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Not yet recruitingNCT07878130Updated Oct 16, 2026

An Investigation of Mechanisms That Underly Paranoia in Behaviour and Brain That Can Inform Clinical Diagnoses That Include Paranoid Symptoms.

A Phase 2 interventional study of Low-dose THC administration via IV and High-Dose THC administration via IV in None Volunteer, sponsored by King's College London. Not yet recruiting at 1 site in United Kingdom. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by King's College London · Phase 2, Interventional, and Basic science

Updated Oct 16, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The study team is studying how delta-9-tetrahydrocannabinol (THC) - the component of cannabis that is responsible for "getting people feeling high" - influences how people think about the behaviour of others and a variety of other experiences. The study team is investigating these processes in healthy adults. The study team uses computer-based tasks and questionnaires to understand how people make conclusions about other people's intentions under different circumstances.

In this study, the study team uses a placebo-controlled within-participant study design with three different conditions: (i) 1mg/ml THC administration, (ii) 2mg/ml THC administration, and (iii) placebo (Saline) administration, all via an intravenous IV. The study is within-participants, meaning that every participant will experience all three conditions. The study is double blind, meaning that neither the researcher nor the participant will know what condition they will be in on a given study visit. The sequence of conditions is balanced across participants.

02

Conditions studied

  • None Volunteer

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Keywords

  • THC
  • paranoia
  • cannabis
  • social inference
  • social processing
  • computational psychiatry
  • computational modeling
03

In context

Marijuana Abuse

530 studies on the registry are indexed under Marijuana Abuse; 114 are open to participants now.

This study's planned enrollment of 100 is above the median of 60 across 431 interventional studies indexed under Marijuana Abuse.

Browse Marijuana Abuse studies →

Lead sponsor

King's College London is the lead sponsor of 519 studies on the registry; 126 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 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

  • Have used cannabis at least once in the past
  • Willing and able to provide written informed consent
  • Willing to provide blood samples for screening purposes
  • Agrees to use highly effective methods of contraception for the duration of the study and for 3 months after the final study visit (see Contraception below)
  • Be able to understand the information sheet

Exclusion criteria

Exclusion Criteria:

  • Having a past or present major mental illness
  • Having a past or present major physical illness (e.g. respiratory or heart condition)
  • Not having a normal ECG reading at screening visit
  • Having screening blood tests outside normal ranges, determined to be clinically significant
  • Having a past or present substance use disorder
  • Having ever been treated with an anti-psychotic or anti-depressant medication
  • Having a first degree relative (parent or sibling) with psychotic illness
  • Currently taking psychotropic medication
  • Having a positive urine drug screen (any drug) at any of the study visits (baseline and experimental sessions)
  • Having self-reported use of alcohol within 24h of an experimental visit or a positive alcohol breath test
  • Being pregnant or planning pregnancy or lactating in women
  • Discovery of significant abnormality during physical examination at screening visit
  • Is using cannabis (defined as days in which cannabis is used recreationally) more often than once per week on average over the last 12 months.
  • Smoking more than 4 cigarettes or vapes per week.
  • Drinking more than 4 units (100ml) of coffee per day.
  • Any past use of synthetic cannabinoids
  • Having a score of 5 or more on the Fagerstrom Nicotine Dependence Questionnaire
  • Having a BMI classified as obese or underweight (below 18 or over 30)
  • Having participated in a drug study within the last 30 days
  • Having a known sensitivity or allergy towards cannabis or Lorazepam
05

Study design

Phase
Phase 2
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Placebo comparator
    placebo

    Application of saline solution instead of THC solution intravenously over 20min

    Drug: Saline administration via IV

  • Experimental
    Low Dose THC

    Application of 1mg THC /ml solution intravenously over 20min

    Drug: Low-dose THC administration via IV

  • Experimental
    High Dose THC

    Application of 2mg THC /ml solution intravenously over 20min

    Drug: High-Dose THC administration via IV

Interventions

  • DrugLow-dose THC administration via IV

    The study drug for this study is synthetically derived delta-9-tetrahydrocannabinol (THC, International Non-proprietary Name: Dronabinol). THC Active Pharmaceutical Ingredient (API) is provided by Purisys LLC (CDMO), Georgia, USA; and formulated into a solution for intravenous injection by Hybrid Pharma, Florida USA. As detailed in D'Souza et al., 2004, THC is dissolved in 95% ethanol (Agurell et al. 1986) to yield a concentration of 12 mg/ml stock solution which was then passed through a polymer filter, subjected to sterility and pyrogenicity testing, and assayed by gas chromatography mass spectrometry to confirm its concentration and stored at room temperature for future use. Hybrid Pharma will provide 5 ml vials of active drug and matched placebo (ethanol solution without THC). In the high-dose condition, 1mg/ml will be administered over 20min via IV.

