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Sativex Low Dose

Phase 3

Palliative Care | Small molecule | Oncology |Jazz Pharmaceuticals plc|Last Updated: May 3, 2023

Success Probability

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Trial Design

RandomizedDouble-BlindNO_TREATMENT_CONTROLLEDDMC
Total Trials2
Total Enrollment537

FDA Designations

No designations recorded

Clinical trial landscape

Sativex Low Dose · 2 trials · 3 indications

Phase 3 1Phase 2 1
NCT00674609A Study of Sativex® for Pain Relief in Patients With Advanced MalignancyPalliative Care
COMPLETED177 Analytics
PHASE3COMPLETED
A Study of Sativex® for Pain Relief in Patients With Advanced Malignancy
Palliative CareUnlock trial analytics

Study Endpoints

Primary Endpoints

The Change in Mean Pain Numerical Rating Scale (NRS) Score From Baseline to the End of the Treatment.
2 weeks: baseline - end of week 2 (last 3 days of treatment)

The pain NRS was complete at the same time each day, i.e. bedtime in the evening. The patient was asked "on a scale of '0 to 10', please indicate the number that best describes your pain or average pain in the last 24 hours" where 0 = no pain and 10 = pain as bad as you can imagine. No pain relates to the time prior to the onset of pain due to cancer. A negative value indicates an improvement in pain score from baseline.

The Consumption of Escape Analgesic Medication.
2 weeks: baseline - end of week 2 (last 3 days of treatment)

Subjects recorded their use of escape medication each day on their diary card.

Number of Patients With at Least 30% Improvement in Numerical Rating Scale (NRS) Average Pain Score From Baseline
5 Weeks: Baseline (first 3 days) - Week 5 (last 3 days)

A positive 30% pain response is defined as a reduction of at least 30% in the mean NRS average pain score from baseline to week 5 (last 3 days). The patient was asked "on a scale of '0 to 10', please indicate the number that best describes your pain or average pain in the last 24 hours" where 0 = no pain and 10 = pain as bad as you can imagine. No pain relates to the time prior to the onset of pain due to cancer. The average pain NRS was completed at the same time each day, i.e. bedtime in the evening.

Secondary Endpoints

Sleep Disturbance 0-10 Numerical Rating Scale
2 weeks: baseline to end of week 2 (last 3 days of treatment)
Nausea 0-10 Numerical Rating Scale
2 weeks; baseline - end of week 2 (last 3 days of treatment)
Memory 0-10 Numerical Rating Scale
2 weeks: baseline - end of week 2 (last 3 days of treatment)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeSUPPORTIVE_CARE

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORPlacebo control
SativexEXPERIMENTALActive treatment
THC AloneEXPERIMENTALActive treatment
Sativex Low DoseEXPERIMENTALRange of 1 to 4 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 10.8mg THC and 10mg CBD.
Sativex Medium DoseEXPERIMENTALRange of 6 to 10 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 27mg THC and 25mg CBD.
Sativex High DoseEXPERIMENTALRange of 11 to 16 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 43.2mg THC and 40mg CBD.

Interventions

NameTypeDescription
PlaceboDRUGContaining colourants and excipients. Subjects received study medication delivered in 100 µl actuations by a pump action oromucosal spray. Maximum permitted dose was eight actuations in any three hour period and 48 actuations in 24 hours.
Sativex®DRUGContaining D9 tetrahydrocannabinol (THC), 27 mg/ml: cannabidiol (CBD), 25 mg/ml. Subjects received study medication delivered in 100 µl actuations by a pump action oromucosal spray. Maximum permitted dose was eight actuations in any three hour period and 48 actuations (THC 130 mg:CBD 120 mg) in 24 hours.
THC AloneDRUGContaining THC, 27 mg/ml, as extract of Cannabis sativa L. Subjects received study medication delivered in 100 µl actuations by a pump action oromucosal spray. Maximum permitted dose was eight actuations in any three hour period and 48 actuations (THC 130 mg) in 24 hours.
Sativex Low DoseDRUGRange of 1 to 4 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 10.8mg THC and 10mg CBD.
Sativex Medium DoseDRUGRange of 6 to 10 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 27mg THC and 25mg CBD.
Sativex High DoseDRUGRange of 11 to 16 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 43.2mg THC and 40mg CBD.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Willing and able to give informed consent. * Male or female, age 18 years or above. * Diagnosed with cancer of any type, which is considered to be terminal. * Diagnosed with cancer-related pain which is not wholly alleviated with their current strong opioid treatment and whose...

Countries:United KingdomUnited StatesBelgiumCanadaChileCzechiaFinlandFranceGermanyIndiaItalyMexicoPolandRomaniaSouth AfricaSpain
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Frequently asked questions about Sativex Low Dose

What is Sativex used for?

Sativex is an investigational drug being studied for the treatment of spasticity in children aged 8 to 18 years with cerebral palsy. It has also been evaluated in healthy subjects for pharmacokinetic studies, including food effects and drug interactions, and for its abuse potential.

Who makes Sativex?

Sativex is being developed by Jazz Pharmaceuticals plc, a company traded on the NASDAQ under the ticker symbol JAZZ. The company is conducting clinical trials to evaluate the drug's safety, efficacy, and pharmacokinetics in various patient populations.

What phase is Sativex in?

Sativex is in Phase 1 clinical development. The drug has completed Phase 1 trials evaluating its pharmacokinetics, including food effects and drug interactions, as well as a Phase 3 trial for spasticity in children with cerebral palsy. It remains investigational and is not yet approved.

What clinical trials is Sativex in?

Sativex has been studied in several completed clinical trials. These include NCT01322464, a Phase 1 food effect study; NCT01323465, a Phase 1 drug interaction study with rifampicin, ketoconazole, and omeprazole; NCT01898520, a Phase 3 study for spasticity in children with cerebral palsy; and NCT02325011, a Phase 1 study with fluconazole.

Is Sativex the same as nabiximols?

Sativex is a specific product name for a cannabis-based medicine. The drug is being studied for conditions such as cerebral palsy and spasticity. It is developed by Jazz Pharmaceuticals and is currently in clinical trials, though it has not been approved for these indications.