ClinicalTrials.gg
CompletedNCT05477875Updated Aug 7, 2025Results posted

Cannabinoid vs Opioid for Photorefractive Keratectomy Pain Control

A Phase 2 interventional study of oral cannabinoid and oral codeine/acetaminophen in Photorefractive Keratectomy, Myopia and Hyperopia, sponsored by University of Florida. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-07.

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

Phase
Phase 2
Study type
Interventional
Enrollment
35
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Photorefractive Keratectomy (PRK) is a commonly performed corneal refractive surgery but has significant post-operative pain. Pain medications after PRK are typically opioid-acetaminophen combinations. Alternatives to opioid medication are worth consideration. Patients will receive PRK in each eye sequentially, using the cannabinoid or codeine/acetaminophen for one eye and the other treatment for the fellow eye two weeks later.

02

Conditions studied

  • Photorefractive Keratectomy
  • Myopia
  • Hyperopia

Browse trials for

03

In context

Myopia

1,159 studies on the registry are indexed under Myopia; 225 are open to participants now.

This study's enrollment of 35 is below the median of 78 across 923 interventional studies indexed under Myopia.

Browse Myopia studies →

Lead sponsor

University of Florida is the lead sponsor of 1,287 studies on the registry; 199 are open to participants now.

Of its 180 completed or terminated interventional studies of FDA-regulated products, 143 (79%) 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
Yes

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

  • Adults older than 18 years with refractive stability for 1 year electing to have PRK surgery
  • Consenting to participate
  • Not meeting exclusion criteria will be included in the study population.

Exclusion criteria

Exclusion Criteria:

  • Patients not candidates for PRK will be excluded from the study.
  • Patients taking other pain medications for concomitant medical conditions including, but not limited to tricyclic antidepressants, gabapentin and tramadol will be excluded from the study.
  • Additional exclusion criteria will be known or suspected allergy or to any of the routine or study medications.
  • Patients completing follow up appointments at anywhere other than UF Health Ophthalmology clinic at the Oaks will not be enrolled in the study.
  • Patients who are pregnant or nursing are not eligible for PRK, and such patients are not eligible to enroll in this study. Female patients of child-bearing age will be pregnancy tested before surgery and study enrollment.
  • Patients will be specifically counseled, and it will be noted in the written that use of the cannabinoid product may result in a positive THC urinalysis screening test so they may self-exclude if such a situation could cause social and/or employment conflict.
Terms in these criteria, in plain language(2)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
35 participants (actual)

Study arms

  • Experimental
    Oral cannabinoid

    Oral cannabinoid

    Drug: oral cannabinoid

  • Active comparator
    Oral codeine/acetaminophen

    Oral codeine-acetaminophen for controlling pain

    Combination Product: oral codeine/acetaminophen

Interventions

  • dronabinol

    Also known as: dronabinol

  • Combination productoral codeine/acetaminophen

    Drug pages: Codeine · Acetaminophen

    10 tablets of acetaminophen-codeine combination (300-30mg) without refills.

06

What researchers measure

Primary outcomes

  1. Pain as Recorded by the FACES Scale (Maximum) After First Surgery

    The Wong-Baker Faces Pain Rating Scale is a pain scale that was developed by Donna Wong and Connie Baker. The scale shows a series of faces ranging from a happy face at 0, or "no hurt", to a crying face at 10, which represents "hurts like the worst pain imaginable"

    Time frame: 1 week after first surgery

  2. Pain as Recorded by the FACES Scale (Maximum) After Second Surgery

    The Wong-Baker Faces Pain Rating Scale is a pain scale that was developed by Donna Wong and Connie Baker. The scale shows a series of faces ranging from a happy face at 0, or "no hurt", to a crying face at 10, which represents "hurts like the worst pain imaginable"

    Time frame: 1 week after second surgery

Secondary outcomes

  1. Uncorrected Visual Acuity of First Eye Surgery

    Uncorrected visual acuity as measured by Snellen Chart

    Time frame: 3 months after first surgery

  2. PROWL-SS

    An online questionnaire derived from the Patient-Reported Outcomes With LASIK (PROWL) will be given to patients after PRK at 3 months. It ranges from 0-100, where 100 indicates best possible vision and satisfaction, while 0 indicates worst possible vision and satisfaction.

