Impact of CBD-Rich Oil on Aversive Memory Reconsolidation

  • STATUS
    Recruiting
  • End date
    Jan 24, 2024
  • participants needed
    96
  • sponsor
    University of Texas at Austin
Updated on 24 March 2022
panic attack

Summary

The purpose of this study is to test whether cannabidiol (CBD) rich hemp extract oil can interfere with the reconsolidation (storage) of pathological fear memory in humans.

Description

Preclinical experiments demonstrate that isolated cannabidiol (CBD), the non-psychotomimetic constituent of the Cannabis sativa plant, disrupts reconsolidation of aversive memories conditioned in the laboratory when administered within the memory reconsolidation window (< 6 hrs. post-retrieval) by indirectly activating cannabinoid type-1 (CB1) receptors in the dorsal anterior cingulate cortex (dACC). Furthermore, background material (e.g., terpenoids) naturally present in the cannabis plant may also disrupt aversive memory reconsolidation both alone and in concert with CBD. Based on these preclinical findings, we aim to test whether administration of 300mg CBD-rich hemp extract oil following fear reactivation of an aversive interoceptive threat memory can disrupt reconsolidation of naturalistic aversive memories in humans. More specifically, naturalistic interoceptive aversive memories, a form of transdiagnostic fear memory that contributes to the pathogenesis of fear-related disorders such as panic disorder, posttraumatic stress disorder (PTSD), and illness anxiety disorder.

For this proof-of-concept double-blind trial, volunteers (n=96) reporting elevated fears of somatic sensations will be stratified on biological sex and baseline levels of interoceptive fear and randomized to one of three intervention arms: (a). CBD-rich oil administered within the reconsolidation window, (b). Placebo oil administered within the reconsolidation window, or (c). CBD-rich oil administered outside of the reconsolidation window. Change in emotional reactivity to a 35% CO2 challenge from baseline to two-week follow-up will serve as our primary outcome.

Study findings may contribute towards the development of a novel ultra-brief transdiagnostic intervention guided by reconsolidation theory for individuals prone to fear-related psychiatric disorders.

Details
Condition Anxiety and Fear
Treatment Placebo oil, Cannabidiol (CBD) oil, Memory Reactivation, Interoceptive Aversive Memory Reactivation, Cannabidiol (CBD)-Rich Broad Spectrum Hemp Extract Oil
Clinical Study IdentifierNCT04726475
SponsorUniversity of Texas at Austin
Last Modified on24 March 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Ages 18-65
Fluent in English
Willingness to refrain from all non-study cannabis use during the study period

Exclusion Criteria

Insufficient phobicity (<50 on CO2 challenge)
Presence of significant suicidality
Currently receiving exposure-based treatment
History of psychosis
Unstable psychiatric medication for a psychological condition
Medical conditions contraindicating CO2 inhalation (e.g., cardiac arrhythmia, cardiac failure, asthma, lung fibrosis, high blood pressure, epilepsy, or stroke)
Current substance use disorder
History of an adverse reaction to CBD oil or other CBD products
Coconut allergy (coconut oil is the carrier oil for CBD-rich extract)
Any medical problems (e.g., liver or renal abnormalities) or medication use that would preclude ingesting CBD oil, including but not limited to currently taking blood thinners (e.g., Warfarin and some anti-epileptic medications)
(l) Regular cannabis use
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