Status:

NOT_YET_RECRUITING

Dronabinol and Epidiolex to Manage Uncontrolled Residual Symptoms of Buprenorphine Initiation Trial

Lead Sponsor:

Montefiore Medical Center

Collaborating Sponsors:

National Institute on Drug Abuse (NIDA)

Conditions:

Opioid Use Disorder

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The goal of this pilot study is to test novel, adjunctive pharmacotherapy for patients with opioid use disorder (POUD) who may be at risk for overdose and other poor opioid use disorder (OUD) outcomes...

Detailed Description

OUD and opioid overdose death rates remain shockingly high in the United States fueled by high potency opioids like fentanyl. Buprenorphine is an evidence-based therapy for OUD that reduces mortality,...

Eligibility Criteria

Inclusion

  • Fluency in English and Spanish
  • The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnosis of OUD
  • Newly initiated on buprenorphine within 21 days
  • Positive urine toxicology for opioids other than buprenorphine in the past week OR opioid withdrawal symptoms in the past week based on the Clinical Opioid Withdrawal Scale (COWS) \>=5
  • Any cannabis use in the past at or after the age of 18 years based on self-report

Exclusion

  • Urine toxicology positive for cannabinoids
  • Inability to provide informed consent
  • Liver tests (AST or ALT) \>3 times the upper limit of normal, or a history of liver disease
  • Pregnancy or breast/chest feeding
  • Unstable cardiac disease, history of hypotension or syncope
  • Psychotic disorder, or history of suicidal behavior and/or ideation
  • Progressive neurological conditions, frequent falls, or history of epileptic seizures
  • Severe alcohol use disorder, benzodiazepine use disorder or stimulant use disorder
  • Other serious medical conditions that would be a contraindication to THC or CBD use

Key Trial Info

Start Date :

January 1 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2027

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT07148206

Start Date

January 1 2026

End Date

August 1 2027

Last Update

October 8 2025

Active Locations (1)

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1

Montefiore Health System (Montefiore) Buprenorphine Treatment Network

The Bronx, New York, United States, 10467