CClinicalTrials.gg
CompletedNCT01037088Updated Jan 31, 2018Results posted

Effects of Vaporized Marijuana on Neuropathic Pain

A Phase 1/2 interventional study of Mild dose cannabis and Low dose cannabis in Neuropathic Pain, Reflex Sympathetic Dystrophy and Peripheral Neuropathy, sponsored by University of California, Davis. Completed at 1 site in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2018-01-31.

Sponsored by University of California, Davis · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This study theorized that a low dose of vaporized cannabis could alleviate nerve injury pain.

Read the detailed description

We conducted a double-blind, placebo-controlled, crossover study evaluating the analgesic efficacy of vaporized cannabis in subjects, the majority of whom were experiencing neuropathic pain despite traditional treatment. Thirty-nine patients with central and peripheral neuropathic pain underwent a standardized procedure for inhaling medium-dose (3.53%), low-dose (1.29%), or placebo cannabis with the primary outcome being visual analog scale pain intensity. Psychoactive side effects and neuropsychological performance were also evaluated.

02

Conditions studied

  • Neuropathic Pain
  • Reflex Sympathetic Dystrophy
  • Peripheral Neuropathy
  • Post-herpetic Neuralgia
  • Spinal Cord Injury
  • Multiple Sclerosis

Keywords

  • cannabis
  • marijuana
  • neuropathy
  • antinociception
  • mood
  • cognition
  • neuropathic pain
03

In context

Multiple Sclerosis

3,460 studies on the registry are indexed under Multiple Sclerosis; 661 are open to participants now.

This study's enrollment of 44 is below the median of 50 across 2,342 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

University of California, Davis is the lead sponsor of 798 studies on the registry; 146 are open to participants now.

Of its 65 completed or terminated interventional studies of FDA-regulated products, 43 (66%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Inclusion criteria

  • Age greater than 18 and less than 70
  • Visual Analogue Scale (VAS pain intensity) greater than 3/10
  • A negative urine drug screening test, i.e., no evidence of IV drug abuse
  • Neuropathic pain due to reflex sympathetic dystrophy, peripheral neuropathy, post-herpetic neuralgia, post-stroke pain, multiple sclerosis or spinal cord injury

Exclusion criteria

Exclusion Criteria:

  • Presence of another painful condition of greater severity than the neuropathic pain condition which is being studied.
  • Subjects with moderate-severe major depression, bipolar/mania, bipolar II/hypomania and schizophrenia or schizoaffective disorder.
  • Unstable Type 1 or 2 diabetes defined as blood glucose more than 156 mg/dl
  • History of traumatic brain injury
  • Uncontrolled medical condition, including coronary artery disease, hypertension, cerebrovascular disease, asthma, tuberculosis (TB), chronic obstructive pulmonary disease (COPD), opportunistic infection, malignancy requiring active treatment, active substance abuse (alcohol or injection drugs).
  • Current use of marijuana (e.g., within 30 days of randomization)
  • Pregnancy as ascertained by a self-report and a mandatory commercial pregnancy test.
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
44 participants (actual)

Study arms

  • Experimental
    Mild dose cannabis

    3.53% THC by weight

    Drug: Mild dose cannabis

  • Experimental
    Low dose cannabis

    1.29% THC by weight

    Drug: Low dose cannabis

  • Placebo comparator
    Placebo cannabis

    placebo marijuana

    Drug: Cannabis

Interventions

  • DrugMild dose cannabis

    3.53% THC by weight

    Also known as: marijuana

  • DrugLow dose cannabis

    1.29% THC by weight

    Also known as: marijuana

  • DrugCannabis

    0.00% THC by weight

    Also known as: placebo marijuana

06

What researchers measure

Primary outcomes

  1. Participants With 30% or Greater Reduction in Pain Intensity

    The primary outcome variable, VAS Pain Intensity, was assessed by asking participants to indicate the intensity of their current pain on a 100-mm visual analog scale (VAS) between 0 (no pain) and 100 (worst possible pain).An assessment was performed before the administration of vaporized cannabis or placebo and hourly thereafter for six hours.

    Time frame: baseline to six hours

Secondary outcomes

  1. Visual Analogue Scale Pain Intensity Scores for Baseline and up to 5 Hours Following Administration of Vaporized Cannabis

    The pain intensity scores for all of the time points (i.e., baseline prior to administration and up to 5 hours following administration of cannabis). VAS Pain Intensity was assessed by asking participants to indicate the intensity of their current pain on a 100-mm visual analog scale (VAS) between 0 (no pain) and 100 (worst possible pain).

    Time frame: baseline to six hours

07

Results

Posted Apr 9, 2013
Limitations and caveats
Inclusion of patients with complex regional pain syndrome type I. In the past, there was no doubt that this disorder should be classified as classical neuropathic pain condition; Unmasking of blinding secondary to the psychoactive effects of cannabis

Participant flow

Recruitment took place at the UCDMC and VA Northern California Pain clinics,UCDMC Spinal Cord Injury Clinic, and newspaper advertisements. Between December 2009 and March 2011, 59 patients were consented to enroll in the study.

