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Cannabidiol Solution for the Treatment of Behavioral Symptoms in Older Adults With Alzheimer's Dementia (CBD)

Primary Purpose

Alzheimer Disease, Anxiety, Agitation,Psychomotor

Status
Recruiting
Phase
Early Phase 1
Locations
United States
Study Type
Interventional
Intervention
high CBD/low THC sublingual solution
Sponsored by
Mclean Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer Disease focused on measuring cannabidiol, older adults

Eligibility Criteria

55 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Diagnosis of probable Alzheimer's Dementia via criteria from McKhann et al.
  2. MMSE score of 15-24 (inclusive)
  3. Clinically significant degree of anxiety, as defined by a Clinical Impression total column score of ≥4 on the Anxiety domain of the NPI-C
  4. A health care proxy available to sign consent on behalf of the participant (if applicable)
  5. A caregiver who spends at least 10 hours per week with the subject who is able to attend all study visits
  6. Participants and their study partner must be fluent in English
  7. Must be 60-90 years old (inclusive)

Exclusion Criteria:

  1. Serious or unstable medical illness, including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic or hematologic disease, which might confound assessment of safety outcomes.
  2. Seizure disorder
  3. Lifetime diagnosis of bipolar disorder, schizophrenia, schizoaffective disorder, as determined by the MINI
  4. Current episode of major depression, as determined by the MINI
  5. Active substance abuse or dependence within the past 6 months, as determined by the MINI
  6. Delirium (as measured by the CAM)
  7. Current inpatient hospitalization
  8. Current regular use of cannabinoid products (>1 use per month)
  9. Positive urine screen for THC at the screening or baseline visit
  10. Allergy to coconut
  11. Participants taking strong inhibitors or inducers of CYP3A4 (e.g. fluconazole, fluoxetine, fluvoxamine, ticlopidine, St. John's Wort, etc.), CYP2C19 (ketoconazole, erythromycin, etc.), or anti-epileptic drugs

Sites / Locations

  • McLean HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

All subjects

Arm Description

This arm will include all subjects, individuals will administer a high CBD, low THC full spectrum sublingual solution twice daily on a variable dosing schedule.

Outcomes

Primary Outcome Measures

Total of clinician impression column on anxiety domain of the NPI-C
Measure of Anxiety Domain on the Neuropsychiatric Inventory-Clinician scale

Secondary Outcome Measures

Total score on the Generalized Anxiety Disorder 7 scale
Secondary Outcome Measure of anxiety reduction
Number of serious adverse events
Secondary Outcome Measure of safety defined by absence of serious adverse events
Week 8 MMSE total score compared to baseline MMSE total score
Secondary Outcome Measure of safety as defined by lack of treatment emergent cognitive impairment as measured by the Mini Mental Status Exam (MMSE)
Score on the confusion assessment method
Secondary Outcome Measure of safety defined as absence of treatment emergent delirium as measured by the Confusion Assessment Method (CAM)
Number and severity of side effects reported
Secondary Outcome Measure of safety defined as a low number of emergent somatic side effects as measured by the Medication Side Effects Questionnaire

Full Information

First Posted
August 29, 2019
Last Updated
October 17, 2023
Sponsor
Mclean Hospital
Collaborators
Spier Family Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT04075435
Brief Title
Cannabidiol Solution for the Treatment of Behavioral Symptoms in Older Adults With Alzheimer's Dementia
Acronym
CBD
Official Title
Open-Label Trial of a Cannabidiol Solution for the Treatment of Behavioral Symptoms in Older Adults With Alzheimer's Dementia
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 11, 2021 (Actual)
Primary Completion Date
September 15, 2024 (Anticipated)
Study Completion Date
September 15, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Mclean Hospital
Collaborators
Spier Family Foundation

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is an open label, eight week, clinical trial of a proprietary high CBD/low THC sublingual solution for the treatment of clinically significant anxiety and agitation in mild to moderate Alzheimer's Disease.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer Disease, Anxiety, Agitation,Psychomotor
Keywords
cannabidiol, older adults

