Evidence map›Paper›PMID 26386827›Full record

Trial reportDrug and alcohol dependence2015

Buspirone treatment of cannabis dependence: A randomized, placebo-controlled trial.

Aimee L McRae-Clark, Nathaniel L Baker, Kevin M Gray, Therese K Killeen, Amanda M Wagner, Kathleen T Brady, C Lindsay DeVane, Jessica Norton

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 5 pooled it
6.8field-weighted citation impact, top 3% 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

39 citing papers in PubMed, 5 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pharmacotherapies for cannabis use disorder.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Sex- and Gender-Based Analysis in Cannabis Treatment Outcomes: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
  4. Pharmacotherapies for cannabis dependence.The Cochrane database of systematic reviews · 2019
    Pooled it
  5. Pooled it
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  12. Article
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  15. Pharmacotherapy for Cannabis Use Disorder: Preclinical and Clinical Models.Current topics in behavioral neurosciences · 2026
    Review
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  17. Article
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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

8 authors at 1 institution in 1 country.

Aimee L McRae-ClarkDepartment of Psychiatry, Medical University of South Carolina, Charleston, SC 29425, USA. Electronic address: mcraeal@musc.edu.
Nathaniel L BakerDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA.
Kevin M GrayDepartment of Psychiatry, Medical University of South Carolina, Charleston, SC 29425, USA.
Therese K KilleenDepartment of Psychiatry, Medical University of South Carolina, Charleston, SC 29425, USA.
Amanda M WagnerDepartment of Psychiatry, Medical University of South Carolina, Charleston, SC 29425, USA.
Kathleen T BradyDepartment of Psychiatry, Medical University of South Carolina, Charleston, SC 29425, USA.
C Lindsay DeVaneDepartment of Psychiatry, Medical University of South Carolina, Charleston, SC 29425, USA.
Jessica NortonDepartment of Psychiatry, Medical University of South Carolina, Charleston, SC 29425, USA.
Medical University of South Carolina · US

Funding

Buspirone Treatment for Marijuana DependenceR01DA026782 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MCRAE-CLARK, AIMEE L · 2009 to 2013
$1.6M
NIDA NIH HHS R01 DA026782NIDA NIH HHS R01DA026782
6 · The paper itself

Abstract

backgroundThe purpose of this study was to evaluate the efficacy of buspirone, a partial 5-HT1A agonist, for treatment of cannabis dependence.

methodsOne hundred seventy-five cannabis-dependent adults were randomized to receive either up to 60mg/day of buspirone (n=88) or placebo (n=87) for 12 weeks combined with a brief motivational enhancement therapy intervention and contingency management to encourage study retention. Cannabis use outcomes were assessed via weekly urine cannabinoid tests.

resultsParticipants in both groups reported reduced cannabis craving over the course of the study; however, buspirone provided no advantage over placebo in reducing cannabis use. Significant gender by treatment interactions were observed, with women randomized to buspirone having fewer negative urine cannabinoid tests than women randomized to placebo (p=0.007), and men randomized to buspirone having significantly lower creatinine adjusted cannabinoid levels as compared to those randomized to placebo (p=0.023). An evaluation of serotonin allelic variations did not find an association with buspirone treatment response.

conclusionsBuspirone was not more efficacious than placebo in reducing cannabis use. Important gender differences were noted, with women having worse cannabis use outcomes with buspirone treatment. Considerations for future medication trials in this challenging population are discussed.

Indexed as

AdultAllelesBuspironeCannabinoidsCombined Modality TherapyDouble-Blind MethodFemaleHumansMaleMarijuana AbuseMotivationPatient CompliancePsychotherapyReceptor, Serotonin, 5-HT1ASerotonin Receptor AgonistsSex CharacteristicsBuspironeCannabinoidsReceptor, Serotonin, 5-HT1ASerotonin Receptor AgonistsBuspironeCannabisContingency managementGender differencesMotivational enhancement therapy

Identifiers

PMID26386827
PMCPMC4633378
OpenAlexW2163434838

What OpenQuestion holds

Textmetadata
LicenceTDM
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.