Investigation of the potential beneficial effects of cannabidiol in the treatment of tardive dyskinesia
| ISRCTN | ISRCTN14688109 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN14688109 |
| Secondary identifying numbers | IRB/14/271 |
- Submission date
- 15/04/2015
- Registration date
- 07/05/2015
- Last edited
- 13/12/2017
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Nervous System Diseases
Plain English Summary
Background and study aims
Antipsychotic medications (‘antipsychotics’) are used to treat people with symptoms of psychosis which usually occur in schizophrenia or bipolar depression. People with psychosis may hear voices or see things that aren’t real. Antipsychotics affect the number of chemicals in the brain to help stabilise how people feel and reduce the symptoms of psychosis. Unfortunately, antipsychotics can have side effects such as stiffness and shakiness of the body. This is because they treat an area of the brain that is also involved in the control of muscle movement. Tardive dyskinesia (TD) is the name used to describe the involuntary sudden muscle movements of the face and/or body which can occur when people take antipsychotics. TD muscle movements and facial twitches can sometimes be painful and make sufferers feel very self-conscious. TD symptoms can disappear when a person stops their medication, but this isn’t always the case. Also, some people are not able to stop their medication and must find ways to manage the symptoms of TD. There are some treatments that can be taken alongside antipsychotics to help control TD, including tranquiliser medicines or health supplements. Vitamin E is one such health supplement that has been shown to help TD symptoms. Cannabidiol (CBD), a compound found in cannabis, is being tested as a potential treatment for TD which can be taken alongside antipsychotics. CBD doesn’t make people feel ‘stoned’, but it can control symptoms such as pain, muscle spasms and inflammation which are experienced in a variety of diseases and disorders. CBD usually comes in tablet form. The aim of this study is to compare how well CBD works on managing symptoms of TD compared with vitamin E when taken alongside antipsychotics.
Who can participate?
Adults taking antipsychotic medication for a psychotic disorder.
What does the study involve?
Participants are randomly allocated into one of two groups. Those in group 1 (intervention group) take CBD tablets twice a day for 6 weeks. Those in group 2 (control group) take vitamin E tablets daily for 6 weeks. Participants complete questionnaires and attend assessments at the start of the study, then 2 weeks, 4 weeks and 6 weeks during treatment, then at 12 weeks follow-up. Routine blood tests are carried out before the start of the trial.
What are the possible benefits and risks of participating?
The results of this study may benefit future patients if an improvement in the symptoms of TD is found. There are no significant adverse drug reactions to cannabidiol, but some mild and transient side effects include headache, dizziness and nausea.
Where is the study run from?
Federal Neuropsychiatric Hospital (Nigeria)
When is the study starting and how long is it expected to run for?
December 2015 to September 2019
Who is funding the study?
Federal Neuropsychiatric Hospital (Nigeria)
Who is the main contact?
Dr J Kajero
jaiyeolakajero@yahoo.com
Contact information
Scientific
8 Harvey Road Yaba Lagos
Lagos
101212
Nigeria
| Phone | +234 08037140976 |
|---|---|
| jaiyeolakajero@yahoo.com |
Study information
| Study design | Proof of concept, double blind placebo controlled study |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Treatment |
| Participant information sheet | Not available in web format, please use contact details to request a participant information sheet. |
| Scientific title | Investigation of the potential beneficial effects of cannabidiol in the management of oral-lingual-buccal dyskinesias using animal studies and a clinical trial |
| Study hypothesis | 1. Hypothesis: there are significant differences and better outcomes for patients on cannabidiol in the management of oral-lingual-buccal dyskinesia. 1.1. Null hypothesis: there are no differences between cannabidiol and vitamin E in the management of anti-psychotic induced oral-lingual-buccal dyskinesia. 2. Hypothesis: there is no difference or minimal difference in the side effect profile of cannabidiol and vitamin E when used in the management of antipsychotic induced oral-lingual-buccal dyskinesia. 2.1. Null hypothesis: patients on cannabidiol have more side effects than patients on vitamin E in the management of antipsychotic induced oral-lingual-buccal dyskinesia. |
| Ethics approval(s) | Ethics committee Nigerian Institute of Medical Research, 26/11/2014, ref: IRB/14/271 |
| Condition | Tardive dyskinesia |
| Intervention | 1. Group 1 has high cannabidiol extract Nabidiolex® (CBD) (300mg) administered twice a day for six weeks as an adjunctive treatment alongside their usual antipsychotic medication. CBD will be administered orally in capsules. 2. Group 2 has vitamin E (400IU) administered daily for six weeks as an adjunctive treatment alongside their usual antipsychotic medication |
| Intervention type | Mixed |
| Primary outcome measure | Improvement in symptoms of tardive dyskinesia measured using the Abnormal Involuntary Movement Scale (AIMS). Assessments will be conducted at baseline, 2 weeks, 4 weeks, 6 weeks (post-treatment) and at 12 weeks follow-up. |
| Secondary outcome measures | 1. Side effects of CBD will be periodically assessed with the Glasgow check list and reported at each assessment 2. Improvement in psychotic symptoms |
| Overall study start date | 01/12/2015 |
| Overall study end date | 30/09/2019 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | 28 per group |
| Participant inclusion criteria | 1. Adults 18 years and older 2. Currently meets the ICD-10 diagnosis of a psychotic disorder, verified with the Mini International Neuropsychiatric Interview (MINI-PLUS) questionnaire. 3. Currently meets the clinical diagnosis of tardive dyskinesia confirmed with the Abnormal Involuntary Movement Scale (AIMS) 4. Patients should currently be receiving treatment for a psychotic disorder and should be on either the atypical or conventional antipsychotics 5. Patient gives informed consent |
| Participant exclusion criteria | 1. ICD-10 diagnosis of an organic mental illness, substance misuse disorder or a seizure disorder 2. Serious or chronic physical illness 3. Known severe drug allergies or hypersensitivity to CBD |
| Recruitment start date | 01/12/2015 |
| Recruitment end date | 31/03/2019 |
Locations
Countries of recruitment
- Nigeria
Study participating centre
Lagos
101212
Nigeria
Sponsor information
University/education
South Africa Research Chair in PTSD
Department of Psychiatry
Stellenbosch
7602
South Africa
| Phone | +27 21 808 9111 |
|---|---|
| jaiyeolakajero@yahoo.com | |
"ROR" |
https://ror.org/05bk57929 |
Funders
Funder type
Hospital/treatment centre
No information available
Results and Publications
| Intention to publish date | 31/01/2020 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | The work is part of a PhD thesis being submitted to the Stellenbosch University South Africa and can only be published after the completion of the whole thesis, following approval from the University. Tentatively, this would be towards early 2020. |
| IPD sharing plan |
Editorial Notes
13/12/2017: The recruitment end date was changed from 01/06/2016 to 31/03/2019. The overall trial end date was changed from 01/12/2016 to 30/09/2019. The intention to publish date was changed from 01/01/2018 to 31/01/2020.
