ClinicalTrials.gg
RecruitingNCT06692933Updated Jun 4, 2026

Effects of a Hemp Product on the Pharmacokinetics and Pharmacodynamics of Clopidogrel

An Early Phase 1 interventional study of Cannabidiol in the form of hemp and Clopidogrel in Interaction, sponsored by Washington State University. Recruiting at 1 site in United States. Open to participants aged 21 Years to 64 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-04.

Sponsored by Washington State University · Early Phase 1, Interventional, and Basic science

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Jun 2024, registered Nov 2024).
  • Started Jun 2024; still recruiting 2 years 4 months later.
Phase
Early Phase 1
Study type
Interventional
Enrollment
24
Allocation
Non-randomized
Ages
21 Years to 64 Years
Sex
All
01

Study summary

The goal of this clinical trial is to determine how two different doses of cannabidiol (CBD), given as a hemp product, change the blood concentrations of the drug clopidogrel in the body. Results will be used to help design future studies and to assist healthcare providers in informing their patients about the safe use of CBD.

Read the detailed description

The popularity of cannabis products has grown exponentially over the past decade as several states continue to decriminalize or legalize recreational and/or medicinal use. Cannabis contains >500 phytoconstituents, including >100 cannabinoids. The most well-studied cannabinoids are tetrahydrocannabinol (THC) and cannabidiol (CBD). Although both are psychoactive, THC produces the characteristic "high," while CBD does not. CBD is available as a prescription drug (Epidiolex®) to treat seizure disorders. Hemp, a popular CBD-containing botanical product, is defined as containing \<0.3% THC. Hemp was federally legalized in the United States in 2018 following passage of the Farm Bill. Since passage of that bill, hemp and other CBD-containing products have become widely available over the counter. As such, hemp/CBD products have become top-selling botanicals, with sales projected to reach nearly $4.5 billion by 2024. Common uses include self-treatment for pain, anxiety, and sleep disorders.

Despite increasing use of cannabis products, the pharmacokinetic interaction potential with pharmaceutical medications remains understudied. Previous pharmacokinetic studies have yielded convincing evidence that CBD significantly inhibits the activity of the drug metabolizing enzyme cytochrome P450 (CYP) 2C19. Despite the valuable information generated by these and numerous other studies, several unanswered questions about CBD-containing products remain:

  1. Do real-world doses and dosing regimens of CBD (\< 300 mg) have similar CYP interaction potential as that of higher doses investigated in previous pharmacokinetic studies?
  2. What are the effects of CBD on high-impact CYP2C19 substrates, such as the anti-platelet drug clopidogrel (Plavix®)?
  3. Does chronic administration of a real-world dose of CBD have similar interaction potential as a very high single dose of CBD?

The primary objective of the proposed study is to evaluate the effects of a well-characterized, widely used hemp product on the pharmacokinetics of the commonly prescribed CYP2C19 substrate clopidogrel (Plavix®) in healthy adult participants who are confirmed to be CYP2C19 normal, rapid, or ultra-rapid metabolizers. Results could be used to inform a future study design involving elderly people, which is a population of interest. Results could also be used to guide healthcare providers in helping their patients make informed decisions about the safe use of hemp

02

Conditions studied

  • Interaction

Keywords

  • CYP2C19
  • pharmacokinetics
  • hemp
  • CBD
  • natural product
  • clopidogrel
03

In context

Lead sponsor

Washington State University is the lead sponsor of 83 studies on the registry; 16 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 4 (57%) have results posted.

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

04

Who can participate

Ages eligible
21 Years to 64 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

  • 21-64 years old and healthy;
  • Confirmed by genetic test to be a CYP2C19 normal, rapid, or ultra-rapid metabolizer;
  • Not taking any medications (prescription and non-prescription, including clopidogrel) or dietary supplements/botanical products known to alter the pharmacokinetics of cannabis and/or clopidogrel;
  • Have taken hemp or cannabis (in any form) before and tolerated it well;
  • Willing to abstain from consuming dietary supplements/botanical products and citrus juices for the duration of the study;
  • Willing to abstain from cannabis/marijuana, hemp, THC- and/or CBD-containing products for several weeks;
  • Willing to abstain from consuming caffeinated beverages or other caffeine-containing products the evening before and morning of any inpatient day;
  • Willing to abstain from consuming alcoholic beverages for one day prior to any inpatient day;
  • Willing to use a secondary method of that does not include the introduction or discontinuance of hormonal-based birth control (such as abstinence, copper IUD, or condoms), continuing for 1 week after completing the study;
  • Have the ability to and are willing to comply with the requirements of the study;
  • Geographically located within a 40-mile radius of Spokane and have the time to participate and;
  • Can read and speak English

