CClinicalTrials.gg
CompletedNCT04971837Updated Nov 15, 2024Results posted

Interaction Between Cannabidiol, Meal Ingestion, and Liver Function

An interventional study of Cannabidiol (CBD) powder formulation and Cannabidiol (CBD) Oil based tincture formulation in Metabolism, Liver Function and Pharmacokinetics, sponsored by Colorado State University. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-15.

Sponsored by Colorado State University · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
26
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

According to a recent consumer poll, over 20 million Americans regularly use cannabidiol (CBD). Moreover, 64 million Americans (over 25% of the population) report trying CBD at least once within the previous 2 years. Since the passing of the 2018 Agriculture Improvement Act, the use of hemp-derived products, such as CBD, is highly prevalent across North America. The acceleration of the use of CBD has outpaced our understanding of the associated potential risks and benefits, and the way it is processed within the body.

In the current proposed project, investigators wish to continue our ongoing collaboration with Caliper Foods, a Colorado-based manufacturer of CBD products. The focus of this project is three-fold: (1) investigators will compare the pharmacokinetics of different formulations of ingestible CBD; (2) investigators will examine the potential two-way interaction between a meal and one formulation of ingestible CBD; and, (3) investigators will examine the influence of different formulations of CBD on markers of liver function.

Read the detailed description

Pharmacokinetics describes the speed in which something that is ingested is made available within the body (i.e. bioavailability).There are many different preparations/formulations of CBD and they may differ from one another with regards to their pharmacokinetics. One important consideration when evaluating CBD formulations is the pharmacokinetic goal and intended use. For example, if the indication for the CBD is to treat acute pain, then a faster time to peak concentration (Tmax) and higher maximal concentration (Cmax) may be desirable, and also may help to decrease the risk of overdose due to premature repeat self administration. Alternatively, as a chronic treatment for anxiety, a larger area under the curve (AUC) may be preferable if a user follows a regular dosing schedule.

One purpose of the proposed project is to compare the pharmacokinetics of different formulations of CBD. The formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble).

Several previous studies have demonstrated an influence of eating on the pharmacokinetics of ingested CBD. The general consensus appears to be that prior ingestion of a high-fat meal increases the maximal concentration of circulating CBD (Cmax) and lowers the time to attain peak circulating concentration (Tmax).

One purpose of the proposed project is to study the influence of a standardized meal on the pharmacokinetics of a CBD formulation.

Little is known about the influence of ingested CBD on postprandial metabolism. The thermic effect of feeding (i.e. the increase in metabolic rate above resting metabolism) is considered an important physiological determinant of energy balance, and therefore also of weight gain or loss. Further, the dynamics of circulating glucose and triglycerides following a meal are reflective of metabolic health and predictive of future cardiometabolic disease risk. CBD has been purported to have a variety of beneficial physiological properties, including anti-inflammatory and antioxidant actions. Either of these individual properties alone could favorably modify postprandial metabolism, given that CBD potentially does both, it appears likely that CBD might improve the physiological regulation of postprandial metabolism.

One purpose of the proposed project is to determine the influence of CBD on postprandial metabolism.

The liver plays a critical regulatory role in postprandial metabolism, and also with the physiological processing of cannabinoids. The relationship between the use of cannabinoids and liver health is unclear. While early studies implied that exposure of the liver to very high daily dosing of cannabinoids may be detrimental, more recent studies are suggesting that some cannabinoids, including CBD, may have therapeutic potential for the treatment of non-alcoholic fatty liver disease. The acute effects of low dose CBD (e.g. 30 mg) on liver function in healthy adults have not been well described, and may be influenced by the formulation of the CBD product (i.e. whether it is water or lipid soluble).

One purpose of the proposed project is to determine the acute influence of different formulations of CBD on circulating markers of liver function.

02

Conditions studied

  • Metabolism
  • Liver Function
  • Pharmacokinetics
03

In context

Lead sponsor

Colorado State University is the lead sponsor of 112 studies on the registry; 19 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Participants must be greater than 18 years of age
  • Weigh more than 110 pounds
  • Have a body mass index greater than 25kg/m\^2
  • Be free of any gastrointestinal or metabolic diseases
  • Be able to refrain from use of any Cannabis or cannabis containing products for three days prior to participating in the study.

