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Taking people in ItalyPhase 2

Tests a cannabis extract for quality of life in neurodegenerative diseases

Tests a THC and CBD oral solution in adults with ALS, Alzheimer's or Parkinson's.

Key facts

Who runs it
Azienda Ospedaliero-Universitaria Maggiore Della Carita
Where
Novara, ItalySee the 2 sites
Registry title
MEDICAL CANNABIS TREATMENT IN NEURODEGENERATIVE DISEASES (NEUROBIS)
Status
Recruiting
Phase
Phase 2
People taking part
186 people, planned
Started
30 Sept 2024
Expected to end
1 May 2027
Type of study
Interventional
Record updated
17 July 2024

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for people over 55 with Alzheimer's disease, Parkinson's disease or ALS. It tests a cannabis extract against placebo for quality of life.

Age
Over 55 years (the registry lists a minimum age of 18 years).
Sex
All sexes can join.
Disease stage
Alzheimer's disease: MMSE 24 or lower and clearly significant agitation. ALS: definite or probable ALS with disease progression in the last three months and FVC 60% or higher. Parkinson's disease: idiopathic, modified Hoehn and Yahr stage 1 to 4, able to walk more than 10 metres without aids.
Earlier treatment
Alzheimer's: cognitive-enhancing medicines (if used) at a stable dose for at least 3 months. ALS: riluzole 50 mg twice a day for at least one month. Parkinson's: L-Dopa at a stable dose for at least 30 days.

Main reasons for not taking part

  • Significant heart disease
  • Pregnancy or breastfeeding
  • Serious kidney or liver failure
  • Other psychiatric or neurological conditions, or alcohol or drug abuse
  • Current use of cannabinoids or allergy to any cannabinoid

The registry criteria, word for word

Show all 16 criteriaShow less

Who can take part

  • For all patients: ability to give written informed consent personally or, as an alternative, via a legally authorized representative. Patients >55years aged
  • Alzheimer's Disease (AD): age diagnosis of AD based on the DSM-5 criteria for Major Neurocognitive Disorder due to AD; MMSE ≤ 24; presence of clinically significant agitation (Neuropsychiatric Inventory-agitation subscale ≥3). If treated with cognitive-enhancing medications (cholinesterase inhibitors (ChEIs) and/or memantine), the dosage must be stable for at least 3 months. If the ChEI and/or memantine have been discontinued, they may enroll after one month
  • Amyotrophic Lateral Sclerosis (ALS): diagnosis of definite or probable according to El Escorial Criteria, documented progression of the disease in the last three months as measured by the ALSFRS-R scale (decrease of at least one point); age FVC ≥60% of predicted; treatment with riluzole 50 mg twice/day for at least one month before the screening visit
  • Parkinson's Disease (PD): diagnosis of idiopathic Parkinson’s disease; modified Hoehn and Yahr stage 1 to 4; able to walk > 10 mt without aids or assistance; in treatment with L-Dopa with a stable dosage for at least 30 days

Who cannot take part

  • Alcohol and drug abuse
  • Current use of cannabinoids or previous or current abuse or dependence on marijuana
  • Change in psychotropic medications less than 1 month prior to study inclusion (e.g., concomitant antidepressants)
  • Current significant cardiovascular disease (e.g., uncontrolled hypertension, clinically significant ischemic heart disease, clinically significant arrhythmia or severe heart failure)
  • Chronic infections (HBV, HCV, HIV, tuberculosis)
  • Presence or history of other psychiatric disorders or neurological conditions (e.g., psychotic disorders, schizophrenia, epilepsy, attempted suicide, depression)
  • Contraindications to cannabidiol (history of hypersensitivity to any cannabinoid)
  • Renal (serum creatinine > 2 mg/dl or creatinine clearance < 30 mL/min according to Cockcroft-Gault formula) and hepatic (ALT, AST, GGT, alkaline phosphatase > 2.5 ULN) failure
  • Clinically significant delusions and/or hallucinations
  • Pregnancy and breastfeeding
  • Inability to provide inform consent
  • Orthostatic hypotension

Where in Italy

  • Sant'Andrea Hospital, ASL VCItalyTaking people
  • Azienda Ospedaliero Universitaria Maggiore della CaritàNovara, ItalyTaking people

About the trial

What the trial wants to find out

It will be determined whether the use of a balanced THC/CBD extract (cannabis extract Avextra 10/10 oral solution) is safe and suitable for contributing to a significant improvement in quality of life (QoL) in patients with a neurodegenerative disease (Alzheimer’s disease (AD), Parkinson’s disease (PD), or Amyotrophic Lateral Sclerosis (ALS).

Read full original descriptionShow less

To demonstrate for the total study population (all 3 neurodegenerative diseases) superiority with regards to improving Quality of Life, assessed with the Short Form 36 Health Survey (SF-36), compared to placebo.

To assess for the total study population the safety and tolerability, incidence of treatment-emergent adverse events (TAEDs) and discontinuation rate of cannabis extract Avextra 10/10 compared to placebo.

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record

Print a page for my doctor

Data and sources

Registry record
Listed on the EU's official list of trials (CTIS).
Official title
MEDICAL CANNABIS FOR NEURODEGENERATIVE DISEASES: A RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED PHASE II CLINICAL TRIAL (NEUROBIS)
Plain-language title
Tests a cannabis extract for quality of life in neurodegenerative diseasesGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 9 November 2026.
Record updated
17 July 2024