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    Clinical Trial Results:
    Multicenter, randomized, double-blind, placebo-controlled, phase III clinical trial to investigate the efficacy and safety of Dronabinol in the Improvement of ChemOthErapy-induced and tumor-Related symptoms in patients with locally advanced or metastatic pancreatic cancer during first-line chemotherapy (DIsCOvER)

    Summary
    EudraCT number
    2019-000616-28
    Trial protocol
    AT   DE  
    Global end of trial date
    25 Sep 2024

    Results information
    Results version number
    v1(current)
    This version publication date
    23 Oct 2025
    First version publication date
    23 Oct 2025
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    AGMT_DISCOVER
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03984214
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    AGMT
    Sponsor organisation address
    Gentzgasse 60/21, Vienna, Austria, 1180
    Public contact
    Daniela Wolkersdorfer, AGMT gGmbH, +43 6626404411, d.wolkersdorfer@agmt.at
    Scientific contact
    Daniela Wolkersdorfer, AGMT gGmbH, +43 6626404411, d.wolkersdorfer@agmt.at
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    21 Jul 2025
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    25 Sep 2024
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary endpoint variable is the standardized area under the curve of the EORTC QLQ-C30 symptom summary score over the on-treatment period (scores at visits 1-9).
    Protection of trial subjects
    All patients were closely monitored to be able to react immediately to any side effects. Rather mild to moderate side effects were expected from dronabinol therapy and a slow dose increase and a final tapering phase was chosen to allow a safe and manageable treatment. In case of the occurrence of intolerable side effects (e.g. intense fatigue, dizziness, vertigo etc.) the increase of doses could have been interrupted, delayed or the dose may have been decreased in steps until the side effects were on an acceptable level. The patient were advised to continue with the last well tolerated number of droplets of the substance after the recovery. Supportive therapy for oncological patients was prescribed according to current version of national treatment guidelines. Dronabinol is not recommended for use in pregnant women and women of child-bearing potential (WOCBP) not using contraception. The inclusion of women of childbearing potential had to follow specific recommendations for contraception and pregnancy testing. Women were advised not to become pregnant during and at least 4 weeks after end of the treatment with dronabinol. Male participants were not required to use birth control during exposure to dronabinol.
    Background therapy
    Firstline chemotherapy with FOLFIRINOX or gemcitabine + Abraxane(R) according to investigator's decision.
    Evidence for comparator
    -
    Actual start date of recruitment
    16 Dec 2019
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Austria: 95
    Country: Number of subjects enrolled
    Germany: 14
    Worldwide total number of subjects
    109
    EEA total number of subjects
    109
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    44
    From 65 to 84 years
    65
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Between 16-Dec-2019 and 31-Mar-2024, 109 patients were enrolled in 11 sites in Austria and Germany. 104 patients were exposed to the IMP dronabinol/placebo.

    Pre-assignment
    Screening details
    Due to slow recruitment initially planned sample size of 140 patients was downsized to 104 patients and the primary endpoint was adopted accordingly. In total 841 patients were screened, while 732 patients did not met the criterias for inclusion.

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor
    Blinding implementation details
    After successful screening the site team registers the patient in the online "Randomizer". The patient was automatically assigned to either Dronabinol or Placebo arm by the allocation of the blinded treatment code. Only the treatment code was visible for site team, monitor or sponsor in the "Randomizer". Each IMP vial (dronabinol or placebo) was labeled with a unique number and could be unblinded with a unblindig list via the sponsor of the study.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Dronabinol
    Arm description
    Titration period 4 weeks; maintenance 12 weeks; tapering period 2 weeks
    Arm type
    Experimental

    Investigational medicinal product name
    Dronabinol
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral drops, solution
    Routes of administration
    Oral use
    Dosage and administration details
    Dronabinol 2.5% oral solution, individual daily dose according to tolerability from 2.5 mg up to 30 mg THC per day

    Arm title
    Placebo
    Arm description
    Titration period 4 weeks; maintenance 12 weeks; tapering period 2 weeks
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral drops, solution
    Routes of administration
    Oral use
    Dosage and administration details
    Placebo oral solution, individual daily dose according to tolerability from 2.5 mg up to 30 mg THC placebo per day

