Observational Study of THC Concentrations in Acute Cannabis-induced CNS Depression
Multi-center Observational Study of Plasma Concentrations of THC and Its Metabolites in Pediatric Patients Visiting Emergency Departments for Acute Cannabis-induced CNS Depression
1 other identifier
observational
36
1 country
1
Brief Summary
This observational study is being conducted to determine plasma concentrations of tetrahydrocannabinol (THC) and its metabolites, 11-OH-THC and THC-COOH, in plasma of pediatric patients who visit the emergency department due to acute cannabis-induced CNS depression.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jun 2023
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2023
CompletedFirst Submitted
Initial submission to the registry
August 24, 2023
CompletedFirst Posted
Study publicly available on registry
August 30, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 30, 2026
February 17, 2026
February 1, 2026
3.6 years
August 24, 2023
February 13, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Plasma Concentration of delta-9 tetrahydrocannabinol (THC)
Concentration of THC and THC metabolites (11-OH-THC and THC-COOH) in plasma of subjects admitted to emergency departments due to acute cannabis induced CNS depression.
Day 1
Secondary Outcomes (10)
Demographics
Baseline
Cannabis Exposure
Baseline
Cannabis-Related Symptoms
Baseline, 30 minutes, 1 hour, 6 hours
Richmond Agitation and Sedation (RASS) Score
Baseline, 30 minutes, 1 hour, 6 hours
Glasgow Coma Scale (GCS) Score
Baseline, 30 minutes, 1 hour, 6 hours
- +5 more secondary outcomes
Study Arms (1)
All subjects
There is a single group consisting of all subjects who meet the eligibility criteria
Eligibility Criteria
The study population will consist of pediatric patients under 18 years of age who present to an emergency department with acute cannabis-induced CNS depression .
You may qualify if:
- The patient visits the ED with signs and symptoms of suspected acute cannabis-induced CNS depression, as evidenced by the patient suffering from clinically significant CNS depression combined with the following criteria:
- a) Exposure to cannabis or cannabis-derived products, or other products containing any CB1 agonist (such as Δ8-THC, HHC) within the last 12 hours, confirmed through one or more of the following: i. Positive toxicology testing, or ii. Other clinical evidence, such as reliable collateral history (e.g., from caregivers, EMS personnel, or witnesses), physical evidence (e.g., product packaging), or a consistent self-report.
- AND EITHER
- b) Symptoms are associated with cannabis exposure and developed during, or shortly after, cannabis exposure;
- c) In the judgment of investigator or designated clinician, the presentation includes symptoms consistent with acute cannabis-induced CNS depression (e.g. respiratory rate depression, increased sedative effects).
- Blood samples are taken as part of routine clinical procedures, or the patient has an IV line through which blood can be taken.
- The LAR is willing and able to provide consent.
- The patient is willing and able to provide assent, if applicable and feasible, based on age and clinical condition.
You may not qualify if:
- A potential patient who meets any of the following criteria will be excluded from participation in this study:
- Anything that, in the opinion of the PI, would place the patient at increased risk or preclude the patient's compliance with or completion of the study.
- Patient is presenting with signs or symptoms that are better explained by another medical condition or mental disorder, exposure to a drug other than cannabis, and, at the PI's discretion, are not induced by acute cannabis exposure.
- Patient presenting with cannabis use disorder (CUD), cannabis hyperemesis syndrome (CHS) or cannabis withdrawal syndrome (CWS)
- Patients who are brought in by law enforcement, i.e., cannabis intoxication associated with a vehicle accident (driving under the influence).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Massachusetts Memorial Children's Medical Center
Worcester, Massachusetts, 01605, United States
Biospecimen
Blood samples for measurement of cannabinoid and metabolite concentrations in plasma.
Study Officials
- STUDY DIRECTOR
Ken Cundy, PhD
Anebulo Pharmaceuticals Inc.
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 24, 2023
First Posted
August 30, 2023
Study Start
June 1, 2023
Primary Completion (Estimated)
December 30, 2026
Study Completion (Estimated)
December 30, 2026
Last Updated
February 17, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share