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Effect of Semaglutide on Cannabis Use in Adults With Cannabis Use Disorder

The HASHTAG Study is investigating whether the medicine semaglutide can help adults with cannabis use disorder (CUD) reduce their cannabis use. Participants will be randomly assigned to receive either semaglutide or a placebo. The first 50 participants will have functional brain scans (fMRI) to investigate how the brai

Condition(s)Cannabis Use Disorder, Cannabis Use Disorders, Cannabis Abuse, Cannabis Dependence, Cannabis Addiction
StatusRecruiting
PhasePhase 2
Study typeInterventional
SummaryThe HASHTAG Study is investigating whether the medicine semaglutide can help adults with cannabis use disorder (CUD) reduce their cannabis use. Participants will be randomly assigned to receive either semaglutide or a placebo. The first 50 participants will have functional brain scans (fMRI) to investigate how the brain responds to cannabis-related cues. The main outcome after 20 weeks is whether semaglutide reduces cannabis use compared to placebo. Changes in brain activity in response to cannabis cues will be explored as a secondary outcome.
Who can participateInclusion Criteria: 1. Informed oral and written consent. 2. Meets the criteria for cannabis use disorder (CUD) according to DSM-5 or ICD-10. 3. Currently seeking to cut down or stop cannabis use. 4. Positive urine test for cannabinoids. 5. Body mass index (BMI) ≥ 23 kg/m². 6. Age 18-70 years. 7. Recent frequent cannabis use, defined as use on ≥16 days out of the past 28 days. 8. Cannabis use (smoked, vaped, edibles) equivalent to THC doses of ≥14 grams in the past 28 days before baseline. 9. Ability to comply with study procedures and follow-up. Exclusion Criteria: 1. Currently meeting non-cannabis/tobacco substance use disorder (ICD-10 or DSM-5). 2. Current or past diagnosis of severe psychiatric illness, defined as schizophrenia, bipolar disorder, or other psychoses, within the past fiv
Ages18 Years to 70 Years
SexAll
Lead sponsorAnders Fink-Jensen, MD, DMSci
LocationsFrederiksberg, Denmark
Start date2026-04-30
NCT IDNCT07523633
Official listinghttps://clinicaltrials.gov/study/NCT07523633

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