    Time frame: 3 month

  3. Quality of Life Refractive Correction Survey

    The QIRC measures quality of life associated with vision and eyewear problems, measured at 3 months. It ranges from 0-100, where 0 indicates best possible vision and quality of life and 100 indicates worst possible vision and quality of life.

    Time frame: 3 months

  4. Ocular Discomfort Questionnaire

    An online questionnaire derived from the Ocular Surface Disease Index (OSDI) at 3 months. It ranges from 0-48, where 0 indicates no eye discomfort and 48 indicates constant, debilitating, worst-possible eye discomfort or pain.

    Time frame: 3 months

  5. Uncorrected Visual Acuity of Second Eye Surgery

    Uncorrected visual acuity as measured by Snellen Chart

    Time frame: 3 months after second surgery

07

Results

Posted Aug 7, 2025
Limitations and caveats
This study could not separate the effects of long-term vision quality of life outcomes between drugs, although these secondary outcomes are only for safety monitoring and not for comparing drug effects.

Participant flow

Thirty-five myopic patients were recruited and had surgery for both eyes completed between 1/1/2024 and 12/31/2024. Patients seeking refractive surgery and who were candidates for photorefractive keratectomy were approached with the option to enroll in the ophthalmology clinic.

Preoperative
Participant flow — Preoperative
MilestoneGroup 1Group 2
Started1619
Completed1619
Not completed00
POW1
Participant flow — POW1
MilestoneGroup 1Group 2
Started1619
Completed1619
Not completed00
POM1
Participant flow — POM1
MilestoneGroup 1Group 2
Started1619
Completed1619
Not completed00
POM3
Participant flow — POM3
MilestoneGroup 1Group 2
Started1619
Completed1619
Not completed00

Outcome measures

PrimaryPain as Recorded by the FACES Scale (Maximum) After First Surgery

The Wong-Baker Faces Pain Rating Scale is a pain scale that was developed by Donna Wong and Connie Baker. The scale shows a series of faces ranging from a happy face at 0, or "no hurt", to a crying face at 10, which represents "hurts like the worst pain imaginable"

Time frame:
1 week after first surgery
Reported as:
Mean · units on a scale
Pain as Recorded by the FACES Scale (Maximum) After First Surgery
units on a scaleCannabidiolTylenol T3
Pain as Recorded by the FACES Scale (Maximum) After First Surgery1.33 ± 0.951.27 ± 0.89
Statistical analysis
  • Cannabidiol vs Tylenol T3 · Wilcoxon (Mann-Whitney) · p = 0.538
PrimaryPain as Recorded by the FACES Scale (Maximum) After Second Surgery

The Wong-Baker Faces Pain Rating Scale is a pain scale that was developed by Donna Wong and Connie Baker. The scale shows a series of faces ranging from a happy face at 0, or "no hurt", to a crying face at 10, which represents "hurts like the worst pain imaginable"

Time frame:
1 week after second surgery
Reported as:
Mean · units on a scale
Pain as Recorded by the FACES Scale (Maximum) After Second Surgery
units on a scaleCannabidiolTylenol T3
Pain as Recorded by the FACES Scale (Maximum) After Second Surgery1.46 ± 0.821.79 ± 1.12
Statistical analysis
  • Cannabidiol vs Tylenol T3 · ANOVA · p = 0.538
SecondaryUncorrected Visual Acuity of First Eye Surgery

Uncorrected visual acuity as measured by Snellen Chart

Time frame:
3 months after first surgery
Reported as:
Mean · LogMAR
Uncorrected Visual Acuity of First Eye Surgery
LogMARCannabidiolTylenol T3
Uncorrected Visual Acuity of First Eye Surgery-0.123 ± 0.119-0.054 ± 0.169
Statistical analysis
  • Cannabidiol vs Tylenol T3 · ANOVA · p = 0.516
SecondaryPROWL-SS

An online questionnaire derived from the Patient-Reported Outcomes With LASIK (PROWL) will be given to patients after PRK at 3 months. It ranges from 0-100, where 100 indicates best possible vision and satisfaction, while 0 indicates worst possible vision and satisfaction.

