Clinical trial

A Double Blind, Randomised, Placebo Controlled, Parallel Group Study of Cannabis Based Medicine (CBM) Extract, in Patients Suffering Detrusor Overactivity Associated With Multiple Sclerosis.

Name
GWMS0208
Description
The purpose of this study is to evaluate the efficacy of Sativex® compared with placebo in reducing the daily number of episodes on incontinence.
Trial arms
Trial start
2002-08-01
Estimated PCD
2005-10-01
Trial end
2005-10-01
Status
Completed
Phase
Early phase I
Treatment
Sativex®
Containing ∆9 tetrahydrocannabinol (THC), 27 mg/ml and cannabidiol (CBD), 25 mg/ml as extract of Cannabis sativa L. Subjects received study medication delivered in 100 µl actuations by a pump action oromucosal spray. Maximum permitted dose was eight actuations in any three-hour period and 48 actuations (THC 130 mg:CBD 120 mg) in 24 hours
Arms:
Sativex
Other names:
GW-10000-02
Placebo
containing excipients only. Subjects received study medication delivered in 100 µl actuations from a pump action oromucosal spray. Maximum permitted dose was eight actuations in any three-hour period and 48 actuations in 24 hours.
Arms:
Placebo
Other names:
GW-4001-01
Size
135
Primary endpoint
Change From Baseline in the Mean Daily Number of Incontinence Episodes at the End of Treatment
0 - 10 weeks
Eligibility criteria
Inclusion Criteria: * Willing and able to give informed consent. * Male or female, aged 18 years or over. * Diagnosed with MS and with detrusor overactivity not wholly relieved by current therapy. * At least three incontinence episodes within five consecutive days during the baseline period * Stable dose of anticholinergic medication for at least 14 days leading to study entry. * Agreement, if female and of child bearing potential or if male with a partner of child bearing potential, to ensure that effective contraception is used during the study and for three months thereafter. * Has not used cannabinoids (including cannabis, Marinol® or nabilone) for at least seven days before Visit 1 and willing to abstain from any use of cannabinoids during the study. * Agreement for the UK Home Office, their general practitioner, and their consultant if appropriate, to be notified of their participation in the study. Exclusion Criteria: * A symptomatic UTI or any cause of detrusor overactivity other than neurogenic causes due to MS. * Using ISC. * A history of schizophrenia, other psychotic illness, severe personality disorder or other significant psychiatric disorder other than depression associated with their underlying condition. * A history of alcohol or substance abuse. * A severe cardiovascular disorder, such as ischaemic heart disease, arrhythmias (other than well controlled atrial fibrillation), poorly controlled hypertension or severe heart failure. * A history of epilepsy. * If female, are pregnant of lactating, or are planning a pregnancy to occur during the course of the study. * Significant renal or hepatic impairment. * Elective surgery or other procedures requiring general anesthesia scheduled to occur during the study. * Terminal illness or any other significant disease or disorder which, in the opinion of the investigator, may either put the subject at risk because of participation in the study or influence the result of the study, or the subjects ability to participate in the study. * Regular levodopa (Sinement®, Sinement Plus®, Levodopa, L-dopa, Madopar®, Benserazide) within the seven days leading up to study entry. * Receiving and unwilling to stop fentanyl for the duration of the study. * Known or suspected hypersensitivity to cannabinoids or any of the excipients of the study medications. * Intention to travel internationally or to donate blood during the study. * Participation in another research study in the 12 weeks leading up to study entry. * Previous randomization in to this study
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'SUPPORTIVE_CARE', 'maskingInfo': {'masking': 'QUADRUPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 135, 'type': 'ACTUAL'}}
Updated at
2023-05-03

1 organization

2 products

2 indications

Product
Sativex®
Product
Placebo