ClinicalTrials.gg
TerminatedNCT02844933Updated Aug 1, 2023Results posted

Cannabidiol Oral Solution for the Treatment of Patients With Prader-Willi Syndrome

A Phase 2 interventional study of Cannabidiol and Placebo in Prader-Willi Syndrome, sponsored by Radius Pharmaceuticals, Inc.. Terminated at 7 sites in United States. Open to participants aged 8 Years to 17 Years. Per ClinicalTrials.gov, last updated 2023-08-01.

Sponsored by Radius Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
Insys Therapeutics filed Chapter 11 and terminated all studies.
Phase
Phase 2
Study type
Interventional
Enrollment
7
Allocation
Randomized
Ages
8 Years to 17 Years
Sex
All
01

Study summary

The primary objective of this study is to assess the efficacy of cannabidiol oral solution on hyperphagia-related behavior in patients with Prader-Willi Syndrome (PWS). The secondary objectives of this study are to assess the efficacy, safety and tolerability, impact on quality of life, and impact on physical activity of cannabidiol oral solution in patients with PWS.

02

Conditions studied

  • Prader-Willi Syndrome

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03

In context

Prader-Willi Syndrome

144 studies on the registry are indexed under Prader-Willi Syndrome; 23 are open to participants now.

This study's enrollment of 7 is below the median of 30 across 100 interventional studies indexed under Prader-Willi Syndrome.

Browse Prader-Willi Syndrome studies →

Lead sponsor

Radius Pharmaceuticals, Inc. is the lead sponsor of 9 studies on the registry; none are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 7 (100%) have results posted.

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

04

Who can participate

Ages eligible
8 Years to 17 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

  • Participant and/or parent(s)/caregiver(s) fully comprehend the form and assent form, understand all study procedures, and can communicate satisfactorily with the investigator and study coordinator, in accordance with applicable laws, regulations, and local requirements.
  • Participants with a genetically confirmed diagnosis of Prader-Willi Syndrome using standard deoxyribonucleic acid methylation test or fluorescent in situ hybridization. Documentation of genetically confirmed diagnosis of Prader-Willi Syndrome is acceptable.
  • A score of ≥10 on the Hyperphagia Questionnaire for Clinical Trials (HQ-CT).
  • A caregiver is available to complete the HQ-CT.
  • If female, is either not of (defined as premenarchal or surgically sterile [bilateral tubal ligation, bilateral oophorectomy, or hysterectomy]) or practicing one of the following medically acceptable methods of :

    1. Hormonal methods such as oral, implantable, injectable, vaginal ring, or transdermal contraceptives for a minimum of 1 full cycle (based on the participant's usual menstrual cycle period) before study drug administration.
    2. Total abstinence from sexual intercourse since the last menses before study drug administration.
    3. Intrauterine device.
    4. Double-barrier method (condoms, sponge, or diaphragm with spermicidal jellies or cream).
  • Adequate renal function, defined as serum creatinine ≤ 1.5* (ULN) and urine protein/creatinine ratio ≤0.4. The Investigator may deem the participant eligible if he or she judges the laboratory values to be not .
  • Adequate hepatic function, defined as total ≤ 1.5*ULN and and alanine aminotransferase levels ≤ 3*ULN.
  • Growth hormone treatment will be permitted if doses have been stable for at least 1 month prior to screening.
  • Psychotropic treatment will be permitted and should be stable at least 6 weeks prior to screening.
  • Any other treatment including thyroid hormones should be stable for at least 6 weeks prior to screening.

Exclusion criteria

Exclusion Criteria:

  • Known use of cannabis or cannabinoid-containing products for 4 weeks prior to baseline.
  • History of chronic liver diseases, such as cirrhosis or chronic hepatitis due to any cause, or suspected alcohol abuse.
  • Use of weight loss agents or drugs known to affect appetite (including glucagon-like peptide-1 [GLP-1] analogs) within 2 months prior to screening.
  • Uncontrolled Type I and Type II diabetes.
  • Currently taking concomitant medication that are strong-moderate inhibitors/inducers/sensitive substrates with a narrow therapeutic index for CYP2C19 or .
  • Co-morbid condition or disease (such as respiratory disease, heart disease, or psychiatric disorder) diagnosed less than 1 month prior to screening.
  • History or presence of gastrointestinal or any other condition known to interfere with the absorption, distribution, metabolism, or excretion of drugs as determined by the Investigator.
  • Participants who have participated in any other trials involving an product or device within 30 days of screening or longer as required by local regulations.
  • abnormalities on at screening or other evidence of heart disease as determined by the Investigator.
  • Has screening systolic blood pressure ≥160 millimeters of mercury (mmHg) and diastolic blood pressure >100 mm Hg (may be repeated 1 additional time after 5 minutes rest to verify). Participants with hypertensive levels lower than those specified may be excluded at the Investigator's discretion if deemed to be in the best interest of the participant.
  • Currently taking felbamate.
  • Uncontrolled sleep apnea.
  • Pregnant or lactating female.
  • History of to drugs with a similar chemical structure or class as cannabidiol.
  • Unwillingness or inability to follow the procedures outlined in the protocol.
  • Participant judged by the investigator or sponsor (or designee) as unable to comply with the treatment protocol, including appropriate supportive care, follow-up and research tests.
  • Positive drug screen, including tetrahydrocannabinol, at time of screening.
  • test of \< 30 milliliters/minute (mL/min).
Terms in these criteria, in plain language(12)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
7 participants (actual)

