoms and gut microbiome and metabolomic profiles.

1 visit (in-person)

Trial Site Locations

Total: 1 location

1

Rambam Health Care Campus

Haifa, Israel, 3109601

Actively Recruiting

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Research Team

M

May Haddad, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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