Efficacy of Cannabidiol in Knee Osteoarthritis

• Status: Recruiting
• Trial end date: 2022-12-01
• Target enrollment: 0
• Participant gender: All

Summary

Painful symptomatic osteoarthritis (OA) of the knee is a very common disease, especially in older people (lifetime prevalence 9.5%). Current systemic pharmacological treatment options are limited.

Many patients presenting with knee osteoarthritis are of an advanced age and suffer from various co-morbidities. The benefit of the available systemic pharmacological treatment options in these patients can be summarized as uncertain. Therefore, the investigation of new symptomatic systemic pharmacological treatment options for knee OA is relevant. Even in patients without known contraindications, the treatment period with non-steroidal anti-inflammatory drugs should be kept short. It follows that the investigation of new potentially anti-inflammatory substances is of interest in symptomatic OA of the knee.

Cannabidiol has anti-inflammatory and analgesic properties in animal models. We therefore propose a randomised, double-blind, placebo-controlled clinical trial to investigate the potential efficacy of cannabidiol in painful symptomatic OA of the knee.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Medical University of Vienna
• Treatments: Cannabidiol; Epidiolex

Criteria

Inclusion Criteria:

Patient must be willing and able to give informed consent for participation in the study

• Age 18-80 years

• Knee Pain

• WOMAC Pain Subscale ≥ 5 during screening

• Mean Visual Analogue Scale (VAS) ≥ 5 during 1 week of screening.

• Fulfilment of the clinical criteria of the American College of Rheumatology for knee OA 13

• X-ray or MRI confirmation of knee osteoarthritis

All medications or interventions for pain due to knee osteoarthritis must have been stable for two weeks prior to screening and patient is willing to maintain a stable regimen throughout the study.

Exclusion Criteria:

Exclusion Criteria:

• Current mood disorder (dysthymia, bipolar mood disorder)

• Major Depression > 12 months (Beck Depression Inventory Score ≥ 18)

• History of a psychoactive substance use disorder within the preceding 12 months

• Major coexisting medical illness (e.g. severe heart failure, pulmonary hypertension, renal insufficiency)

• Glaucoma

• Acute myocardial infarction

• Uncontrolled hypertension

• History of convulsion

• Pregnancy; women of childbearing age will be required to use contraceptives during the duration of the study. Furthermore a pregnancy test will be performed prior to the beginning of the study and once a month during the study period.

• Breast feeding

• Participation in a clinical trial in the 3 weeks preceding the study

• Allergy to study medication

• Recent intra-articular corticosteroid or hyaluronic acid injection in the knee joint. Patients must be willing to abstain from such interventions during the entire study

• Use of the following medication:

• opioids except for tramadol,

• benzodiazepines other than indicated at low doses for sleep disorders

• NSAID

• Corticosteroids

• Impaired kidney function (Creatinine > 1.5mg/dl)

• Patient has significantly impaired hepatic function defined as any of the following:

• Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >5 × upper limit of normal (ULN).

• ALT or AST >3 × ULN and (total bilirubin [TBL] >2 × ULN or international normalized ratio [INR] >1.5).

• ALT or AST >3 × ULN with the presence of fatigue, nausea, vomiting, right upper quadrant pain or tenderness, fever, rash,and/or eosinophilia (>5%).

• Patient is currently using or has in the past used recreational or medicinal cannabis or synthetic cannabinoid based medications within 3 months prior to study entry

• Patient is unwilling to abstain from using recreational or medicinal cannabis, or synthetic cannabinoid based medications during the study

• Patients who are not able to understand the study measures and are not able to complete pain assessment forms.