Exclusion criteria

Exclusion Criteria:

  • Less than 18 years of age
  • Pregnant or breastfeeding
  • Food allergies
  • Autoimmune disorders or with compromised immune function,
  • Celiac disease
  • Inflammatory bowel Diseases
  • Gastrointestinal cancers
  • Diabetes
  • HIV
  • Adverse reactions to ingesting Cannabis spp. or cannabis-containing products (including, but not limited to, marijuana, CBD oils, or CBD/THC containing food products)
  • Taking any of the follow medications: steroids, HMG-CoA reductase inhibitors, calcium channel blockers, antihistamines, HIV antivirals, immune modulators, benzodiazepines, antiarrythmics, antibiotics, anesthetics, antipsychotics, antidepressants, anti-epileptics, beta blockers, proton pump inhibitors, NSAIDs, angiotension II blockers, oral hypoglycemic agents, and sulfonylureas.
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
26 participants (actual)

Study arms

  • Experimental
    Two Visits Including A Test Meal

    Separated by a minimum of 4 days.

    Dietary Supplement: Cannabidiol (CBD) powder formulation · Dietary Supplement: CBD matching Placebo

  • Experimental
    Five Visits Not Involving A Test Meal

    Separated by a minimum of 14 days.

    Dietary Supplement: Cannabidiol (CBD) powder formulation · Dietary Supplement: Cannabidiol (CBD) Oil based tincture formulation · Dietary Supplement: Cannabidiol (CBD) Gum Arabic, maltodextrin base formulation · Dietary Supplement: Cannabidiol (CBD) Gum Arabic, sorbitol base formulation · Dietary Supplement: Cannabidiol (CBD) Isolate in water formulation

Interventions

  • Dietary supplementCannabidiol (CBD) powder formulation

    T-P-S-10 Caliper powder - 30 mg CBD in the form of 300 mg of 10% CBD isolate (Formulation 725: Water soluble.Contains sorbitol)

  • Dietary supplementCannabidiol (CBD) Oil based tincture formulation

    30 mg CBD isolate in MCT oil,1:1 ratio of CBD to Medium Chain Triglycerides oil. (Formulation 088: Not water soluble. Contains medium chain triglyceride coconut oil.)

  • Dietary supplementCannabidiol (CBD) Gum Arabic, maltodextrin base formulation

    10% CBD Gum Arabic, maltodextrin base(Formulation 126: Water soluble. Contains gum arabic and maltodextrin)

  • Dietary supplementCannabidiol (CBD) Gum Arabic, sorbitol base formulation

    10% CBD Gum Arabic, sorbitol base (Formulation 213: Water soluble. Contains gum arabic and sorbitol)

  • Dietary supplementCannabidiol (CBD) Isolate in water formulation

    Pure CBD as crystalline powder (\>99% purity) (Formulation 625 Not water soluble)

  • Dietary supplementCBD matching Placebo

    Matching Placebo

06

What researchers measure

Primary outcomes

  1. Pharmacokinetic Time to Maximum Concentration- (Tmax) for Different Formulations of CBD

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate Tmax (minutes).

    Time frame: Venous blood will be sampled at standardized intervals: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  2. Pharmacokinetic Maximum Concentration-(Cmax) for Different Formulations of CBD

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate Cmax (ng/mL).

    Time frame: venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  3. Pharmacokinetic Area Under the Curve Representing Total Cannabidiol Exposure Between 0 and 4 h (AUC 0-4) for Different Formulations of CBD

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate AUC 0-4 (min x ng/mL).

    Time frame: Venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  4. Pharmacokinetic Area Under the Curve an Estimate of Total Exposure to CBD Over Time (AUC 0-inf) for Different Formulations of CBD

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate AUC 0-inf (mins x ng/mL).

    Time frame: Venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  5. Pharmacokinetic Amount of Time it Takes to Decrease the Circulating Concentration to Half of Its Initial Value (t1/2) for Different Formulations of CBD

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate t1/2 (mins).

    Time frame: venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  6. Pharmacokinetic Rate at Which CBD is Absorbed Into the Body (Ka) for Different Formulations of CBD

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate Ka(1/h).

