Pregnenolone as a Treatment for Cannabis Intoxication
Recruiting
Phase 2Interventional Study
Cannabis Intoxication
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Healthy Volunteers Welcome
You do not need to have the condition being studied to take part.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 – 65
Sex
Any
Trial phase
Phase 2
Study type
Interventional
Purpose
Treatment
Participants needed
20 (estimated)
Sponsor
Johns Hopkins University · Other
Who this trial is looking for
This trial is looking for healthy adults who have used cannabis in the past but not in the last month. Participants will take either pregnenolone or a placebo to see how it affects symptoms of cannabis intoxication.
Are You a Good Fit for This Trial?
You may be able to join if
I am between 18 and 65 years old.
I am in good general health.
I have used cannabis in the last three years but not in the last month.
I have a body mass index (BMI) between 18 and 36.
I have normal blood pressure and heart rate.
I have tested negative for illicit drugs and alcohol.
You may not be able to join if
I have used any psychoactive substances in the past month.
I currently take medications that might impact my safety.
I have a history of significant heart problems.
I have epilepsy or a history of seizures.
I have been diagnosed with any hormone-sensitive conditions.
I have a history of schizophrenia or bipolar disorder.
I am pregnant or nursing.
I have donated blood in the last 30 days.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
The present study will characterize the ability of pregnenolone to reverse the acute intoxication and associated symptoms of cannabis. Healthy adults with a history of cannabis use will be recruited to participate in a placebo-controlled, within-subject crossover study at Johns Hopkins Behavioral Pharmacology Research Unit (BPRU). By clarifying the ability of pregnenolone to reverse cannabis intox…
The present study will characterize the ability of pregnenolone to reverse the acute intoxication and associated symptoms of cannabis. Healthy adults with a history of cannabis use will be recruited to participate in a placebo-controlled, within-subject crossover study at Johns Hopkins Behavioral Pharmacology Research Unit (BPRU). By clarifying the ability of pregnenolone to reverse cannabis intoxication symptoms, this study will pave the way for larger clinical studies that provide a foundation for the development of future CB1-receptor NAM medications that could be applied in emergency situations and potentially validate pregnenolone as a treatment for cannabis intoxication.
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Eligibility Criteria
Inclusion Criteria
* Ages 18-65
* Good general health based on screening procedures (e.g. physical exam, blood testing, psychiatric evaluation)
* Systolic blood pressure \<140 mm Hg, diastolic blood pressure \< 90 mm Hg, and heart rate \<110 bpm at screening and at baseline for dosing session
* Bod…
Inclusion Criteria
* Ages 18-65
* Good general health based on screening procedures (e.g. physical exam, blood testing, psychiatric evaluation)
* Systolic blood pressure \<140 mm Hg, diastolic blood pressure \< 90 mm Hg, and heart rate \<110 bpm at screening and at baseline for dosing session
* Body mass index (BMI) in the range of 18 to 36 kg/m2
* Cannabis use within the past three years but none in the month prior to the first test session
* Negative urine test for illicit substance use and negative breath alcohol test (0% breath alcohol concentration) at screening and before study sessions
Exclusion Criteria
* Use of psychoactive substances (aside from nicotine, caffeine, and alcohol) in the month prior to study initiation
* Current use of over the counter (OTC) drugs, supplements/vitamins, or prescription medications that, in the opinion of the investigator or medical staff, will impact the participant's safety.
* Current use of any prescription or non-prescription medications, including herbal medicines and supplements, that are known to interact with cannabis or pregnenolone
* Self-report or ECG indicating clinically significant cardiovascular conditions, including coronary artery disease, stroke, angina, uncontrolled hypertension, arrhythmias (e.g. atrial fibrillation), heart valve placement, or TIA in the past year.
* History of hormone-sensitive conditions, including but not limited to gynecologic cancers (breast, ovarian, uterine, etc), endometriosis, uterine fibroids, thyroid, pituitary and/or adrenal syndromes, polycystic ovarian syndrome, etc.
* Epilepsy or a history of seizures
* Any of the following laboratory values during screening or upon admission:
* AST \> 165 U/L (normal range 19-55)
* ALT \> 216 U/L (normal range 19-72)
* Alkaline phosphatase \> 1.5x upper limit of normal (ULN)
* Total bilirubin \>1.5 ULN
* Glomerular filtration rate (EGFR) \< 60 ml/min/1.73m2
* Current or past history of meeting DSM-5 criteria for schizophrenia spectrum or other psychotic disorders, or bipolar I or II disorder
* Other unstable and/or compromising medical or psychiatric conditions based on clinical interview and/or MINI results that would interfere with participant safety as determined by study physician, including suicidal ideation and/or attempt, psychosis
* Previous diagnosis and treatment for Cannabis Use Disorder
* Urine drug screen (e.g. Healgen Scientific 14 Panel Rapid Drug Test) indicating the presence of substances including amphetamines, barbiturates, benzodiazepines, cocaine, opioids (including fentanyl), PCP, and THC at screening and prior to study sessions
* Breathalyzer screen indicating presence of alcohol at screening and prior to study sessions
* Women who are pregnant (as indicated by a positive urine pregnancy test assessed at intake and before each drug session) or nursing
* Women who are of childbearing potential and sexually active who are not practicing an effective means of birth control including oral contraceptives, progestin implant, transdermal birth control patch, intrauterine device (IUD) or vaginal ring. Women who report use of condoms or diaphragm must use a "double-barrier" method of contraception (i.e. diaphragm and condoms).
* SBP \>/= 140, DBP \>/= 90, or pulse \>/=100 during screening and/or prior to dosing session
* Has donated blood within 30 days of the study
* Allergy to eggs or other food allergies that would make ingestion of brownie mix unsafe.
* Use of concomitant medications, including herbal medicines and botanical supplements, that are strong inhibitors or inducers of CYP3A4 and CYP2C9
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