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CompletedNCT06055309Updated Jan 14, 2026

Behavioral Pharmacology of Cannabis in Older Adults

A Phase 1 interventional study of Cannabis (up to three doses) in Health Services for the Aged, sponsored by University of Arkansas. Completed at 1 site in United States. Open to participants aged 55 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-14.

Sponsored by University of Arkansas · Phase 1, Interventional, and Basic science

Phase
Phase 1
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Ages
55 Years to 70 Years
Sex
All
01

Study summary

This study examines the effects of cannabis on mood, cognitive and psychomotor performance, balance and vital signs in older adults.

Read the detailed description

The overarching aims of this pilot study are to determine the dose-related effects of cannabis and explore feasibility and acceptability of conducting a rigorous behavioral pharmacology study in this population. Using a within-subject design in older adults (55-70 years), this study will (1) determine acute dose-related effects of cannabis on physiological, subjective, cognitive, and psychomotor measures and (2) explore acceptability/feasibility of this approach among older adults in order to refine procedures for future studies. Volunteers (55-70 years) will undergo three 7.5-hour experimental sessions conducted one week apart, in which they receive cannabis containing various oral doses of tetrahydrocannabinol (THC) / cannabidiol (CBD) administered in a brownie formulation and the following are assessed: 1) self-reported and/or observer ratings of positive and negative subjective effects; 2) performance effects, measured by reaction time, coordination, and cognitive impairment; and 3) cardiovascular effects. Participants will be contacted the day after each session for feedback on the acceptability of session length, types, number and duration of tasks and any adverse events. Reasons for dropout will also be sought to determine whether study procedures impacted attrition. Findings will: 1) provide investigative team with the hands-on research cannabis research experience; 2) elucidate the optimal THC dose range; and 3) determine the most feasible/acceptable study design in older adults that will inform further rigorous studies examining acute and chronic administration of cannabis formulations among older adults.

02

Conditions studied

  • Health Services for the Aged
03

In context

Lead sponsor

University of Arkansas is the lead sponsor of 391 studies on the registry; 39 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 34 (92%) have results posted.

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

04

Who can participate

Ages eligible
55 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Self-reported history of marijuana use with no serious adverse effects
  • Negative urine toxicology screen for psychoactive drugs (cocaine, fentanyl, methadone, opiates, buprenorphine, methamphetamine, amphetamines, barbiturates, oxycodone, benzodiazepines, phencyclidine, and THC) and CBD
  • Negative breath alcohol concentration
  • Report ≥1 year abstinence from nicotine and tobacco
  • Report ≥1 month of abstinence from THC- and CBD- containing products and be willing to abstain from these products for the study duration
  • Blood pressure (BP) reading ≤140/90 and ≥110/70 at the time of screening
  • Read and understand English (because assessments are validated in English)
  • Menopause as defined as no reported menstruation for ≥12 months (females only)
  • Negative urine pregnancy test (females only)
  • Stable medical conditions controlled by non-psychoactive medications that do not alter THC/CBD metabolism (e.g., hypertension under control with certain antihypertensives; type II diabetes controlled by metformin)

Exclusion criteria

Exclusion Criteria:

  • A history of moderate to severe substance use disorders (SUDs) (except tobacco), according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), and no recent history (≥1 year) of SUD
  • Current tobacco/nicotine use
  • ECG abnormalities at screening including but not limited to: bradycardia (\<55 beats per minute); prolonged QTc interval (>450 msec); Wolff-Parkinson White syndrome; wide complex tachycardia; 2nd degree, Mobitz type II heart block; 3rd degree heart block; left or right bundle branch block; pre-existing severe gastrointestinal narrowing (pathologic or iatrogenic)
  • Have a serious and uncontrolled medical condition (major cardiovascular, renal, endocrine, or hepatic disorder) including a history of serious head trauma or neurological disorder (e.g., seizure disorder)
  • Meet Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 criteria for lifetime psychosis, schizophrenia, or bipolar disorder or current major depressive disorder, suicidality (e.g., last month suicidal ideation or suicide attempt in past year, as measured by Columbia Suicide Severity Rating Scale) or have significant psychiatric symptoms of another disorder
  • Diagnosis of a cognitive disorder (Alzheimer's Disease, dementia) or a score of \<25 on the Montreal Cognitive Assessment (MoCA) for Dementia during screening
  • Currently taking any prescribed medication for a psychiatric disorder
  • Current use of over-the-counter medication or prescription psychoactive drugs that would be expected to have major interaction with THC (e.g., warfarin, serotonin reuptake inhibitors, tricyclic antidepressants, sildenafil).
  • Reported cancer-related fibromyalgia or neuropathic pain conditions
  • Have a medical contraindication to, or prior serious adverse events from, cannabis or brownie ingredients (e.g., food sensitivities to gluten/wheat, chocolate, eggs)
  • Consume the equivalent of >2 cups of coffee/day (to reduce variability related to metabolic interactions with caffeine)
  • Have any of the following: uncontrolled hypertension (i.e., systolic >140 mm Hg and/or diastolic >90 mm Hg on three separate occasions; systolic >170 or diastolic >110 on any occasion), liver function tests >3 times normal, blood urea Nitrogen and Creatinine outside normal range
  • Have a physical limitation that will interfere with completing study tasks
  • Have child-bearing potential (women)
05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Cannabis (up to three doses)

    Brownies containing a dose of cannabis

    Drug: Cannabis (up to three doses)

Interventions

  • DrugCannabis (up to three doses)

    a dose of cannabis will be baked into brownies

06

What researchers measure

Primary outcomes

  1. Vital Signs - Blood Pressure

    systolic/diastolic blood pressure (mmHg)

    Time frame: pre-drug and 1, 2, 3, and 5.5 hours post-drug administration

  2. Vital Signs - Respiration

    respiration rate (breaths per minute)

    Time frame: pre-drug and 1, 2, 3, and 5.5 hours post-drug administration

  3. Vital Signs - Pulse

    pulse (beats per minute)

    Time frame: pre-drug and 1, 2, 3, and 5.5 hours post-drug administration

  4. Self/Observer Ratings - Pain

    Visual Analog Scales (making a handwritten mark on a 10-cm line that represents a continuum between "no pain" and "worst pain")

    Time frame: pre-drug and 1, 2, 3, and 5.5 hours post-drug administration

  5. Self/Observer Ratings - Side Effects

    Side Effects Ratings

    Time frame: pre-drug and 1, 2, 3, and 5.5 hours post-drug administration

  6. Self/Observer Ratings - POMS

    Profile of Mood States (POMS) short form - using a five-point scale ranging from "not at all" to "extremely."

    Time frame: pre-drug and 1, 2, 3, and 5.5 hours post-drug administration

  7. Self/Observer Ratings - CADSS

    Clinician Administered Dissociative Symptoms Scale (CADSS)-

    Time frame: pre-drug and 1, 2, 3, and 5.5 hours post-drug administration

  8. Self/Observer Ratings - PROMIS

    Patient Reported Outcomes Measurements Information System (PROMIS) Cognitive Function short form v2

    Time frame: pre-drug and 1, 2, 3, and 5.5 hours post-drug administration

  9. Balance Tests - Four-Stage

    The Four-Stage Balance Test- When the patient is steady, let go, and time how long they can maintain the position, but remain ready to assist the patient if they should lose their balance.

    Time frame: pre-drug and 1, 2, 3, and 5.5 hours post-drug administration

  10. Balance Tests - Timed Up and Go

    The Timed Up \& Go Test- Timing commences on the command 'go' and stops when the subject's back is positioned against the back of the chair after sitting down.

    Time frame: pre-drug and 1, 2, 3, and 5.5 hours post-drug administration

  11. Balance Tests - 30 sec chair-stand

    The 30-Second Chair-Stand Test- the number of times the patient comes to a full standing position in 30 seconds.