Time frame:
3 month
Reported as:
Mean · score on a scale
PROWL-SS
score on a scaleGroup 1Group 2
Pre-op58.0 ± 20.160.9 ± 18.3
Post-op Month 381.6 ± 9.085.6 ± 6.9
Statistical analysis
  • Group 1 vs Group 2 · ANOVA · p = <0.851
SecondaryQuality of Life Refractive Correction Survey

The QIRC measures quality of life associated with vision and eyewear problems, measured at 3 months. It ranges from 0-100, where 0 indicates best possible vision and quality of life and 100 indicates worst possible vision and quality of life.

Time frame:
3 months
Reported as:
Mean · score on a scale
Quality of Life Refractive Correction Survey
score on a scaleGroup 1Group 2
Pre-op37.7 ± 6.237.6 ± 10.6
Post-op Month 319.2 ± 6.026.4 ± 6.3
Statistical analysis
  • Group 1 vs Group 2 · ANOVA · p = <0.543
SecondaryOcular Discomfort Questionnaire

An online questionnaire derived from the Ocular Surface Disease Index (OSDI) at 3 months. It ranges from 0-48, where 0 indicates no eye discomfort and 48 indicates constant, debilitating, worst-possible eye discomfort or pain.

Time frame:
3 months
Reported as:
Mean · score on a scale
Ocular Discomfort Questionnaire
score on a scaleGroup 1Group 2
Pre-op4.9 ± 5.74.8 ± 5.4
Post-op Month 34.9 ± 4.83.9 ± 4.0
Statistical analysis
  • Group 1 · ANOVA · p = 0.725
SecondaryUncorrected Visual Acuity of Second Eye Surgery

Uncorrected visual acuity as measured by Snellen Chart

Time frame:
3 months after second surgery
Reported as:
Mean · LogMAR
Uncorrected Visual Acuity of Second Eye Surgery
LogMARCannabidiolTylenol T3
Uncorrected Visual Acuity of Second Eye Surgery-0.051 ± 0.16-0.075 ± 0.121
Statistical analysis
  • Cannabidiol vs Tylenol T3 · ANOVA · p = 0.516

Adverse events

Collected over 3 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cannabidiol0/35 (0%)0/35 (0%)0/35 (0%)
Tylenol T30/35 (0%)0/35 (0%)0/35 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Group 1Group 2Total
Mean34.2 ± 5.230.6 ± 6.832.5 ± 6.3
Sex: Female, Male
Sex: Female, Male(Participants)Group 1Group 2Total
Female91019
Male7916
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Group 1Group 2Total
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White000
More than one race000
Unknown or Not Reported161935
Visual Acuity
Visual Acuity(LogMAR)Group 1Group 2Total
without glasses or contacts1.109 ± 0.4521.290 ± 0.4751.207 ± 0.470
With glasses or contacts-0.062 ± 0.0850.026 ± 0.338-0.014 ± 0.257
08

Study locations

1 site
  • University of Florida Oaks Eye Center
    Gainesville, Florida 32605, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

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 Aug 7, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05477875
Collaborators
Consortium for Medical Marijuana Clinical Outcomes Research
Responsible party
Sponsor
First posted
Jul 28, 2022
Start date
Feb 1, 2024
Primary completion
Jan 22, 2025
Completion
Jan 22, 2025
Results posted
Aug 7, 2025
Last update
Aug 7, 2025

Study contacts

W Steigleman, MD
principal investigator · University of Florida

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2025. 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.

Studies of the drug tested here: Cannabinoids

Start the discussion