Evidence map›Paper›PMID 27085870›Full record

Trial reportPsychopharmacology2016

Effects of zolpidem alone and in combination with nabilone on cannabis withdrawal and a laboratory model of relapse in cannabis users.

Evan S Herrmann, Ziva D Cooper, Gillinder Bedi, Divya Ramesh, Stephanie C Reed, Sandra D Comer, Richard W Foltin, Margaret Haney

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 5 pooled it
6.4field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 5 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pharmacotherapies for cannabis dependence.The Cochrane database of systematic reviews · 2019
    Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Pharmacotherapy for Cannabis Use Disorder: Preclinical and Clinical Models.Current topics in behavioral neurosciences · 2026
    Review
  10. Review
  11. Cannabis use disorder: from neurobiology to treatment.The Journal of clinical investigation · 2024
    Review
  12. Review
  13. Review
  14. Clinical management of cannabis withdrawal.Addiction (Abingdon, England) · 2022
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review
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.

Evan S HerrmannDivision on Substance Abuse, New York State Psychiatric Institute, Department of Psychiatry, Columbia University Medical Center, New York, NY, USA. herrman@nyspi.columbia.edu.
Ziva D CooperDivision on Substance Abuse, New York State Psychiatric Institute, Department of Psychiatry, Columbia University Medical Center, New York, NY, USA.
Gillinder BediDivision on Substance Abuse, New York State Psychiatric Institute, Department of Psychiatry, Columbia University Medical Center, New York, NY, USA.
Divya RameshDivision on Substance Abuse, New York State Psychiatric Institute, Department of Psychiatry, Columbia University Medical Center, New York, NY, USA.
Stephanie C ReedDivision on Substance Abuse, New York State Psychiatric Institute, Department of Psychiatry, Columbia University Medical Center, New York, NY, USA.
Sandra D ComerDivision on Substance Abuse, New York State Psychiatric Institute, Department of Psychiatry, Columbia University Medical Center, New York, NY, USA.
Richard W FoltinDivision on Substance Abuse, New York State Psychiatric Institute, Department of Psychiatry, Columbia University Medical Center, New York, NY, USA.
Margaret HaneyDivision on Substance Abuse, New York State Psychiatric Institute, Department of Psychiatry, Columbia University Medical Center, New York, NY, USA.
Columbia University Irving Medical Center · 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
Translational Clinical Research Fellowship on Substance Use DisordersT32DA007294 · NIDA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Frances Rudnick Levin, Diana M Martinez · 1993 to 2026
$9.3M
NIDA NIH HHS P50 DA009236NIDA NIH HHS T32 DA007294
6 · The paper itself

Abstract

rationaleEach year, over 300,000 individuals in the USA enter treatment for cannabis use disorder (CUD). The development of effective pharmacotherapy for CUD is a priority.

objectiveThis placebo-controlled study examined the effects of zolpidem alone and in combination with nabilone on cannabis withdrawal and a laboratory measure of relapse.

methodsEleven daily, non-treatment-seeking cannabis users completed three, 8-day inpatient phases; each phase tested a different medication condition in counter-balanced order. On the first day of each phase, participants were administered placebo capsules t.i.d. and smoked experimenter-administered active cannabis (5.6 % Δ(9)-tetrahydrocannabinol (THC)). On days 2-8, the participants were administered capsules containing either placebo (0 mg at 0900, 1800, and 2300 hours), zolpidem (0 mg at 0900 and 1800, and 12.5 mg at 2300), or zolpidem (12.5 mg at 2300) and nabilone (3 mg at 0900 and 1800). Cannabis withdrawal, subjective capsule effects, and cognitive performance were examined on days 3-4, when only inactive cannabis (0.0 % THC) was available for self-administration. "Relapse" was measured on days 5-8, when participants could self-administer active cannabis.

resultsBoth medication conditions decreased withdrawal-related disruptions in sleep, but only zolpidem in combination with nabilone decreased withdrawal-related disruptions in mood and food intake relative to placebo. Zolpidem in combination with nabilone, but not zolpidem alone, decreased self-administration of active cannabis. Zolpidem in combination with nabilone also produced small increases in certain abuse-related subjective capsule ratings, while zolpidem alone did not. Neither medication condition altered cognitive performance.

conclusionsClinical testing of nabilone, either alone, or in combination with zolpidem is warranted.

Indexed as

AdultAffectAnti-Anxiety AgentsCognitionDose-Response Relationship, DrugDouble-Blind MethodDronabinolDrug Therapy, CombinationEatingFemaleHumansHypnotics and SedativesMaleMarijuana AbuseMarijuana SmokingMiddle AgedAnti-Anxiety AgentsDronabinolHypnotics and SedativesnabilonePyridinesZolpidemCannabinoidsRelapseSelf-administrationWithdrawal

Identifiers

PMID27085870
PMCPMC5302052
OpenAlexW2336097093

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.