Table 4 Procedure

From: The treatment of spasticity with Δ9-tetrahydrocannabinol in persons with spinal cord injury

  

Investigations

Baseline without medication

Day 0

and

Day 43

Physical and neurological examination including MAS

Laboratory tests: blood picture, CRP, GOT, GPT, γ-GT, urine test, urine drug test

Cystomanometry

ECG

Stress test (arm crank test)

Pulmonary function test

Neuropsychological tests: Continious Performance Test (CPT),

Deux Barrages Test (DB)

Hamilton Depression Scale (HDRS)

Functional Independence Measure (FIM)

Self-ratings: spasticity, pain, mood, concentration

Phase 1 oral THC

Day 1

Baseline MAS

Administration of 10 mg oral THC

1 h after application MAS

2 h after application MAS

Followed by CPT und DB

4 h after application MAS

5 h after application MAS

8 h after application MAS

10 h after application MAS

Self-ratings: spasticity, pain, mood, concentration

 

Day 8

Two hours after individual morning medication

Physical and neurological examination including MAS

Laboratory tests: blood picture, CRP, GOT, GPT, γ-GT, urine test

HDRS

CPT and DB

Self-ratings

 

Day 43

Two hours after application of oral THC same procedure as in baseline day 0

Phase 2 rectal THC-HS

Day 1

Day 8

Day 43

Same procedure as in Phase 1

Phase 3 oral THC versus placebo

Day 1

Day 8

Day 43

Same procedure as in Phase 1