Study Protocol

Study Protocol

Protocol #710-4502 The following amendments have been made to the original version of the protocol (dated 7 October, 2020). Version 1.1 (25 November 2020) • On the title page of the protocol we included the legal entity 11318152 Canada Inc. This was a request from the Study Insurance Broker. • Appendix 6 Classification of Chronic Pain IASP ICD 11 was developed to further illustrate Subject Inclusion Criteria. The definition of Subject Inclusion Criteria 1. was changed from “Subject ≥ 25 years of age with a diagnosis of chronic non-cancer pain defined as pain lasting or recurring over a period > 3 months (IASP-ICD-11 classification)” to “Subject ≥ 25 years of age with a diagnosis of chronic non-cancer pain defined as pain lasting or recurring over a period > 3 months (IASP-ICD-11 classification, refer to Appendix 6)”. Changes were made in several places in the protocol to reflect this change, including in the table of contents (p. 5), the Synopsis (p. 10), Section 6.1 (Subject Inclusion Criteria p. 21), and Appendix 6 (p. 79). • The ST Discontinuation and Exit Assessment are now two separate assessments. Changes were made in several places in the protocol to reflect this change including in the table of contents (p. 5), the Synopsis (p. 9), in Table 1. (Schedule of Events p. 12), Section 3.1. (Study Design p. 17), in Appendix 4 (ST Discontinuation p. 76) and in Appendix 5 (Exit Assessment p. 78). 25 November 2020 CONFIDENTIAL Page 1 of 79 Protocol #710-4502 Global Registry for the Use of Spectrum Therapeutics Cannabis Products in Subjects with Chronic Pain Protocol Number: [710-4502] Investigational Product(s): Spectrum Therapeutics Products all formulations: Red, Blue, Yellow, Clear, Orange, Purple, Green Original Protocol 7 October, 2020 Protocol Amendments 25 Nov, 2020 Development Phase: Observational Study Therapeutic Area: Chronic pain Sponsor: Canopy Growth Corporation 1 Hersey Drive Smith Falls K7A 0A8 Legal Entity 11318152 Canada Inc. Funding Source: Canopy Growth Corporation Study Sites: Canada Germany United Kingdom Australia Principal Investigator Dr. Dwight Moulin Email: [email protected] Telephone: 519-685-8661 Confidentiality Statement This document contains confidential information belonging to Canopy Growth Corporation. The information in this document may not be disclosed unless federal or state law or regulations require such disclosure. Participant to the foregoing, this information may be disclosed only to those persons involved in the study who have a need to know, with the obligation not to further disseminate this information. 25 November 2020 CONFIDENTIAL Page 2 of 79 Protocol #710-4502 SIGNATURES Sponsor Signature Signed: Date: October 19, 2020 Dr. Marcel Bonn-Miller VP, Human and Animal Research Canopy Growth Corporation Investigator Signature Signed: Date: October 22, 2020 Dr. Dwight Moulin Principal Investigator 25 November 2020 CONFIDENTIAL Page 3 of 79 Protocol #710-4502 TABLE OF CONTENTS Contents SIGNATURES....................................................................................................................................3 Signed: Date: October 19, 2020 Dr. Marcel Bonn-Miller .......................................................3 Investigator Signature...........................................................................................................................3 Signed: Date: October 22, 2020 Dr. Dwight Moulin .............................................................3 TABLE OF CONTENTS ......................................................................................................................4 LIST OF APPENDICES .......................................................................................................................5 SYNOPSIS .........................................................................................................................................6 ABBREVIATIONS AND DEFINITIONS OF TERMS ........................................................................... 13 1. BACKGROUND INFORMATION AND STUDY RATIONALE ...................................................... 14 1.1 Background ............................................................................................................................... 14 1.2 Rationale ................................................................................................................................... 14 2. STUDY OBJECTIVES AND PURPOSE ....................................................................................... 15 2.1 Objectives ................................................................................................................................. 15 2.1.1 Primary Objective .............................................................................................................. 15 2.1.2 Secondary Objectives ......................................................................................................... 15 2.1.3 Safety Objective ................................................................................................................ 15 3. STUDY DESIGN ....................................................................................................................... 16 3.1 Description of the Study .............................................................................................................. 16 4. STUDY MEDICATION .............................................................................................................. 18 4.1 Study Medication Prescribing/Authorization ................................................................................... 18 4.2 Study Medication: Cannabinoid Content Calculation........................................................................ 19 4.3 Study Medication Safety Information............................................................................................. 19 5. RECRUITMENT........................................................................................................................ 20 5.1 Site Eligibility ............................................................................................................................ 20 5.2 Investigator Training ................................................................................................................... 20 6. SUBJECT SELECTION AND WITHDRAWAL CRITERIA ............................................................ 21 6.1 Subject Inclusion Criteria ............................................................................................................. 21 6.2 Subject Exclusion Criteria ............................................................................................................ 21 6.3 Subject Withdrawal from Study Participation .................................................................................. 21 7. OUTCOME ASSESSMENTS ...................................................................................................... 22 7.1 Study Endpoints ......................................................................................................................... 22 7.2 Study Assessments...................................................................................................................... 22 7.2.1 EQ5D-5L- Euro QoL .......................................................................................................... 22 7.2.2 BPI-SF ............................................................................................................................. 22 7.2.3 PGI-C .............................................................................................................................. 22 7.2.4 CGI-I ............................................................................................................................... 23 7.2.5 Determination of Opioid Consumption .................................................................................. 23 25 November 2020 CONFIDENTIAL Page 4 of 79 Protocol #710-4502 7.2.6 Other Concomitant Medications ........................................................................................... 23 7.2.7 AEs/SAEs......................................................................................................................... 23 7.2.7.1 AE Definition .................................................................................................................... 23 7.2.7.2 SAE Definition .................................................................................................................. 23 7.2.7.3 AE Severity ...................................................................................................................... 24 7.2.7.4 Relationship of AEs to Study Products .................................................................................. 24 8. DATA HANDLING AND RECORD KEEPING ............................................................................. 25 8.1 Data Collection .......................................................................................................................... 25 8.2 Data Management ....................................................................................................................... 25 8.3 Data Monitoring ......................................................................................................................... 25 8.4 Record Retention ........................................................................................................................ 25 8.5 Database

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