Actively Recruiting

Phase 2
Age: 18Years - 64Years
All Genders
Healthy Volunteers
ID06454669

A Randomized, Double-Blind, Placebo-Controlled Study to Explore Safety and Potential Pain Relief of Dronabinol in Adults with Chronic Low Back Pain

Led by Christopher D. Verrico · Updated on 2026-05-18

75

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and potential pain-reducing effects of dronabinol, a synthetic form of THC, in adults with chronic low back pain. This exploratory, double-blind, placebo-controlled, randomized study aims to gather early evidence on whether dronabinol is safe enough to justify larger clinical trials. The study focuses on chronic low back pain lasting at least three months and occurring frequently over the past six months. Participants will be randomly assigned in a 2:1 ratio to receive either dronabinol capsules or matching placebo capsules twice daily for eight weeks. The dronabinol dose starts at 2.5 mg twice on the first day and may be gradually increased up to 30 mg per day as tolerated. Placebo participants will undergo a similar dosing schedule to maintain blinding. This single-site study does not include interim analyses or stratifications. During the study, participants will be monitored for pain intensity and adverse events from baseline through eight weeks. Researchers will also track analgesic use, mood, and patient-reported outcomes using questionnaires. Safety assessments include regular clinical evaluations and laboratory tests. Participants must remain on stable opioid regimens if applicable and avoid adding new pain medications. The total participation duration is eight weeks, with close observation throughout the study period.

CONDITIONS

Brief Title

Dronabinol as an Adjunct for Reducing Pain

Who Can Participate

Age: 18Years - 64Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent form.
  • Willingness to follow all study procedures and remain available for the study duration.
  • Ability to take oral medication as directed.
  • Male or female aged 18 to 64 years.
  • Chronic low back pain lasting at least 3 months with pain on at least half the days in the past 6 months.
  • For women of childbearing potential: use of two effective forms of birth control with low failure rates for at least 1 month before screening and during the study plus 4 weeks after.
  • For men: agreement to use acceptable contraception methods if partner could become pregnant from first dose until 30 days after last dose.
  • Agreement to follow lifestyle considerations during the study.
  • Stable opioid treatment regimen for at least 3 months before screening without dose increases or new analgesics during study.
Not Eligible

You will not qualify if you...

  • Non-English speakers or inability to understand English.
  • Current use of cannabis, marijuana, or any cannabinoids unwilling to stop.
  • Allergic reactions to cannabis, CBD, THC, or study components.
  • Abnormal kidney function or other significant lab abnormalities.
  • Current use of antiepileptic drugs, barbiturates, benzodiazepines, lithium, muscle relaxants, or certain psychiatric medications within 3 months.
  • Participation in another investigational drug study within 3 months.
  • Pregnancy, plans to become pregnant, or breastfeeding.
  • Recent interventional pain procedures or surgeries.
  • Implanted spinal cord or nerve stimulators.
  • Major psychiatric illnesses or history of substance abuse.
  • History or current suicidality or seizure disorders.
  • Uncontrolled kidney, liver, or systemic illnesses.
  • Heart conditions including recent heart attack or stroke, abnormal ECG, high blood pressure, or heart rate.
  • Uncontrolled communicable diseases.
  • Any other condition or medication use that may risk safety or study completion per investigator judgment.
  • History of head trauma, epilepsy, or cognitive disorders like dementia or Alzheimer’s disease.
  • Severe gastrointestinal narrowing.

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)

Treatment

Duration - 8 weeks

Participants take oral capsules of dronabinol or placebo. The dose starts at 2.5 mg twice on Day 1 and may be increased daily as needed up to 30 mg per day. Treatment lasts for 8 weeks.

Regular visits during treatment for dose titration and monitoring

Trial Site Locations

Total: 1 location

1

Michael E Debakey VA Medical Center

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

C

Christopher D Verrico, PhD

A

Adetola O Vaughan, MA

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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Lack of analgesia by oral standardized cannabis extract on acute inflammatory pain and hyperalgesia in volunteers.

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Strong opioids for noncancer pain due to musculoskeletal diseases: Not more effective than acetaminophen or NSAIDs.

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