Evidence map›Paper›PMID 32632491›Full record

Trial reportPsychopharmacology2020

In an exploratory randomized, double-blind, placebo-controlled, cross-over study, psychoactive doses of intravenous delta-9-tetrahydrocannabinol fail to produce antinociceptive effects in healthy human volunteers.

Emmanuelle A D Schindler, Ashley M Schnakenberg Martin, R Andrew Sewell, Mohini Ranganathan, Anna DeForest, Brian P Pittman, Albert Perrino, Deepak C D'Souza

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Effects of daily ΔDrug and alcohol dependence · 2021
    Article
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.

Emmanuelle A D SchindlerNeurology Service, MS 127, Veterans Affairs (VA) Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT, 06516, USA. emmanuelle.schindler@yale.edu.ORCID http://orcid.org/0000-0001-7962-0365
Ashley M Schnakenberg MartinPsychology Service, VA Connecticut Healthcare System, West Haven, CT, USA.
R Andrew SewellDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Mohini RanganathanDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Anna DeForestNeurology Service, MS 127, Veterans Affairs (VA) Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT, 06516, USA.
Brian P PittmanDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Albert PerrinoAnesthesia Service, VA Connecticut Healthcare System, West Haven, CT, USA.
Deepak C D'SouzaDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Yale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleAnimal studies and anecdotal human reports suggest that cannabinoids have antinociceptive effects. Controlled human studies have produced mixed results.

objectivesWe sought to reduce existing variability by investigating the effects of intravenous delta-9-tetrahydrocannabinol (THC) in several pain paradigms within the same human subjects, addressing some of the limitations to the published literature.

methodsIn this exploratory randomized, double-blind, placebo-controlled, cross-over study, healthy human subjects received 0.01 mg/kg or 0.03 mg/kg intravenous THC or placebo (ethanol vehicle) infused over 10 min on three test days, each separated by at least 72 h. Capsaicin (250 μg) was injected intradermally to induce chemical pain and hyperalgesia. Four other forms of acute pain were induced: mechanical (von Frey filament), hot and cold (thermode), and electrical (pulse generator). Pain ratings were obtained before drug administration, at peak drug effects, and 2 h after drug administration and included both objective and subjective measures. THC drug effects and vital signs were also collected during experimental sessions. Nonparametric analysis with repeated measures was performed.

resultsTHC induced euphoria, perceptual and cognitive alterations, and tachycardia in a dose-related manner, but failed to have significant effects in experimentally induced acute chemical, mechanical, thermal, or electrical pain and capsaicin-induced hyperalgesia.

conclusionsIn this exploratory controlled study, intravenous THC lacked significant antinociceptive properties in experimental models of acute pain and capsaicin-induced hyperalgesia in healthy human subjects. Continued study of THC and other cannabinoids through high-quality, controlled studies in both healthy volunteers and patients with pain conditions is warranted to inform the growing demand for the clinical application of cannabinoids in pain management.

Indexed as

Administration, IntravenousAdultAnalgesicsCannabinoidsCross-Over StudiesDose-Response Relationship, DrugDouble-Blind MethodDronabinolEuphoriaFemaleHealthy VolunteersHumansMalePainPain MeasurementPsychotropic DrugsAnalgesicsCannabinoidsDronabinolPsychotropic DrugsAcute painAnalgesiaCannabinoidCapsaicin-induced hyperalgesiaChemical painDelta-9-tetrahydrocannabinolElectrical painMechanical painThermal pain

Identifiers

PMID32632491
OpenAlexW3041590683

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.