About this trial
This study investigates sex differences in reward processing following acute THC administration in adults with cannabis use disorder (CUD). Using multimodal neuroimaging (MRS and fMRI), the study will assess glutamate levels in the nucleus accumbens and striatal BOLD response to monetary reward anticipation. Participants will complete two counterbalanced dosing sessions (oral THC 40 mg vs. placebo).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 21-45
DSM-5 criteria for CUD
Cannabis use ≥4 days/week
THC-positive urine
Disqualifiers
Lifetime psychotic or bipolar disorder
Recent drug use other than cannabis
Current psychotropic medication
Treatment-seeking for SUD
Trial design
Crossover
Treatments tested in this trial
Dronabinol
DrugOral dronabinol capsules (40 mg)
Placebo
DrugMatched placebo capsules
Treatment groups
Trial outcomes
Primary outcomes
Nucleus accumbens glutamate
Concentrations of nucleus accumbens glutamate measured via proton magnetic resonance spectroscopy
Striatal reward anticipation
Blood oxygen-level-dependent (BOLD) signaling in the striatum (caudate, putamen, nucleus accumbens) measured using functional magnetic resonance imaging (fMRI) during a monetary reward task
Secondary outcomes
Drug Effects Questionnaire (DEQ) - Like Drug Effect
Visual Analog Scale rating of subjective drug liking included in the Drug Effects Questionnaire. Score ranges from 0 (not at all) to 100 (extremely) using a 100mm line anchored with none/extreme designation.
Drug Effects Questionnaire (DEQ) - Want More
Visual Analog Scale rating of subjective desire for more of the same drug included in the Drug Effects Questionnaire. Score ranges from 0 (not at all) to 100 (extremely) using a 100mm line anchored with none/extreme designation.
Drug Effects Questionnaire (DEQ) - High
Visual Analog Scale rating of subjective "high" included in the Drug Effects Questionnaire. Score ranges from 0 (not at all) to 100 (extremely) using a 100mm line anchored with none/extreme designation.
Nucleus accumbens GABA
Concentrations of nucleus accumbens GABA measured via proton magnetic resonance spectroscopy
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Medical University of South Carolina
Lead sponsor
National Institutes of Health (NIH)
Collaborator
National Institute on Drug Abuse (NIDA)
Collaborator