    Time frame: venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  7. Pharmacokinetic Rate at Which CBD is Removed From the Body (Ke) for Different Formulations of CBD

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate Ke (1/h).

    Time frame: venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  8. CBD Pharmacokinetic Volume of Distribution- (Vd) for Different Formulations of CBD

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate Vd (L).

    Time frame: Venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  9. Pharmacokinetic Parameter Tmax of a Formulation 725 After a Standardized Meal

    At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts the time to attain peak circulating concentration Tmax (mins).

    Time frame: venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  10. Pharmacokinetic Parameter Cmax of a Formulation 725 After a Standardized Meal

    At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD Cmax (ng/L).

    Time frame: venous blood will be sampled at standardized intervals over: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  11. Pharmacokinetic Parameter AUC 0-4 of Formulation 725 After a Standardized Meal

    At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD AUC 0-4 (min x ng/mL).

    Time frame: venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  12. Pharmacokinetic Parameter AUC 0-inf of Formulation 725 After a Standardized Meal

    At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD AUC 0-inf (min x ng/mL).

    Time frame: venous blood will be sampled at standardized intervals 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  13. Pharmacokinetic Parameter t1/2 of Formulation 725 After a Standardized Meal

    At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD t1/2 (h).

    Time frame: venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  14. Pharmacokinetic Parameter Ka of Formulation 725 After a Standardized Meal

    At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD Ka (1/h).

    Time frame: venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  15. Pharmacokinetic Parameter Ke of Formulation 725 After a Standardized Meal

    At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD Ke (1/h).

    Time frame: venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  16. Pharmacokinetic Parameter Vd of Formulation 725 After a Standardized Meal

    At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD Vd (L).

    Time frame: venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

  17. Ingested CBD on Postprandial Metabolism Via Indirect Calorimetry

    At the 2 randomized visits Including a Test Meal Thermic Effect of Feeding (TEF) Under the Curve was calculated from standardized intervals prior to and after ingestion of a liquid meal and a single dose of Formulation 725.

    Time frame: Randomized visit Including a test meal collected during 235 minutes of TEF

  18. Ingested CBD on Postprandial Metabolism Via Measurements of Glucose

    At the 2 randomized visits Including a Test Meal, glucose Area Under the Curve was calculated from standardized intervals after ingestion of a liquid meal and a single dose of Formulation 725.

    Time frame: Compare 2 randomized visits Including a test meal collected at baseline,10,20,30,45,60,90,120,150,180,210, and 240 minutes.

  19. Ingested CBD on Postprandial Metabolism Via Measurements of Insulin

    At the 2 randomized visits Including a Test Meal insulin Area Under the Curve was calculated from standardized intervals after ingestion of a liquid meal and a single dose of Formulation 725.

    Time frame: Compare 2 randomized visits Including a test meal collected at baseline,10,20,30,45,60,90,120,150,180,210, and 240 minutes.

  20. Ingested CBD on Postprandial Metabolism Via Measurements of Triglycerides

    At the 2 randomized visits Including a Test Meal triglyceride Area Under the Curve was calculated from standardized intervals after ingestion of a liquid meal and a single dose of Formulation 725.

    Time frame: Compare 2 randomized visits Including a test meal collected at baseline,10,20,30,45,60,90,120,150,180,210, and 240 minutes.

  21. Acute Influence of Liver Function, Alanine Aminotransferase (ALT), With the Different Formulations of CBD.

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be collected at standardized intervals and analyzed for alanine aminotransferase (ALT).

    Time frame: Change from baseline at time 0, 60, 240 minutes for each formulation, visits separated by 14 days

  22. Acute Influence of Liver Function, Albumin, for Different Formulations of CBD.

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be collected at standardized intervals and analyzed for albumin.

    Time frame: Change from baseline at time 0, 60, 240 minutes for each formulation, visits separated by 14 days

  23. Acute Influence of Liver Function, Alkaline Phosphatase, With the Different Formulations of CBD.

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be collected at standardized intervals and analyzed for alkaline phosphatase.

