NCT04230460

Brief Summary

Subjects will participate in a 4-visit study protocol in which they will be asked to complete a set of computerized tasks and a 45-minute simulated drive in a driving simulator. Subjects will be administered marijuana of varying pre-determined concentrations of delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD) during 3 of the visits and alcohol during one of the visits. Throughout the duration of each visit, brain activity will be measured noninvasively using an electroencephalogram (EEG) headset. The purpose of this study is to:

  1. 1.Further understand the effects of acute cannabis intoxication on driving performance in a driving simulator
  2. 2.Develop and refine brain-based biomarkers of impairment due to acute cannabis intoxication

Trial Health

87
On Track

Trial Health Score

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

Enrollment
124

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Sep 2020

Shorter than P25 for not_applicable

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

January 9, 2020

Completed
9 days until next milestone

First Posted

Study publicly available on registry

January 18, 2020

Completed
8 months until next milestone

Study Start

First participant enrolled

September 1, 2020

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 27, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 27, 2021

Completed
Last Updated

July 12, 2021

Status Verified

July 1, 2021

Enrollment Period

9 months

First QC Date

January 9, 2020

Last Update Submit

July 8, 2021

Conditions

Keywords

MarijuanaCannabisAlcoholDrivingDUIDrinking behaviorSubstance UseDriving ImpairmentDrugsEEGSDLP

Outcome Measures

Primary Outcomes (3)

  • Driving Performance

    Measured by standard deviation of lane position (SDLP, a gold standard metric of driving performance, O'Hanlon, 1984). This will provide a measure of general performance based on how well the driver maintains a consistent lane position. SDLP has been shown to be among the most important performance measures for evaluating the effects of psychophysiological changes due to impairment from medication use on driving performance (O'Hanlon, 1984).

    Through entire 45-minute drive, 0.5-1.3 hour post cannabis administration

  • EEG Measures

    Changes in electroencephalogram (EEG) spectral power measures for Delta, Theta, Alpha, Beta, Gamma bands. EEG is sampled at 256 Hertz (Hz) and power spectral measures are calculated in one-second time intervals.

    Between -0.7 hours and 8 hours post cannabis administration

  • ECG Measures

    Changes in heart rate as measured by electrocardiogram (ECG) (R-R interval). ECG is sampled at 256 Hz.

    Between -0.7 hours and 8 hours post cannabis administration

Secondary Outcomes (4)

  • THC Concentration in Plasma Sample

    -0.7 hour, 0.25 hour, 1.1 hour, 2 hour, 3 hour, 4.5 hour, 6 hour, 8 hour post cannabis administration

  • THC Concentration Levels in Whole Blood

    -0.7 hour, 0.25 hour, 1.1 hour, 2 hour, 3 hour, 4.5 hour, 6 hour, 8 hour post cannabis administration

  • Event-Related EEG Amplitude

    From 0.5 hours to 1.5 hours post cannabis administration

  • Event-Related EEG Latency

    From 0.5 hours to 1.5 hours post cannabis administration

Study Arms (4)

0% THC/ 0% CBD

PLACEBO COMPARATOR
Drug: Cannabis (THC) (Inhaled) Placebo

THC (5-10% [37.5 mg]) / Low CBD (<1% [2.5 mg])

EXPERIMENTAL
Drug: Cannabis (High% THC) (Inhaled)

THC (>10% [62.5 mg]) / Low CBD (<1% [2.5 mg])

EXPERIMENTAL
Drug: Cannabis (Very High% THC) (Inhaled)

0.065% BAC

EXPERIMENTAL
Drug: Alcohol (oral)

Interventions

Cannabis vapor is produced from 500 mg of dried plant material (placebo) (0% THC). Participants will inhale ad libitum over 10 minutes.

Also known as: Marihuana, Marijuana
0% THC/ 0% CBD

Cannabis vapor is produced from 500 mg of dried plant material (7.5% THC). Participants will inhale ad libitum over 10 minutes.

Also known as: Marihuana, Marijuana
THC (5-10% [37.5 mg]) / Low CBD (<1% [2.5 mg])

Cannabis vapor is produced from 500 mg of dried plant material (12.5% THC). Participants will inhale ad libitum over 10 minutes.