Exclusion criteria

Exclusion Criteria:

  • Under the age of 21 or over the age of 64;
  • Any major illness;
  • Pregnant or nursing;
  • History of allergy or intolerance to cannabis or clopidogrel;
  • Taking concomitant medications, both prescription and non-prescription (including clopidogrel) or dietary supplements/botanical products known to alter the pharmacokinetics of cannabis and/or clopidogrel;
  • Never taken cannabis (in any form) before;
  • Presence of a condition or abnormality that, in the opinion of the Investigator, would compromise participant safety or the quality of the data;
  • Currently using or have recently used drugs or other illicit substances for recreational purposes;
  • Have used cannabis/marijuana, hemp, THC- and/or CBD-containing products within the last 4 weeks;
  • Have an out-of-range clinical laboratory value such that the study physician considers participation in the study a health risk, or;
  • Unable to read and speak English
Terms in these criteria, in plain language(1)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Early Phase 1
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
24 participants (estimated)

Study arms

  • Experimental
    Arm 1: clopidogrel alone

    Participants will be administered a single oral dose (75 mg) of clopidogrel. Blood and urine will be collected for 24 hours.

    Drug: Clopidogrel

  • Experimental
    Arm 2: chronic hemp (30 mg CBD) + clopidogrel

    Participants will self-administer a single low dose of hemp (30 mg CBD) as an oral softgel at home daily for 5 consecutive days. On day 6, participants will return to the research setting, where they will be administered a single low dose of hemp (30 mg CBD) and a single oral dose of clopidogrel (75 mg). Blood will be collected for 72 hours and urine will be collected for 24 hours.

    Drug: Cannabidiol in the form of hemp · Drug: Clopidogrel

  • Experimental
    Arm 3: chronic hemp (240 mg CBD) + clopidogrel

    Participants will repeat the Arm 2 procedures using a higher dose of hemp (240 mg CBD)

    Drug: Cannabidiol in the form of hemp · Drug: Clopidogrel

Interventions

06

What researchers measure

Primary outcomes

  1. AUC ratio of clopidogrel active metabolite

    Ratio of the area under the plasma concentration vs. time curve of the active metabolite of clopidogrel in the presence to absence of hemp

    Time frame: 0-24 hours

Secondary outcomes

  1. Cannabidiol AUC

    Area under the plasma concentration vs. time curve of cannabidiol

    Time frame: 0-72 hours

  2. AUC of cannabidiol metabolites

    Area under the plasma concentration vs. time curve of cannabidiol metabolites

    Time frame: 0-72 hours

07

Study locations

1 of 1 sites recruiting
  • Washington State University College of Pharmacy and Pharmaceutical Sciences
    Spokane, Washington 99202, United States
    Recruiting
    • Mary F Paine, RPh, PhD · Contactmary.paine@wsu.edu · 509-358-7759
    • Mary F Paine, RPh, PhD · Principal investigator
    • Matthew Layton, MD, PhD · Sub investigator
    • John White, PharmD, PA-C · Sub investigator
08

References and documents

Individual participant data

Plan to share: Yes — IPD used in the results publication

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2024 (actual). Primary completion is estimated for Aug 2027, 38 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 14, 2024
First posted
Nov 18, 2024
StartActual
Jun 20, 2024
Primary completionEst.
Aug 31, 2027
CompletionEst.
Dec 31, 2027
Last update
Jun 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06692933
Lead sponsor
Washington State University
Collaborators
Office of Dietary Supplements (ODS), National Center for Complementary and Integrative Health (NCCIH)
Responsible party
Mary Paine (Professor, Washington State University) — Principal investigator
First posted
Nov 18, 2024
Start date
Jun 20, 2024
Primary completion
Aug 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Jun 4, 2026

Study contacts

Mary F Paine, RPh, PhD
Contact
mary.paine@wsu.edu
509-358-7759

Oversight

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

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Studies of the drug tested here: Clopidogrel

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