Participant flow — Overall Study
MilestoneAll Participants
Started39
Received 3.53% thc36
Received 1.29% thc37
Received placebo38
Completed36
Not completed3
Withdrew: Withdrawal by subject3

Outcome measures

PrimaryParticipants With 30% or Greater Reduction in Pain Intensity

The primary outcome variable, VAS Pain Intensity, was assessed by asking participants to indicate the intensity of their current pain on a 100-mm visual analog scale (VAS) between 0 (no pain) and 100 (worst possible pain).An assessment was performed before the administration of vaporized cannabis or placebo and hourly thereafter for six hours.

Time frame:
baseline to six hours
Reported as:
Number · percentage of participants
Participants With 30% or Greater Reduction in Pain Intensity
percentage of participantsMild Dose CannabisLow Dose CannabisPlacebo Cannabis
Participants With 30% or Greater Reduction in Pain Intensity61 (45 to 75)57 (41 to 71)26 (15 to 42)
SecondaryVisual Analogue Scale Pain Intensity Scores for Baseline and up to 5 Hours Following Administration of Vaporized Cannabis

The pain intensity scores for all of the time points (i.e., baseline prior to administration and up to 5 hours following administration of cannabis). VAS Pain Intensity was assessed by asking participants to indicate the intensity of their current pain on a 100-mm visual analog scale (VAS) between 0 (no pain) and 100 (worst possible pain).

Time frame:
baseline to six hours
Reported as:
Mean · units on a scale
Visual Analogue Scale Pain Intensity Scores for Baseline and up to 5 Hours Following Administration of Vaporized Cannabis
units on a scaleMild Dose CannabisLow Dose CannabisPlacebo Cannabis
Baseline prior to Administration of Cannabis57.3 ± 24.154.4 ± 23.457.5 ± 22.8
Hour 1 after Administration of Cannabis51.8 ± 22.149.8 ± 25.756.5 ± 24.1
Hour 2 after Administration of Cannabis44.3 ± 26.845.8 ± 26.455.4 ± 25.1
Hour 3 after Administration of Cannabis39.7 ± 25.838.2 ± 27.150.7 ± 25.0
Hour 4 after Administration of Cannabis40.4 ± 26.939.5 ± 27.248.1 ± 25.6
Hour 5 after Administration of Cannabis41.7 ± 25.540.7 ± 27.251.8 ± 25.1
Statistical analysis
  • Mild Dose Cannabis vs Low Dose Cannabis vs Placebo Cannabis · Mixed Models Analysis · p = >.05 (not significant)
  • Mild Dose Cannabis vs Low Dose Cannabis vs Placebo Cannabis · Mixed Models Analysis · p = =.0002
  • Mild Dose Cannabis vs Low Dose Cannabis vs Placebo Cannabis · Mixed Models Analysis · p = <.0001
  • Mild Dose Cannabis vs Low Dose Cannabis vs Placebo Cannabis · Mixed Models Analysis · p = =.0004
  • Mild Dose Cannabis vs Low Dose Cannabis vs Placebo Cannabis · Mixed Models Analysis · p = =.0018

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Mild Dose Cannabis—0/36 (0%)0/36 (0%)
Low Dose Cannabis—0/37 (0%)0/37 (0%)
Placebo Cannabis—0/38 (0%)0/38 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)All Participants
<=18 years0
Between 18 and 65 years39
>=65 years0
Age, Continuous
Age, Continuous(years)All Participants
Mean50 ± 11
Sex: Female, Male
Sex: Female, Male(Participants)All Participants
Female11
Male28
Region of Enrollment
Region of Enrollment(participants)All Participants
United States39
08

Study locations

1 site
  • CTSC Clinical Research Center, Sacramento VA Medical Center
    Sacramento, California 95817, United States
09

References and documents

Publications

  • Wilsey B, Marcotte T, Tsodikov A, Millman J, Bentley H, Gouaux B, Fishman S. A randomized, placebo-controlled, crossover trial of cannabis cigarettes in neuropathic pain. J Pain. 2008 Jun;9(6):506-21. doi: 10.1016/j.jpain.2007.12.010. Epub 2008 Apr 10. PubMed 18403272 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 31, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01037088
Lead sponsor
University of California, Davis
Collaborators
Center for Medicinal Cannabis Research, VA Northern California Health Care System
Responsible party
Sponsor
First posted
Dec 21, 2009
Start date
Dec 2009
Primary completion
Nov 2012
Completion
Nov 2012
Results posted
Apr 9, 2013
Last update
Jan 31, 2018

Study contacts

Barth L Wilsey, MD
principal investigator · University of California, Davis

Oversight

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

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