CClinicalTrials.gg
CompletedNCT04851392CannTeenAUpdated Sep 29, 2021

Do Adolescents and Adults Differ in Their Acute Response to Cannabis?

An interventional study of Cannabis with delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD) and Cannabis with THC without CBD in Cannabis, Cannabis Intoxication and Cannabis Use, sponsored by University College, London. Completed at 1 site in United Kingdom. Open to participants aged 16 Years to 29 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-09-29.

Sponsored by University College, London · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 2 years after the study started (first participant enrolled Mar 2019, registered Apr 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
16 Years to 29 Years
Sex
All
01

Study summary

The acute effects of cannabis may differ between adolescents and adults. Furthermore, these effects may be tempered by the presence of cannabidiol. This double-blind, placebo-controlled, crossover experiment investigates the acute effects of cannabis (with and without cannabidiol) on subjective effects, behavioural responses and neural functioning in 16-17 year-olds and 26-29 year-olds who regularly use cannabis (0.5-3 days per week).

02

Conditions studied

  • Cannabis
  • Cannabis Intoxication
  • Cannabis Use
  • Cannabis Dependence
  • Marijuana
  • THC
  • CBD
  • Adolescent Development

Browse trials for

Keywords

  • Cannabis
  • Marijuana
  • THC
  • CBD
  • Adolescence
  • fMRI
  • Cognition
  • Subjective effects
  • Psychotomimetic effects
03

In context

Marijuana Abuse

517 studies on the registry are indexed under Marijuana Abuse; 114 are open to participants now.

This study's enrollment of 48 is below the median of 60 across 421 interventional studies indexed under Marijuana Abuse.

Browse Marijuana Abuse studies →

Lead sponsor

University College, London is the lead sponsor of 632 studies on the registry; 145 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 2 (33%) have results posted.

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

04

Who can participate

Ages eligible
16 Years to 29 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Adolescents: Aged 16-17
  • Adults: Aged 26-29 years
  • Self-reported cannabis use between 0.5 and 3 days/week, averaged over the last 3 months
  • Adults: Body mass index (BMI) between 18.5 and 29.9
  • Adolescents: BMI between 2nd percentile and 98th percentile
  • Self-reported ability to consume approximately half a typical joint of cannabis by themselves within 20 minutes
  • Willing to be cannulated and have four blood samples taken at every acute session
  • Right-handed

Exclusion criteria

Exclusion Criteria:

  • Females: Pregnant or breast-feeding
  • Adults: Before the age of 18, had a period of 3 or more months when cannabis was used once per week or more frequently.
  • Severe cannabis use disorder (DSM-5)
  • Illicit drug use of any specific drug more than twice per month, averaged over the last 3 months
  • Receiving treatment (pharmacological or psychological) for a mental health problem within the last month
  • Lifetime psychosis
  • Lifetime psychosis of any immediate family member
  • Hypertension (systolic > 160 or diastolic > 100)
  • Dependent on tobacco or vaping nicotine (> 1 on the Heaviness of Smoking Index)
  • Currently taking a psychotropic medication that will likely affect dependent variables or interact with cannabis
  • Any physical or mental health condition, any medication, or any treatment, that the study doctor considers to be an exclusion
  • MRI contraindications
  • Significant asthma or respiratory problems - severity judged clinically
  • Self-reported moderate/severe acute unpleasant effects from cannabis which occur often or always
  • Positive alcohol breathalyser reading at any acute session (rearrange session)
  • Self-reported use of alcohol within 24 hours at any acute session (rearrange session)
  • Self-reported use of illicit drugs (including cannabis) within 72 hours at any acute session (rearrange session)
  • Positive saliva drug screen at any acute session (rearrange session)
05

Study design

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

Study arms

  • Experimental
    THC condition

    THC condition: Cannabis with delta-9-tetrahydrocannabinol (THC) and no cannabidiol (CBD). 0.107mg/kg of THC. A 75kg person receives 8mg of THC. Route of administration: vaporised and inhaled. Frequency: once. Duration: inhaled in \< 18 minutes.

    Drug: Cannabis with delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD)

  • Experimental
    THC+CBD condition

    THC+CBD condition: Cannabis with THC and CBD (i.e. THC+CBD condition). 0.107mg/kg of THC and 0.320mg/kg of CBD. A 75kg person receives 8mg of THC and 24mg of CBD. Route of administration: vaporised and inhaled. Frequency: once. Duration: inhaled in \< 18 minutes.

