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RecruitingNCT07549256ProCanUpdated Sep 16, 2026

Cannabidiol for Pain Relief of Patients With End-stage mCRPC

A Phase 2 interventional study of Cannabidiol and Placebo in Metastatic Castration Resistant Prostate Cancer (mCRPC), sponsored by Regionshospital Nordjylland. Recruiting at 1 site in Denmark. Open to male participants. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Regionshospital Nordjylland · Phase 2, Interventional, and Supportive care

From the registry’s dates

  • Started Jun 2026; still recruiting 4 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
58
Allocation
Randomized
Sex
Male
01

Study summary

The goal of this clinical trial is to evaluate the effects of cannabidiol in patients with end-stage metastatic castration-resistant prostate cancer (mCRPC).

The primary objective is to determine whether cannabidiol (CBD) treatment can reduce the need for opioids in patients with end-stage mCRPC.

Additionally, the study will assess a range of clinical endpoints in patients with end-stage mCRPC, including:

  1. The efficacy of CBD treatment in alleviating pain
  2. The efficacy of CBD treatment in reducing the need for non-opioid medications and concomitant therapies
  3. The impact of CBD treatment on physical activity and quality of life
  4. The anti-inflammatory and potential anti-tumor properties of CBD
  5. The safety of CBD treatment

Patients from Department of Urology, Aalborg University Hospital will be included. Participants will be treated with either CBD (200 mg) or placebo (0 mg) three times daily for nine weeks. At baseline, halfway and end of trial, participants will use an activity tracker and complete questionnaires regarding pain and quality of life and provide blood samples to measure inflammation and tumor activity. Also, they will complete a daily dairy regarding the study drug and intake of pain medication. Adverse events will be assessed by Common Terminology Criteria for Adverse Events.

02

Conditions studied

  • Metastatic Castration Resistant Prostate Cancer (mCRPC)

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Keywords

  • Cannabidiol
  • CBD
  • Prostate cancer
  • Adjuvant palliative therapy
  • Cannabis
  • Metastatic castration resistant prostate cancer
  • mCRPC
03

In context

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,580 are open to participants now.

This study's planned enrollment of 58 is close to the median of 60 across 5,348 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Regionshospital Nordjylland is the lead sponsor of 18 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Male
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

  • Patients diagnosed with mCRPC as documented by increasing PSA despite optimally attempted treatment, and no other therapeutic options.
  • Treatment-resistance or ineligible to standardized cancer therapy, incl. medical and surgical castration, chemotherapy, and super hormone treatment.
  • Minimum 3 months since radiation therapy, if part of treatment.
  • Opioid-requiring pain

Exclusion criteria

Exclusion Criteria:

  • Perception of worst pain \<4.0 on the NRS within the last week prior to baseline visit70. (Inclusion if: three days with highest pain intensity have an average of ≥4.0 and/or three days where pain intensity is at least 4.0).
  • Pattern of short duration of response to all previous treatment regimens (\<6 months) clinically assessed by the investigator.
  • (ECOG) performance status >3 (scale 0-5).
  • Change in regular use of conventional pain medication within two weeks prior to baseline visit.
  • A history of substance use disorder.
  • Functional liver insufficiency with an (ALT) >2X and/or >2X ULN assessed by a blood sample taken at screening.
  • Renal failure with an estimated (eGFR) \< 30mL/min/1,73m2 assessed by a blood sample taken at screening.
  • Known heart failure - III - IV (scale I-IV)71.
  • Known severe chronic obstructive lung disease ( (FEV1) \<50%)72.
  • Use of THC-containing cannabis products measured by a urine sample at screening.
  • Any chronic or acute systemic medical condition that, in the opinion of the investigator, may pose a risk to the safety of the patient or may interfere with compliance or the assessment of efficacy in this trial.
  • to the active substance
  • Not capable of giving .
  • Not capable of understanding, write or read Danish.
Terms in these criteria, in plain language(9)

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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
Phase 2
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
58 participants (estimated)

Study arms

  • Experimental
    CBD

    Drug: Cannabidiol

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • Name: Cannabidiol, 100 mg/ml Dosage: 2 ml three times a day (=600 mg CBD/day) Administration form: oil (oral)

    Also known as: CBD

  • DrugPlacebo

    Name: Placebo Dosage: 2 ml three times a day (=0 mg CBD/day) Administration form: oil (oral)

06

What researchers measure

Primary outcomes

  1. Total daily dose of opioids (morphine milligram equivalents)

    Difference in average total daily dose of opioids (morphine milligram equivalents) between study participants receiving CBD and placebo.