    Time frame: Change from baseline at time 0, 60, 240 minutes for each formulation, visits separated by 14 days

  24. Acute Influence of Liver Function, Aspartate Aminotransferase, With the Different Formulations of CBD.

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be collected at standardized intervals and analyzed for aspartate aminotransferase.

    Time frame: Change from baseline at time 0, 60, 240 minutes for each formulation, visits separated by 14 days

  25. Acute Influence of Liver Function, Total Bilirubin, With the Different Formulations of CBD.

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be collected at standardized intervals and analyzed for total bilirubin.

    Time frame: Change from baseline at time 0, 60, 240 minutes for each formulation, visits separated by 14 days

  26. Acute Influence of Kidney Function, Blood Urea, With the Different Formulations of CBD.

    The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be collected at standardized intervals and analyzed for blood urea.

    Time frame: Change from baseline at time 0, 60, 240 minutes for each formulation, visits separated by 14 days

  27. CBD on Postprandial Metabolism Via Indirect Calorimetry

    At the 2 randomized visits including a Resting Metabolic Rate prior to and after ingestion of a single dose of Formulation 725 or placebo.

    Time frame: Compare 2 randomized visits Including a test meal collected during 45 minutes of resting metabolic rate

07

Results

Posted Nov 15, 2024
Limitations and caveats
1. Protocol was only competed by males, even though both men and women were invited to participate in the study. 2. Commercially available meal replacements were used but are not representative of the average person's meals (i.e. solid foods). 3. A relatively small dose of CBD was administered (30mg) and does not reflect the average dose of CBD individual are self-administering. The dose is also significantly smaller than FDA approved, Epidiolex, a seizure medication.

Participant flow

Participant flow — Overall Study
MilestoneAll Study Participants
Started26
Formulation 126 without meal,15
Formulation 213 without meal14
Formulation 625 without meal16
Formulation 725 without meal14
Formulation 088 without meal,15
Formulation 725 with meal14
Placebo with meal14
Completed14
Not completed12
Withdrew: Long term illness1
Withdrew: Bmi too low9
Withdrew: Geographic location1
Withdrew: Discontinued scheduling conflict1

Outcome measures

PrimaryPharmacokinetic Time to Maximum Concentration- (Tmax) for Different Formulations of CBD

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate Tmax (minutes).

Time frame:
Venous blood will be sampled at standardized intervals: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.
Reported as:
Mean · minutes
Pharmacokinetic Time to Maximum Concentration- (Tmax) for Different Formulations of CBD
minutesFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
Pharmacokinetic Time to Maximum Concentration- (Tmax) for Different Formulations of CBD116.3 ± 7635.4 ± 13.551.8 ± 24.2129.5 ± 89.638.2 ± 24.9
PrimaryPharmacokinetic Maximum Concentration-(Cmax) for Different Formulations of CBD

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate Cmax (ng/mL).

Time frame:
venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.
Reported as:
Mean · ng/mL
Pharmacokinetic Maximum Concentration-(Cmax) for Different Formulations of CBD
ng/mLFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
Pharmacokinetic Maximum Concentration-(Cmax) for Different Formulations of CBD0.5 ± 0.23.1 ± 2.12.2 ± 2.00.4 ± 0.61.8 ± 1.5
PrimaryPharmacokinetic Area Under the Curve Representing Total Cannabidiol Exposure Between 0 and 4 h (AUC 0-4) for Different Formulations of CBD

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate AUC 0-4 (min x ng/mL).

Time frame:
Venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.
Reported as:
Mean · minutes x ng/mL
Pharmacokinetic Area Under the Curve Representing Total Cannabidiol Exposure Between 0 and 4 h (AUC 0-4) for Different Formulations of CBD
minutes x ng/mLFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
Pharmacokinetic Area Under the Curve Representing Total Cannabidiol Exposure Between 0 and 4 h (AUC 0-4) for Different Formulations of CBD62.8 ± 29.7272.3 ± 176208.6 ± 151.146 ± 59.4177.3 ± 104.8
PrimaryPharmacokinetic Area Under the Curve an Estimate of Total Exposure to CBD Over Time (AUC 0-inf) for Different Formulations of CBD

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate AUC 0-inf (mins x ng/mL).

Time frame:
Venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.
Reported as:
Mean · minutes x ng/mL
Pharmacokinetic Area Under the Curve an Estimate of Total Exposure to CBD Over Time (AUC 0-inf) for Different Formulations of CBD
minutes x ng/mLFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
Pharmacokinetic Area Under the Curve an Estimate of Total Exposure to CBD Over Time (AUC 0-inf) for Different Formulations of CBD—385.2 ± 226.6367.6 ± 217.1—301.6 ± 221.9
PrimaryPharmacokinetic Amount of Time it Takes to Decrease the Circulating Concentration to Half of Its Initial Value (t1/2) for Different Formulations of CBD

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate t1/2 (mins).

Time frame:
venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.
Reported as:
Mean · minutes
Pharmacokinetic Amount of Time it Takes to Decrease the Circulating Concentration to Half of Its Initial Value (t1/2) for Different Formulations of CBD
minutesFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
Pharmacokinetic Amount of Time it Takes to Decrease the Circulating Concentration to Half of Its Initial Value (t1/2) for Different Formulations of CBD280.7 ± 141.5171.0 ± 129.2140.5 ± 96.6442.7 ± 451.0133.1 ± 26.7
PrimaryPharmacokinetic Rate at Which CBD is Absorbed Into the Body (Ka) for Different Formulations of CBD

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate Ka(1/h).

Time frame:
venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

No measurements were reported for this outcome.

PrimaryPharmacokinetic Rate at Which CBD is Removed From the Body (Ke) for Different Formulations of CBD

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate Ke (1/h).

Time frame:
venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.
Reported as:
Mean · 1/h
Pharmacokinetic Rate at Which CBD is Removed From the Body (Ke) for Different Formulations of CBD
1/hFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
Pharmacokinetic Rate at Which CBD is Removed From the Body (Ke) for Different Formulations of CBD00.003 ± .001.006 ± .003.006 ± .0020.003 ± .0020.005 ± .001
PrimaryCBD Pharmacokinetic Volume of Distribution- (Vd) for Different Formulations of CBD

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be sampled at standardized intervals over 4-hours to calculate Vd (L).

Time frame:
Venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.
Reported as:
Mean · mL, 1 L is equal to 1,000 mL
CBD Pharmacokinetic Volume of Distribution- (Vd) for Different Formulations of CBD
mL, 1 L is equal to 1,000 mLFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
CBD Pharmacokinetic Volume of Distribution- (Vd) for Different Formulations of CBD—11836405 ± 764248413130100 ± 6339554—22687960 ± 16435999
PrimaryPharmacokinetic Parameter Tmax of a Formulation 725 After a Standardized Meal

At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts the time to attain peak circulating concentration Tmax (mins).

Time frame:
venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.
Reported as:
Mean · minutes
Pharmacokinetic Parameter Tmax of a Formulation 725 After a Standardized Meal
minutesFormulation 725
Pharmacokinetic Parameter Tmax of a Formulation 725 After a Standardized Meal113.6 ± 70.5
PrimaryPharmacokinetic Parameter Cmax of a Formulation 725 After a Standardized Meal

At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD Cmax (ng/L).

Time frame:
venous blood will be sampled at standardized intervals over: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.
Reported as:
Mean · ng/mL. 1 L is equal to 1,000 mL.
Pharmacokinetic Parameter Cmax of a Formulation 725 After a Standardized Meal
ng/mL. 1 L is equal to 1,000 mL.Formulation 725
Pharmacokinetic Parameter Cmax of a Formulation 725 After a Standardized Meal2.9 ± 1.3
PrimaryPharmacokinetic Parameter AUC 0-4 of Formulation 725 After a Standardized Meal

At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD AUC 0-4 (min x ng/mL).

Time frame:
venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.
Reported as:
Mean · min x ng/mL
Pharmacokinetic Parameter AUC 0-4 of Formulation 725 After a Standardized Meal
min x ng/mLFormulation 725
Pharmacokinetic Parameter AUC 0-4 of Formulation 725 After a Standardized Meal397 ± 167
PrimaryPharmacokinetic Parameter AUC 0-inf of Formulation 725 After a Standardized Meal

At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD AUC 0-inf (min x ng/mL).

Time frame:
venous blood will be sampled at standardized intervals 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

No measurements were reported for this outcome.

PrimaryPharmacokinetic Parameter t1/2 of Formulation 725 After a Standardized Meal

At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD t1/2 (h).

Time frame:
venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.
Reported as:
Mean · minutes, 1 hour is equal to 60 minutes.
Pharmacokinetic Parameter t1/2 of Formulation 725 After a Standardized Meal
minutes, 1 hour is equal to 60 minutes.Formulation 725
Pharmacokinetic Parameter t1/2 of Formulation 725 After a Standardized Meal248.6 ± 304.6
PrimaryPharmacokinetic Parameter Ka of Formulation 725 After a Standardized Meal

At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD Ka (1/h).

Time frame:
venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

No measurements were reported for this outcome.

PrimaryPharmacokinetic Parameter Ke of Formulation 725 After a Standardized Meal

At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD Ke (1/h).

Time frame:
venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.
Reported as:
Mean · 1/hour
Pharmacokinetic Parameter Ke of Formulation 725 After a Standardized Meal
1/hourFormulation 725
Pharmacokinetic Parameter Ke of Formulation 725 After a Standardized Meal0.005 ± 0.002
PrimaryPharmacokinetic Parameter Vd of Formulation 725 After a Standardized Meal

At the 2 randomized visits Including a Test Meal, determine if a high-fat meal impacts maximal concentration of circulating CBD Vd (L).

Time frame:
venous blood will be sampled at standardized intervals over 4-hours: 0, 10, 20, 30, 45, 60, 120, 180, and 240 minutes and will be analyzed to compare circulating CBD concentration.

No measurements were reported for this outcome.

PrimaryIngested CBD on Postprandial Metabolism Via Indirect Calorimetry

At the 2 randomized visits Including a Test Meal Thermic Effect of Feeding (TEF) Under the Curve was calculated from standardized intervals prior to and after ingestion of a liquid meal and a single dose of Formulation 725.

Time frame:
Randomized visit Including a test meal collected during 235 minutes of TEF
Reported as:
Mean · (kcal/min) x min
Ingested CBD on Postprandial Metabolism Via Indirect Calorimetry
(kcal/min) x minFormulation 725Placebo
Ingested CBD on Postprandial Metabolism Via Indirect Calorimetry58.83 ± 14.355.28 ± 27.62
PrimaryIngested CBD on Postprandial Metabolism Via Measurements of Glucose

At the 2 randomized visits Including a Test Meal, glucose Area Under the Curve was calculated from standardized intervals after ingestion of a liquid meal and a single dose of Formulation 725.

Time frame:
Compare 2 randomized visits Including a test meal collected at baseline,10,20,30,45,60,90,120,150,180,210, and 240 minutes.
Reported as:
Mean · min x mg/dL
Ingested CBD on Postprandial Metabolism Via Measurements of Glucose
min x mg/dLFormulation 725Placebo
Ingested CBD on Postprandial Metabolism Via Measurements of Glucose18634.8 ± 2651.819001.72 ± 4037.1
PrimaryIngested CBD on Postprandial Metabolism Via Measurements of Insulin

At the 2 randomized visits Including a Test Meal insulin Area Under the Curve was calculated from standardized intervals after ingestion of a liquid meal and a single dose of Formulation 725.

Time frame:
Compare 2 randomized visits Including a test meal collected at baseline,10,20,30,45,60,90,120,150,180,210, and 240 minutes.
Reported as:
Mean · min x mU/L
Ingested CBD on Postprandial Metabolism Via Measurements of Insulin
min x mU/LFormulation 725Placebo
Ingested CBD on Postprandial Metabolism Via Measurements of Insulin7043.3 ± 4780.86934.75 ± 4556.64
PrimaryIngested CBD on Postprandial Metabolism Via Measurements of Triglycerides

At the 2 randomized visits Including a Test Meal triglyceride Area Under the Curve was calculated from standardized intervals after ingestion of a liquid meal and a single dose of Formulation 725.

Time frame:
Compare 2 randomized visits Including a test meal collected at baseline,10,20,30,45,60,90,120,150,180,210, and 240 minutes.
Reported as:
Mean · min x mg/dL
Ingested CBD on Postprandial Metabolism Via Measurements of Triglycerides
min x mg/dLFormulation 725Placebo
Ingested CBD on Postprandial Metabolism Via Measurements of Triglycerides24978.8 ± 9538.730605.36 ± 17037.6
PrimaryAcute Influence of Liver Function, Alanine Aminotransferase (ALT), With the Different Formulations of CBD.

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be collected at standardized intervals and analyzed for alanine aminotransferase (ALT).

Time frame:
Change from baseline at time 0, 60, 240 minutes for each formulation, visits separated by 14 days
Reported as:
Mean · U/L
Acute Influence of Liver Function, Alanine Aminotransferase (ALT), With the Different Formulations of CBD.
U/LPlaceboFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
0 minutes26.1 ± 10.128 ± 10.927.5 ± 8.429 ± 10.630.5 ± 11.227.7 ± 9.1
60 minutes26.9 ± 10.827.9 ± 1029.3 ± 8.129.1 ± 9.830.4 ± 1127.3 ± 8.7
240 minutes26.0 ± 11.228.6 ± 10.628.2 ± 7.928.7 ± 10.530.7 ± 11.527.6 ± 9.8
PrimaryAcute Influence of Liver Function, Albumin, for Different Formulations of CBD.

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be collected at standardized intervals and analyzed for albumin.

Time frame:
Change from baseline at time 0, 60, 240 minutes for each formulation, visits separated by 14 days
Reported as:
Mean · g/dL
Acute Influence of Liver Function, Albumin, for Different Formulations of CBD.
g/dLPlaceboFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
0 minutes3.6 ± 0.33.9 ± 0.33.9 ± 0.23.8 ± 0.33.8 ± 0.33.8 ± 0.3
60 minutes3.6 ± 0.23.8 ± 0.33.8 ± 0.33.8 ± 0.23.8 ± 0.23.8 ± 0.2
240 minutes3.4 ± 0.33.9 ± 0.33.9 ± 0.33.9 ± 0.24.0 ± 0.23.9 ± 0.2
PrimaryAcute Influence of Liver Function, Alkaline Phosphatase, With the Different Formulations of CBD.

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be collected at standardized intervals and analyzed for alkaline phosphatase.

Time frame:
Change from baseline at time 0, 60, 240 minutes for each formulation, visits separated by 14 days
Reported as:
Mean · U/L
Acute Influence of Liver Function, Alkaline Phosphatase, With the Different Formulations of CBD.
U/LPlaceboFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
0 minutes62.1 ± 8.662.5 ± 7.963.6 ± 10.860.3 ± 6.861.9 ± 9.460.4 ± 12
60 minutes62.9 ± 9.860.5 ± 7.261.9 ± 1161 ± 8.761.6 ± 9.360.9 ± 11.4
240 minutes58.8 ± 8.560.2 ± 8.061.4 ± 9.662.1 ± 9.562.3 ± 9.261 ± 12.6
PrimaryAcute Influence of Liver Function, Aspartate Aminotransferase, With the Different Formulations of CBD.

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be collected at standardized intervals and analyzed for aspartate aminotransferase.

Time frame:
Change from baseline at time 0, 60, 240 minutes for each formulation, visits separated by 14 days
Reported as:
Mean · U/L
Acute Influence of Liver Function, Aspartate Aminotransferase, With the Different Formulations of CBD.
U/LPlaceboFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
0 minutes28.0 ± 12.330.5 ± 4.130.2 ± 3.433.5 ± 730.6 ± 7.329.2 ± 5
60 minutes30.7 ± 10.430.6 ± 4.629.4 ± 8.730.9 ± 5.131.4 ± 7.428.9 ± 4.3
240 minutes29.4 ± 10.131.1 ± 6.830.3 ± 4.130.4 ± 5.931.9 ± 7.529.6 ± 4.4
PrimaryAcute Influence of Liver Function, Total Bilirubin, With the Different Formulations of CBD.

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be collected at standardized intervals and analyzed for total bilirubin.

