Pregnenolone as a Treatment for Cannabis Intoxication
Details
Status
Open: Currently recruiting participants.
Closed: Recruitment either has not started or has paused or completed.
Study Type
Interventional (clinical trials): Test treatments.
Observational: Conduct surveys and interviews, study medical records and otherwise observe people or groups over time.
Interventional
Study Phase
Each study phase tests different aspects of the medication or treatment:
- Phase I: safety and dosing
- Phase II: effectiveness and side effects
- Phase III: efficacy compared to standard treatments
- Phase IV: long-term safety after approval for use
II
Location(s)
Johns Hopkins study sites. Additional study locations may be found on ClinicalTrials.gov.
Study Site(s) to be determined
Keywords
Contact Us
Clinical Trials Website Interest FormBrief Summary
The present study will characterize the ability of pregnenolone to reverse the acute intoxication and associated symptoms of cannabis. Healthy adults with a history of cannabis use will be recruited to participate in a placebo-controlled, within-subject crossover study at Johns Hopkins Behavioral Pharmacology Research Unit (BPRU). By clarifying the ability of pregnenolone to reverse cannabis intoxication symptoms, this study will pave the way for larger clinical studies that provide a foundation for the development of future CB1-receptor NAM medications that could be applied in emergency situations and potentially validate pregnenolone as a treatment for cannabis intoxication.
Eligibility
Inclusion Criteria
- Ages 18-65
- Good general health based on screening procedures (e.g. physical exam, blood testing, psychiatric evaluation)
- Systolic blood pressure <140 mm Hg, diastolic blood pressure < 90 mm Hg, and heart rate <110 bpm at screening
- Body mass index (BMI) in the range of 18 to 36 kg/m2
- Cannabis use within the past three years but none in the month prior to the first test session
- Negative urine test for illicit substance use and negative breath alcohol test (0% breath alcohol concentration) at screening
Exclusion Criteria
Use of psychoactive substances (aside from nicotine, caffeine, and alcohol) in the month prior to study initiation
Current use of over the counter (OTC) drugs, supplements/vitamins, or prescription medications that, in the opinion of the investigator or medical staff, will impact the participant's safety.
Current use of any prescription or non-prescription medications, including herbal medicines and supplements, that are known to interact with cannabis or pregnenolone
Self-report or ECG indicating clinically significant cardiovascular conditions, including coronary artery disease, stroke, angina, uncontrolled hypertension, arrhythmias (e.g. atrial fibrillation), heart valve placement, or TIA in the past year.
History of hormone-sensitive conditions, including but not limited to gynecologic cancers (breast, ovarian, uterine, etc), endometriosis, uterine fibroids, thyroid, pituitary and/or adrenal syndromes, polycystic ovarian syndrome, etc.
Epilepsy or a history of seizures
Any of the following laboratory values during screening or upon admission:
- AST > 165 U/L (normal range 19-55)
- ALT > 216 U/L (normal range 19-72)
- Alkaline phosphatase > 1.5x upper limit of normal (ULN)
- Total bilirubin >1.5 ULN
- Glomerular filtration rate (EGFR) < 60 ml/min/1.73m2
Current or past history of meeting DSM-5 criteria for schizophrenia spectrum or other psychotic disorders, or bipolar I or II disorder
Other unstable and/or compromising medical or psychiatric conditions based on clinical interview and/or MINI results that would interfere with participant safety as determined by study physician, including suicidal ideation and/or attempt, psychosis
Previous diagnosis and treatment for Cannabis Use Disorder
Urine drug screen (e.g. Healgen Scientific 14 Panel Rapid Drug Test) indicating the presence of substances including amphetamines, barbiturates, benzodiazepines, cocaine, opioids (including fentanyl), PCP and/or THC at screening.
Breathalyzer screen indicating presence of alcohol at screening
Women who are pregnant (as indicated by a positive urine pregnancy test assessed at intake and before each drug session) or nursing
Women who are of childbearing potential and sexually active who are not practicing an effective means of birth control including oral contraceptives, progestin implant, transdermal birth control patch, intrauterine device (IUD) or vaginal ring. Women who report use of condoms or diaphragm must use a "double-barrier" method of contraception (i.e. diaphragm and condoms).
SBP >/= 140, DBP >/= 90, or pulse >/=110 during screening
Has donated blood within 30 days of the study
Allergy to eggs or other food allergies that would make ingestion of brownie mix unsafe.
Use of concomitant medications, including herbal medicines and botanical supplements, that are strong inhibitors or inducers of CYP3A4 and CYP2C9