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RecruitingNCT05453513Updated Jun 29, 2026

The Neural Underpinnings of Depression and Cannabis Use in Young People Living With HIV

An interventional study of MRI Study in Depression, Cannabis Use Disorder and HIV, sponsored by University of Miami. Recruiting at 1 site in United States. Open to participants aged 18 Years to 59 Years. Per ClinicalTrials.gov, last updated 2026-06-29.

Sponsored by University of Miami · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Apr 2022, registered Jul 2022).
  • Started Apr 2022; still recruiting 4 years 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
280
Allocation
Not applicable
Ages
18 Years to 59 Years
Sex
All
01

Study summary

To elucidate mechanisms of substance use disorders (SUD) and comorbid mental illnesses in people living with HIV (PLWH), the study team seeks to investigate reward and pain circuitry in cannabis use and depression comorbidity, two highly prevalent conditions in PLWH. The study team proposes a tightly integrative study to test the overall hypothesis that cannabis use and depression in young PLWH have an additive effect, inducing both reward deficits and pain hypersensitivity, and that this pattern will predict worse outcomes at 1 year follow-up.

02

Conditions studied

  • Depression
  • Cannabis Use Disorder
  • HIV

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03

In context

Depression

8,059 studies on the registry are indexed under Depression; 1,643 are open to participants now.

This study's planned enrollment of 280 is above the median of 84 across 6,722 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

University of Miami is the lead sponsor of 821 studies on the registry; 162 are open to participants now.

Of its 111 completed or terminated interventional studies of FDA-regulated products, 93 (84%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 59 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • HIV seropositivity confirmed with lab report, medical records, or HIV testing.
  • Between the ages of 18-39 years
  • Fluency in English or Spanish
  • Ability to provide informed consent and perform study procedures, including estimated full-scale intelligence quotient (IQ) >75 to ensure that participants are able to understand the study.
  • Cannabis users: To capture a wide range of cannabis use frequency, meeting Diagnostic and Statistical Manual 5 (DSM-5) criteria for Cannabis use Disorder (CUD) will not be required. However, in order to ensure sufficient exposure, cannabis use will be significant (self-reported use on ≥20 of the prior 30 days and positive THC urine toxicology).
  • Depressed: In order to capture a wide range of depression illness severity, we will allow participants with subthreshold depression, defined as a raw severity score of ≥12 on the Montgomery Asberg Depression Rating Scale (MADRS).

Exclusion criteria

Exclusion Criteria:

  • Perinatally acquired HIV infection, as early neurodevelopmental alterations and HIV legacy effects may exist in this group
  • Pregnancy or lactation
  • Current Substance Use Disorder other than cannabis or nicotine
  • Certified for or self-reported medical cannabis use, or intent to become certified
  • Current cocaine use by self-report or urine toxicology
  • central nervous system (CNS) disease or injury, or neuro-degenerative disease
  • Unique pain syndromes (e.g. multiple sclerosis, rheumatoid arthritis);
  • Severe medical illness such as end-stage renal disease, heart failure, cirrhosis, or cancer
  • MRI contraindication such as claustrophobia, metallic ink tattoos, or pacemaker.

Depressed cannabis non-users:

  • At baseline, all participants will be psychotropic-medication-free for ≥1 month prior to study enrollment (or ≥3 months for medications with longer half-lives). Benzodiazepines and sleeping aids taken on an as-needed basis will be allowed, however we will require a 4-day abstinence period before the scan.
  • Exclusionary are participants with a DSM-5 diagnoses of bipolar disorder, psychotic disorders, autism spectrum disorders, and all non-cannabis substance-related disorders will be exclusionary. disorder (PTSD) are not uncommon among depressed individuals and will be
  • Anxiety disorders, obsessive-compulsive disorder (OCD), and post-traumatic stress are allowed as long as depressive symptoms are primary.

atypical of depression. • Suicidal ideations (SI) without a specific plan (defined as passive SI) are common in depression and will be allowed. However, if SI constitutes an imminent risk to self or others (defined as active SI), the participant will be withdrawn from the study and emergency procedures will be initiated immediately, including ER admission.

Depressed cannabis users:

  • Exclusion criteria will be the same as depressed cannabis non-users except for cannabis use.

Non-depressed cannabis users:

  • Will have no major psychiatric conditions other than cannabis use/disorder.

Non-depressed cannabis non-users:

  • Exclusion criteria will be the same as for non-depressed cannabis users; in addition participants will not report cannabis use in the prior 90 days and have a urine toxicology test negative for cannabis.
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
280 participants (estimated)

Study arms

  • Experimental
    Neural Underpinnings of Depression Group

    All participants will undergo neuroimaging and behavioral tests. during the course of the study (12 months).

    Behavioral: MRI Study

Interventions

  • BehavioralMRI Study

    fMRI Tasks

06

What researchers measure

Primary outcomes

  1. Addiction Severity Index (ASI)

    The number of days using illicit opioids in the past 30 days per self-report as collected through the Addiction Severity Index.