  • DrugHigh-Dose THC administration via IV

    The study drug for this study is synthetically derived delta-9-tetrahydrocannabinol (THC, International Non-proprietary Name: Dronabinol). THC Active Pharmaceutical Ingredient (API) is provided by Purisys LLC (CDMO), Georgia, USA; and formulated into a solution for intravenous injection by Hybrid Pharma, Florida USA. As detailed in D'Souza et al., 2004, THC is dissolved in 95% ethanol (Agurell et al. 1986) to yield a concentration of 12 mg/ml stock solution which was then passed through a polymer filter, subjected to sterility and pyrogenicity testing, and assayed by gas chromatography mass spectrometry to confirm its concentration and stored at room temperature for future use. Hybrid Pharma will provide 5 ml vials of active drug and matched placebo (ethanol solution without THC). In the high-dose condition, 2mg/ml will be administered over 20min via IV.

  • DrugSaline administration via IV

    Saline will be administered intravenously rather than THC

06

What researchers measure

Primary outcomes

  1. Harmful intent attribution

    Participants will play a task (Sharing Game), where they have make intent attributions to an agent they are interacting with. The attribution will be made on a visual analogue scale ranging from 1 to 100 with higher numbers representing more harmful intent attribution. The outcome variable will be estimated using a computational model that takes more aspects of the task into account

    Time frame: Study day 1 to 4, max. within three months, i.e. baseline visit, experimental visit 1 - after intervention and task, experimental visit 2 - after intervention and task, experimental visit 3 - after intervention and task

Secondary outcomes

  1. Social behaviours and decision making under uncertainty as measured by the Sharing Game and similar games.

    participants are engaging in a set of tasks that measure inference and decision making. Outcome measures are estimated using a computational model that takes other aspects of the task and decision making into account as is custom in computational modeling of behaviour in cognitive psychology and computational psychiatry.

    Time frame: Study day 1 to 4, max. within three months, i.e. baseline visit, experimental visit 1 - after intervention and task, experimental visit 2 - after intervention and task, experimental visit 3 - after intervention and task

  2. Immediate recall on the HVLT-R

    Hopkins verbal learning task - Revised (HVLT-R) is a part of the MATRICS Consensus Cognitive Battery (PAR, Inc FL 33549). The first phase of the test is an immediate recall phase where participants are read a list of 12 words across three trials (nouns from three taxonomic categories) and participants have to recall the words immediately after. There are 5 validated versions of the HVLT-R and the order of test versions will be randomised for each participant to prevent potential order effects. The more words recalled the higher the score.

    Time frame: Study day 1 to 4, max. within three months, i.e. baseline visit, experimental visit 1 - before intervention, experimental visit 2 - before intervention and task, experimental visit 3 - before intervention and task

  3. Delayed recall on the HVLT-R

    Hopkins verbal learning task - Revised (HVLT-R) is a part of the MATRICS Consensus Cognitive Battery (PAR, Inc FL 33549). It consists of an immediate recall phase where participants are read a list of 12 words across three trials (nouns from three taxonomic categories). This is followed by a delayed free recall phase between 20-25 minutes after completion of the immediate recall phase where then participant is asked to recall as many of the words from the list as they can remember. Repetitions and intrusions (words recalled not part of the original list) will also be recorded for each trial. There are 5 validated versions of the HVLT-R and the order of test versions will be randomised for each participant to prevent potential order effects. Delayed recall is measured by how many words are remembered after the delayed free recall phase. More words remembered result in higher scores.

    Time frame: Study day 1 to 4, max. within three months, i.e. baseline visit, experimental visit 1 - before intervention, experimental visit 2 - before intervention and task, experimental visit 3 - before intervention and task

  4. Working memory performance (Digit Span)

    Forward and reverse digit span refers to the longest list of numbers the participant can correctly recall, both in forward and backward order. The task starts at the length of four digits (three for backward) and is increased by one digit for each successful trial. The task is ended when the participant fails to give the correct order after two consecutive attempts. The further participants get in the test the better working memory performance.

