STEP-ENHANCE

  • Research type

    Research Study

  • Full title

    AUGMENTATION WITH CANNABIDIOL IN FIRST EPISODE PSYCHOSIS: A DOUBLE-BLIND, RANDOMISED CONTROLLED TRIAL

  • IRAS ID

    1008451

  • Contact name

    Belinda Lennox

  • Contact email

    belinda.lennox@psych.ox.ac.uk

  • Sponsor organisation

    University of Oxford

  • Research summary

    • To investigate whether the response to antipsychotic treatment can be enhanced by adding cannabidiol (CBD) to the existing treatment, compared to placebo, in patients with a first episode of psychosis, who have had a suboptimal or no response to their first antipsychotic treatment.
    • To confirm the safety of CBD in people with psychosis.

    The study is a randomized, double-blind, placebo-controlled, multi-centre, clinical trial. Individuals with a diagnosis of first-episode psychosis, who have had a suboptimal or no response to their first antipsychotic treatment will be recruited. These patients are randomised to treatment with oral CBD 500mg twice daily, or a matching placebo for 6 weeks, as an adjunct to their existing antipsychotic treatment. By using a battery of clinical outcome assessments, the trial will also assess several biomarkers to determine if they can be used to predict clinical outcomes and response to treatment with CBD. Biomarkers are being assessed as an exploratory outcome measure. Participants will be invited to provide blood and stool samples, and may be asked to complete neuroimaging assessments at certain eligible sites.

  • REC name

    Wales REC 2

  • REC reference

    24/WA/0269

  • Date of REC Opinion

    23 Oct 2024

  • REC opinion

    Further Information Favourable Opinion