    Number of subjects in period 1
    Dronabinol Placebo
    Started
    54
    55
    Study treatment started
    51
    53
    Primary endpoint
    32
    38
    Completed
    20
    30
    Not completed
    34
    25
         Adverse reaction IMP
    3
    3
         Screening failure
    2
    2
         Physician decision
    2
    2
         Patient decision
    21
    15
         Patient not compliant
    1
    -
         Death due to underlying disease
    -
    1
         Worsening general condition
    -
    1
         Serious adverse event
    3
    -
         Death due to panc. cancer prior to treatment start
    1
    -
         Exclusion criterion revealed after randomization
    1
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Dronabinol
    Reporting group description
    Titration period 4 weeks; maintenance 12 weeks; tapering period 2 weeks

    Reporting group title
    Placebo
    Reporting group description
    Titration period 4 weeks; maintenance 12 weeks; tapering period 2 weeks

    Reporting group values
    Dronabinol Placebo Total
    Number of subjects
    54 55 109
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        median (full range (min-max))
    67 (49 to 83) 68 (46 to 82) -
    Gender categorical
    Units: Subjects
        Female
    29 28 57
        Male
    25 27 52
    Therapy
    Background therapy
    Units: Subjects
        FOLFIRINOX
    12 14 26
        Gemcitabine+Abraxane
    42 41 83
    Tumor stage
    Units: Subjects
        Locally advanced
    8 6 14
        Metastatic
    46 49 95

    End points

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    End points reporting groups
    Reporting group title
    Dronabinol
    Reporting group description
    Titration period 4 weeks; maintenance 12 weeks; tapering period 2 weeks

    Reporting group title
    Placebo
    Reporting group description
    Titration period 4 weeks; maintenance 12 weeks; tapering period 2 weeks

    Subject analysis set title
    Dronabinol PRO
    Subject analysis set type
    Per protocol
    Subject analysis set description
    The patient-reported outcome (PRO) population includes all randomized patients who received at least one dose of IMP/placebo and additionally had to complete at least 3 EORTC questionnaires including visit 1. Patients are analyzed according to the treatment group to which they were randomized.

    Subject analysis set title
    Placebo PRO
    Subject analysis set type
    Per protocol
    Subject analysis set description
    The patient-reported outcome (PRO) population includes all randomized patients who received at least one dose of IMP/placebo and additionally had to complete at least 3 EORTC questionnaires including visit 1. Patients are analyzed according to the treatment group to which they were randomized.

    Primary: Standardized area under the curve (sAUC)

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    End point title
    Standardized area under the curve (sAUC)
    End point description
    The primary endpoint is the standardized area under the curve (sAUC) of the EORTC QLQ-C30 Summary Score over the ontreatment period (visit 1-9).
    End point type
    Primary
    End point timeframe
    Visit 1 to visit 9 (max. 18 weeks)
    End point values
    Dronabinol PRO Placebo PRO
    Number of subjects analysed
    32
    38
    Units: none
    arithmetic mean (standard deviation)
        sAUC(V1-V9)
    69.1 ( 15.5 )
    73.6 ( 13.5 )
    Statistical analysis title
    Primary endpoint
    Statistical analysis description
    Linear regression (least square mean difference)
    Comparison groups
    Dronabinol PRO v Placebo PRO
    Number of subjects included in analysis
    70
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.1963
    Method
    Regression, Linear
    Parameter type
    Mean difference (final values)
    Point estimate
    -4.5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -11.4
         upper limit
    2.4
    Variability estimate
    Standard error of the mean
    Dispersion value
    3.465

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    All patients having received at least one dose of the study medication were followed for adverse events for at least 28 days after discontinuing study treatment or completion of study treatment.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    27.1
    Reporting groups
    Reporting group title
    Dronabinol exposed
    Reporting group description
    Safety analysis set - the safety analysis population is used for all safety analyses and is defined to include all randomized patients with at least one intake/administration of study treatment.

    Reporting group title
    Placebo exposed
    Reporting group description
    Safety analysis set - the safety analysis population will be used for all safety analyses and is defined to include all randomized patients with at least one intake/administration of study treatment.

