Cannabidiol versus risperidone for treatment of recent-onset psychosis with comorbid cannabis use: study protocol for a randomized controlled clinical trial
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Cannabidiol versus risperidone for treatment of recent-onset psychosis with comorbid cannabis use : study protocol for a randomized controlled clinical trial. / Rasmussen, Jesper Østrup; Jennum, Poul; Linnet, Kristian; Glenthøj, Birte Y.; Baandrup, Lone.
I: BMC Psychiatry, Bind 21, 404, 2021.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Cannabidiol versus risperidone for treatment of recent-onset psychosis with comorbid cannabis use
T2 - study protocol for a randomized controlled clinical trial
AU - Rasmussen, Jesper Østrup
AU - Jennum, Poul
AU - Linnet, Kristian
AU - Glenthøj, Birte Y.
AU - Baandrup, Lone
N1 - Publisher Copyright: © 2021, The Author(s).
PY - 2021
Y1 - 2021
N2 - Background: Cannabis use is an important risk factor for development of psychosis and further transition to schizophrenia. The prevalence of patients with psychosis and comorbid cannabis use (dual diagnosis) is rising with no approved specialized pharmacological treatment option. Cannabidiol, a constituent of the Cannabis sativa plant, has potential both as an antipsychotic and as a cannabis substituting agent. The aim of this study is to evaluate the efficacy of cannabidiol versus a first-choice second-generation antipsychotic (risperidone) in patients with early psychosis and comorbid cannabis use. Methods: The study is a phase II randomized, double-blinded, parallel-group, active-comparator clinical trial. We plan to include 130 patients aged between 18 and 64 years with a recent diagnosis of psychosis, comorbid cannabis use, and currently not treated with antipsychotics. The participants will be randomized to seven weeks of treatment with either cannabidiol 600 mg (300 mg BID) or risperidone 4 mg (2 mg BID). Participants will undergo clinical assessment after 1, 3, 5 and 7 weeks, telephone assessment the weeks in between, and a safety visit two weeks after end of treatment. The primary outcomes are cessation of cannabis use (self-reported) and psychotic symptom severity. The secondary outcomes include frequency and quantity of cannabis use, global illness severity, psychosocial functioning, subjective well-being, cognition, sleep, circadian rhythmicity, and metabolomics. Discussion: The results of this trial can potentially contribute with a new treatment paradigm for patients suffering from dual diagnosis. Trial registration: ClinicalTrials.gov, NCT04105231, registered April 23rd, 2021
AB - Background: Cannabis use is an important risk factor for development of psychosis and further transition to schizophrenia. The prevalence of patients with psychosis and comorbid cannabis use (dual diagnosis) is rising with no approved specialized pharmacological treatment option. Cannabidiol, a constituent of the Cannabis sativa plant, has potential both as an antipsychotic and as a cannabis substituting agent. The aim of this study is to evaluate the efficacy of cannabidiol versus a first-choice second-generation antipsychotic (risperidone) in patients with early psychosis and comorbid cannabis use. Methods: The study is a phase II randomized, double-blinded, parallel-group, active-comparator clinical trial. We plan to include 130 patients aged between 18 and 64 years with a recent diagnosis of psychosis, comorbid cannabis use, and currently not treated with antipsychotics. The participants will be randomized to seven weeks of treatment with either cannabidiol 600 mg (300 mg BID) or risperidone 4 mg (2 mg BID). Participants will undergo clinical assessment after 1, 3, 5 and 7 weeks, telephone assessment the weeks in between, and a safety visit two weeks after end of treatment. The primary outcomes are cessation of cannabis use (self-reported) and psychotic symptom severity. The secondary outcomes include frequency and quantity of cannabis use, global illness severity, psychosocial functioning, subjective well-being, cognition, sleep, circadian rhythmicity, and metabolomics. Discussion: The results of this trial can potentially contribute with a new treatment paradigm for patients suffering from dual diagnosis. Trial registration: ClinicalTrials.gov, NCT04105231, registered April 23rd, 2021
KW - Antipsychotic medication
KW - Cannabidiol
KW - Cannabis
KW - Dual diagnosis
KW - Psychosis
KW - Randomized clinical trial
KW - Schizophrenia
KW - THC
U2 - 10.1186/s12888-021-03395-9
DO - 10.1186/s12888-021-03395-9
M3 - Journal article
C2 - 34391393
AN - SCOPUS:85112439407
VL - 21
JO - B M C Psychiatry
JF - B M C Psychiatry
SN - 1471-244X
M1 - 404
ER -
ID: 276757723