Could cannabis replace opioids for chronic pain?
NCT ID NCT06206252
First seen Sep 03, 2026 · Last updated Sep 04, 2026 · Updated 1 time
Summary
Researchers are testing whether medical cannabis can reduce pain and opioid use in people with chronic pain. Participants who already take prescription opioids will either opt to use medical cannabis or not for three months. Those in the cannabis group will try different THC and CBD combinations, and everyone will track their pain and daily opioid use. The goal is to see if cannabis can help lower opioid doses while keeping pain under control.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Medical cannabis (tincture or vaporization) with varying THC and CBD compositions
- What this could lead to
- If it works, medical cannabis could offer a way for people with chronic pain to cut down on opioid painkillers, potentially lowering the risk of dependence and side effects.
- What could go wrong
- The study is small and observational, so it may not prove cause and effect. Cannabis can cause side effects like drowsiness or dizziness, and results may not apply to everyone with chronic pain.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
-
110 people
The number who actually took part.
- Started
-
Sep 2023
- Finished
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Dec 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
A total of 110 individuals with chronic pain who use prescribed opioids (90 medical cannabis users, 20 non-users) and live in Pennsylvania will be recruited for this study.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Current diagnosis of chronic, intractable pain * Use of prescription opioids for longer than 90 days * Have a smartphone or agree to use one provided * English fluency * Medical cannabis group only: Willing to get certified by a physician to use medical cannabis in PA OR already certified but have not been using medical cannabis products regularly (daily or weekly) for longer than 30 days * Medical cannabis group only: Willing to accept a temporary restriction on medical cannabis products * Control group: Agree to continue not using cannabis for the duration of the study (3 months) Exclusion Criteria: * Under 18 years old * Being under conservatorship * Self-reported pregnant or breastfeeding * Cannabis Use Disorder * Active treatment in methadone or buprenorphine program for Opioid Use Disorder * Diabetic neuropathy or chemotherapy-induced neuropathy alone * Medical cannabis group: Cannabis use (daily/weekly) for more than 30 days * Control group: Cannabis Use
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107, United States
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