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TerminatedNCT06097533BELCANTOUpdated Oct 16, 2026

Improvement of Quality of Life by Cannabinoids in Oncologic Patients

A Phase 2 interventional study of Cannabisextrakt Avextra 10/10 Lösung in Medical Oncology, Palliative Care and Quality of Life, sponsored by University Hospital Schleswig-Holstein. Terminated at 3 sites in Germany. Open to participants aged 25 Years and older. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by University Hospital Schleswig-Holstein · Phase 2, Interventional, and Treatment

Why this study was terminated
Given the current recruitment rate and the changes in the treatment landscape, there is no reasonable expectation of achieving the planned sample size.
Updated Oct 16, 2026Now TerminatedPrimary completion moved+3 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
79
Allocation
Randomized
Ages
25 Years and older
Sex
All
01

Study summary

The goal is to explore whether the application of cannabis extract Avextra 10/10 solution is suitable to contribute to an improvement in the symptom burden and well-being of oncological palliative care patients. The primary objective of the study is to demonstrate the improvement in global symptom burden in the intervention arm compared to the placebo control group over a period of 12±2 days, as measured by a percentage change in the value of the Edmonton Symptom Assessment System total symptom distress score (ESAS TSDS) at baseline and after 12±2 days.

Read the detailed description

170 oncological patients in palliative treatment will be randomized 1:1 to an THC:CBD-interventional arm and an placebo-arm. At the timepoints baseline, 12±2 days, 18±3 days, four weeks and eight weeks, the global burden of symptoms (ESAS TSDS), quality of life (EORTC QLQ C15 PAL) and other parameter will be measured and the intraindividual difference in comparison with the baseline will be compared between the groups. This study is intended to provide a significant contribution to Evidence-based medicine (EbM) of CAM in palliative medicine as well as for elderly and severely ill subjects (resp.) in general.

The following gain of knowledge is expected:

  • substancial and reliable effects of CAM in elderly subjects being in a multimorbid and psychologically very stressful situation of illness and life (resp.).
  • substancial and reliable effects of CAM in aduld subjects being in a oncologically and palliative situation of illness and life (resp.).
  • compatibility of a CAM-therapy in multimorbid patients with polypharmacotherapy.
  • importance of CAM for the very frequent psychovegetative disturbance and comorbidities of many illnesses like sleepnesness, loss of appetite, nausea, fear and affective disturbance.
  • possible reduction of costs and improved economics through CAM
02

Conditions studied

  • Medical Oncology
  • Palliative Care
  • Quality of Life
  • Cannabinoids

Keywords

  • BELCANTO
03

In context

Lead sponsor

University Hospital Schleswig-Holstein is the lead sponsor of 163 studies on the registry; 25 are open to participants now.

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

04

Who can participate

Ages eligible
25 Years and older
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

  • ≥25 years old and legally competent
  • Palliative oncological therapy
  • ECOG status 1, 2 or 3, incapacitated for work
  • ESAS TSDS > or equals 16
  • Nutritional Risk Screening > or equals 3
  • Pain numerical rating scale > or equals 4
  • informed consent
  • for WOCBP:

    • Negative pregnancy test
    • Reliable contraception (Pearl Index \< 1%)

Exclusion criteria

Exclusion Criteria:

  • nausea > or equals grade 3 (CTCAE) or vomiting > or equals grade 2 (CTCAE) in the preceding week
  • Inability to understand and complete the questionnaires
  • Cannabis use in the last 6 weeks
  • Alcohol addiction
  • Pregnancy/lactation
  • Contraindications or intolerance to the study medication (esp. psychosis)
  • Simultaneous participation in other clinical studies (sumulataneous participation in non-interventional studies (i.e. biomarker-studies, registries) is allowed, if the study-aim does not interfere with measures of the second study)
  • Any other condition as judged by the investigator, e.g. non-compliance
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
79 participants (actual)

Study arms

  • Experimental
    Cannabisextrakt Avextra 10/10 Lösung

    Solution with tetrahydrocannabinol and cannabidiol

    Drug: Cannabisextrakt Avextra 10/10 Lösung

  • Placebo comparator
    Placebo

    Sesame oil, Ph.Eur. Linseed oil, Ph.Eur

    Drug: Cannabisextrakt Avextra 10/10 Lösung

Interventions

  • DrugCannabisextrakt Avextra 10/10 Lösung

    medical cannabinoids

    Also known as: Cannabisextrakt Avextra 10/10 solution

06

What researchers measure

Primary outcomes

  1. ESAS-TSDS score

    Symptom change as percentage change in ESAS-TSDS score after 12±2 days compared to baseline between intervention group and placebo control group.

