ClinicalTrials.gg
RecruitingNCT07417059Updated Feb 18, 2026

Sex Hormones Impact on Cannabis Response

An interventional study of Cannabis and Knaster Hemp in Cannabis, sponsored by Maastricht University. Recruiting at 1 site in Netherlands. Open to female participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-18.

Sponsored by Maastricht University · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

The goal of this study is to systematically determine whether the cannabis response in human females is related to SH fluctuations throughout the menstrual cycle.

Read the detailed description

Cannabis consumption is increasing globally due to legalization and therapeutic use, prompting concerns about its impact on daily functioning and long-term effects. While research has explored cannabis' risks, the heightened vulnerability of females to its adverse effects has been overlooked. Women experience stronger acute negative reactions and progress to cannabis use disorder faster than men. This gender disparity is likely due to sex hormone (SH) fluctuations related to menstrual cycles, emphasizing the need to study cannabis' differential impact on females to address gender-specific risks and inform treatment approaches. Acute influences of cannabis (300 μg THC/kg bodyweight) on subjective state and cognition will be assessed at three different stages of the menstrual cycle, and compared to a placebo condition in a double-blind, randomized, within-subject study in occasional cannabis using biological females.

Primary Objective: To assess the acute subjective drug effects (good/bad drug effect, drug liking/wanting, anxiety), cognition (attention, working memory, information processing speed, verbal memory, verbal fluency, motor inhibition), and pharmacokinetics of cannabis in females across 3 different phases of the menstrual cycle, compared to a placebo condition.

Secondary Objective(s): to assess the acute effects of cannabis on interoception and pain, in females across 3 different phases of the menstrual cycle, compared to a placebo condition.

Tertiary Objective(s): to assess the acute effects of cannabis on metacognition and expression of inflammatory markers in females across 3 different phases of the menstrual cycle, compared to a placebo condition.

02

Conditions studied

  • Cannabis

Keywords

  • sex hormones
  • cannabis
  • THC
03

In context

Lead sponsor

Maastricht University is the lead sponsor of 97 studies on the registry; 20 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
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

  • Biological female
  • Used cannabis between 1 time a month and 2 times a week during the previous year
  • Age between 18 and 40 years
  • Free from psychotropic medication
  • Free from hormonal
  • A regular menstrual cycle (last 3 cycles a duration between 21 and 35 days).
  • Good physical health as determined by medical examination and laboratory analysis
  • Absence of any major medical, endocrine and neurological condition as determined by medical examination and laboratory analysis
  • Normal weight, (weight/height2) between 18 and 28 kg/m2
  • Written
  • Good knowledge and understanding of the English language
  • Participants must be willing to refrain from taking illicit psychoactive substances during the study.
  • Participants must be willing to drink only alcohol-free liquids and no coffee, black or green tea, or energy drinks after midnight of the evening before the study session, as well as during the study day.
  • Participants must be willing not to drive a traffic vehicle or to operate machines within 24 h after substance administration.

Exclusion criteria

Exclusion Criteria:

  • History of drug addiction (determined by the medical questionnaire, drug questionnaire and medical examination)
  • Pregnancy or lactation or pregnancy planned during study participation
  • Hypertension (diastolic > 90 mmHg; systolic > 140 mmHg)
  • Current or history of psychiatric disorder (determined by the medical questionnaire and medical examination)
  • Current presence or history of psychosis in first-degree relatives
  • Any chronic or acute medical condition
  • History of cardiac dysfunctions (arrhythmia, ischemic heart disease,…)
  • Tobacco smoking (>20 per day)
  • Excessive drinking (>20 alcoholic consumptions per week)
Terms in these criteria, in plain language(3)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
21 participants (estimated)

Study arms

  • Experimental
    Cannabis

    All participants will receive cannabis on 3 separate occasions during different phases of the menstrual cycle.

    Drug: Cannabis

  • Placebo comparator
    Knaster hemp

    All participants will receive knaster hemp on 3 separate occasions during different phases of the menstrual cycle.

    Drug: Knaster Hemp

Interventions

  • Bedrobinol (13.5% THC) resulting in 300 μg/kg bodyweight THC, administered via a Storz and Bickel Mighty Medic vaporiser.

    Also known as: Tetrahydrocannabinol

  • DrugKnaster Hemp

    Placebo will consist of knaster hemp, a freely sold aromatic herbal mixture for smoking. Participants will receive a dose of 50 mg of knaster hemp, administered via a Storz and Bickel Mighty Medic vaporiser.

06

What researchers measure

Primary outcomes

  1. Subjective drug effects

    Subjective drug effects will be measured via the drug effect questionnaire

    Time frame: Immediately upon inhalation, up to 3.5 hours post administration

  2. THC concentration in blood

    Blood sample will be taken to assess THC concentration in blood.

    Time frame: Baseline (-0.5 hour) and at set time periods up to 3.5 hours post administration

  3. Retrospective rating of drug effects

    Retrospective rating of drug effects will be measured via subjective reports on the 5-dimensional altered states of consciousness rating scale

    Time frame: Immediately upon inhalation, up to 3.5 hours post administration

  4. Sensitivity to cannabis reinforcement

    Measured via the sensitivity to cannabis reinforcement questionnaire,

    Time frame: Immediately upon inhalation, up to 3.5 hours post administration

  5. Marijuana Craving

    Measured via the marijuana craving questionnaire

    Time frame: Immediately upon inhalation, up to 3.5 hours post administration

  6. Anxiety

    Measured via the State-Trait anxiety inventory

    Time frame: Immediately upon inhalation, up to 3.5 hours post administration

Secondary outcomes

  1. Interoception

    The Heart rate discrimination task will be used to assess interoception.

    Time frame: +1 hr 15 minutes after administration

  2. Subjective experience of pain

    The cold pressor task will be used. Pain is assessed via how many seconds participants can keep their hand in the water.

    Time frame: +2.5 hours after administration

  3. Attention

    attention will be assessed via the psychomotor vigilance test

    Time frame: Immediately upon inhalation, up to 3.5 hours post administration

  4. Information processing speed

    Will be assessed via the digit symbol substitution test

    Time frame: Immediately upon inhalation, up to 3.5 hours post administration

  5. Verbal Memory

    Will be assessed via the Immediate and Delayed Verbal Memory Test

    Time frame: Immediately upon inhalation, up to 3.5 hours post administration

  6. Verbal fluency

    Will be assessed via the animal fluency test

    Time frame: Immediately upon inhalation, up to 3.5 hours post administration

  7. Motor Inhibition

    Assessed via the stop signal task

    Time frame: Immediately upon inhalation, up to 3.5 hours post administration

  8. Pain threshold

    To assess changes in pain threshold, the pressure pain threshold task will be used.

    Time frame: +2.5 hours post administration

Other outcomes

  1. Metacognition

    Before and after each task, participants will be shown full text prompts explaining the task, and asking them how well they believe they will do on the task, and upon completion, how well they think they performed.

    Time frame: Immediately upon inhalation, up to 3.5 hours post administration

  2. Inflammatory cytokines

    Blood samples will be collected to measure inflammatory cytokine levels

    Time frame: At baseline (-0.5) and 3.5 hours after treatment administration

07

Study locations

1 of 1 sites 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 Feb 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07417059
Lead sponsor
Maastricht University
Responsible party
Natasha Mason (Assistant Professor, Maastricht University) — Principal investigator
First posted
Feb 18, 2026
Start date
Jun 1, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Feb 18, 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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No contact was published for this record. The registry link below has the sponsor’s details.

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Studies of the drug tested here: Cannabis sativa subsp. indica TOP

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