    Drug: Cannabis with THC without CBD

  • Placebo comparator
    PLA condition

    PLA condition: Placebo cannabis with no THC or CBD. Route of administration: vaporised and inhaled. Frequency: once. Duration: inhaled in \< 18 minutes.

    Drug: Placebo cannabis

Interventions

  • DrugCannabis with delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD)

    Cannabis with delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD) - inhaled and vaporised cannabis flower

  • DrugCannabis with THC without CBD

    Cannabis with THC without CBD - inhaled and vaporised cannabis flower

  • DrugPlacebo cannabis

    Placebo cannabis, without THC and without CBD - inhaled and vaporised

06

What researchers measure

Primary outcomes

  1. Psychotomimetic effect

    Measured by total Psychotomimetic States Inventory (PSI) score

    Time frame: Measured once, 2 hours after the start of drug administration, on each drug condition

  2. Verbal episodic memory

    Measured by delayed prose recall performance

    Time frame: Measured once, 2 hours after the start of drug administration, on each drug condition

  3. Strength of subjective drug effect

    Measured by self-reported 'feel drug effect', rated from 0 (not at all) to 10 (extremely)

    Time frame: Measured 20 minutes after the start of drug administration, on each drug condition

Secondary outcomes

  1. Self-reported subjective effects

    Feel drug effect, like drug effect, dislike drug effect, alert, want to have cannabis, happy, relaxed, anxious, paranoid, mentally impaired, stoned, dry mouth, unmotivated, intensified sensory perception, want to listen to music, want food, want to see friends, rated from 0 (not at all) to 10 (extremely)

    Time frame: Measured -30 minutes, 20 minutes, 30 minutes, 2 hours, and 2 hours & 40 minutes after the start of drug administration, on each drug condition

  2. Functional magnetic resonance imaging (fMRI) measured neural correlates

    Reward anticipation and reward feedback, response inhibition, spatial working memory, and resting-state

    Time frame: Measured between 40 minutes and 1 hour & 20 minutes after the start of drug administration, on each drug condition

  3. Magnetic resonance spectroscopy

    Measuring glutamate levels in the dorsal striatum

    Time frame: Measured 1 hour & 30 minutes after the start of drug administration, on each drug condition

  4. Positive and negative syndrome scale

    Kay et al. (1987). Higher scores reflect stronger positive and negative symptoms.

    Time frame: Measured 2 hours & 40 minutes after the start of drug administration, on each drug condition

  5. Effort-related decision-making (i.e. amotivation)

    Measured by the physical effort task ('apple-gathering' task) as described in Husain \& Roiser (2018)

    Time frame: Measured 2 hours & 20 minutes after the start of drug administration, on each drug condition

  6. Pleasure processing

    Measured by subjective liking in response to chocolate, music and cartoons, rated from 0 (not at all) to 10 (extremely), similar to Lawn et al. (2015)

    Time frame: Measured 2 hours & 30 minutes after the start of drug administration, on each drug condition

  7. Visual attentional bias to cannabis and food stimuli

    Measured by the visual dot-probe task, as described in Morgan et al. (2010)

    Time frame: Measured 2 hours & 10 minutes after the start of drug administration, on each drug condition

  8. Heart rate

    Measuring heart rate

    Time frame: Measured -30 minutes, 20 minutes, 30 minutes, 2 hours, and 2 hours & 40 minutes after the start of drug administration, on each drug condition

  9. Blood pressure

    Measuring systolic and diastolic blood pressure.

    Time frame: Measured -30 minutes, 20 minutes, 30 minutes, 2 hours, and 2 hours & 40 minutes after the start of drug administration, on each drug condition

  10. Exogenous and endogenous cannabinoid levels in plasma

    Measuring THC and CBD and metabolites; and endocannabinoids

    Time frame: Measured -30 minutes, 20 minutes, 30 minutes, and 2 hours & 40 minutes after the start of drug administration, on each drug condition

  11. Dissociative states scale

    Bremner et al. (1998). Higher scores reflect greater dissociation.

    Time frame: Measured 2 hours & 40 minutes after the start of drug administration, on each drug condition

07

Study locations

1 site
  • University College London
    London, WC1E 7HB, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 29, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04851392
Lead sponsor
University College, London
Collaborators
Medical Research Council, Invicro
Responsible party
Sponsor
First posted
Apr 20, 2021
Start date
Mar 11, 2019
Primary completion
Jun 16, 2021
Completion
Jun 16, 2021
Last update
Sep 29, 2021

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 Sep 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion