ClinicalTrials.gg
CompletedNCT04978428Updated Jul 29, 2026Results posted

Epidiolex in Obsessive Compulsive Disorder and Related Disorders

A Phase 2 interventional study of Cannabidiol in Obsessive-Compulsive Disorder, Trichotillomania (Hair-Pulling Disorder) and Tourette Syndrome, sponsored by University of Chicago. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-07-29.

Sponsored by University of Chicago · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
4
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The primary objective of the proposed study is to evaluate the safety and efficacy of Epidiolex (cannabidiol) in adults with obsessive compulsive and related disorders (OCRDs). Subjects will be treated in an open-label fashion with Epidiolex for two weeks.

Read the detailed description

The primary objective of the proposed study is to evaluate the safety and efficacy of Epidiolex (cannabidiol) in adults with obsessive compulsive and related disorders (OCRDs). OCRDs include obsessive compulsive disorder (OCD), trichotillomania, skin picking, tourettes disorder, and hoarding disorders. These disorders appear linked in terms of phenomenology and possibly biology. Fifteen subjects with OCRDs will be treated in an open-label fashion with Epidiolex (2.5 mg/kg twice daily for one week followed by 5mg/kg twice daily) for two total weeks of active treatment. The hypothesis to be tested is that Epidiolex will result in reduction in symptoms of OCRDs (improvement in symptoms will be indicated by lower scores on established outcome measures of OCRDs symptoms that have been used in prior studies).

02

Conditions studied

  • Obsessive-Compulsive Disorder
  • Trichotillomania (Hair-Pulling Disorder)
  • Tourette Syndrome
  • Hoarding Disorder

Keywords

  • Obsessive Compulsive Disorder
  • CBD
  • Hoarding
  • Tourettes
  • Trichotillomania
  • Skin Picking Disorder
  • Body focused repetitive behaviors
03

In context

Obsessive-Compulsive Disorder

635 studies on the registry are indexed under Obsessive-Compulsive Disorder; 166 are open to participants now.

This study's enrollment of 4 is below the median of 45 across 520 interventional studies indexed under Obsessive-Compulsive Disorder.

Browse Obsessive-Compulsive Disorder studies →

Lead sponsor

University of Chicago is the lead sponsor of 924 studies on the registry; 185 are open to participants now.

Of its 103 completed or terminated interventional studies of FDA-regulated products, 72 (70%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Men and women age 18-65
  • Primary diagnosis of OCD, Hoarding Disorder, Skin Picking Disorder, Trichotillomania, or Tourette Syndrome
  • YBOCS score of at least 18 at baseline
  • Ability to understand and sign the consent form.

Exclusion criteria

Exclusion Criteria:

  • Unstable medical illness based on history or abnormalities on baseline physical examination or labs
  • Current pregnancy or lactation, or inadequate in women of
  • Subjects considered an immediate suicide risk based on the Columbia Suicide Severity Rating Scale (C-SSRS)
  • Past 12-month psychiatric disorder other than OCD
  • Illegal substance use based on urine toxicology screening
  • Initiation of psychological interventions within 3 months of screening
  • Use of any other psychotropic medication
  • Previous treatment with Epidiolex
  • Cognitive impairment that interferes with the capacity to understand and self-administer medication or provide written
Terms in these criteria, in plain language(5)

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

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

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
4 participants (actual)

Study arms

  • Experimental
    Epidiolex

    Epidiolex (2.5 mg/kg twice daily for one week) followed by Epidiolex (5mg/kg twice daily for two weeks)

    Drug: Cannabidiol

Interventions

  • Epidiolex oral solution (2.5 mg/kg and 5 mg/kg)

    Also known as: Epidiolex

06

What researchers measure

Primary outcomes

  1. Change in Yale Brown Obsessive Compulsive Scale (YBOCS) Total Score

    The primary outcome measure will be the change from baseline using the Yale Brown Obsessive Compulsive Scale (YBOCS). The YBOCS is a 10-item scale that assesses OCD symptoms during the last seven days. The first five items comprise the urge/thought subscale and items 6-10 comprise the behavior subscale. The change in scores from baseline to Week 2 will be reported. The scores from the subscales are summed together to reach a total score. The scale ranges from 0-40 with higher scores reflecting more severe symptoms.

    Time frame: Baseline to Week 2

  2. Change in NIMH Symptom Severity Scale (for TTM or Skin Picking) Total Score

    The primary efficacy measure will be the change in hair pulling or skin picking frequency and urges to pull hair or pick skin for the past week as indicated by change in total score. The entire study lasts two weeks. Every two weeks subjects will take the NIMH-TSS. The change in scores from baseline to Week 2 will be reported. The scale itself assesses severity of trichotillomania symptoms. The NIMH-TSS score ranges from 0 to 20, with 0 being no symptoms and 20 being the most severe.

    Time frame: Baseline to Week 2

Secondary outcomes

  1. Change in Clinical Global Impressions- Severity Scale (CGI-S) Total Score

    The entire study for the subject will last 2 weeks. The subject will complete the CGI once per week. The change in scores from baseline to Week 2 will be reported. The scale itself assesses overall disorder severity on a scale from 1 to 7 with 1 being "not at all" and 7 being "among the most severe cases"

    Time frame: Baseline to Week 2

  2. Change in Hamilton Depression Rating Scale (HAM-D) Total Score

    The Hamilton Depression Rating Scale (HAM-D) is a clinician-administered assessment of depression that will be assessed at all study visits. The HAM-D is a 17-item scale that assess depressive symptoms during the last seven days. The change in scores from baseline to Week 2 will be reported. The scale ranges from 0-52 with higher total scores indicating higher levels of depression, while a score of 0 would indicate no depressive symptoms.

    Time frame: Baseline to Week 2

  3. Change in Hamilton Anxiety Rating Scale (HAM-A) Total Score

    The Hamilton Anxiety Rating Scale (HAM-A) is a clinician-administered assessment of anxiety that will be assessed at all study visits. The HAM-A is a 14 item scale that assess anxiety symptoms during the last fourteen days. The change in scores from baseline to Week 2 will be reported. The scale ranges from 0-56 with higher scores indicating higher levels of anxiety, with 0 being no symptoms of anxiety.

    Time frame: Baseline to Week 2

  4. Change in Sheehan Disability Scale (SDS) Total Score

    The Sheehan Disability Scale (SDS) is a self-report scale that subjects will complete the SDS at all visits. The SDS is a three item scale that measures functional impairment across work/school, social life, and family/home responsibilities during the past seven days. The change in scores from baseline to Week 2 will be reported. Each item ranges from 0-10, with higher scores indicating more impairment. However, only total score is reported which ranges from 0-30, with higher scores indicating more severe impairment. The total score is computed by summing the three scores from each domain. The scale itself assesses the level of disability from target disorder with higher scores indicating a more debilitating disorder.

    Time frame: Baseline to Week 2

  5. Change in Quality of Life Inventory (QOLI) Total Score

    The Quality of Life Inventory (QOLI) is a self-report assessment of patient perceived quality of life that will be assessed at each visit. The change in scores from baseline to Week 2 will be reported. The QOLI assesses both the importance and satisfaction of 16 life domains. Scores are calculated by multiplying the importance score by the satisfaction score which gives a weighted score for each domain. Each weighted score is then added together to get a total score which ranges from 0-100 with higher scores indicating a higher quality of life, whereas lower scores indicate a lower quality of life.

    Time frame: Baseline to Week 2

07

Results

Posted Jul 29, 2026

Participant flow

Participant flow — Overall Study
MilestoneEpidiolex
Started4
Completed2
Not completed2

Outcome measures

PrimaryChange in Yale Brown Obsessive Compulsive Scale (YBOCS) Total Score

The primary outcome measure will be the change from baseline using the Yale Brown Obsessive Compulsive Scale (YBOCS). The YBOCS is a 10-item scale that assesses OCD symptoms during the last seven days. The first five items comprise the urge/thought subscale and items 6-10 comprise the behavior subscale. The change in scores from baseline to Week 2 will be reported. The scores from the subscales are summed together to reach a total score. The scale ranges from 0-40 with higher scores reflecting more severe symptoms.

Time frame:
Baseline to Week 2
Reported as:
Mean · Score on a scale
Change in Yale Brown Obsessive Compulsive Scale (YBOCS) Total Score
Score on a scaleEpidiolex
Change in Yale Brown Obsessive Compulsive Scale (YBOCS) Total Score2 ± 4.24
PrimaryChange in NIMH Symptom Severity Scale (for TTM or Skin Picking) Total Score

The primary efficacy measure will be the change in hair pulling or skin picking frequency and urges to pull hair or pick skin for the past week as indicated by change in total score. The entire study lasts two weeks. Every two weeks subjects will take the NIMH-TSS. The change in scores from baseline to Week 2 will be reported. The scale itself assesses severity of trichotillomania symptoms. The NIMH-TSS score ranges from 0 to 20, with 0 being no symptoms and 20 being the most severe.

Time frame:
Baseline to Week 2
Reported as:
Mean · Score on a scale

No measurements were reported for this outcome.

SecondaryChange in Clinical Global Impressions- Severity Scale (CGI-S) Total Score

The entire study for the subject will last 2 weeks. The subject will complete the CGI once per week. The change in scores from baseline to Week 2 will be reported. The scale itself assesses overall disorder severity on a scale from 1 to 7 with 1 being "not at all" and 7 being "among the most severe cases"

Time frame:
Baseline to Week 2
Reported as:
Mean · Score on a scale
Change in Clinical Global Impressions- Severity Scale (CGI-S) Total Score
Score on a scaleEpidiolex
Change in Clinical Global Impressions- Severity Scale (CGI-S) Total Score0 ± 1.41
SecondaryChange in Hamilton Depression Rating Scale (HAM-D) Total Score

The Hamilton Depression Rating Scale (HAM-D) is a clinician-administered assessment of depression that will be assessed at all study visits. The HAM-D is a 17-item scale that assess depressive symptoms during the last seven days. The change in scores from baseline to Week 2 will be reported. The scale ranges from 0-52 with higher total scores indicating higher levels of depression, while a score of 0 would indicate no depressive symptoms.

Time frame:
Baseline to Week 2
Reported as:
Mean · Score on a scale
Change in Hamilton Depression Rating Scale (HAM-D) Total Score
Score on a scaleEpidiolex
Change in Hamilton Depression Rating Scale (HAM-D) Total Score1.5 ± 7.78
SecondaryChange in Hamilton Anxiety Rating Scale (HAM-A) Total Score

The Hamilton Anxiety Rating Scale (HAM-A) is a clinician-administered assessment of anxiety that will be assessed at all study visits. The HAM-A is a 14 item scale that assess anxiety symptoms during the last fourteen days. The change in scores from baseline to Week 2 will be reported. The scale ranges from 0-56 with higher scores indicating higher levels of anxiety, with 0 being no symptoms of anxiety.

Time frame:
Baseline to Week 2
Reported as:
Mean · Score on a scale
Change in Hamilton Anxiety Rating Scale (HAM-A) Total Score
Score on a scaleEpidiolex
Change in Hamilton Anxiety Rating Scale (HAM-A) Total Score0.5 ± 0.71
SecondaryChange in Sheehan Disability Scale (SDS) Total Score

The Sheehan Disability Scale (SDS) is a self-report scale that subjects will complete the SDS at all visits. The SDS is a three item scale that measures functional impairment across work/school, social life, and family/home responsibilities during the past seven days. The change in scores from baseline to Week 2 will be reported. Each item ranges from 0-10, with higher scores indicating more impairment. However, only total score is reported which ranges from 0-30, with higher scores indicating more severe impairment. The total score is computed by summing the three scores from each domain. The scale itself assesses the level of disability from target disorder with higher scores indicating a more debilitating disorder.

Time frame:
Baseline to Week 2
Reported as:
Mean · Score on a scale
Change in Sheehan Disability Scale (SDS) Total Score
Score on a scaleEpidiolex
Change in Sheehan Disability Scale (SDS) Total Score0 ± 9.90
SecondaryChange in Quality of Life Inventory (QOLI) Total Score

The Quality of Life Inventory (QOLI) is a self-report assessment of patient perceived quality of life that will be assessed at each visit. The change in scores from baseline to Week 2 will be reported. The QOLI assesses both the importance and satisfaction of 16 life domains. Scores are calculated by multiplying the importance score by the satisfaction score which gives a weighted score for each domain. Each weighted score is then added together to get a total score which ranges from 0-100 with higher scores indicating a higher quality of life, whereas lower scores indicate a lower quality of life.

Time frame:
Baseline to Week 2
Reported as:
Mean · Score on a scale
Change in Quality of Life Inventory (QOLI) Total Score
Score on a scaleEpidiolex
Change in Quality of Life Inventory (QOLI) Total Score-3.5 ± 4.95

Adverse events

Collected over Adverse event data was collected at all three visits over the course of 2 weeks. This includes the baseline visit to the Week 2 visit.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Epidiolex0/4 (0%)0/4 (0%)1/4 (25%)
Most frequent other events
Most frequent other events
EventEpidiolex
DiarrheaGastrointestinal disorders1/4

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Epidiolex
Mean26 ± 6.63
Sex: Female, Male
Sex: Female, Male(Participants)Epidiolex
Female3
Male1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Epidiolex
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American0
White3
More than one race0
Unknown or Not Reported0
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Epidiolex
Hispanic or Latino1
Not Hispanic or Latino3
Unknown or Not Reported0
08

Study locations

1 site
  • University of Chicago
    Chicago, Illinois 60637, United States
09

References and documents

Publications

  • Blanco C, Olfson M, Stein DJ, Simpson HB, Gameroff MJ, Narrow WH. Treatment of obsessive-compulsive disorder by U.S. psychiatrists. J Clin Psychiatry. 2006 Jun;67(6):946-51. doi: 10.4088/jcp.v67n0611. PubMed 16848654 ↗
  • Bloch MH, Landeros-Weisenberger A, Kelmendi B, Coric V, Bracken MB, Leckman JF. A systematic review: antipsychotic augmentation with treatment refractory obsessive-compulsive disorder. Mol Psychiatry. 2006 Jul;11(7):622-32. doi: 10.1038/sj.mp.4001823. Epub 2006 Apr 4. PubMed 16585942 ↗
  • Frisch MB, Cornell J, Villaneuva M (1993). Clinical validation of the Quality of Life Inventory: a measure of life satisfaction for use in treatment planning and outcome assessment. Psychol Assess. 4:92-101.
  • Grant JE. Clinical practice: Obsessive-compulsive disorder. N Engl J Med. 2014 Aug 14;371(7):646-53. doi: 10.1056/NEJMcp1402176. PubMed 25119610 ↗
  • HAMILTON M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960 Feb;23(1):56-62. doi: 10.1136/jnnp.23.1.56. No abstract available. PubMed 14399272 ↗
  • HAMILTON M. The assessment of anxiety states by rating. Br J Med Psychol. 1959;32(1):50-5. doi: 10.1111/j.2044-8341.1959.tb00467.x. No abstract available. PubMed 13638508 ↗
  • Ravizza L, Barzega G, Bellino S, Bogetto F, Maina G. Predictors of drug treatment response in obsessive-compulsive disorder. J Clin Psychiatry. 1995 Aug;56(8):368-73. PubMed 7635854 ↗
  • Sheehan DV (1983). The Anxiety Disease. New York: Scribner's.
  • Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57. PubMed 9881538 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2022 to primary completion in Nov 2025, 42 months.

Results were first posted in Jul 2026, 8 months after primary completion.

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

Registered
Jul 20, 2021
First posted
Jul 27, 2021
StartActual
Apr 14, 2022
Primary completionActual
Nov 1, 2025
CompletionActual
Nov 1, 2025
Results first posted
Jul 29, 2026
Last update
Jul 29, 2026
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 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04978428
Responsible party
Sponsor
First posted
Jul 27, 2021
Start date
Apr 14, 2022
Primary completion
Nov 1, 2025
Completion
Nov 1, 2025
Results posted
Jul 29, 2026
Last update
Jul 29, 2026

Study contacts

Jon E Grant, MD, JD, MPH
principal investigator · University of Chicago

Oversight

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

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