Examining the effects of cannabis use in cancer patients undergoing treatment
Official title: Complementary Options for Symptom Management In Cancer (COSMIC): Assessing Benefits and Harms of Cannabis and Cannabinoid Use Among a Cohort of Cancer Patients Treated in Community Oncology Clinics
Run by Wake Forest University Health Sciences · NCT06418204 · Data updated 2026-11-12
This study is trying to see how using cannabis affects newly diagnosed cancer patients who are starting treatment for their illness.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 2000 (estimated) |
| Sponsor | Wake Forest University Health Sciences Academic / other |
| Drugs / interventions | infliximab, chemotherapy, immunotherapy, prednisone |
| Locations | 491 sites (Fairbanks, Alaska and 490 other locations) |
| Status | Recruiting |
| Started | January 30, 2025 |
| Main results expected | August 1, 2028 |
| Study ends | August 1, 2028 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT06418204 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults aged 18 and older with newly diagnosed breast, colorectal, melanoma, non-Hodgkin lymphoma, or non-small cell lung cancer who are planning to receive systemic chemotherapy or immune checkpoint inhibitors.
✕Probably not a fit
Patients who are not newly diagnosed with the specified cancers or those not planning to undergo systemic cancer-directed therapies may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to enroll 2000 newly diagnosed cancer patients, specifically those with breast, colorectal, melanoma, non-Hodgkin lymphoma, or non-small cell lung cancer, who are about to start systemic cancer therapies. Participants will complete monthly surveys and have their medical records reviewed over the course of one year to assess the relationship between cannabis and/or cannabinoid use and cancer-related symptoms. The study is designed to gather data on the benefits and harms of cannabis use in this patient population, providing insights into its impact on treatment outcomes.
Why it matters
Potential benefit: If successful, this study could provide valuable information on the potential benefits and risks of cannabis use for cancer patients undergoing treatment.
How similar studies have gone: While there is ongoing interest in the effects of cannabis in cancer care, this study's specific focus on newly diagnosed patients undergoing systemic therapies is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults aged 18 years or older with one of the following newly diagnosed cancers: breast cancer, colorectal cancer, melanoma, non-Hodgkin lymphoma, or non-small cell lung cancer (e.g. adenocarcinoma, squamous cell carcinoma, large cell carcinoma, adenosquamous cell carcinoma, and not otherwise specified). * Planned treatment with systemic chemotherapy (single or multi-agent, includes targeted therapy) and/or immune checkpoint inhibitor therapy (targeting PD-1, PD-L1 or CTLA-4). If unable to engage participant before treatment starts, enrollment is allowed up to the start of Cycle 2 treatment. * Participants must be able to comprehend English or Spanish (for survey completion). * Participants must have a working email address and be must be willing to complete surveys online. This can be completed at home, in the clinic or other location. * Completion of the confidential Self-Reported Screening Survey and receipt of a screening result - eligible for enrollment. * Participant must reside in the United States, officially determined per patient report on Self-reported Screening Survey * In the treating provider's opinion, the participant should have a life expectancy of \>=6 months. Participants in hospice are not eligible. Optional Sub-study (available at select sites only): * Must be willing to participate in both the main study and the sub-study at the Wake Forest University Comprehensive Cancer Center (WF CCC) and Virginia Commonwealth University (VCU). * Must be receiving treatment at the WF CCC and VCU. * Must be planning to receive Immune Checkpoint Inhibitor (ICIs) targeting PD-1, PD-L1 or CTLA-4. Exclusion Criteria: * Currently enrolled in an interventional supportive treatment trial to manage cancer symptoms. * Participants with known pregnancy. * Participant received systemic therapy treatment for prior cancer(s) including chemotherapy, immunotherapy, targeted therapy, and hormonal therapy. * Participants enrolled in hospice. Optional Substudy (available at select sites only): * Participants with chronic or ongoing steroid or immunomodulatory agents (i.e., prednisone, dexamethasone, etanercept, infliximab, etc.). The use of glucocorticoids as pre-medications for chemotherapy treatment is allowed. * Participants with a history of HIV, hepatitis B or hepatitis C.