    Time frame: Baseline and 9 weeks

Secondary outcomes

  1. Worst pain intensity on numeric rating scale (NRS)

    Difference in average worst pain intensity on numeric rating scale (NRS) between participants receiving CBD and placebo.

    Time frame: Baseline and 9 weeks

  2. Interference of pain on daily functioning

    Difference in interference of pain on daily functioning by Brief Pain Inventory Short Form (BPI-SF) Interference Items between participants receiving CBD and placebo.

    Time frame: Baseline and 9 weeks

  3. Total daily dose of non-opioid analgesics

    Differnece in average total daily dose of non-opioid analgesics (e.g., NSAID, paracetamol, secondary analgesics) between participants receiving CBD and placebo.

    Time frame: Baseline and 9 weeks

  4. Use of concomitant therapy

    Difference in use of concomitant therapy (e.g., radiation, corticosteroids) between participants receiving CBD and placebo.

    Time frame: Baseline and 9 weeks

  5. Quality of life by EORTC-QLQ-C30

    Difference in quality of life by European Organization for Research and Treatment of Cancer Quality of Life Questionnaires Core 30 (EORTC-QLQ-C30) including global health status/quality of life (two items), functional scale (five items) and symptom scale (nine items). The scales range in score from 0 to 100. A high score for the global health status/quality of life represents a high quality of life. A high score for a functional scale represents a high level of functioning. A high score for a symptom scale represents a high level of symptomatology.

    Time frame: Baseline and 9 weeks

  6. Quality of life by EORTC-QLQ-PR25

    Difference in quality of life by European Organization for Research and Treatment of Cancer Quality of Life Prostate Cancer (EORTC-QLQ-PR25) including functional scale (two items) and symptom scale (four items). The scales range in score from 0 to 100. A high score for a functional scale represents a high level of functioning. A high score for a symptom scale represents a high level of symptomatology.

    Time frame: Baseline and 9 weeks

  7. Physical activity

    Difference in physical activity by average daily steps between participants receiving CBD and placebo.

    Time frame: Baseline and 9 weeks

  8. Tumour activity

    Difference in tumour activity by average serum prostate-specific antigen (PSA) and alkaline phosphatase (ALP) levels between participants receiving CBD and placebo.

    Time frame: Baseline and 9 weeks

  9. Inflammation

    Difference in inflammation by average serum c-reactive protein (CRP), plasma cytokines and plasma soluble urokinase plasminogen activator receptor (suPAR) between participants receiving CBD and placebo.

    Time frame: Baseline and 9 weeks

  10. Safety profile outcomes

    Difference in safety profile outcomes by laboratory testing of routine blood samples and Common Terminology Criteria for Adverse Events (CTCAE 5.0) between participants receiving CBD and placebo.

    Time frame: Baseline and 9 weeks

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

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2026 (actual). Primary completion is estimated for May 2028, 23 months after the start.

Of 610 non-industry phase 2 interventional studies under Prostatic Neoplasms, half reached primary completion within 57 months of starting (the median), counting those still running; a quarter within 39 and three quarters within 86. This study's planned 23 months is below that.

Counting every sponsor, half of 724 studies reached it within 53 months; a quarter within 34 and three quarters within 80.

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

Registered
Apr 10, 2026
First posted
Apr 24, 2026
StartActual
Jun 12, 2026
Primary completionEst.
May 31, 2028
CompletionEst.
Jan 2029
Last update
Sep 16, 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 Sep 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
NCT07549256
Lead sponsor
Regionshospital Nordjylland
Responsible party
Sponsor
First posted
Apr 24, 2026
Start date
Jun 12, 2026
Primary completion
May 31, 2028 (estimated)
Completion
Jan 2029 (estimated)
Last update
Sep 16, 2026

Study contacts

Peter Derek Christian Leutscher
Contact
p.leutscher@rn.dk
+4524859576

Oversight

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

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