    Time frame: Study day 1, i.e. Baseline visit

  5. Paranoia score (SPSS)

    State social paranoia scale (SSPS) is a 10-item instrument which measures persecutory thoughts. The persecutory items (e.g. 'someone had bad intentions towards me') are presented among 10 neutral items and scored on a 5-point scale (do not agree - totally agree).

    Time frame: Study day 1 to 4, max. within three months, i.e. Baseline visit, Experimental visit 1 - before intervention, Experimental visit 2 - before intervention, Experimental visit 3 - before intervention

  6. Positive psychotic symptoms (PANSS-P)

    Positive and negative syndrome scale - positive subscale (PANSS-P) is the most common scale to measure psychotic symptoms and commonly used in schizophrenia research. The PANSS is an investigator rated scale and is scored following a semi-structured interview. In this study only the positive subscale will be used, which include the following symptoms: delusions, conceptual disorganisation, hallucinations, hyperactivity, grandiosity, suspiciousness and hostility. The symptoms are scored on a 7-point scale from absent-severe.

    Time frame: Study day 1 to 4, max. within three months, i.e. Baseline visit, Experimental visit 1 - before intervention, Experimental visit 2 - before intervention, Experimental visit 3 - before intervention

  7. Mood States

    Visual analogue scales (VAS) consist of words which describe feeling states and a 100mm horizontal line on which the participant indicates with a vertical line how much of that feeling they have experienced in the moment. The scale ranges from "Not at all" (0mm) to "As much as could possibly be" (100mm).

    Time frame: Study day 2 to 4, max. within three months, i.e. Experimental visit 1 - before and after intervention, Experimental visit 2 - before and after intervention, Experimental visit 3 - before and after intervention

  8. Paranoia

    Visual analogue scales (VAS) consist of words which describe feeling states and a 100mm horizontal line on which the participant indicates with a vertical line how much of that feeling they have experienced in the moment. The scale ranges from "Not at all" (0mm) to "As much as could possibly be" (100mm). Six paranoia VAS from Freeman et al., (2015) will also be included: "Right now I feel suspicious of other people," "Right now I feel that people want to harm me," "Right now I feel like people want to upset me," "Right now I feel like people are against me," "Right now I am thinking that others are trying to persecute me," and "Right now I feel like people are being hostile towards me".

    Time frame: Study day 2 to 4, max. within three months, i.e. Experimental visit 1 - before and after intervention, Experimental visit 2 - before and after intervention, Experimental visit 3 - before and after intervention

  9. Heartrate related markers

    Heart beat will be measured using a standard pulse-oximeter. Systolic blood pressure peaks will be used as a proxy for the R-peak and Inter-beat-intervals will be calculated based on consecutive systolic blood pressure peaks. Heart rate variability will be operationalized as RMSSD based on these inter-beat-intervals.

    Time frame: Study day 1 to 4, max. within three months, i.e. Baseline visit - before and during task, Experimental visit 1 - before and during task, Experimental visit 2 - before and during task, Experimental visit 3 - before and during task

07

Study locations

1 site
  • King's College London
    London, SE6 8AF, United Kingdom
08

References and documents

Individual participant data

Plan to share: Yes — In the informed consent, participants consent for their fully anonymized data to be shared with other researchers and collaborators. Outcome measures as specified in "Outcome measures" section.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Sep 2028, 22 months later.

Of 39 non-industry phase 2 interventional studies under Marijuana Abuse, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 53. This study's planned 22 months is below that.

Counting every sponsor, half of 46 studies reached it within 40 months; a quarter within 21 and three quarters within 53.

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

Registered
Sep 18, 2026
First posted
Oct 16, 2026
StartEst.
Nov 1, 2026
Primary completionEst.
Sep 30, 2028
CompletionEst.
Sep 30, 2028
Last update
Oct 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.
Registered
First appeared on the registry. No changes since
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    First appeared on the registry

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
NCT07878130
Collaborators
South London and Maudsley NHS Foundation Trust
Responsible party
Sponsor
First posted
Oct 16, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Sep 30, 2028 (estimated)
Completion
Sep 30, 2028 (estimated)
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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This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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