Detection of Cannabis Impairment With ISBRG's SpotLight-THC

Study Overview
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Brief Summary
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Subjects will participate in a 2-visit study protocol in which they will be administered cannabis of pre-determined concentrations and asked to complete a simulated drive in a driving simulator. Subjects will be scanned on two SpotLight-THC (Alpha and Beta iterations) devices and peripheral venous whole blood will be collected from subjects for analysis on up to four occasions on each visit. The purpose of the investigation will be to determine whether the SpotLight-THC device is a reliable measure of THC impairment at the roadside, with an objective to identify a unique blood analyte architecture for THC impairment using near infrared light and machine learning.

Detailed Description
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At the University of Iowa, subjects who currently use cannabis recreationally will be recruited. They will then undergo a screening visit in which consent is obtained, questionnaires are given, a physical exam is conducted and subjects will use the driving simulator to assess propensity to sickness and to familiarize them with the simulation. They will then be scheduled for their next visit. At the second visit, subjects will be administered 5-10% THC. A series of baseline tests, including a test requiring a blood sample will be administered upon arrival. After drug administration, subjects will be asked to complete a set of verbal recall questions followed by three simulated driving trials, completing 7 non-invasive SpotLight-19 scans (20 seconds x 2) and 3 blood samples throughout the visit.

Official Title
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Detection of Cannabis Impairment With ISBRG's SpotLight-THC

Conditions
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Cannabis

Intervention / Treatment
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* Drug: Cannabis(THC) inhaled


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults aged at least 18 years old Must self-report use of cannabis at least once a month Has held a valid driver's license at least 12 months Must be willing to abstain from using cannabis and alcohol for 24 hours prior to each session Must be willing to abstain from all other drugs not medically required for duration of the study (beginning 24 hours prior to the screening visit) Must be able to drive without special or non-standard equipment Must be able to meet study time commitment Provides written and informed consent Exclusion Criteria: Diagnosis of severe medical or psychiatric condition (as judged by study physician) Evidence of substance use disorder as reflected by total scores on DUDIT and AUDIT Regular user of medication that may affect cognitive functioning and/or driver performance (e.g., antidepressants, benzodiazepines, stimulants, opioids) as judged by study physician Family history of schizophrenia or other psychotic disorder (or taking medications for such) Pregnant or test positive for pregnancy, looking to become pregnant, or breastfeeding Respiratory or pulmonary disorder that would negatively affect ability to inhale and hold the cannabis dose Recent (past 6 months) head injury or stroke, or current symptoms from prior head injury or stroke History of heart disease, angina, heart attack, heart surgery, or myocardial infarction (or taking medications for such) Untreated/Untreatable vision or auditory issues (because testing currently requires both senses) History of suicidal behaviors in past two years Excessive tobacco use (more than 10 cigarettes a day or 3 or more cigars or pipes per day) Excessive caffeine use (6 or more servings per day) Excessive alcohol (14 or more drinks per week) Regular use of pain medications other than OTC Use of prescription drugs not prescribed to them or illicit drugs other than cannabis History of substance abuse or substance addiction Expressed interest in or participation in drug abuse treatment in past 60 days Currently diagnosed cannabis use disorder History of negative reaction to cannabis Extreme scarring on fingertips that prevents use of the device Participation in night shift work

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Baseline followed by 5-10% THC Validation<br> | Drug: Cannabis(THC) inhaled<br>* Cannabis vapor is produced from 500mg, approximately 5-10% High dose bulk cannabis plant material, 30-37.5 mg THC<br>|
| Experimental: Baseline followed by 5-10% THC Verification<br> | Drug: Cannabis(THC) inhaled<br>* Cannabis vapor is produced from 500mg, approximately 5-10% High dose bulk cannabis plant material, 30-37.5 mg THC<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Acute Subjective Response to Cannabis Score | The total score of the true responses (true/false scale, minimum score is 0 with a maximum score of 12). A higher score indicates greater drug effect. Used to determine subjective level of drug effect. | At baseline, 20, 30, 60, 90, 120 and 180 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Standard Deviation of Lateral Position (SDLP) - Undistracted | The ability to keep the vehicle straight in the lane and the corresponding data is presented from a rural drive without any secondary tasks relative to the 20 minute baseline drive pre dose. | Over a 20 minute drive conducted at 30, 90 and 180 minutes post dose | 
| Standard Deviation of Lateral Position (SDLP) - Distracted | The ability to keep the vehicle straight in the lane and the corresponding data is presented from a rural drive while engaged in a secondary task relative to the 20 minute baseline drive while engaged in the same task pre dose. | Over a 20 minute drive conducted at 30, 90 and 180 minutes post dose | 
| Blood Delta-9-THC | THC concentration levels of Delta-9-THC in whole blood. | At baseline, 20, 90, and 180 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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THC, Driving under the influence, Cannabis impairment, SpotLight-THC, Non-invasive detection, ISBRG