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CompletedNCT03537950Updated Mar 5, 2024

Shifting Brain Excitation-Inhibition Balance in Autism Spectrum Disorder

An interventional study of PLC and CBD in Autism Spectrum Disorder, sponsored by King's College London. Completed at 1 site in United Kingdom. Open to male participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-03-05.

Sponsored by King's College London · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 1 year 7 months after the study started (first participant enrolled Aug 2016, registered Apr 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Male
01

Study summary

This study investigates brain response to single acute dose of cannabidiol, cannabidivarin, and placebo in healthy men with and without autism spectrum disorder

Read the detailed description

Previous research suggests that cannabidiol (CBD) and cannabidivarin (CBDV) could have the potential to shift brain excitation and inhibition (E-I) in the healthy brain and in neurodevelopmental psychiatric conditions, where this balance is disrupted, such as autism spectrum disorder (ASD). However, no study to date has investigated this. Therefore, in this study, we invited 20 healthy men with and without ASD. Each participant received each drug once (600mg CBD/CBDV, or matched placebo) and magnetic resonance imaging was used to obtain measures of brain biochemistry, activity, and connectivity. We further obtained questionnaires, task data, saliva, urine and blood samples, and conducted visual tasks using eye tracking, electroencephalography, and retinal imaging.

02

Conditions studied

  • Autism Spectrum Disorder

Keywords

  • Cannabidiol
  • Cannabidivarin
  • E-I balance
  • pharmacological imaging
03

In context

Autistic Disorder

1,344 studies on the registry are indexed under Autistic Disorder; 334 are open to participants now.

This study's enrollment of 38 is below the median of 45 across 1,044 interventional studies indexed under Autistic Disorder.

Browse Autistic Disorder studies →

Lead sponsor

King's College London is the lead sponsor of 506 studies on the registry; 125 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  • men
  • pass diagnostic threshold for ASD on the ADI-R (if informant is available)
  • currently symptomatic on ADOS
  • age 18-50 years
  • can give informed consent
  • IQ>70 (on a standard instrument such as WASI)
  • medication-free in the month preceding participation (but regular medication with drug, which does not affect glutamate or GABA directly may be permitted)
  • willing to provide urine samples to screen for use of illicit substances prior to each scan

Exclusion criteria

Exclusion Criteria:

  • IQ\<70
  • history of psychosis, co-morbid major mental illness, significant physical illness (heart disease, high blood pressure, seizures)
  • habitual substance misuse (including alcohol)
  • known allergy to cannabis
  • ASD caused by a known genetic syndrome e.g. Fragile X or 22q11 deletion syndrome,
  • past/present treatment for epilepsy
  • Women will be excluded from this pilot study to reduce heterogeneity in a small sample; avoid the issues around exposing women of reproductive age to a drug; and because pregnancy is a routine exclusion criteria for research MRI. Lastly, ASD is more common in men.
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Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
38 participants (actual)

Study arms

  • Experimental
    PLC, CBD, CBDV

    Dose order: PLC, CBD, CBDV

    Drug: PLC · Drug: CBD · Drug: CBDV

  • Experimental
    PLC, CBDV, CBD

    Dose order: PL, CBDV, CBD

    Drug: PLC · Drug: CBD · Drug: CBDV

  • Experimental
    CBD, PLC, CBDV

    Dose order: CBD, PLC, CBDV

    Drug: PLC · Drug: CBD · Drug: CBDV

  • Experimental
    CBD, CBDV, PLC

    Dose order: CBD, CBDV, PLC

    Drug: PLC · Drug: CBD · Drug: CBDV

  • Experimental
    CBDV, PLC, CBD

    Dose order: CBDV, PLC, CBD

    Drug: PLC · Drug: CBD · Drug: CBDV

  • Experimental
    CBDV, CBD, PLC

    Dose order: CBDV, CBD, PLC

    Drug: PLC · Drug: CBD · Drug: CBDV

Interventions

  • DrugPLC

    Single oral dose of PLC.

    Also known as: Placebo

  • DrugCBD

    Single oral dose of cannabidiol (CBD) - 600mg.

    Also known as: Cannabidiol

  • DrugCBDV

    Single oral dose of cannabidivarin (CBDV) - 600mg.

    Also known as: Cannabidivarin

06

What researchers measure

Primary outcomes

  1. Brain biochemistry response to pharmacological stimulation

    The measure of brain biochemistry response to PLC, CBD, and CBDV includes the following: Assessment of the ratio of brain excitation and inhibition (measured as the balance of excitatory and inhibitory neurotransmitters) using using proton magnetic resonance spectroscopy \[1H\]MRS.

    Time frame: In the months 1-2 following the last day of scanning.

Secondary outcomes

  1. Measurement of low frequency brain activity using resting state fMRI

    In the third and fourth month following the day of the last scan, we will measure whole brain low frequency brain activity using resting state functional magnetic resonance imaging. Measure of activity: fractional amplitude of low frequency fluctuations.

    Time frame: In the months 3-4 following the last day of scanning

  2. Measurement of brain functional connectivity using resting state fMRI

    In the fifth and sixth month following the day of the last scan, we will measure whole brain resting state functional connectivity using resting state functional magnetic resonance imaging. Measure of connectivity: correlation between pairs of regions.

    Time frame: In the months 5-6 following the last day of scanning

07

Study locations

1 site
  • King's College London
    London, SE5 8AF, United Kingdom
08

References and documents

Publications

  • Pretzsch CM, Floris DL, Voinescu B, Elsahib M, Mendez MA, Wichers R, Ajram L, Ivin G, Heasman M, Pretzsch E, Williams S, Murphy DGM, Daly E, McAlonan GM. Modulation of striatal functional connectivity differences in adults with and without autism spectrum disorder in a single-dose randomized trial of cannabidivarin. Mol Autism. 2021 Jul 1;12(1):49. doi: 10.1186/s13229-021-00454-6. PubMed 34210360 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03537950
Lead sponsor
King's College London
Responsible party
Dr Grainne McAlonan (Deputy head of department, King's College London) — Principal investigator
First posted
May 25, 2018
Start date
Aug 22, 2016
Primary completion
Feb 16, 2017
Completion
Mar 1, 2017
Last update
Mar 5, 2024

Study contacts

Grainne McAlonan, PhD
principal investigator · King's College London

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 Mar 2024. You cannot join it, but the record below documents what was studied.

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