NCT01020019

Brief Summary

The purpose of this study is to see if Lofexidine in combination with Marinol is superior to placebo in achieving abstinence, reducing cannabis use and reducing withdrawal in cannabis-dependent patients seeking treatment for their marijuana use.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
156

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jan 2010

Longer than P75 for phase_2

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 24, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 25, 2009

Completed
1 month until next milestone

Study Start

First participant enrolled

January 1, 2010

Completed
4.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2014

Completed
1.7 years until next milestone

Results Posted

Study results publicly available

May 11, 2016

Completed
Last Updated

April 24, 2019

Status Verified

April 1, 2019

Enrollment Period

4.7 years

First QC Date

November 24, 2009

Results QC Date

April 6, 2016

Last Update Submit

April 22, 2019

Conditions

Keywords

Cannabis DependenceMarijuana DependenceMarinolLofexidine

Outcome Measures

Primary Outcomes (1)

  • 21 Days of Consecutive Abstinence as Measured by the Time-line Followback.

    reported daily for 12 weeks/ or study participation

Study Arms (2)

Lofexidine and Dronabinol

EXPERIMENTAL

Maintained at 1.8mg/day Lofex. and 60 mg/day of Dronabinol

Drug: DronabinolDrug: Lofexidine

Placebo

PLACEBO COMPARATOR

Lofex. matched placebo Dronabinol placebo

Drug: Placebo

Interventions

Dronabinol: 20 mg/TID

Also known as: Marinol
Lofexidine and Dronabinol

Placebo control

Placebo

Lofex: .6 mg/ TID

Lofexidine and Dronabinol

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Men and women between the ages of 18-60 who meet DSM-IV criteria for current marijuana dependence
  • Individuals must report using marijuana at least 5 days a week and have a positive urine test for THC on the day of study entry.
  • Individual must describe marijuana as their primary drug of abuse.
  • Individuals must be capable of giving informed consent and capable of complying with study procedures.

You may not qualify if:

  • Meets DSM-IV-TR criteria for schizophrenia, schizoaffective illness, psychotic disorder other than transient psychosis due to drug abuse, major depression, bipolar illness or psychiatric disorders (other than substance abuse) which require psychiatric intervention.
  • Individuals who are medically unstable based on laboratory tests, electrocardiogram, medical history, physical examination that would make participation hazardous
  • Individuals with liver enzyme function tests greater than three times normal
  • Individuals with a history of seizure disorder
  • Individuals with current suicidal risk.
  • Individuals who are cognitively impaired
  • Bradycardia (\< 50 beats/minute), hypotension (sitting or standing BP \< 90/50), or symptoms attributable to low BP (i.e. lightheadedness or dizziness on standing).
  • Nursing mothers and pregnant women. Women of child bearing age will be included in the study provided that they are not pregnant, based on the results of a blood pregnancy test drawn at the time of screening. They must also agree to use a method of contraception with proven efficacy and agree not to become pregnant during the study. To confirm this, urine pregnancy tests will be repeated monthly. Women will be provided a full explanation of the potential dangers of pregnancy while on the study medication. If a woman becomes pregnant, the study medication will be discontinued.
  • Individuals who are physiologically dependent on any other drugs (excluding nicotine) that would require a medical intervention
  • Individuals with known sensitivity to dronabinol or lofexidine
  • Individuals with coronary vascular disease as indicated by history or suspected by abnormal ECG or history of cardiac symptoms
  • Individuals currently being treated with an alpha-2 agonist antihypertensive medication
  • Individuals currently being prescribed a psychotropic medication (including sleep medication). However, medication for depression is allowed if stable for at least 1 month.
  • Individuals who have a job that even mild intoxication would be hazardous (e.g., firefighter, bus driver)
  • Individuals who are court-mandated to treatment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

New York State Psychiatric Institute

New York, New York, 10032, United States

Location

Related Publications (1)

  • Brezing CA, Choi CJ, Pavlicova M, Brooks D, Mahony AL, Mariani JJ, Levin FR. Abstinence and reduced frequency of use are associated with improvements in quality of life among treatment-seekers with cannabis use disorder. Am J Addict. 2018 Mar;27(2):101-107. doi: 10.1111/ajad.12660. Epub 2018 Feb 19.

MeSH Terms

Conditions

Marijuana Abuse

Interventions

Dronabinollofexidine

Condition Hierarchy (Ancestors)

Substance-Related DisordersChemically-Induced DisordersMental Disorders

Intervention Hierarchy (Ancestors)

CannabinoidsTerpenesHydrocarbonsOrganic Chemicals

Results Point of Contact

Title
Daniel Brooks
Organization
New York State Psychiatric Institute

Study Officials

  • Frances R Levin, M.D.

    Columbia University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director of Substance Use Disorder

Study Record Dates

First Submitted

November 24, 2009

First Posted

November 25, 2009

Study Start

January 1, 2010

Primary Completion

September 1, 2014

Study Completion

September 1, 2014

Last Updated

April 24, 2019

Results First Posted

May 11, 2016

Record last verified: 2019-04

Data Sharing

IPD Sharing
Will not share

Locations