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| ID | Type | Description | Link |
|---|---|---|---|
| Bio-4317 | Other Identifier | University of Saskatchewan Research Ethics Board | |
| 286992 | Other Identifier | Health Canada NOL control # |
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| Name | Class |
|---|---|
| University of Regina | OTHER |
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This project is aimed at understanding whether a new fast-dissolving cheek-administered cannabidiol strip will be absorbed better into the body than cannabidiol powder. The results of this study will help guide dosage formulation choices as well as dosing regimens in NFL athletes for concussion management.
Cannabis formulations are typically administered by the oral route of administration. This route represents the most common administration route for most pharmaceuticals due to the ease of administration and convenience. Inhalational products are not acceptable for the sport's athlete population due to potential damage to lung tissues. Topical products do not have adequate bioavailability to meet our therapeutic objectives. Our PK studies, then, need to employ the same dosage form and route of administration we expect to use in future clinical efficacy trials.
Given the low bioavailability expected with CBD oral formulations, we wish to assess two different formulations and the relative extent of CBD absorption. Our future planned CBD intervention studies in athletes will require use of larger doses of CBD. The formulation with the larger bioavailability will help to reduce the overall size of the dose utilized and therefore reduce the amount of product exposure in our clinical intervention studies. This will increase the likelihood that a Cannabis company can supply the necessary amount of product and reduce the overall cost associated with the studies. Generally speaking, based on current literature published around CBD administration for therapeutic application, higher doses of CBD (i.e., 50mg/kg/d) were found to correlate to more positive outcomes than lower doses (i.e., 1mg/kg/d). Assuming an average weight of 70 kg, a 1000 mg dose would be around 14.29 mg/kg, and a 3000 mg dose around 42.86 mg/kg. This will allow us to investigate the pharmacokinetics of CBD on both ends of the hypothetical efficacy trend. Studies have examined single orally administered doses up to 6000 mg with no serious adverse effects reported.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Oral Dose Administration of 250mg Buccally or 1000 mg Orally of two CBD formulations | Active Comparator | participants receiving the buccal formulation will be required to receive 10 strips by the cheeks, they will be instructed to only swallow at maximum once every 2 mins for the first 5 mins. This is to minimize the amount of CBD that will be carried into the GIT. This buccal administration group will receive 2 strips at a time, one on each cheek side, following 5 mins of dissolving, patients will receive 100mL of water to swish the residue in their mouths and swallow, then receive another pair of strips to repeat the process for a total of 5 times over the course of 30 minutes (i.e., 10 strips total). The group receiving the 1000mg oral CBD extract will mimic the buccal group in that they will receive that dose over the course of 30 minutes in 5 parts, 200mg per part, and will drink 100mL of water to accompany its administration |
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| Single Oral Dose Administration of 3000mg CBD Extract in Fed vs Fasting | Active Comparator | In the fasting group, participants will be asked to fast overnight (at least 10 hours fast) but are allowed to drink water.In the fed state group, participants will start their meal 30 minutes prior to receiving the dose. The meal will consist of high caloric (800-1000 Cal), high fat (~50% of total calories), with protein, and carbohydrates (~150 kcal, and ~250 kcal, respectively) content. No food will be administered 4 hours after the dose, and no water will be given 1 hour prior to dose administration and 1 hour after administration. The dose will be given however with a total of 235 mL of water. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cannabidiol | Drug | Patients in the first arm cross-over will receive either a single bolus dose of 250mg buccally administered or 1000mg CBD powder and cross over to vice-versa after 21 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic Parameters | relative bioavailability (F) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Pharmacokinetic Parameters | time to maximum plasma concentration (Tmax) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Pharmacokinetic Parameters | maximum plasma concentration (Cmax) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Pharmacokinetic Parameters | log-linear terminal phase rate constant (k) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Pharmacokinetic Parameters | area under the plasma concentration versus time curve (AUC) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Pharmacokinetic Parameters | absorption rate constant (ka) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Pharmacokinetic Parameters | apparent clearance (Cl/F) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Measure | Description | Time Frame |
|---|---|---|
| Safety of the drug using the Integrated Addendum to ICH E6(R1) | Safety of the study drug will be determined by measuring blood pressure (mmhg) | During the first week of administration and the 4th week of administration |
| Safety of the drug using the Integrated Addendum to ICH E6(R1) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Abdul Salama, PharmD | Contact | 3065600094 | abs915@usask.ca | |
| Jane Alcorn, DVM;PhD | Contact | (306) 966-6365 | jane.alcorn@usask.ca |
| Name | Affiliation | Role |
|---|---|---|
| Payam Dehghani, MD | Pasqua Hospital | Principal Investigator |
| Jane Alcorn, DVM;PhD | University of Saskatchewan | Principal Investigator |
| Abdul Salama, PharmD |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Saskatchewan | Recruiting | Saskatoon | Saskatchewan | S7N 5E5 | Canada |
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| ID | Term |
|---|---|
| D002185 | Cannabidiol |
| ID | Term |
|---|---|
| D002186 | Cannabinoids |
| D013729 | Terpenes |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
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We plan this study as a single-site (potentially multi-site), randomized, two-arm study, with one arm being a two-sequence crossover, single buccal, or oral dose in fasted healthy male adults, and the second arm being a two-sequence cross-over, single high oral dose PK study in fasted vs fed-state healthy male adults. Participants will be randomized into four groups (n = 16 in Arm 1, 8 per group (2 groups), all males; n = 4 in Arm 2, 2 per group (2 groups) all males) (ages 18 - 35) based on which formulation each group will receive. Individuals in study arm 1 will complete the study in the fasted state (10 hours of fasting). Individuals in study arm 2 will follow the fed-state protocol as outlined by the United States FDA's bioequivalent studies guideline
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| Cannabidiol | Drug | Patients will be randomised to receive 3000mg oral CBD fasting or Fed, they will the cross over to the other group 21 days following the first administration. |
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| Pharmacokinetic Parameters | apparent volume of distribution (Vd/F) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Pharmacokinetic Parameters | half-life | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
Safety of the study drug will be determined by measuring heart rate (beats/minute) |
| During the first week of administration and the 4th week of administration |
| Safety of the drug using the Integrated Addendum to ICH E6(R1) | Safety will be assessed by reporting of incidence of adverse events for each participant. | During the first week of administration and the 4th week of administration |
| Optimal washout periods | Measure CBD and it's metabolites over the course of the study to determine what the optimal washout period is for future studies | 3 weeks |
| Tolerability of the drug using the Integrated Addendum to ICH E6(R1) | Tolerability of the study drug will be determined by reporting of incidence of adverse events for each participant. | During the first week of administration and the 4th week of administration |
| Compare Fed vs Fast state on oral absorption kinetics | half-life | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Compare Fed vs Fast state on oral absorption kinetics | apparent volume of distribution (Vd/F) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Compare Fed vs Fast state on oral absorption kinetics | apparent clearance (Cl/F) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Compare Fed vs Fast state on oral absorption kinetics | absorption rate constant (ka) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Compare Fed vs Fast state on oral absorption kinetics | area under the plasma concentration versus time curve (AUC) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Compare Fed vs Fast state on oral absorption kinetics | log-linear terminal phase rate constant (k) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Compare Fed vs Fast state on oral absorption kinetics | maximum plasma concentration (Cmax) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Compare Fed vs Fast state on oral absorption kinetics | time to maximum plasma concentration (Tmax) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| Compare Fed vs Fast state on oral absorption kinetics | relative bioavailability (F) | 1 week of samples will be collected. 2 week washout. Then another week of samples after cross over |
| University of Saskatchewan |
| Study Director |