Evidence map›Paper›PMID 32360455›Full record

ReviewDrug and alcohol dependence2020

The state of clinical outcome assessments for cannabis use disorder clinical trials: A review and research agenda.

Mallory J E Loflin, Brian D Kiluk, Marilyn A Huestis, Will M Aklin, Alan J Budney, Kathleen M Carroll, Deepak Cyril D'Souza, Robert H Dworkin, Kevin M Gray, Deborah S Hasin and 13 more

Abstract readReview
In one paragraph

Review in Drug and alcohol dependence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

46 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pharmacotherapies for cannabis use disorder.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Characterizing cannabis use reduction and change in functioning during treatment: Initial steps on the path to new clinical endpoints.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022
    Trial
  6. Evaluating cannabis use risk reduction as an alternative clinical outcome for cannabis use disorder.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Association of cannabis use disorder with clinical outcomes following lumbar spinal fusion: a propensity-matched cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Pharmacotherapy for Cannabis Use Disorder: Preclinical and Clinical Models.Current topics in behavioral neurosciences · 2026
    Review
  16. Cannabis to cope with COVID-19 in college.Journal of American college health : J of ACH · 2025
    Article
  17. Article
  18. Article
  19. Review
  20. Cannabis use disorder: from neurobiology to treatment.The Journal of clinical investigation · 2024
    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

23 authors.

Mallory J E LoflinUniversity of California San Diego, School of Medicine, 9500 Gilman Dr, La Jolla, CA 92093, United States; San Diego Veterans Affairs Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161, United States.
Brian D KilukYale University School of Medicine, 333 Cedar St, New Haven, CT 06510, United States. Electronic address: brian.kiluk@yale.edu.
Marilyn A HuestisThe Lambert Center for the Study of Medicinal Cannabis and Hemp, Thomas Jefferson University, 4201 Henry Ave, Philadelphia, PA 19144, United States.
Will M AklinNIH/NIDA Division of Therapeutics and Medical Consequences of Drug Abuse, 10 Center Dr, Bethesda, MD 20814, United States.
Alan J BudneyGeisel School of Medicine at Dartmouth, 1 Rope Ferry Rd, Hanover, NH 03755, United States.
Kathleen M CarrollYale University School of Medicine, 333 Cedar St, New Haven, CT 06510, United States.
Deepak Cyril D'SouzaYale University School of Medicine, 333 Cedar St, New Haven, CT 06510, United States.
Robert H DworkinUniversity of Rochester School of Medicine and Dentistry, 601 Elmwood Ave, Rochester, NY 14642, United States.
Kevin M GrayMedical University of South Carolina, 67 President St, MSC861, Charleston, SC 29425, United States.
Deborah S HasinColumbia University Medical Center, 722 W. 168(th) St, New York, NY 10027, United States.
Dustin C LeeJohns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD 21205, United States.
Bernard Le FollCentre for Addiction and Mental Health and University of Toronto, 33 Russell St, Toronto, ON, M5S 2S1, Canada.
Frances R LevinNew York State Psychiatric Institute, Columbia University Medical Center, 1051 Riverside Dr, New York, NY 10032, United States.
Joshua A LileUniversity of Kentucky College of Medicine, 800 Rose Street MN 150, Lexington, KY 40506, United States.
Barbara J MasonThe Scripps Research Institute, 10550 N Torrey Pines Rd, La Jolla, CA 92037, United States.
Aimee L McRae-ClarkMedical University of South Carolina, 67 President St, MSC861, Charleston, SC 29425, United States.
Ivan MontoyaNIH/NIDA Division of Therapeutics and Medical Consequences of Drug Abuse, 10 Center Dr, Bethesda, MD 20814, United States.
Erica N PetersBattelle Memorial Institute, 6115 Falls Rd #200, Baltimore, MD 21209, United States.
Tatiana RameyNIH/NIDA Division of Therapeutics and Medical Consequences of Drug Abuse, 10 Center Dr, Bethesda, MD 20814, United States.
Dennis C TurkUniversity of Washington School of Medicine, 1959 NE Pacific St, Seattle, WA 98195, United States.
Ryan VandreyJohns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD 21205, United States.
Roger D WeissHarvard Medical School, 25 Shattuck St, Boston, MA 02115, United States; McLean Hospital, 115 Mill St, Belmont, MA 02478, United States.
Eric C StrainJohns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD 21205, United States.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Treatment Development & Evaluation CoreP30DA029926 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2011 to 2026
$21.5M
Identification of a Meaningful Cocaine Use Outcome MeasureR33DA041661 · NIDA · YALE UNIVERSITY · PI KILUK, BRIAN D. · 2018 to 2020
$1.1M
Integrating Cognitive Neuroscience Toward Understanding of Mechanisms of CBT for Alcohol Use DisordersK02AA027300 · NIAAA · YALE UNIVERSITY · PI KILUK, BRIAN D. · 2019 to 2023
$719k
CIHRNCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA023108NIAAA NIH HHS K02 AA027300NIDA NIH HHS P30 DA029926NIDA NIH HHS R33 DA041661
6 · The paper itself

Abstract

There is considerable variability in the use of outcome measures in clinical trials for cannabis use disorder (CUD), and a lack of consensus regarding optimal outcomes may have hindered development and approval of new pharmacotherapies. The goal of this paper is to summarize an evaluation of assessment measures and clinical endpoints for CUD clinical trials, and propose a research agenda and priorities to improve CUD clinical outcome assessments. The primary recommendation is that sustained abstinence from cannabis should not be considered the primary outcome for all CUD clinical trials as it has multiple limitations. However, there are multiple challenges to the development of a reliable and valid indicator of cannabis reduction, including the lack of a standard unit of measure for the various forms of cannabis and products and the limitations of currently available biological and self-report assessments. Development of a core toolkit of assessments is needed to both allow flexibility for study design, while facilitating interpretation of outcomes across trials. Four primary agenda items for future research are identified to expedite development of improved clinical outcome assessments for this toolkit: (1) determine whether minimally invasive biologic assays could identify an acute level of cannabis use associated with psychomotor impairment or other cannabis-related harms; (2) create an indicator of quantity of cannabis use that is consistent across product types; (3) examine the presence of cannabis-specific functional outcomes; and (4) identify an optimal duration to assess changes in CUD diagnostic criteria.

Indexed as

Patient Outcome AssessmentAdultBiomedical ResearchClinical Trials as TopicFemaleHumansMaleMarijuana AbuseMotivationSelf ReportCannabis use disorderClinical outcome assessmentClinical trialCUDEndpointsOutcome measures

Identifiers

PMID32360455
PMCPMC7293929

What OpenQuestion holds

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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.