    Serious adverse events
    Dronabinol exposed Placebo exposed
    Total subjects affected by serious adverse events
         subjects affected / exposed
    30 / 51 (58.82%)
    25 / 53 (47.17%)
         number of deaths (all causes)
    34
    43
         number of deaths resulting from adverse events
    4
    0
    Vascular disorders
    Circulatory collapse
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ischaemia
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Malnutrition
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Mucosal inflammation
         subjects affected / exposed
    2 / 51 (3.92%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Oedema peripheral
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pain
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    4 / 51 (7.84%)
    5 / 53 (9.43%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Immune system disorders
    Drug eruption
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumothorax
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Investigations
    Blood glucose decreased
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    C-reactive protein increased
         subjects affected / exposed
    0 / 51 (0.00%)
    3 / 53 (5.66%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Overdose
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Wrong product administered
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Supraventricular tachycardia
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Cerebrovascular accident
         subjects affected / exposed
    3 / 51 (5.88%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 2
    0 / 0
    Dementia Alzheimer's type
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Headache
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Febrile neutropenia
         subjects affected / exposed
    2 / 51 (3.92%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    3 / 51 (5.88%)
    2 / 53 (3.77%)
         occurrences causally related to treatment / all
    0 / 8
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ascites
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Colitis
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    3 / 51 (5.88%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Flatulence
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ileus
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    3 / 51 (5.88%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    2 / 3
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Obstruction gastric
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Subileus
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholangitis
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cholelithiasis
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cholestasis
         subjects affected / exposed
    0 / 51 (0.00%)
    2 / 53 (3.77%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hyperbilirubinaemia
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Jaundice
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hydronephrosis
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Abdominal abscess
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Chromoblastomycosis
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    COVID-19
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Infection
         subjects affected / exposed
    3 / 51 (5.88%)
    5 / 53 (9.43%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Oesophageal candidiasis
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Peritonitis bacterial
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pharyngitis
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    4 / 51 (7.84%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Staphylococcal infection
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 53 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypocalcaemia
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypokalaemia
         subjects affected / exposed
    0 / 51 (0.00%)
    2 / 53 (3.77%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypomagnesaemia
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 53 (1.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 3.5%
    Non-serious adverse events
    Dronabinol exposed Placebo exposed
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    49 / 51 (96.08%)
    50 / 53 (94.34%)
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    3 / 51 (5.88%)
    1 / 53 (1.89%)
         occurrences all number
    3
    1
    Hypotension
         subjects affected / exposed
    4 / 51 (7.84%)
    4 / 53 (7.55%)
         occurrences all number
    5
    4
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    3 / 51 (5.88%)
    2 / 53 (3.77%)
         occurrences all number