    Time frame: pre-drug and 1, 2, 3, and 5.5 hours post-drug administration

Secondary outcomes

  1. Cognitive Function Tests - Flanker

    Flanker inhibitory control and attention test- participants are required to indicate the left-right orientation of a centrally presented stimulus while inhibiting attention to the potentially incongruent stimuli that surround it

    Time frame: pre-drug and 3 hours post-drug administration

  2. Cognitive Function Tests - Picture Sequence

    Picture sequence memory- Participants are shown a number of activities, and then asked to reproduce the sequence of pictures as it was presented to them.

    Time frame: pre-drug and 3 hours post-drug administration

  3. Cognitive Function Tests - Sorting

    List sorting working memory -a sequencing task requiring to sort information and sequence it

    Time frame: pre-drug and 3 hours post-drug administration

  4. Cognitive Function Tests - Vocab

    Picture vocabulary test- to measure the receptive (hearing) vocabulary of English-speaking adults

    Time frame: pre-drug and 3 hours post-drug administration

  5. Cognitive Function Tests - Oral Reading

    Oral reading recognition test- participants see a letter or word onscreen and must pronounce or identify it.

    Time frame: pre-drug and 3 hours post-drug administration

  6. Cognitive Function Tests - Card Sort

    Dimensional change card sort test- participants switch from sorting cards one way (e.g., by color) to sorting them a different way (e.g., by shape)

    Time frame: pre-drug and 3 hours post-drug administration

  7. Cognitive Function Tests - pattern processing

    Pattern comparison processing speed test- measures speed of processing by asking participants to discern whether two sideby-side pictures are the same or not.

    Time frame: pre-drug and 3 hours post-drug administration

  8. Cognitive Function Tests - Auditory learning

    Auditory learning verbal test- Five presentations of a 15-word list are given, each followed by attempted recall.

    Time frame: pre-drug and 3 hours post-drug administration

  9. Cognitive Function Tests - Oral symbol

    Oral symbol digit test- given 120 seconds to orally match symbols with digits as quickly as possible.

    Time frame: pre-drug and 3 hours post-drug administration

Other outcomes

  1. Acceptability - session length

    session length- Likert Scale (0 \[not at all acceptable\]-5 \[completely acceptable\])

    Time frame: 1 day after sessions 1, 2, and 3

  2. Acceptability - ride service

    ride service- Likert Scale (0 \[not at all acceptable\]-5 \[completely acceptable\])

    Time frame: 1 day after sessions 1, 2, and 3

  3. Acceptability - types of assessments

    types of assessments- Likert Scale (0 \[not at all acceptable\]-5 \[completely acceptable\])

    Time frame: 1 day after sessions 1, 2, and 3

  4. Acceptability - frequency of assessments

    frequency of assessments- Likert Scale (0 \[not at all acceptable\]-5 \[completely acceptable\])

    Time frame: 1 day after sessions 1, 2, and 3

  5. Acceptability - duration of assessments

    duration of assessments- Likert Scale (0 \[not at all acceptable\]-5 \[completely acceptable\])

    Time frame: 1 day after sessions 1, 2, and 3

  6. Acceptability - wait times

    wait times- Likert Scale (0 \[not at all acceptable\]-5 \[completely acceptable\])

    Time frame: 1 day after sessions 1, 2, and 3

  7. Acceptability- activities

    activities between assessment cycles- Likert Scale (0 \[not at all acceptable\]-5 \[completely acceptable\])

    Time frame: 1 day after sessions 1, 2, and 3

  8. Acceptability - food

    food- Likert Scale (0 \[not at all acceptable\]-5 \[completely acceptable\])

    Time frame: 1 day after sessions 1, 2, and 3

  9. Acceptability - AEs

    Adverse Events- Likert Scale (0 \[not at all acceptable\]-5 \[completely acceptable\])

    Time frame: 1 day after sessions 1, 2, and 3

07

Study locations

1 site
  • University of Arkansas for Medical Science
    Little Rock, Arkansas 72205, United States
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 Jan 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06055309
Lead sponsor
University of Arkansas
Responsible party
Sponsor
First posted
Sep 26, 2023
Start date
May 1, 2025
Primary completion
Dec 31, 2025
Completion
Dec 31, 2025
Last update
Jan 14, 2026

Study contacts

Alison Oliveto, PhD
principal investigator · University of Arkansas

Oversight

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

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