Evidence map›Paper›PMID 38487964›Full record

Trial reportMovement disorders : official journal of the Movement Disorder Society2024

Short-Term Cannabidiol with Δ-9-Tetrahydrocannabinol in Parkinson's Disease: A Randomized Trial.

Ying Liu, Jacquelyn Bainbridge, Stefan Sillau, Sarah Rajkovic, Michelle Adkins, Christopher H Domen, John A Thompson, Tristan Seawalt, Jost Klawitter, Cristina Sempio and 8 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Movement disorders : official journal of the Movement Disorder Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
7.2field-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

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Neuropsychiatric disorders in Parkinson's disease.Therapeutic advances in neurological disorders · 2025
    Review
  9. Article
  10. Prevalence of cannabidiol use and correlates in U.S. adults.Drug and alcohol dependence reports · 2024
    Article
  11. Review
  12. Article
  13. 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

18 authors at 2 institutions in 1 country.

Ying LiuDepartment of Neurology, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.
Jacquelyn BainbridgeDepartment of Clinical Pharmacy, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Anschutz Medical Campus, Aurora, Colorado, USA.
Stefan SillauDepartment of Neurology, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.
Sarah RajkovicNeurosciences, University of Colorado Hospital, Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0002-8846-6635
Michelle AdkinsDepartment of Clinical Pharmacy, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0002-9878-766X
Christopher H DomenDepartment of Neurosurgery, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.ORCID 0000-0003-1075-5389
John A ThompsonDepartment of Neurology, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.ORCID 0000-0003-2991-5194
Tristan SeawaltDepartment of Neurology, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.
Jost KlawitterDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.ORCID 0000-0002-6413-4820
Cristina SempioDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.ORCID 0000-0002-8095-612X
Grace ChinDepartment of Clinical Pharmacy, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Anschutz Medical Campus, Aurora, Colorado, USA.
Lisa FormanDepartment of Medicine, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.
Michelle FullardDepartment of Neurology, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.
Trevor HawkinsDepartment of Neurology, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.
Lauren SeebergerDepartment of Neurology, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.
Heike NewmanDepartment of Regulatory Compliance, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.
David VuDepartment of Neurology, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.
Maureen Anne LeeheyDepartment of Neurology, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA.ORCID 0000-0003-1535-6010
University of Colorado Anschutz Medical Campus · USUniversity of Colorado Hospital · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Colorado Clinical and Translational Sciences Institute (CCTSI)UM1TR004399 · NCATS · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS, RONALD J. SOKOL · 2023 to 2026
$30.7M
Colorado Department of Public Health and Environment Medical marijuana research grant program, contractNCATS NIH HHS UL1 TR002535NCATS NIH HHS UM1 TR004399
6 · The paper itself

Abstract

backgroundCannabis use is frequent in Parkinson's disease (PD), despite inadequate evidence of benefits and risks.

objectiveThe aim is to study short-term efficacy and tolerability of relatively high cannabidiol (CBD)/low Δ-9-tetrahydrocannabinol (THC) to provide preliminary data for a longer trial.

methodsPersons with PD with ≥20 on motor Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) who had negative cannabis testing took cannabis extract (National Institute of Drug Abuse) oral sesame oil solution for 2 weeks, increasing to final dose of 2.5 mg/kg/day. Primary outcome was change in motor MDS-UPDRS from baseline to final dose.

resultsParticipants were randomized to CBD/THC (n = 31) or placebo (n = 30). Mean final dose (CBD/THC group) was 191.8 ± 48.9 mg CBD and 6.4 ± 1.6 mg THC daily. Motor MDS-UPDRS was reduced by 4.57 (95% CI, -8.11 to -1.03; P = 0.013) in CBD/THC group, and 2.77 (-4.92 to -0.61; P = 0.014) in placebo; the difference between groups was non-significant: -1.80 (-5.88 to 2.27; P = 0.379). Several assessments had a strong placebo response. Sleep, cognition, and activities of daily living showed a treatment effect, favoring placebo. Overall adverse events were mild and reported more in CBD/THC than placebo group. On 2.5 mg/kg/day CBD plasma level was 54.0 ± 33.8 ng/mL; THC 1.06 ± 0.91 ng/mL.

conclusionsThe brief duration and strong placebo response limits interpretation of effects, but there was no benefit, perhaps worsened cognition and sleep, and there was many mild adverse events. Longer duration high quality trials that monitor cannabinoid concentrations are essential and would require improved availability of research cannabinoid products in the United States. © 2024 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

CannabidiolDronabinolParkinson DiseaseAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeCannabidiolDronabinolcannabidiolcannabisParkinson's disease

Identifiers

PMID38487964
PMCPMC11102313
OpenAlexW4392852289

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.