    3
    2
    Chills
         subjects affected / exposed
    0 / 51 (0.00%)
    4 / 53 (7.55%)
         occurrences all number
    0
    4
    Fatigue
         subjects affected / exposed
    26 / 51 (50.98%)
    22 / 53 (41.51%)
         occurrences all number
    45
    29
    General physical health deterioration
         subjects affected / exposed
    2 / 51 (3.92%)
    3 / 53 (5.66%)
         occurrences all number
    2
    4
    Mucosal inflammation
         subjects affected / exposed
    3 / 51 (5.88%)
    2 / 53 (3.77%)
         occurrences all number
    3
    4
    Oedema
         subjects affected / exposed
    2 / 51 (3.92%)
    2 / 53 (3.77%)
         occurrences all number
    2
    2
    Oedema peripheral
         subjects affected / exposed
    4 / 51 (7.84%)
    21 / 53 (39.62%)
         occurrences all number
    4
    25
    Pyrexia
         subjects affected / exposed
    12 / 51 (23.53%)
    7 / 53 (13.21%)
         occurrences all number
    13
    11
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    6 / 51 (11.76%)
    4 / 53 (7.55%)
         occurrences all number
    6
    5
    Dyspnoea
         subjects affected / exposed
    7 / 51 (13.73%)
    5 / 53 (9.43%)
         occurrences all number
    7
    5
    Epistaxis
         subjects affected / exposed
    3 / 51 (5.88%)
    5 / 53 (9.43%)
         occurrences all number
    3
    6
    Psychiatric disorders
    Aversion
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 53 (1.89%)
         occurrences all number
    2
    1
    Depression
         subjects affected / exposed
    1 / 51 (1.96%)
    3 / 53 (5.66%)
         occurrences all number
    1
    3
    Insomnia
         subjects affected / exposed
    2 / 51 (3.92%)
    3 / 53 (5.66%)
         occurrences all number
    2
    4
    Sleep disorder
         subjects affected / exposed
    2 / 51 (3.92%)
    4 / 53 (7.55%)
         occurrences all number
    2
    4
    Investigations
    Blood glucose abnormal
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 53 (1.89%)
         occurrences all number
    2
    1
    Body temperature increased
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 53 (1.89%)
         occurrences all number
    2
    1
    C-reactive protein increased
         subjects affected / exposed
    5 / 51 (9.80%)
    3 / 53 (5.66%)
         occurrences all number
    6
    4
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    0 / 51 (0.00%)
    3 / 53 (5.66%)
         occurrences all number
    0
    3
    Weight decreased
         subjects affected / exposed
    4 / 51 (7.84%)
    8 / 53 (15.09%)
         occurrences all number
    5
    9
    White blood cell count decreased
         subjects affected / exposed
    1 / 51 (1.96%)
    3 / 53 (5.66%)
         occurrences all number
    2
    3
    Blood glucose decreased
         subjects affected / exposed
    1 / 51 (1.96%)
    2 / 53 (3.77%)
         occurrences all number
    1
    2
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    4 / 51 (7.84%)
    4 / 53 (7.55%)
         occurrences all number
    8
    5
    Dysgeusia
         subjects affected / exposed
    3 / 51 (5.88%)
    4 / 53 (7.55%)
         occurrences all number
    3
    4
    Headache
         subjects affected / exposed
    1 / 51 (1.96%)
    2 / 53 (3.77%)
         occurrences all number
    1
    3
    Neuropathy peripheral
         subjects affected / exposed
    0 / 51 (0.00%)
    3 / 53 (5.66%)
         occurrences all number
    0
    5
    Paraesthesia
         subjects affected / exposed
    2 / 51 (3.92%)
    7 / 53 (13.21%)
         occurrences all number
    4
    7
    Polyneuropathy
         subjects affected / exposed
    19 / 51 (37.25%)
    20 / 53 (37.74%)
         occurrences all number
    25
    25
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    5 / 51 (9.80%)
    14 / 53 (26.42%)
         occurrences all number
    7
    20
    Neutropenia
         subjects affected / exposed
    12 / 51 (23.53%)
    9 / 53 (16.98%)
         occurrences all number
    15
    10
    Thrombocytopenia
         subjects affected / exposed
    12 / 51 (23.53%)
    5 / 53 (9.43%)
         occurrences all number
    15
    6
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    9 / 51 (17.65%)
    9 / 53 (16.98%)
         occurrences all number
    9
    9
    Gastrointestinal disorders
    Abdominal discomfort
         subjects affected / exposed
    0 / 51 (0.00%)
    3 / 53 (5.66%)
         occurrences all number
    0
    3
    Abdominal distension
         subjects affected / exposed
    1 / 51 (1.96%)
    2 / 53 (3.77%)
         occurrences all number
    2
    2
    Abdominal pain
         subjects affected / exposed
    5 / 51 (9.80%)
    11 / 53 (20.75%)
         occurrences all number
    5
    12