7. Study Design

Primary Purpose
Treatment
Study Phase
Early Phase 1
Interventional Study Model
Single Group Assignment
Model Description
This is an open label trial; all participants will receive active drug.
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
All subjects
Arm Type
Other
Arm Description
This arm will include all subjects, individuals will administer a high CBD, low THC full spectrum sublingual solution twice daily on a variable dosing schedule.
Intervention Type
Drug
Intervention Name(s)
high CBD/low THC sublingual solution
Intervention Description
Hemp derived solution to be administered sublingually twice daily.
Primary Outcome Measure Information:
Title
Total of clinician impression column on anxiety domain of the NPI-C
Description
Measure of Anxiety Domain on the Neuropsychiatric Inventory-Clinician scale
Time Frame
Continuous, weeks 0-8
Secondary Outcome Measure Information:
Title
Total score on the Generalized Anxiety Disorder 7 scale
Description
Secondary Outcome Measure of anxiety reduction
Time Frame
Continuous, week 0-8
Title
Number of serious adverse events
Description
Secondary Outcome Measure of safety defined by absence of serious adverse events
Time Frame
Continuous, weeks 0-8
Title
Week 8 MMSE total score compared to baseline MMSE total score
Description
Secondary Outcome Measure of safety as defined by lack of treatment emergent cognitive impairment as measured by the Mini Mental Status Exam (MMSE)
Time Frame
longitudinal: screening/baseline and week8
Title
Score on the confusion assessment method
Description
Secondary Outcome Measure of safety defined as absence of treatment emergent delirium as measured by the Confusion Assessment Method (CAM)
Time Frame
Continuous screening weeks 0-8, dichotomous
Title
Number and severity of side effects reported
Description
Secondary Outcome Measure of safety defined as a low number of emergent somatic side effects as measured by the Medication Side Effects Questionnaire
Time Frame
Continuous, weeks 0-8
Other Pre-specified Outcome Measures:
Title
Total clinical impression column score on neuropsychiatric inventory agitation and aggression domains (NPI-C)
Description
Exploratory measure to see reduction in agitation and aggression symptoms
Time Frame
Continuous, weeks 0-8
Title
Total score of Cohen-Mansfield Inventory (CMAI)
Description
Exploratory measure to see reduction in agitation symptoms
Time Frame
Continuous, weeks 0-8
Title
Total Score of Zarit Caregiver Burden Interview
Description
Exploratory downstream reduction in caregiver burden
Time Frame
Continuous, weeks 0-8
Title
Stability of anxiety and agitation reduction using anxiety domain of NPI-C and GAD-7
Description
Exploratory investigation into the stability of anxiety reduction using the anxiety domain score on the NPI-C and the GAD-7 during the optional follow-up phase
Time Frame
Months 3, 6, 9, and 12 of the optional follow-up phase
Title
Stability of caregiver burden reduction
Description
Exploratory investigation into reduction of caregiver burden using the Zarit Caregiver Burden Interview during the optional follow-up phase
Time Frame
Months 3, 6, 9, and 12 of the optional follow-up phase

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of probable Alzheimer's Dementia via criteria from McKhann et al. MMSE score of 15-24 (inclusive) Clinically significant degree of anxiety, as defined by a Clinical Impression total column score of ≥4 on the Anxiety domain of the NPI-C A health care proxy available to sign consent on behalf of the participant (if applicable) A caregiver who spends at least 10 hours per week with the subject who is able to attend all study visits Participants and their study partner must be fluent in English Must be 60-90 years old (inclusive) Exclusion Criteria: Serious or unstable medical illness, including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic or hematologic disease, which might confound assessment of safety outcomes. Seizure disorder Lifetime diagnosis of bipolar disorder, schizophrenia, schizoaffective disorder, as determined by the MINI Current episode of major depression, as determined by the MINI Active substance abuse or dependence within the past 6 months, as determined by the MINI Delirium (as measured by the CAM) Current inpatient hospitalization Current regular use of cannabinoid products (>1 use per month) Positive urine screen for THC at the screening or baseline visit Allergy to coconut Participants taking strong inhibitors or inducers of CYP3A4 (e.g. fluconazole, fluoxetine, fluvoxamine, ticlopidine, St. John's Wort, etc.), CYP2C19 (ketoconazole, erythromycin, etc.), or anti-epileptic drugs
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Rosain C Ozonsi, BS
Phone
617-855-2511
Email
rozonsi@mclean.harvard.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Rosemary Smith, BS
Phone
617-855-2908
Email
rsmith@mclean.harvard.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Staci Gruber, PhD
Organizational Affiliation
Mclean Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ipsit V Vahia, MD
Organizational Affiliation
Mclean Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
McLean Hospital
City
Belmont
State/Province
Massachusetts
ZIP/Postal Code
02478
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ipsit V Vahia, MD
Phone
617-855-3291
Email
ivahia@mclean.harvard.edu
First Name & Middle Initial & Last Name & Degree
Staci Gruber, PhD
First Name & Middle Initial & Last Name & Degree
Ipsit Vahia, MD

12. IPD Sharing Statement

Plan to Share IPD
No

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Cannabidiol Solution for the Treatment of Behavioral Symptoms in Older Adults With Alzheimer's Dementia

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