ClinicalTrials.gg
CompletedNCT03268551Updated Nov 8, 2023

MEMO-Medical Marijuana and Opioids Study

An observational study in Opioid Use, Marijuana and Chronic Pain, sponsored by Albert Einstein College of Medicine. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-11-08.

Sponsored by Albert Einstein College of Medicine · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
257
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 11 studies in Chronic Pain by Albert Einstein College of Medicine — none open to participants now, 2 under way, none of them phase 3. Chronic Pain · Albert Einstein College of Medicine.

Started
2018
the only one that year
Observational
2 of 11
none open now
Registered
3rd of 11
by date

Among the 11 studies in Chronic Pain by Albert Einstein College of Medicine, this one is the only one that started in 2018, is one of 2 observational ones, and was the 3rd registered.

Chronic Pain

3,227 studies on the registry are indexed under Chronic Pain; 728 are open to participants now.

Browse Chronic Pain studies →

Open to participants now

None of the 11 studies in Chronic Pain by Albert Einstein College of Medicine is open now. The open studies under Chronic Pain, anywhere →

Where they have run

Who these studies take

Of the 486 Chronic Pain studies recruiting now, 239 (49%) set no upper age limit and 173 (36%) stop at 75 or younger; 43 take children under 18; 64 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Download CSVNarrow it in search →With an account: the 11 studies in Chronic Pain by Albert Einstein College of Medicine as a file.
02

Study summary

The study will examine how medical cannabis use affects opioid analgesic use over time, with particular attention to THC/CBD content, HIV outcomes, and severe adverse events.

Read the detailed description

The overarching goal of the study is to understand how medical cannabis use affects opioid analgesic use over time, with particular attention to THC/CBD content, HIV outcomes, and adverse events. The study will include a cohort of 250 HIV+ and HIV- adults with (a) severe or chronic pain, (b) opioid analgesic use, and (c) new certification for medical cannabis. Over 18 months, participants will have 7 in-person visits every 3 months and 39 web-based questionnaires every 2 weeks. Data sources will include questionnaires; medical, pharmacy, and Prescription Monitoring Program records; and urine and blood samples. Over each 2-week time period (unit of analysis), the primary exposure measure will be number of days of medical cannabis use, and the primary outcome measure will be cumulative opioid analgesic dose. Qualitative interviews will also be conducted with a subgroup of 30 participants to explore perceptions of how medical cannabis use affects opioid analgesic use. Qualitative findings will help understand the reasons underlying the findings of the cohort study.

03

Conditions studied

  • Opioid Use
  • Marijuana
  • Chronic Pain
  • HIV/AIDS
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults with chronic pain, who are taking opioids, and who are newly certified for medical marijuana in NY.

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

  • At least 18 years of age
  • English or Spanish fluency
  • New certification for medical cannabis within 90 days
  • No medical cannabis use in the 6 months prior to certification
  • Medical cannabis qualifying complication of "chronic or severe pain"
  • Use of prescribed or illicit opioid analgesics within 30 days

Exclusion criteria

Exclusion Criteria:

  • Inability to provide
  • Inability to complete study visits over 18 months
  • Qualifying conditions for medical cannabis in NY that are likely to cause unique pain syndromes (cancer, epilepsy, multiple sclerosis, spinal cord injury, amyotrophic lateral sclerosis, Parkinson's disease, inflammatory bowel disease, Hungtington's disease)
  • Terminal illness
  • Current or prior psychotic disorder
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.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
257 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Opioid analgesic use

    The primary outcome will combine measures of prescribed and illicit opioid analgesic use.

    Time frame: Opioid analgesic use will be a cumulative dose of all opioid analgesics over each of the 39 2-week periods.

Secondary outcomes

  1. Alternative measures of opioid analgesic use

    Alternative measures of opioid analgesic use will include: number of days of all opioid analgesic use, mean daily dose of all opioid analgesics, cumulative dose of prescribed (only) opioid analgesics, number of days of prescribed (only) opioid analgesic use, and mean daily dose of prescribed (only) opioid analgesic use.

    Time frame: Alternative measures of opioid analgesic use will be measured over each of the 39 2-week periods.

  2. HIV viral load

    HIV viral load will be measured in copies/ml from blood samples collected during the study.

    Time frame: HIV outcomes will be measured seven times every 3 months from baseline through 18 months.

  3. CD4 count

    CD4 count will be measured in cells/mm3 from blood samples collected during the study.

    Time frame: CD4 count will be measured seven times every 6 months from baseline through 18 months..

  4. HIV antiretroviral adherence

    HIV antiretroviral adherence will be a composite measure from self-reported questionnaires and pharmacy records.

    Time frame: HIV antiretroviral adherence will be measured seven times every 3 months from baseline through 18 months..

  5. HIV risk behaviors

    HIV risk behaviors will be a composite measure from self-reported questionnaires.

    Time frame: HIV risk behaviors will be measured seven times every 3 months from baseline through 18 months..

  6. Cannabis use disorder

    Cannabis use disorder will be measured using standardized instruments.

    Time frame: Cannabis use disorder will be measured three times every 6 months.

  7. Illicit drug use

    Illicit drug use will be measured using standardized surveys and urine toxicology testing.

    Time frame: Illicit drug use will be measured seven times every 3 months from baseline through 18 months..

  8. Diversion of medical cannabis

    Diversion will be measured using standardized surveys.

    Time frame: Diversion will be measured seven times every 3 months from baseline through 18 months..

  9. Non-fatal overdose

    Non-fatal overdose will be measured using standardized surveys.

    Time frame: Non-fatal overdose will be measured seven times every 3 months from baseline through 18 months..

  10. Death

    Death will be ascertained from the National Death Index

    Time frame: Death will be measured 18 months after enrollment.

  11. Accidents/Injuries

    Accidents/Injuries will be measured using standardized survey instruments

    Time frame: Accident/Injuries will be measured seven times every 3 months from baseline through 18 months..

07

Study locations

2 sites
  • Montefiore Health System
    Bronx, New York 10451, United States
  • Vireo Health
    White Plains, New York 10601, United States
08

References and documents

Publications

  • Cunningham CO, Starrels JL, Zhang C, Bachhuber MA, Sohler NL, Levin FR, Minami H, Slawek DE, Arnsten JH. Medical Marijuana and Opioids (MEMO) Study: protocol of a longitudinal cohort study to examine if medical cannabis reduces opioid use among adults with chronic pain. BMJ Open. 2020 Dec 29;10(12):e043400. doi: 10.1136/bmjopen-2020-043400. PubMed 33376181 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2018 to primary completion in Jul 2023, 58 months.

Of 336 non-industry observational studies under Chronic Pain, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 56. This study's 58 months is above that.

Counting every sponsor, half of 362 studies reached it within 24 months; a quarter within 12 and three quarters within 56.

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

Registered
Aug 23, 2017
First posted
Aug 31, 2017
StartActual
Sep 4, 2018
Primary completionActual
Jul 14, 2023
CompletionActual
Jul 14, 2023
Last update
Nov 8, 2023
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 Nov 8, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03268551
Responsible party
Sponsor
First posted
Aug 31, 2017
Start date
Sep 4, 2018
Primary completion
Jul 14, 2023
Completion
Jul 14, 2023
Last update
Nov 8, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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