    Abdominal pain lower
         subjects affected / exposed
    0 / 51 (0.00%)
    3 / 53 (5.66%)
         occurrences all number
    0
    3
    Abdominal pain upper
         subjects affected / exposed
    2 / 51 (3.92%)
    3 / 53 (5.66%)
         occurrences all number
    3
    3
    Abnormal faeces
         subjects affected / exposed
    0 / 51 (0.00%)
    3 / 53 (5.66%)
         occurrences all number
    0
    3
    Ascites
         subjects affected / exposed
    4 / 51 (7.84%)
    4 / 53 (7.55%)
         occurrences all number
    5
    7
    Constipation
         subjects affected / exposed
    16 / 51 (31.37%)
    8 / 53 (15.09%)
         occurrences all number
    18
    10
    Diarrhoea
         subjects affected / exposed
    20 / 51 (39.22%)
    25 / 53 (47.17%)
         occurrences all number
    22
    35
    Dyspepsia
         subjects affected / exposed
    1 / 51 (1.96%)
    2 / 53 (3.77%)
         occurrences all number
    1
    2
    Nausea
         subjects affected / exposed
    23 / 51 (45.10%)
    33 / 53 (62.26%)
         occurrences all number
    31
    40
    Vomiting
         subjects affected / exposed
    6 / 51 (11.76%)
    12 / 53 (22.64%)
         occurrences all number
    9
    18
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    5 / 51 (9.80%)
    6 / 53 (11.32%)
         occurrences all number
    5
    6
    Dry skin
         subjects affected / exposed
    1 / 51 (1.96%)
    2 / 53 (3.77%)
         occurrences all number
    1
    2
    Erythema
         subjects affected / exposed
    3 / 51 (5.88%)
    2 / 53 (3.77%)
         occurrences all number
    3
    2
    Hyperhidrosis
         subjects affected / exposed
    3 / 51 (5.88%)
    2 / 53 (3.77%)
         occurrences all number
    3
    4
    Night sweats
         subjects affected / exposed
    2 / 51 (3.92%)
    4 / 53 (7.55%)
         occurrences all number
    2
    6
    Pruritus
         subjects affected / exposed
    0 / 51 (0.00%)
    3 / 53 (5.66%)
         occurrences all number
    0
    3
    Rash
         subjects affected / exposed
    6 / 51 (11.76%)
    4 / 53 (7.55%)
         occurrences all number
    8
    4
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    2 / 51 (3.92%)
    4 / 53 (7.55%)
         occurrences all number
    2
    4
    Back pain
         subjects affected / exposed
    4 / 51 (7.84%)
    2 / 53 (3.77%)
         occurrences all number
    5
    2
    Bone pain
         subjects affected / exposed
    3 / 51 (5.88%)
    1 / 53 (1.89%)
         occurrences all number
    3
    1
    Muscular weakness
         subjects affected / exposed
    3 / 51 (5.88%)
    4 / 53 (7.55%)
         occurrences all number
    3
    4
    Pain in extremity
         subjects affected / exposed
    1 / 51 (1.96%)
    3 / 53 (5.66%)
         occurrences all number
    1
    4
    Spinal pain
         subjects affected / exposed
    1 / 51 (1.96%)
    3 / 53 (5.66%)
         occurrences all number
    1
    4
    Infections and infestations
    COVID-19
         subjects affected / exposed
    2 / 51 (3.92%)
    5 / 53 (9.43%)
         occurrences all number
    2
    5
    Erysipelas
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 53 (1.89%)
         occurrences all number
    2
    1
    Infection
         subjects affected / exposed
    1 / 51 (1.96%)
    2 / 53 (3.77%)
         occurrences all number
    5
    2
    Nasopharyngitis
         subjects affected / exposed
    1 / 51 (1.96%)
    2 / 53 (3.77%)
         occurrences all number
    1
    2
    Pneumonia
         subjects affected / exposed
    1 / 51 (1.96%)
    2 / 53 (3.77%)
         occurrences all number
    1
    2
    Urinary tract infection
         subjects affected / exposed
    0 / 51 (0.00%)
    5 / 53 (9.43%)
         occurrences all number
    0
    6
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    9 / 51 (17.65%)
    12 / 53 (22.64%)
         occurrences all number
    10
    17
    Hypokalaemia
         subjects affected / exposed
    8 / 51 (15.69%)
    7 / 53 (13.21%)
         occurrences all number
    9
    11
    Hyponatraemia
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 53 (1.89%)
         occurrences all number
    2
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    14 Feb 2021
    Due to slow recruitment and higher drop-out rate, sample size was downsized. According to guidelines for assessing quality of life in EORTC clinical trials a difference of 10-20% is regarded a moderate change. Thus, it was decided that a sample size of 104 patients instead of 140 patients is large enough to show a difference in the summary score of 20% between the treatment groups with a power of 80%.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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