    Time frame: Up to 1 year

  2. Montgomery Asberg Depression Rating Scale (MADRS) Scale

    Measures the severity of depressive episodes in patients with mood disorders Scale 0-60 higher more severe

    Time frame: Up to 12 months

  3. Temporal Experience of Pleasure Scale (TEPS)

    Self-report measure allowing the assessment of anticipatory and consummatory pleasure 25 to 120 higher more pleasure

    Time frame: Up to 12 months

  4. Neural Circuitry measured by MRI

    Measured using Magnetic Resonance Imaging. Summary beta values representing the level of brain activity will be calculated.

    Time frame: Baseline

Secondary outcomes

  1. Daily Sessions Frequency Age Quantity of Cannabis Use Inventory (DFAQ- CU)

    Measures cannabis consumption Score range 0 to 185. The higher the score, the greater the usage of cannabis.

    Time frame: Up to 12 months

  2. Timeline Followback (TLFB)

    Tool to obtain a variety of estimates of marijuana, cigarette, and other drug use. scores range from days of use (0-30)

    Time frame: Up to 12 months

  3. tetrahydrocannabinol (THC) Metabolite, Serum

    Suggests use of, or exposure to, a product containing THC. pmol/mL

    Time frame: Up to 12 months

  4. Fagerström Test for Nicotine Dependence full-term normal delivery (FTND)

    The FTND is a validated, 6-item self-report instrument that evaluates the intensity of physical addiction to nicotine. Three items are rated yes/no (0/1), and the other three items are rated on a scale from 0-3. Items are summed to yield a total score of 0-10, with higher scores reflecting greater nicotine dependence.

    Time frame: Up to 12 months

  5. Beck Depression Inventory-II (BDI-II)

    Designed to assess the presence and severity of depressive symptoms Score 0-63 higher the score greater the depression

    Time frame: Up to 12 months

  6. Snaith-Hamilton Pleasure Scale (SHAPS)

    Measures anhedonia, the inability to experience pleasure Score 0-42 greater the score greater the pleasure.

    Time frame: Up to 12 months

  7. Alcohol Use Disorders Identification Test-Consumption (AUDIT-C)

    Alcohol consumption will be measured using total score on the 3-item Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) which includes typical quantity and frequency, and frequency of binge drinking (# of drinks modified by age based on the NIAAA Youth Guide). Higher score indicates worse outcomes.

    Time frame: Up to 12 months

  8. Cannabis Use Problem Identification Test (CUPIT)

    6-item self-reported questionnaire assessing cannabis use and dependence; Range 3-82, higher values indicating a more severe cannabis use disorder.

    Time frame: Up to 12 months

  9. Pittsburgh sleep quality index

    Assesses sleep quality and disturbances over a month period Scores 0-24 higher the score greater sleep dysfunction

    Time frame: up to 12 months

  10. Brief Pain Inventory (BPI)

    Assesses the severity of pain and its impact on functioning. Pain questionnaire (0-10; higher score=worse)

    Time frame: up to 12 months

  11. Pain Anxiety Symptom Scale (PASS-20)

    Measures fear and anxiety responses specific to pain Range 0-100 higher the more anxiety symptoms

    Time frame: up to 12 months

  12. HIV RNA test

    HIV RNA test detects HIV and not antibodies 20 to 10,000,000 copies/mL higher the amount the more infectious

    Time frame: Baseline

  13. cluster of differentiation 4 (CD4+) / cluster of differentiation 8 (CD8+)

    Monitors the immune system Flow cytometry will be used to detect serum CD4, CD8

    Time frame: Up to 12 months

  14. HIV Visual Analogue Scale (HIV-VAS)

    The VAS asks individuals to mark a line at the point along a continuum showing how much of each drug they have taken in the last 4 weeks 0-30 higher score worse pain

    Time frame: 12 month

07

Study locations

1 of 1 sites recruiting
  • University of Miami
    Miami, Florida 33136, United States
    • Jasmine Agreda, BS · Contact · jja145@med.miami.edu · 305-243-5510
    • Joanna Starrels, MD · Sub investigator
    • Anjali Sharma, MD · Sub investigator
    • Vilma Gabbay, MD · Principal investigator
    Recruiting
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 Jun 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05453513
Lead sponsor
University of Miami
Collaborators
National Institute on Drug Abuse (NIDA)
Responsible party
Vilma Gabbay (Professor, University of Miami) — Principal investigator
First posted
Jul 12, 2022
Start date
Apr 1, 2022
Primary completion
Jul 30, 2027 (estimated)
Completion
Jul 30, 2027 (estimated)
Last update
Jun 29, 2026

Study contacts

Vilma Gabbay, MD
Contact
vxg595@med.miami.edu
305-243-2382
Vilma Gabbay, MD
principal investigator · University of Miami

Oversight

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

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