Time frame:
Change from baseline at time 0, 60, 240 minutes for each formulation, visits separated by 14 days
Reported as:
Mean · mg/dL
Acute Influence of Liver Function, Total Bilirubin, With the Different Formulations of CBD.
mg/dLPlaceboFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
0 minutes0.8 ± 0.31 ± .31 ± .61 ± .4.9 ± .2.9 ± .4
60 minutes0.8 ± 0.30.9 ± 0.21 ± 0.61 ± 0.40.9 ± 0.20.9 ± 0.4
240 minutes0.8 ± 0.31 ± 0.31.1 ± 0.61.1 ± 0.41 ± 0.31 ± 0.4
PrimaryAcute Influence of Kidney Function, Blood Urea, With the Different Formulations of CBD.

The different formulations will be standardized for CBD dose (30 mg) but will differ in their preparation (e.g. water vs. fat-soluble). At the 5 randomized Visits Not Including A Test Meal venous blood will be collected at standardized intervals and analyzed for blood urea.

Time frame:
Change from baseline at time 0, 60, 240 minutes for each formulation, visits separated by 14 days
Reported as:
Mean · mg/dL
Acute Influence of Kidney Function, Blood Urea, With the Different Formulations of CBD.
mg/dLPlaceboFormulation 088Formulation 126Formulation 213Formulation 625Formulation 725
0 minutes15.1 ± 2.714.6 ± 2.815.4 ± 4.515.4 ± 3.915 ± 3.615.9 ± 3.3
60 minutes14.6 ± 2.914.4 ± 2.815.1 ± 4.615.5 ± 4.114.8 ± 3.915.3 ± 3.3
240 minutes13.9 ± 2.513.4 ± 2.514 ± 4.214.3 ± 3.513.8 ± 3.714.1 ± 3.1
PrimaryCBD on Postprandial Metabolism Via Indirect Calorimetry

At the 2 randomized visits including a Resting Metabolic Rate prior to and after ingestion of a single dose of Formulation 725 or placebo.

Time frame:
Compare 2 randomized visits Including a test meal collected during 45 minutes of resting metabolic rate
Reported as:
Mean · kcal/day
CBD on Postprandial Metabolism Via Indirect Calorimetry
kcal/dayFormulation 725Placebo
CBD on Postprandial Metabolism Via Indirect Calorimetry1751.7 ± 271.961755.31 ± 289.97

Adverse events

Collected over Throughout the seven study visits spread out over 10-12 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo With a Meal0/16 (0%)0/16 (0%)0/16 (0%)
Formulation 725 With a Meal0/16 (0%)0/16 (0%)0/16 (0%)
Formulation 725 Without Meal0/16 (0%)0/16 (0%)0/16 (0%)
Formulation 088 Without a Meal0/16 (0%)0/16 (0%)0/16 (0%)
Formulation 126 Without a Meal0/16 (0%)0/16 (0%)0/16 (0%)
Formulation 213 Without a Meal0/16 (0%)0/16 (0%)0/16 (0%)
Formulation 625 Without a Meal0/16 (0%)0/16 (0%)0/16 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Over Number of Study Participants
<=18 years0
Between 18 and 65 years26
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Over Number of Study Participants
Female9
Male17
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Over Number of Study Participants
Region of Enrollment
Region of Enrollment(participants)Over Number of Study Participants
United States26
08

Study locations

1 site
  • Colorado State University, Dept. of Health and Exercise Science
    Fort Collins, Colorado 80523-1582, United States
09

References and documents

Publications

  • Abbotts KSS, Ewell TR, Butterklee HM, Bomar MC, Akagi N, Dooley GP, Bell C. Cannabidiol and Cannabidiol Metabolites: Pharmacokinetics, Interaction with Food, and Influence on Liver Function. Nutrients. 2022 May 21;14(10):2152. doi: 10.3390/nu14102152. PubMed 35631293 ↗

Study documents

  • Protocol, analysis plan and consent form · Apr 1, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04971837
Lead sponsor
Colorado State University
Responsible party
Christopher Bell (Associate Professor, Colorado State University) — Principal investigator
First posted
Jul 22, 2021
Start date
May 20, 2021
Primary completion
Dec 9, 2021
Completion
Dec 9, 2021
Results posted
Nov 15, 2024
Last update
Nov 15, 2024

Oversight

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

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