Clinical trial Recruiting at 491 sites Observational Ages 18 and up

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.

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Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment2000 (estimated)
SponsorWake Forest University Health Sciences
Academic / other
Drugs / interventionsinfliximab, chemotherapy, immunotherapy, prednisone
Locations491 sites (Fairbanks, Alaska and 490 other locations)
StatusRecruiting
StartedJanuary 30, 2025
Main results expectedAugust 1, 2028
Study endsAugust 1, 2028
Registry record updatedNovember 4, 2026
Trial IDNCT06418204 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.