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RecruitingNCT06381791CBDUpdated Apr 16, 2026

CBD for Pain Following Orthopedic Shoulder Surgery

A Phase 1/2 interventional study of Epidiolex and Placebo oral solution in Shoulder Osteoarthritis and Rotator Cuff Injuries, sponsored by The Methodist Hospital Research Institute. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-16.

Sponsored by The Methodist Hospital Research Institute · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started May 2024; still recruiting 2 years 4 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of the study is to learn if Epidiolex (cannabidiol) works as a additional pain medication in patients who have had orthopedic shoulder surgery. It is also to learn about safe dosages and identify any side effects after surgery.

Researchers will compare Epidiolex to a placebo solution to see if Epidiolex lowers pain after shoulder surgery.

Participants will:

  • track their pain and what medications they use every day in a provided pain diary. A researchers will call every seven days to check on the participant and diary.
  • Complete two short surveys. Once before surgery and once after.
  • Have bloodwork tested after surgery
Read the detailed description

Subjects will be randomized according to their surgery type. They will receive either the Epidiolex cannabidiol in addition to their standard of care pain regimen or a placebo in addition to their standard of care pain regimen. They will be asked to track a pain diary for 2 weeks postoperatively.

A member of the research team will conduct a follow-up telephone call on day 7 to assess subjects' drug compliance. Subjects will also be contacted for a safety monitoring call at day 7 and 1 week after completion of treatment in which they will disclose type, severity, onset, and duration of any adverse events. In addition, they will complete a suicidal assessment10 See attached safety screening document. After the 2 weeks, subjects will return the pain diary and vial of CBD/placebo at their postoperative appointment.

Subjects will also be asked to complete validated questionnaires via Houston Methodist's Redcap system once before surgery and again at 14 days postop. The surveys are with regards to sleep, activity, and pain and should take no more than 15 minutes to complete.

At their standard of care postoperative visit (11-17 days following surgery), another liver panel will be taken and their final safety monitoring screening will be conducted.

02

Conditions studied

  • Shoulder Osteoarthritis
  • Rotator Cuff Injuries

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Keywords

  • CBD
  • Cannabidiol
  • Epidiolex
03

In context

Rotator Cuff Injuries

734 studies on the registry are indexed under Rotator Cuff Injuries; 161 are open to participants now.

This study's planned enrollment of 80 is above the median of 60 across 538 interventional studies indexed under Rotator Cuff Injuries.

Browse Rotator Cuff Injuries studies →

Lead sponsor

The Methodist Hospital Research Institute is the lead sponsor of 157 studies on the registry; 60 are open to participants now.

Of its 25 completed or terminated interventional studies of FDA-regulated products, 15 (60%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Above the age of 18 years old
  • Undergoing a rotator cuff repair surgery
  • Receiving standard anesthesia during surgery
  • If a subject is of reproductive potential, they must be on effective contraception one month prior, during treatment, and one month following treatment.

Exclusion criteria

Exclusion Criteria:

  • Under the age of 18 years old
  • History of revision shoulder arthroplasty
  • History of liver disease or impairment
  • Are currently taking valproate or clobazam
  • Are currently taking a moderate/strong CYP3A4 or CYP2C19 inhibitor
  • Are currently taking a strong CYP3A4 or CYP2C19 inducer
  • Are currently taking narcotics
  • History of substance/alcohol abuse
  • Those currently or previously under the care of a pain management specialist
  • History of marijuana/cannabidiol (not including topical) regular use within the past 6 months
  • Allergy related to cannabidiol
  • Allergy related to sesame seeds
  • Pregnancy (As part of standard of care, all female participants will be administered a urine pregnancy test prior to surgery. A negative test result is required to participate in the study.)
  • If you are taking any medications with known risks for suicidal behavior and ideation
  • If you have a diagnosed psychiatric disorder
  • If you are untreated for a diagnosed sleeping disorder
  • If you are actively breastfeeding
  • Patients currently taking central nervous system (CNS) depressants
  • Patients currently taking other drugs with known hepatotoxicity
  • Vulnerable populations.

Patients taking concomitant medications which are substrate of uridine 5'-diphospho-glucuronosyltransferase 1-9 (UGT1A9), uridine diphosphate-glucuronosyltransferase 2B7 (UGT2B7), CYP1A2, CYP2B6, CYP2C8, CYP2C9, CYP2C19, and P-gp will be monitored for potential adverse events based on the Epidiolex® label for the concomitant medication being used.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Epidiolex (cannabidiol)

    Patients randomized to the Epidiolex group will take 150mg of Epidiolex with food twice daily for 14 days beginning the day of surgery.

    Drug: Epidiolex

  • Placebo comparator
    Placebo

    Patients randomized to the placebo group will take 150mg of oral placebo solution with food for 14 days beginning the day of surgery.

    Drug: Placebo oral solution

Interventions

  • DrugEpidiolex

    150mg of Epidiolex

    Also known as: Cannabidiol Oral Solution

  • DrugPlacebo oral solution

    150mg of Placebo oral solution

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. Primary - Pain Journal

    Evaluation of postoperative pain journal responses from subjects. The pain diary will track their pain level on a Visual Analogue Scale (VAS) and their documented pain medication usage.

    Time frame: 2 weeks

Secondary outcomes

  1. Survey Data

    Evaluation of the survey data and questionnaires from baseline to the end of the two weeks post operative period.

    Time frame: 2 weeks

  2. Pain Disability Index (PDI)

    This survey is designed to measure the degree to which aspects of a participant's life are disrupted by chronic pain. Each item on the survey is rated on an eleven point scale from no disability (0) to worst disability (10).

    Time frame: 2 weeks

  3. Pain, Enjoyment, General Activity (PEG) Scale

    This survey tracks a participant's pain intensity and pain interference. Each item on the survey is rated on an eleven point scale from 0 to 10 with different measures at either end of the scale depending on which item (intensity or interference) is being evaluated.

    Time frame: 2 weeks

  4. Patient Health Questionnaire 4 (PHQ-4): The four-item patient health questionnaire for anxiety

    This survey measures how frequently a patient was bothered by symptoms of anxiety or depression. It is measured on a four point scale from 0-3 with each number corresponding to how often a patient experienced a symptom with 0 being not at all, and 3 being nearly every day.

    Time frame: 2 weeks

  5. Pittsburgh Sleep Quality Index (PSQI)

    This survey assesses the amount and quality of sleep that a patient has experienced in the last month. It is measured both with general free response questions and scaled questions reflecting frequency or lack thereof for a given issue (rated from Not during the past month to Three or more times a week).

    Time frame: 2 weeks

07

Study locations

1 of 1 sites recruiting
  • Houston Methodist Hospital
    Houston, Texas 77030, United States
    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 Apr 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06381791
Lead sponsor
The Methodist Hospital Research Institute
Responsible party
Patrick McCulloch,MD (The John S. Dunn Chair in Orthopedic Surgery, The Methodist Hospital Research Institute) — Principal investigator
First posted
Apr 24, 2024
Start date
May 24, 2024
Primary completion
Dec 30, 2026 (estimated)
Completion
Dec 30, 2027 (estimated)
Last update
Apr 16, 2026

Study contacts

Haley M Goble, MPH, CRCC
Contact
hmgoble@houstonmethodist.org
7134413930
David N Armond, BS
Contact
dnarmond@houstonmethodist.org
3462380206
Patrick McCulloch, MD
principal investigator · The Methodist Hospital Research Institute

Oversight

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

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