ClinicalTrials.gg
CompletedNCT00272207Updated Aug 25, 2011

A Trial Assessing the Effect of Nabilone on Pain and Quality of Life in Patients With Fibromyalgia

A Phase 2 interventional study of Nabilone in Fibromyalgia, sponsored by Winnipeg Regional Health Authority. Completed at 1 site in Canada. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2011-08-25.

Sponsored by Winnipeg Regional Health Authority · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 42 studies in Fibromyalgia with a site in Canada — 4 open to participants now, 4 under way, none of them phase 3. Fibromyalgia · Canada.

Enrollment
28th of 37
40 · median 67
Started
2006
with 3 others
Phase 2
6 of 42
none open now
Registered
2nd of 42
by date

Among the 42 studies in Fibromyalgia with a site in Canada, this one is the 28th largest by enrollment of the 37 interventional ones, is one of 4 that started in 2006, is one of 6 in phase 2, and was the 2nd registered.

By phase

42 studies; the count open now beside each. This study's row is marked.

No phase16 · 2 open
Phase 313 · 0 open
Phase 2this study6 · 0 open
Observational5 · 2 open
Phase 42 · 0 open

By the year they started

First in 2004; this study’s year is marked. 4 started in 2006.

Size and results

Median enrollment 67 across the 37 interventional studies, 81 across the 5 observational. Of the 36 that completed or were terminated, 8 (22%) have results posted.

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02

Study summary

The purpose of the study is to determine whether or not the drug Nabilone significantly reduces pain and improves quality of life in patients with fibromyalgia.

Read the detailed description

Fibromyalgia is a disease of unknown cause. People with fibromyalgia experience diffuse body pain, fatigue, sleep disturbance, and a generalized stiffness and swollen feeling. Fibromyalgia affects 2-6% of the general population, affecting females more commonly than males. Symptoms usually start between 20 and 55 years of age.

No medical treatment has been specifically approved for the management of fibromyalgia, however, there is strong evidence that some antidepressants, exercise, and patient education are effective in reducing the pain experienced by fibromyalgia patients. A recent study of four patients has suggested the possible benefit of Nabilone, a synthetic cannabinoid, in the treatment of fibromyalgia, however more studies are needed.

Marijuana is the common name for cannabis. Nabilone (brand name, CESAMET®), is a synthetic cannabinoid (form of cannabis). Cannabinoid receptors exist naturally in the human body and respond to naturally occurring cannabinoids produced by the body, as well as marijuana and synthetic cannabinoids like Nabilone.

In Canada, Nabilone is approved for the treatment and management of severe nausea and vomiting associated with cancer chemotherapy and may be prescribed by physicians.

Research has shown that activating the cannabinoid receptors also has an effect on reducing acute and chronic pain.

Our hypothesis is that the synthetic cannabinoid Nabilone will significantly reduce the pain experienced by patients with fibromyalgia and improve quality of life, compared to the placebo controlled group. This will be evident by finding significant differences in Visual Analogue Scale pain scores, number of tender points, average pain threshold, and scores on the Fibromyalgia Impact Questionaire.

03

Conditions studied

  • Fibromyalgia

Keywords

  • Fibromyalgia
  • Cannabinoids
  • Nabilone
  • Cesamet
  • Pain
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • The patient meets The American College of Rheumatology (1990) criteria for the classification of fibromyalgia. [5]
  • 18-70 years old.
  • Any gender.
  • The patient has not received benefit from a tricyclic antidepressant, muscle relaxant, acetaminophen or non-steroidal anti-inflammatories for management of their pain.
  • No previous use of oral cannabinoids for pain management.

Exclusion criteria

Exclusion Criteria:

  • The patient's pain is better explained by a diagnosis other then fibromyalgia.
  • Abnormalities on routine baseline blood work including electrolytes, urea and creatinine, a complete blood count, and liver function tests ( ALT GGT, Alk Phos, and LDH). Normal tests taken within 3 months prior to the study will be accepted if there is no history of acute illness since the time the blood was drawn.
  • Heart disease. (Cannabinoids can reduce heart rate and blood pressure) Patients with heart disease will be excluded based on a history of angina, MI or CHF as well as a clinical exam.
  • Schizophrenia or other Psychotic disorder
  • Severe liver dysfunction. (Patients will be excluded if there is an elevation of any of the baseline liver enzymes)
  • History of untreated non-psychotic emotional disorders.
  • Cognitive impairment.
  • Major illness in another body area.
  • Pregnancy.
  • Nursing mothers.
  • Patients less than 18 years old.
  • History of drug dependency.
  • A known sensitivity to marijuana or other cannabinoid agents
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
40 participants (actual)

Interventions

  • Oral nabilone, 0.5 mg x7 days, increased to 0.5 mg t.i.d x 2 weeks if patient tolerates, then increase if patient tolerating to 0.5 in am and 1.0 mg at hs x 1 week, then if patient tolerating, increase to 1.0 mg b.i.d x 1 week.

    Also known as: Cesamet

06

What researchers measure

Primary outcomes

  1. Visual Analogue Scale Pain Scores

    Patient is asked to mark their pain from 0 to 10, with 0 = no pain, and 10 = worst pain imaginable

    Time frame: Baseline, then at week 2, 4 and 8

  2. Number of Tender Points

    Physician examines by digital palpation for pain at each of the 18 characteristic tender points for fibromyalgia. The number of tender points where pain is reported is recorded

    Time frame: At baseline, then at the week 2, 4 and 8 visits

  3. Average Pain Threshold

    Patients are examined for pain at the 18 characteristic tender points. The results of all the sites are added and divided by 18 to give an average pain threshold

    Time frame: At baseline, then at the 2, 4 and 8 week visits

  4. Fibromyalgia Impact Questionaire

    Self-administered questionnaire that evaluates physical function, work status, depression anxiety, sleep, pain, stiffness, fatigue and well-being.

    Time frame: At baseline, then again at weeks 2, 4 and 8.

07

Study locations

1 site
  • Rehabilitation Hospital
    Winnipeg, Manitoba R3A 1M4, Canada
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Apr 2006, a primary completion of Feb 2007 and a completion of Mar 2007. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 3, 2006
First posted
Jan 4, 2006
Start
Apr 2006
Primary completionActual
Feb 2007
CompletionActual
Mar 2007
Last update
Aug 25, 2011
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 25, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00272207
Lead sponsor
Winnipeg Regional Health Authority
Collaborators
Valeant Canada Limited
Responsible party
Dr. Lena Galimova (MD, FRCPC, Winnipeg Regional Health Authority) — Principal investigator
First posted
Jan 4, 2006
Start date
Apr 2006
Primary completion
Feb 2007
Completion
Mar 2007
Last update
Aug 25, 2011

Study contacts

Lena Galimova, MD
principal investigator · The Royal College of Physicians and Surgeons of Canada
Ryan Skrabek, MD
study chair · University of Manitoba

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2011. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Nabilone

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