Pilot Trial Proposal looking at the use of Cannabinoids for analgesia in chronic myocardial ischaemic chest pain, using Sativex Oromucosal Spray
In a patient with chronic ischaemic chest pain, will Sativex Oromucosal Spray reduce their pain
Dr Adrian Owen
10 participants
Jul 1, 2014
Interventional
Conditions
Summary
Currently treatment for patients with longstanding chest pain caused by blockage of the blood supply to the heart is often ineffective. This trial will be to see if a spray under the tongue of a cannabis extract will help to relieve their pain. It is already used for chronic pain associated with cancer.
Eligibility
Inclusion Criteria1
- In this initial trial the treatment group will be patients admitted to Waikato Hospital Emergency Department or Cardiology department, who are known to suffer from intractable coronary disease
Exclusion Criteria3
- – Hypersensitivity to cannabinoids
- – History of Schizophrenia
- – Pregnant or breast feeding mothers
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Interventions
In this initial trial the treatment group will be patients admitted to Waikato Hospital Emergency Department or Cardiology department, who are known to suffer from intractable coronary disease. They will score their pain from 1-10 on a Numeric Rating Scale (NRS) and be given a single oromucosal spray dose of Sativex up to every 4 hours for a max of 5 days their NRS pain score will then be recorded one hour after receiving the dose. Each 100 microlitre Sativex spray contains: 2.7 mg delta-9-tetrahydrocannabinol (THC) and 2.5 mg cannabidiol (CBD). Each ml contains: 38-44 mg and 35-42 mg of two extracts (as soft extracts) from Cannabis sativa L., folium cum flore (Cannabis leaf and flower) corresponding to 27 mg delta-9-tetrahydrocannabinol and 25 mg cannabidiol. Extraction solvent: Liquid carbon dioxide. Excipient(s) with known effect: each 100 microlitre spray also contains up to 0.04 g ethanol.
Locations(1)
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ACTRN12614000622606