Also known as: Marihuana, Marijuana
THC (>10% [62.5 mg]) / Low CBD (<1% [2.5 mg])

Subjects will be dosed to achieve a 0.05% Blood Alcohol Concentration (BAC), so the amount of alcohol consumed will be calculated to produce a peak BAC of 0.065%. Subjects will be served three equal-sized drinks, 10-minutes apart, and be instructed to pace each drink evenly over the 10-minute period.

Also known as: Ethanol, Ethyl Alcohol
0.065% BAC

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Men and women 18 to 50 years of age in good health (21 to 50 for alcohol arm)
  • Valid US driver's license and have been licensed driver for two years
  • Restrictions on driver's license limited to vision correction only
  • Drive at least three times per week
  • Must be able to drive without special or non-standard equipment
  • Must be able to attend three morning daytime study visits lasting approximately 5 to 6 hours
  • Must be willing to abstain from alcohol use in the day prior to their study appointments
  • Must be willing to abstain from use of their own cannabis while enrolled in the study
  • Live within 1-hour driving radius of National Advanced Driving Simulator (NADS)
  • Must currently use cannabis at least once every three months and no more than four times per week (must be current user)
  • Peripheral veins suitable for venipuncture
  • Blood pressure within clinically normal range
  • If invited to complete alcohol arm: Must be considered a light or moderate drinker according to Quantity-Frequency-Variability Scale (QFV) or, if a heavy drinker, not drink more than 1-2 times a week and not have a modal quantity of 5-6 drinks

You may not qualify if:

  • Females who are pregnant or test positive for pregnancy or are breastfeeding
  • Any known sleep disorders, or family history of sleep disorders
  • Any neurological or pulmonary disorders (or taking medications for such)
  • Any psychiatric disorder (or taking medications for such)
  • Any eating disorders
  • Recent (past 5 years) head injury, or older head injury with current symptoms
  • High blood pressure, Heart disease, diabetes, or history of stroke or taking medications to treat
  • Any known behavioral or attention disorder (or taking medications for such)
  • Untreated/Untreatable vision or auditory issues (because testing currently requires both senses)
  • Excessive tobacco use (more than 10 cigarettes a day)
  • Excessive caffeine use (5 or more servings per day)
  • Excessive alcohol (20 or more drinks per week)
  • Donation of 450 mL or more of blood in the two weeks preceding study drug administration
  • Regular use of pain medications other than over-the-counter
  • Any medication use that causes drowsiness or is contraindicated for driving
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Iowa. National Advanced Driving Simulator

Iowa City, Iowa, 52242, United States

Location

Related Publications (1)

  • O'Hanlon JF. Driving performance under the influence of drugs: rationale for, and application of, a new test. Br J Clin Pharmacol. 1984;18 Suppl 1(Suppl 1):121S-129S. doi: 10.1111/j.1365-2125.1984.tb02590.x.

    PMID: 6525328BACKGROUND

MeSH Terms

Conditions

Driving Under the InfluenceAlcoholic IntoxicationMarijuana AbuseDrinking BehaviorSubstance-Related Disorders

Interventions

nabiximolsDronabinolInhalationEthanol

Condition Hierarchy (Ancestors)

Criminal BehaviorBehaviorDangerous BehaviorAlcohol-Related DisordersChemically-Induced DisordersMental Disorders

Intervention Hierarchy (Ancestors)

CannabinoidsTerpenesHydrocarbonsOrganic ChemicalsRespiratory MechanicsRespirationRespiratory Physiological PhenomenaCirculatory and Respiratory Physiological PhenomenaAlcohols

Study Officials

  • Chris Berka, B.S

    Advanced Brain Monitoring

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
University of Iowa: Triple (Participant, Investigator, Outcomes Assessor) blind
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Model Details: The University of Iowa study is a counter-balanced dose-response protocol where all participants will receive all three doses of marijuana (plus alcohol if they qualify).
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 9, 2020

First Posted

January 18, 2020

Study Start

September 1, 2020

Primary Completion

May 27, 2021

Study Completion

May 27, 2021

Last Updated

July 12, 2021

Record last verified: 2021-07

Data Sharing

IPD Sharing
Will share

De-identified driving and dose data will be made available after analyses are complete.

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
After analysis of data (May 2021).
Access Criteria
Individual requests to the PI.

Locations