Study arms

  • Experimental
    Cannabidiol

    Cannabidiol oral solution (40 milligram/kilogram/day \[40 mg/kg/day\]) divided into two daily doses with a standard meal

    Drug: Cannabidiol

  • Placebo comparator
    Placebo

    Matching placebo solution divided into two daily doses with a standard meal

    Drug: Placebo

Interventions

  • Oral solution

  • DrugPlacebo

    Matching oral solution

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Hyperphagia Behavior as Measured by the Hyperphagia Questionnaire for Clinical Trials (HQ-CT)

    The HQ-CT measures hyperphagia by Prader-Willi syndrome (PWS)-specialized clinicians. The HQ-CT generates a score ranging from 0 to 36, where a higher score represents more severe abnormal food related behaviors. The change from baseline was calculated from two time points as the value at the later time point minus the value at the earlier time point: value at Week 13 minus value at Baseline.

    Time frame: Baseline, Week 13

Secondary outcomes

  1. Change From Baseline In Total Body Weight

    Total body weight refers to participants' weight throughout the study. The change from baseline was calculated from two time points as the value at the later time point minus the value at the earlier time point: value at Week 13 minus value at Baseline.

    Time frame: Baseline, Week 13

  2. Responder Rate From Baseline Through Study Completion

    A responder was defined as having a 6 or more points decrease in HQ-CT score.

    Time frame: Baseline up to Week 13

  3. Change In Patient Global Impression Of Change (PGI-C) Questionnaire

    The change in PGI-C scores at Week 3, Week 9, and Week 13 of the participant are evaluated.

    Time frame: Week 3, Week 13

  4. Change From Baseline In The Three Factor Eating Questionnaire - 18-item Version (TFEQ-R18)

    The change from baseline to Week 13 of the participant's TFEQ-R18 score is evaluated.

    Time frame: Baseline, Week 13

  5. Change From Baseline In Quality Of Life [Patient-Reported Outcomes Measurement Information System (PROMIS) Life Satisfaction And Positive Affect Questionnaires]

    The change from baseline to Week 13 of the participant's quality of life (PROMIS life satisfaction and positive affect questionnaire) score is evaluated.

    Time frame: Baseline, Week 13

  6. Change From Baseline In Physical Activity (PROMIS Physical Activity And Fatigue Questionnaires)

    The change from baseline to Week 13 of the participant's physical activity (PROMIS physical activity and fatigue questionnaires) score is evaluated.

    Time frame: Baseline, Week 13

07

Results

Posted Aug 1, 2023
Limitations and caveats
This study was prematurely terminated by the previous Sponsor (Insys Therapeutics Inc.). Only 7 participants were enrolled, and the planned number of participants was not achieved.

Participant flow

Participants took part in the study at 5 investigative sites in the United States from 09 May 2018 and 31 July 2019.

Participant flow — Overall Study
MilestoneCannabidiolPlacebo
Started43
Received at least 1 dose of study drug43
Completed11
Not completed32
Withdrew: Discontinued due to premature termination of study32

Outcome measures

PrimaryChange From Baseline in Hyperphagia Behavior as Measured by the Hyperphagia Questionnaire for Clinical Trials (HQ-CT)

The HQ-CT measures hyperphagia by Prader-Willi syndrome (PWS)-specialized clinicians. The HQ-CT generates a score ranging from 0 to 36, where a higher score represents more severe abnormal food related behaviors. The change from baseline was calculated from two time points as the value at the later time point minus the value at the earlier time point: value at Week 13 minus value at Baseline.

Time frame:
Baseline, Week 13
Reported as:
Median · score on a scale
Change From Baseline in Hyperphagia Behavior as Measured by the Hyperphagia Questionnaire for Clinical Trials (HQ-CT)
score on a scaleCannabidiolPlacebo
Baseline23 (10 to 25)22 (18 to 26)
Week 1314 (7 to 20)16 (10 to 28)
Change from Baseline at Week 13-4.5 (-14 to -3)-2 (-12 to 2)
SecondaryChange From Baseline In Total Body Weight

Total body weight refers to participants' weight throughout the study. The change from baseline was calculated from two time points as the value at the later time point minus the value at the earlier time point: value at Week 13 minus value at Baseline.

