Accepts Healthy Volunteers
Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms
An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.
An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.
Searching Both is inclusive of interventional and observational studies.
|Eligible Ages||18 Years and Over|
Inclusion Criteria Hand-OA:
- - Patients (18 years or more) with Hand-OA according to the American Collage of Rheumatology (ACR) criteria (1990) - Ability and willingness to give written informed consent and to meet the requirements of the study protocol.
- - VAS pain during the last 24 hours 30mm or more.
- - Negative pregnancy test (serum HCG) prior to trial start (for women of childbearing potential) and the use of contraception throughout the study period and for 3 months after conclusion of the study period for males and females of childbearing potential.
- - Patients (18 years or more) with PsA according to the Calcification Criteria for Psoriatic Arthritis (CASPAR) criteria (2006) - Ability and willingness to give written informed consent and to meet the requirements of the study protocol.
- - VAS pain during the last 24 hours 30mm or more.
- - Negative pregnancy test (serum human chorionic gonadotropin (HCG)) prior to trial start and the use of contraception throughout the study period and for 1 month after conclusion of the study period for women of childbearing potential.
- - Concurrent diagnosis of chronic regional pain syndrome or neuropathy.
- - Other known inflammatory rheumatic disease (i.e. rheumatoid arthritis, gout not in remission) - Other known disease where exacerbations need to be treated with systemic corticosteroids (i.e. certain types of inflammatory bowel disease) or patients who have received systemic corticosteroid treatment during the last 3 months.
- - Planning pregnancy, pregnant or breastfeeding.
- - Planned major surgery or recent major surgery (last 8weeks) - Addictive behaviour or previously addictive behaviour defined as abuse of cannabis, opioids or other recreational or pharmaceutical drugs.
- - Contraindication to medical cannabis (Known allergy to ingredients, history of severe liver or kidney disease, history of schizophrenia or other serious psychiatric disease).
- - Verified malignant disease.
- - History of epilepsy or severe cramps.
- - History of serious cardiovascular pathology.
- - Lacking ability to corporate with the research staff.
- - Indication for changing the anti-inflammatory treatment regimen at baseline (PsA only).
This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.
Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.
Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.
Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.
Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.
The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.
|Aalborg University Hospital|
The person who is responsible for the scientific and technical direction of the entire clinical study.
|Principal Investigator Affiliation||Dept. of rheumatology Aalborg University Hospital|
Category of organization(s) involved as sponsor (and collaborator) supporting the trial.
The disease, disorder, syndrome, illness, or injury that is being studied.
|Psoriatic Arthritis, Hand Osteoarthritis|
A randomized, placebo-controlled trial with blinded outcome assessments will be conducted to evaluate the efficacy and safety of CBD in patients with Hand-OA and PsA during a 12-week treatment period. Aim: To assess the effect of CBD on visual analogue scale pain measurements at 12 weeks compared with placebo. Patients and controls: Patients with Hand-OA or PsA and VASpain during the last 24hours of 30mm or more. Primary outcome: Changes in VAS pain during the last 24 hours from baseline to 12 weeks. Measured with a 100mm VAS from the most symptomatic hand (Hand-OA) or joint (PsA). Safety outcomes. 1. Percentage of patients experiencing adverse events (AE) 2. A characterization of serious adverse events (SAE) Exploratory outcomes. 1. Difference in VAS-pain at the 24-week follow-up visit between the intervention and placebo group. 2. Correlation between baseline quantitative sensory testing (QST) and treatment effect after 12 weeks. 3. Difference in QST change between the intervention and placebo group after 12 weeks of treatment. 4. Correlation between baseline psychosocial parameters, patient reported outcomes (PROMs) and treatment effect. 5. Difference in changes of the psychosocial parameters and PROMs between the intervention and control group after 12 weeks of treatment. Intervention: 10mg CBD tablets once daily for the first two weeks increasing to twice daily for week 3 and 4 if adequate analgesic effect is not attained at week 5 then the dose can be increased to 10mg thrice daily from week 5 and onward. The medicine and placebo will be delivered and produced by Glostrup pharmacy. Examination programme: All participants will receive a full medical interview and a physical examination which includes auscultation, blood pressure, heart rate and saturation measurements and BMI calculation. All participants will have blood drawn for later examination for markers of inflammation and degeneration. All participants will go through Quantitative Sensory Testing (QST). QST covers a wide range of different examinations techniques used to assess the functional status of the somatosensory system. In the present study pressure algometry and cuff algometry will be performed. Pain phenotyping: Participants will answer a series of questionnaires related to the pain experience to assess: Anxiety and depression (the hospital anxiety and depression scale), pain catastrophizing (the pain catastrophizing scale), pain description (The short form McGill questionnaire and pain detect questionnaire), sleep quality (Pittsburgh sleep quality index) and a Widespread Pain Assessment questionnaire and the Symptom Severity Index. To assess function and quality of life the Short form 36 and Health assessment questionnaire will be used. Patients with PsA: Will receive an examination for disease specific tests including: joint tenderness and swelling using the EULAR66/68 regiment, dactylitis evaluation using Leeds dactylitis index basic, skin involvement using the psoriasis area and severity index and nail psoriasis via nail psoriasis severity index. Patients with Hand-OA: Will receive the following disease specific examinations evaluation of tender and swollen joints of the hands and wrists. Grip and pinch strength measurements using a hand-held dynamometer and the functional index of hand-osteoarthritis. The trial consists of a screening visit, a baseline visit where the patient will undergo randomization, a phone consultation after 4 weeks a blood and urin sample after 6 weeks. and an end of trial visit at week 12. Patients will be invited to a follow-up visit at week 24. Patients will be asked for adverse events at each visit and these are recorded in the eCRF.
10mg Cannabidiol (CBD) tablets once daily for the first two weeks increasing to twice daily for week 3 and 4 if adequate analgesic effect is not attained at week 5 then the dose can be increased to 10mg thrice daily from week 5 and onward.
Placebo Comparator: Placebo
10mg Placebo Oral tablets once daily for the first two weeks increasing to twice daily for week 3 and 4 if adequate analgesic effect is not attained at week 5 then the dose can be increased to 10mg thrice daily from week 5 and onward.
Drug: - Cannabidiol
Cannabidiol (CBD) tablets of 10mg each
Drug: - Placebo Oral Tablet
Oral Placebo tablets of 10mg each
Contact a Trial Team
If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.