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The aim of this study is to investigate whether ANEB-001 effectively penetrates the brain and inhibits the psychotropic effects of Δ9-Tetrahydrocannabinol (THC), the main psychoactive constituent of cannabis. This randomized, placebo-controlled, double-blind study is designed as a proof-of-pharmacology and dose finding study for the antagonistic effect of ANEB-001 during a THC challenge. Results of this study will inform the future potential use of ANEB-001 as an emergency treatment for acute cannabinoid intoxication.
This study will evaluate whether ANEB-001 effectively inhibits the psychotropic effects of Δ9-Tetrahydrocannabinol (THC). All cohorts in part A and B of the study will be randomized, double-blind and placebo-controlled. Randomization is deemed appropriate to avoid selection bias for active compound or placebo treatment. A double-blind and placebo-controlled design is deemed appropriate because of the safety, tolerability and pharmacodynamic assessments that will be performed in this study. By double-blinding the study, bias arising from study subject's or investigator's knowledge about treatment assignment is avoided. Part C does not include a placebo group and will therefore not be blinded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A - ANEB-001 | Experimental | Subjects receive THC and varying amounts of ANEB-001 |
|
| Part A - Placebo | Placebo Comparator | Subjects receive THC and placebo |
|
| Part B - Cohort 1 - ANEB-001 | Experimental | Subjects receive 21 mg of THC and 30 mg of ANEB-001 |
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| Part B - Cohort 1 - Placebo | Placebo Comparator | Subjects receive 21 mg of THC and placebo |
|
| Part B - Cohort 2 - ANEB-001 | Experimental | Subjects receive 21 mg of THC and 10 mg of ANEB-001 |
|
| Part B - Cohort 2 - Placebo | Placebo Comparator | Subjects receive 21 mg of THC and placebo |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ANEB-001 | Drug | Experimental Treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| Subjective Feeling High | Feeling High on a visual analog scale (mm) | Day 1 |
| Postural stability | Body sway (mm); | Day 1 |
| Subjective Alertness | Alertness on a visual analog scale (mm) | Day 1 |
| Heart Rate | Heart Rate in beats/min | Day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Subjective Mood | Mood on a visual analog scale (mm) | Day 1 |
| Subjective Calmness | Calmness on a visual analog scale (mm) | Day 1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| GJ Groeneveld, MD, PhD | CHDR | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre for Human Drug Research (CHDR) | Leiden | South Holland | 2333 | Netherlands |
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| Part B - Cohort 3 - ANEB-001 | Experimental | Subjects receive 21 mg of THC and 1 hour later, 30 mg ANEB-001 |
|
| Part B - Cohort 3 - Placebo | Placebo Comparator | Subjects receive 21 mg THC and 1 hour later, placebo |
|
| Part B - Cohort 4 - ANEB-001 | Experimental | Subjects receive 40 mg of THC and 1 hour later, 10 mg of ANEB-001 |
|
| Part B - Cohort 4 - Placebo | Placebo Comparator | Subjects receive 40 mg of THC and 1 hour later, placebo |
|
| Part B - Cohort 5 - ANEB-001 | Experimental | Subjects receive 30 mg of THC and 1 hour later, 10 mg of ANEB-001 |
|
| Part B - Cohort 5 - Placebo | Placebo Comparator | Subjects receive 30 mg of THC and 1 hour later, 10 mg of ANEB-001 |
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| Part B - Cohort 6 - ANEB-001 | Experimental | Subjects will consume a high fat meal prior to receiving 30 mg of THC and 1 hour later, 10 mg of ANEB-001 |
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| Part B - Cohort 6 - Placebo | Placebo Comparator | Subjects will consume a high fat meal prior to receiving 30 mg of THC and 1 hour later, placebo |
|
| Part C - Cohort 7 - ANEB-001 | Experimental | Subjects receive a 40 mg dose of THC and a 10 mg dose of ANEB-001 |
|
| Part C - Cohort 8 - ANEB-001 | Experimental | Subjects receive a 60 mg dose of THC and a 20 mg dose of ANEB-001 |
|
| Placebo | Drug | Placebo comparator |
|
| Feeling of Drug Effect | Feeling of drug effect on a visual analog scale (mm) | Day 1 |
| Symbol Digit Substitution Test (SDST) | Part C Only | Day 1 |
| Visual Verbal Learning Test (VVLT) | Part C Only | Day 1 |
| Timed Up-and-Go test (TUG) | Part C Only | Day 1 |
| Alternate Finger Tapping (AFT) | Part C Only | Day 1 |
| Basic Symptom Inventory (BSI) | Part C Only | Day 1 |
| Brief Psychiatric Rating Scale (BPRS) | Part C Only | Day 1 |
| Clinical Global Impression of Severity (CGIS) | Part C Only | Day 1 |