Time frame:
Baseline, Week 13
Reported as:
Median · kg
Change From Baseline In Total Body Weight
kgCannabidiolPlacebo
Baseline88.35 (47.9 to 112.4)56.7 (45.5 to 109.7)
Week 1387.6 (47.4 to 110.8)59.5 (46.8 to 109.4)
Change From Baseline at Week 13-1.05 (-1.6 to 0.1)1.3 (-0.3 to 1.3)
SecondaryResponder Rate From Baseline Through Study Completion

A responder was defined as having a 6 or more points decrease in HQ-CT score.

Time frame:
Baseline up to Week 13
Reported as:
Count of participants · Participants
Responder Rate From Baseline Through Study Completion
ParticipantsCannabidiolPlacebo
Yes11
No32
SecondaryChange In Patient Global Impression Of Change (PGI-C) Questionnaire

The change in PGI-C scores at Week 3, Week 9, and Week 13 of the participant are evaluated.

Time frame:
Week 3, Week 13

No measurements were reported for this outcome.

SecondaryChange From Baseline In The Three Factor Eating Questionnaire - 18-item Version (TFEQ-R18)

The change from baseline to Week 13 of the participant's TFEQ-R18 score is evaluated.

Time frame:
Baseline, Week 13

No measurements were reported for this outcome.

SecondaryChange From Baseline In Quality Of Life [Patient-Reported Outcomes Measurement Information System (PROMIS) Life Satisfaction And Positive Affect Questionnaires]

The change from baseline to Week 13 of the participant's quality of life (PROMIS life satisfaction and positive affect questionnaire) score is evaluated.

Time frame:
Baseline, Week 13

No measurements were reported for this outcome.

SecondaryChange From Baseline In Physical Activity (PROMIS Physical Activity And Fatigue Questionnaires)

The change from baseline to Week 13 of the participant's physical activity (PROMIS physical activity and fatigue questionnaires) score is evaluated.

Time frame:
Baseline, Week 13

No measurements were reported for this outcome.

Adverse events

Collected over Baseline up to Week 13. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cannabidiol0/4 (0%)0/4 (0%)4/4 (100%)
Placebo0/3 (0%)0/3 (0%)2/3 (66.7%)
Most frequent other events
Most frequent other events
EventCannabidiolPlacebo
DiarrheaGastrointestinal disorders2/41/3
RashSkin and subcutaneous tissue disorders2/40/3
Upper respiratory tract infectionInfections and infestations1/41/3
SeizureNervous system disorders0/41/3
Abdominal crampingGastrointestinal disorders1/40/3
ImpetigoInfections and infestations1/40/3
CellulitisInfections and infestations1/40/3
Ear infectionEar and labyrinth disorders1/40/3
Bacterial infectionInfections and infestations1/40/3

Baseline characteristics

All participants who were enrolled and received at least 1 dose of study drug.

Age, Continuous
Age, Continuous(years)CannabidiolPlaceboTotal
Mean13.5 (10 to 15)11.67 (8 to 15)12.7 (8 to 15)
Sex: Female, Male
Sex: Female, Male(Participants)CannabidiolPlaceboTotal
Female213
Male224
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)CannabidiolPlaceboTotal
Hispanic or Latino101
Not Hispanic or Latino235
Unknown or Not Reported101
Race (NIH/OMB)
Race (NIH/OMB)(Participants)CannabidiolPlaceboTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American011
White325
More than one race000
Unknown or Not Reported101
Baseline in Total Body Weight
Baseline in Total Body Weight(kg)CannabidiolPlaceboTotal
Median88.35 (47.9 to 112.4)56.7 (45.5 to 109.7)72.50 (45.5 to 112.4)
08

Study locations

7 sites
  • University of Arizona
    Tucson, Arizona 85724, United States
  • Rady Children's, UC San Diego
    San Diego, California 92123, United States
  • University of Iowa
    Iowa City, Iowa 52242, United States
  • The University of Kansas , Medical Center
    Kansas City, Kansas 66160, United States
  • Johns Hopkins University
    Baltimore, Maryland 21287, United States
  • The University of Oklahoma Health Sciences Center
    Tulsa, Oklahoma 74135, United States
  • Institute for Research and Innovation | MultiCare Health System
    Tacoma, Washington 98405, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02844933
Lead sponsor
Radius Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Jul 26, 2016
Start date
May 9, 2018
Primary completion
Jul 17, 2019
Completion
Jul 31, 2019
Results posted
Aug 1, 2023
Last update
Aug 1, 2023

Study contacts

Ahmed Elkashef, MD
study director · INSYS Therapeutics Inc

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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