Imaging Cannabinoid Receptors Using Positron Emission Tomography (PET) Scanning

  • STATUS
    Recruiting
  • End date
    Dec 28, 2021
  • participants needed
    100
  • sponsor
    Yale University
Updated on 28 January 2021
opioid
opioid use
cannabis use
pet scan
psychosis
psychiatric disorder
antipsychotics
schizophrenia
alcoholism
psychiatric disorders
opioid use disorder
post-traumatic stress disorder
cannabinoids
schizoaffective disorder
prodromal syndromes

Summary

The aim of the present study is to assess the availability of cannabinoid receptors (CB1R) in the human brain. CB1R are present in everyone's brain, regardless of whether or not someone has used cannabis. The investigators will image brain cannabinoid receptors using Positron Emission Tomography (PET) imaging and the radioligand OMAR, in healthy individuals and several conditions including 1) cannabis use disorders, 2) psychotic disorders, 3) prodrome of psychotic illness and 4) individuals with a family history of alcoholism, 5) Post-Traumatic Stress Disorder 6) Opioid Use Disorder using the PET imaging agent or radiotracer, [11C]OMAR. This will allow us to characterize the number and distribution of CB1R in these conditions. It is likely that the list of conditions will be expanded after the collection of pilot data and as new data on cannabinoids receptor function and psychiatric disorders becomes available.

Those in the cannabis us disorder arm of the study will have a PET scan on at least three occasions: once while smoking as usual, once after 48-hours of abstinence from cannabis, and a final time after 4 weeks of abstinence. Additional scans may be conducted within the 4 weeks and the last scan may be conducted well beyond 4 weeks. Similarly, while most schizophrenia patients may get scanned just once, a subgroup of patients may get scanned more than once. For example to tease out the effects of medications, unmedicated patients may get scanned while unmedicated and again after treatment with antipsychotic medications. Similarly prodromes may get scanned while in the prodromal stage off medications, on medications and after conversion to schizophrenia.

Details
Condition Drug abuse, Post-Traumatic Stress Disorder, Cannabis Dependence, Schizophrenia, Opioid Use Disorder, Post-Traumatic Stress Disorders, Schizophrenia and Schizoaffective Disorders, Healthy Control, Prodromal for Psychotic Illness, Family History of Alcoholism, Schizophrenia and Schizoaffective Disorders (Pediatric), Substance Abuse, Drug use, PTSD, schizophrenia disorders
Treatment [11-C]OMAR
Clinical Study IdentifierNCT01730781
SponsorYale University
Last Modified on28 January 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Males ages 18-55
For cannabis users
Willing to abstain from cannabis use for four weeks
For schizophrenia
Meets DSM-IV-TR criteria for schizophrenia or schizoaffective disorder
For prodrome for psychotic illness
Meets SIPS criteria for prodromal syndrome
For family history positive
First degree relative with alcoholism
For Post-Traumatic Stress Disorder
Meets DSM-IV-TR criteria for PTSD
For OUD
Meets DSM-IV-TR criteria for Opioid Use Disorder

Exclusion Criteria

Current neuro-psychiatric illness (including cannabis dependence) or severe systemic disease. Cannabis use disorder is permitted in the cannabis dependent group. Schizophrenia and schizoaffective disorder is permitted in the schizophrenia group. Psychotic symptoms are permitted in the prodromal group. Post-Traumatic Stress Disorder is permitted in the PTSD group and Opioid Use Disorder is permitted in the OUD group
Presence of ferromagnetic metal in the body or heart pacemaker
Have had exposure to ionizing radiation that in combination with the study tracer would result in a cumulative exposure that exceeds recommended exposure limits
Are claustrophobic
Clear my responses

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