    Time frame: 12 days

Secondary outcomes

  1. Global Patient's Assessment

    Scale to evaluate the absolute severity and the change in comparison with the preceding measurement

    Time frame: 12 days, 4 weeks, 8 weeks

  2. opioid dose as morphine equivalent

    Time frame: 12 days, 4 weeks, 8 weeks

  3. defined daily dosages (DDD) of neuropharmaceuticals

    Time frame: 12 days, 4 weeks, 8 weeks

  4. ESAS-TSDS score

    Edmonton Symptom Assessment System

    Time frame: 4 weeks, 8 weeks

  5. inappetence

    Time frame: 12 days, 4 weeks, 8 weeks

  6. NCCN distress thermometer

    Time frame: 12 days, 4 weeks, 8 weeks

  7. pain as VAS

    Time frame: 12 days, 4 weeks, 8 weeks

  8. sleep quality (Pittsburgh Sleep Quality Index, PSQI)

    contains 19 self-rated questions and 5 questions rated by the bed partner or roommate (if one is available)

    Time frame: 12 days, 4 weeks, 8 weeks

  9. EORTC QLQ-C15 PAL

    European Organization for Research and Treatment of Cancer Quality of Life Palliative

    Time frame: 12 days, 4 weeks, 8 weeks

  10. Adverse events (AE)

    Adverse events (AE) incidence, frequency and severity coded according to the Medical Dictionary for Regulatory Activities (MedDRA) and scored according to the NCI Common Terminology Criteria for Adverse Events (CTCAE)

    Time frame: up to 8 weeks

  11. C-reactive protein (CRP)

    Time frame: 12 days, 4 weeks, 8 weeks

  12. all endpoints stratified by stage of oncological disease (ICD-10), treatment modalities, gender, weight, high/low dose, renal function and age whereever possible and meaningful

    Time frame: 12 days, 4 weeks, 8 weeks

07

Study locations

3 sites
  • Hubertus Wald Tumorzentrum Universitäres Cancer Center Hamburg (UCCH)
    Hamburg, Free and Hanseatic City of Hamburg 20246, Germany
  • University Hospital Schleswig-Holstein
    Kiel, Schleswig-Holstein 24105, Germany
  • University Hospital Schleswig-Holstein
    Lübeck, Schleswig-Holstein, Germany
08

References and documents

Individual participant data

Plan to share: Undecided — Aggregated data can be shared. Individual data only after internal and IRB review.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Recruiting→Terminated Given the current recruitment rate and the changes in the treatment landscape, there is no reasonable expectation of achieving the planned sample size.
changed Oct 16, 2026
Sites
1 site removed
Show 1 removed
  • University Hospital Schleswig-Holstein · Kiel, Germany
Oct 16, 2026
Primary completion
Nov 30, 2026→Feb 5, 2026 (actual)
Oct 16, 2026
Study completion
Nov 30, 2026→Feb 5, 2026 (actual)
Oct 16, 2026
Enrollment
170 (estimated)→79 (actual)
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    Recruiting→Terminated
    Why stopped Given the current recruitment rate and the changes in the treatment landscape, there is no reasonable expectation of achieving the planned sample size.
    1 site removed
    Show 1 removed
    • University Hospital Schleswig-Holstein · Kiel, Germany
    Primary completion Nov 30, 2026→Feb 5, 2026 (now actual)
    Study completion Nov 30, 2026→Feb 5, 2026 (now actual)
    Enrollment 170 (estimated)→79 (actual)
    + 3 other changes: verification date, oversight details and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06097533
Collaborators
Avextra Pharma GmbH, SocraMetrics GmbH
Responsible party
Sponsor
First posted
Oct 24, 2023
Start date
Apr 8, 2024
Primary completion
Feb 5, 2026
Completion
Feb 5, 2026
Last update
Oct 16, 2026

Oversight

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

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