Where it's running
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Fairbanks Memorial Hospital
Fairbanks, Alaska, United States Recruiting -
Kingman Regional Medical Center
Kingman, Arizona, United States Recruiting -
Cancer Center at Saint Joseph's
Phoenix, Arizona, United States Recruiting -
Mercy Hospital Fort Smith
Fort Smith, Arkansas, United States Recruiting -
NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
Jonesboro, Arkansas, United States Recruiting -
Kaiser Permanente-Deer Valley Medical Center
Antioch, California, United States Recruiting
Show 44 more locations
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Mission Hope Medical Oncology - Arroyo Grande
Arroyo Grande, California, United States Recruiting -
PCR Oncology
Arroyo Grande, California, United States Recruiting -
Mercy Cancer Center - Carmichael
Carmichael, California, United States Recruiting -
Mercy San Juan Medical Center
Carmichael, California, United States Recruiting -
Kaiser Permanente Dublin
Dublin, California, United States Recruiting -
Mercy Cancer Center - Elk Grove
Elk Grove, California, United States Recruiting -
Kaiser Permanente-Fremont
Fremont, California, United States Recruiting -
Kaiser Permanente Fresno Orchard Plaza
Fresno, California, United States Recruiting -
Kaiser Permanente-Fresno
Fresno, California, United States Recruiting -
Saint Agnes Medical Center
Fresno, California, United States Recruiting -
Saint Helena Hospital
Fresno, California, United States Recruiting -
Contra Costa Regional Medical Center
Martinez, California, United States Recruiting -
Contra Costa Regional Medical Center
Martinez, California, United States Recruiting -
Kaiser Permanente- Modesto MOB II
Modesto, California, United States Recruiting -
Kaiser Permanente-Modesto
Modesto, California, United States Recruiting -
Kaiser Permanente-Oakland
Oakland, California, United States Recruiting -
Kaiser Permanente- Marshall Medical Offices
Redwood City, California, United States Recruiting -
Kaiser Permanente-Richmond
Richmond, California, United States Recruiting -
Mercy Cancer Center - Rocklin
Rocklin, California, United States Recruiting -
Kaiser Permanente-Roseville
Roseville, California, United States Recruiting -
Kaiser Permanente Downtown Commons
Sacramento, California, United States Recruiting -
Mercy Cancer Center - Sacramento
Sacramento, California, United States Recruiting -
Kaiser Permanente-South Sacramento
Sacramento, California, United States Recruiting -
Kaiser Permanente-San Francisco
San Francisco, California, United States Recruiting -
Kaiser Permanente-Santa Teresa-San Jose
San Jose, California, United States Recruiting -
Kaiser Permanente San Leandro
San Leandro, California, United States Recruiting -
Pacific Central Coast Health Center-San Luis Obispo
San Luis Obispo, California, United States Recruiting -
Kaiser San Rafael-Gallinas
San Rafael, California, United States Recruiting -
Kaiser Permanente Medical Center - Santa Clara
Santa Clara, California, United States Recruiting -
Mission Hope Medical Oncology - Santa Maria
Santa Maria, California, United States Recruiting -
Kaiser Permanente-Santa Rosa
Santa Rosa, California, United States Recruiting -
Providence Medical Foundation - Santa Rosa
Santa Rosa, California, United States Recruiting -
Kaiser Permanente-South San Francisco
South San Francisco, California, United States Recruiting -
Saint Helena Hospital
St. Helena, California, United States Recruiting -
Saint Joseph's Medical Center
Stockton, California, United States Recruiting -
Kaiser Permanente-Stockton
Stockton, California, United States Recruiting -
Kaiser Permanente Medical Center-Vacaville
Vacaville, California, United States Recruiting -
Kaiser Permanente-Vallejo
Vallejo, California, United States Recruiting -
Kaiser Permanente-Walnut Creek
Walnut Creek, California, United States Recruiting -
John Muir Medical Center - Walnut Creek
Walnut Creek, California, United States Recruiting -
Woodland Memorial Hospital
Woodland, California, United States Recruiting -
Rocky Mountain Cancer Centers-Aurora
Aurora, Colorado, United States Recruiting -
Rocky Mountain Cancer Centers-Boulder
Boulder, Colorado, United States Recruiting -
Rocky Mountain Cancer Centers - Centennial
Centennial, Colorado, United States Recruiting
+441 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Karen Craver
- Email: NCORP@wfusm.edu
- Phone: 336-716-0891
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.