Evidence map›Paper›PMID 23443718›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2013

Nabilone decreases marijuana withdrawal and a laboratory measure of marijuana relapse.

Margaret Haney, Ziva D Cooper, Gillinder Bedi, Suzanne K Vosburg, Sandra D Comer, Richard W Foltin

Open access · bronzeAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 5 pooled it
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 5 syntheses or guidelines pooled it, 126 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pharmacotherapies for cannabis dependence.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Pooled it
  5. Pharmacotherapies for cannabis dependence.The Cochrane database of systematic reviews · 2014
    Pooled it
  6. Trial
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  8. Trial
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  16. An fMRI-Based Neural Signature of Decisions to Smoke Cannabis.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2015
    Trial
  17. Naltrexone Maintenance Decreases Cannabis Self-Administration and Subjective Effects in Daily Cannabis Smokers.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2015
    Trial
  18. Trial
  19. Trial
  20. Pharmacotherapy for Cannabis Use Disorder: Preclinical and Clinical Models.Current topics in behavioral neurosciences · 2026
    Review

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Margaret HaneyDivision on Substance Abuse, New York State Psychiatric Institute, College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA. mh235@columbia.edu
Ziva D Cooper
Gillinder Bedi
Suzanne K Vosburg
Sandra D Comer
Richard W Foltin
Columbia University · US

Funding

PHARMACOLOGICAL TREATMENT OF MARIJUANA DEPENDENCEP50DA009236 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI KLEBER, HERBERT DAVID · 1994 to 2013
$39.4M
Neurobehavioral Mechanisms of Decisions to Smoke Marijuana and Cocaine in HumansK23DA034877 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BEDI, GILLINDER I. · 2013 to 2017
$930k
Behavioral and Physiological Effects of Marijuana on Smoked CocaineK01DA027755 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI COOPER, ZIVA D · 2010 to 2014
$929k
Clinical and Preclinical Models in Drug Abuse: Training and DevelopmentK05DA031749 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FOLTIN, RICHARD W · 2011 to 2015
$641k
NIDA NIH HHS DA09236NIDA NIH HHS K01 DA027755NIDA NIH HHS K05 DA031749NIDA NIH HHS K23 DA034877NIDA NIH HHS P50 DA009236
6 · The paper itself

Abstract

Few individuals seeking treatment for marijuana use achieve sustained abstinence. The cannabinoid receptor agonist, Δ(9)-tetrahydrocannabinol (THC; dronabinol), decreases marijuana withdrawal symptoms, yet does not decrease marijuana use in the laboratory or clinic. Dronabinol has poor bioavailability, which may contribute to its poor efficacy. The FDA-approved synthetic analog of THC, nabilone, has higher bioavailability and clearer dose-linearity than dronabinol. This study tested whether nabilone administration would decrease marijuana withdrawal symptoms and a laboratory measure of marijuana relapse relative to placebo. Daily, nontreatment-seeking marijuana smokers (8 men and 3 women), who reported smoking 8.3±3.1 marijuana cigarettes/day completed this within-subject study comprising three, 8-day inpatient phases; each phase tested a different nabilone dose (0, 6, 8 mg/day, administered in counter-balanced order on days 2-8). On the first inpatient day, participants took placebo capsules and smoked active marijuana (5.6% THC) at six timepoints. For the next 3 days, they had the opportunity to self-administer placebo marijuana (0.0% THC; withdrawal), followed by 4 days in which active marijuana was available for self-administration (5.6% THC; relapse). Both nabilone dose conditions decreased marijuana relapse and reversed withdrawal-related irritability and disruptions in sleep and food intake (p<0.05). Nabilone (8 mg/day) modestly worsened psychomotor task performance. Neither dose condition increased ratings of capsule 'liking' or desire to take the capsules relative to placebo. Thus, nabilone maintenance produced a robust attenuation of marijuana withdrawal symptoms and a laboratory measure of relapse even with once per day dosing. These data support testing of nabilone for patients seeking marijuana treatment.

Indexed as

AdultDose-Response Relationship, DrugDronabinolFemaleHumansMaleMarijuana AbuseMarijuana SmokingPsychomotor PerformanceSecondary PreventionSelf AdministrationSubstance Withdrawal SyndromeYoung AdultDronabinolnabilone

Identifiers

PMID23443718
PMCPMC3682150
OpenAlexW2022556169

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.