ClinicalTrials.gg
WithdrawnNCT03369639Updated Jul 31, 2019

Study of Dronabinol Treatment for Depression and/or Anxiety in Older Patients

An observational study in Depression, Anxiety, sponsored by Mclean Hospital. Withdrawn at 1 site in United States. Open to participants aged 50 Years to 89 Years. Per ClinicalTrials.gov, last updated 2019-07-31.

Sponsored by Mclean Hospital · Observational

Why this study was withdrawn
Due to prohibitively high drug cost, physicians were not prescribing the drug.

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Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
0
Ages
50 Years to 89 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 41 studies in Depression by Mclean Hospital — 8 open to participants now, 10 under way, none of them phase 3. Depression · Mclean Hospital.

Enrollment
10th of 10
0 · median 112
Started
2017
with 2 others
Observational
10 of 41
1 open now
Registered
26th of 41
by date

Among the 41 studies in Depression by Mclean Hospital, this one is the 10th largest by enrollment of the 10 observational ones that give a count, is one of 3 that started in 2017, is one of 10 observational ones, and was the 26th registered.

Depression

8,582 studies on the registry are indexed under Depression; 1,723 are open to participants now.

Browse Depression studies →

Open to participants now

8 of the 41 studies in Depression by Mclean Hospital are open now, in 1 country. Recruiting first, the newest first:

3 more — sign in →

By country, each count listing its studies:

All 8 open studies →

Where they have run

Who these studies take

Of the 1,089 Depression studies recruiting now, 470 (43%) set no upper age limit and 519 (48%) stop at 75 or younger; 203 take children under 18; 311 take healthy volunteers.

This study: 50 Years to 89 Years · all sexes · no healthy volunteers.

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02

Study summary

This is an observational study evaluating the safety and efficacy of dronabinol for the treatment of anxiety and/or depression in older adults. Participants who are prescribed dronabinol as part of a voluntary inpatient stay in McLean's Division of Geriatric Psychiatry will be interviewed about their mood and cognition on a weekly basis while on dronabinol.

Read the detailed description

Recently there has been renewed interest in potential alternative medical applications of cannabis/THC and medical marijuana is now legalized in 23 states and the District of Columbia. Acute effects of THC can include subjective feelings of euphoria, relaxation, and sedation, and clinicians noted that THC is well tolerated for its approved indications. Given these subjective effects and relatively benign safety profile, some physicians have used dronabinol (synthetic THC) "off-label" to treat depression and/or anxiety.

The investigators are doing this research to better understand how effective dronabinol treatment is when prescribed for depression and/or anxiety in older patients. The investigators also want to find out if dronabinol is safe to take without causing too many side effects. Dronabinol is is approved by the U.S. Food and Drug Administration (FDA) to treat loss of appetite in chemotherapy patients, but dronabinol is not approved by the FDA to treat depression and/or anxiety. Through research questionnaires on mood and cognition, the investigators can gather information that will help demonstrate how effective dronabinol treatment is at treating depression and/or anxiety.

03

Conditions studied

  • Depression, Anxiety

Keywords

  • late life
  • THC
  • depression
  • anxiety
  • dronabinol
04

Who can participate

Ages eligible
50 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects will be recruited from the Mood Disorder inpatient unit within the Division of Geriatric Psychiatry at McLean Hospital. These older patients will have a diagnosis of major depression and/or anxiety and have agreed to begin dronabinol treatment after recommendation by the attending physician.

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

  1. 50-89 years old (inclusive)
  2. Inpatient on the Older Adult Unit in South Belknap 1 at McLean Hospital
  3. Initiating dronabinol therapy for the treatment of any Diagnostic and Statistical Manual (DSM) 5 Major Depression or Anxiety Disorder Diagnosis
  4. Ability to provide
  5. Must be fluent in English

Exclusion criteria

Exclusion Criteria:

  1. Delirium as determined by the Confusion Assessment Method (CAM)
  2. Serious or unstable medical illness, including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic or hematologic disease, which might confound assessment of safety outcomes
  3. Seizure disorder
  4. Diagnosis of bipolar depression, Major depression with psychotic features, schizophrenia, schizoaffective disorder, dementia
  5. Use of dronabinol or marijuana in the last year
  6. Prescription of lithium or anticonvulsant medications (except gabapentin)
  7. Patient currently admitted involuntarily to McLean Hospital
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
Case-only
Time perspective
Prospective
Enrollment
0 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Efficacy against depression as measured by the MADRS

    Assessed via the Montgomery Asberg Depression Rating Scale (MADRS). The MADRS score ranges from 0 (least depressed) to 60 (most depressed).

    Time frame: Weekly, from baseline prior to first dose for 2 weeks

  2. Efficacy against anxiety as measured by the HAM-A

    Assessed via the Hamilton Anxiety Rating Scale (HAM-A). The HAM-A score ranges from 0 (no present anxiety) to 56 (maximum anxiety score).

    Time frame: Weekly, from baseline prior to first dose for 2 weeks

Secondary outcomes

  1. Incidence of treatment-emergent adverse effects (Safety)

    Assessed by tracking and recording of adverse events and serious adverse events, and interviews about drug effects

    Time frame: Weekly, from baseline prior to first dose for 2 weeks

  2. Cognition

    Assessed by administration of the Montreal Cognitive Assessment (MoCA) at baseline and after 2 weeks of dronabinol. MoCA score ranges from 0 (most cognitively impaired) to 30 (least impaired).

    Time frame: At baseline prior to first dose and at 2 weeks

  3. Efficacy against depression as measured by the GDS

    Assessed by administration of the Geriatric Depression Scale (GDS). The GDS score ranges from 0 (least depressed) to 15 (most depressed).

    Time frame: Weekly, from baseline prior to first dose for 2 weeks

  4. Efficacy against anxiety as measured by the GAD-7

    Assessed by administration of the Generalized Anxiety Disorder--7 (GAD-7) scale. The GAD-7 score ranges from 0 (no anxiety) to 21 (highest, severe anxiety).

    Time frame: Weekly, from baseline prior to first dose for 2 weeks

07

Study locations

1 site
  • McLean Hospital
    Belmont, Massachusetts 02478, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2017 to primary completion in Oct 2018, 10 months.

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

Registered
Nov 14, 2017
First posted
Dec 12, 2017
StartActual
Nov 28, 2017
Primary completionActual
Oct 1, 2018
CompletionActual
Oct 1, 2018
Last update
Jul 31, 2019
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 Jul 31, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03369639
Lead sponsor
Mclean Hospital
Responsible party
Brent Forester (Director, Geriatric Psychiatry Research Program and Geriatric Mood Disorders Research Program, Mclean Hospital) — Principal investigator
First posted
Dec 12, 2017
Start date
Nov 28, 2017
Primary completion
Oct 1, 2018
Completion
Oct 1, 2018
Last update
Jul 31, 2019

Study contacts

Brent P Forester, MD
principal investigator · Mclean Hospital

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 withdrawn, as verified in Jul 2019. You cannot join it, but the record below documents what was studied.

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Discussion

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