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This is a pilot randomized cross-over trial to examine the effects of tirzepatide on cue-reactivity among individuals with cannabis use disorder.
This is a pilot randomized cross-over trial to examine the effects of tirzepatide on cue-reactivity among individuals with cannabis use disorder. Eligible participants will be scheduled in random order to receive either tirzepatide or placebo injection in double-blind fashion and cross-over design. Outcomes will be assessed at the following study visit. Washout period of at least 4 weeks will be required between tirzepatide or placebo injections. Primary outcome of interest is cue-induced craving to cannabis-related visual cues.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| tirzepatide | Experimental | 2.5mg subcutaneous injection once |
|
| placebo | Placebo Comparator | matching placebo subcutaneous injection once |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tirzepatide | Drug | 2.5mg subcutaneous injection once |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Cue-Induced Craving | Craving scores will be assessed using a cue-reactivity paradigm in which participants are exposed to cannabis]-related cues. Scores range from 0 to 30, with higher scores indicating greater craving intensity. | 5 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Serious adverse event | Incidence of serious adverse events | 5 weeks |
| Cravings | Cannabis craving scale using the 12-item questionnaire, each item scored on a 1-7 sale. Higher scores (either average or summed) indicates stronger cravings. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mary R Shen, MD | Contact | 6177325752 | mshen4@bwh.harvard.edu |
| Name | Affiliation | Role |
|---|---|---|
| Joji Suzuki | Brigham and Women's Hospital | Principal Investigator |
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| ID | Term |
|---|---|
| D000098860 | Tirzepatide |
| ID | Term |
|---|---|
| D000067757 | Glucagon-Like Peptide-1 Receptor |
| D000067756 | Glucagon-Like Peptide Receptors |
| D043562 | Receptors, G-Protein-Coupled |
| D011956 | Receptors, Cell Surface |
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Double-blind placebo-controlled
| Drug |
Saline placebo subcutaneous injection once |
|
| 5 weeks |
| Abstinence | Percent days abstinent from cannabis | 5 weeks |
| Weight | Weight | 5 weeks |
| Blood sugar | Blood glucose | 5 weeks |
| Hemoglobin A1c | Hemoglobin A1c | 5 weeks |
| Depression severity as measured by the Patient Health Questionnaire-8 (PHQ-8) | Depression severity as measured by the Patient Health Questionnaire-8 (PHQ-8). The PHQ-8 assesses depression severity over the past two weeks. Total scores range from 0 to 24, with higher scores indicating greater depression severity (worse outcome). Score interpretation: 0-4 (none), 5-9 (mild), 10-14 (moderate), 15-19 (moderately severe), 20-24 (severe depression). | 5 weeks |
| Anxiety severity as measured by the Generalized Anxiety Disorder-7 scale (GAD-7) | The GAD-7 assesses anxiety symptom severity over the past two weeks. Total scores range from 0 to 21, with higher scores indicating greater anxiety severity (worse outcome). Score interpretation: 0-4 (minimal anxiety), 5-9 (mild), 10-14 (moderate), 15-21 (severe anxiety). | 5 weeks |
| Suicidality as measured by the C-SSRS (Columbia-Suicide Severity Rating Scale) | The C-SSRS assesses the presence and severity of suicidal ideation and behavior. Suicidal ideation severity scores range from 0 to 5 (0=no ideation, 1=wish to be dead, 2=non-specific active suicidal thoughts, 3=active suicidal ideation with methods, 4=suicidal intent, 5=suicidal intent with plan), with higher scores indicating greater severity (worse outcome). The scale also captures suicidal behavior as binary yes/no responses. | 5 weeks |
| D008565 | Membrane Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D011964 | Receptors, Gastrointestinal Hormone |
| D018000 | Receptors, Peptide |