Reducing Breathlessness With Dronabinol in COPD Patients

Inclusion Criteria: * Refractory dyspnea despite optimal treatment * COPD (GOLD 3,4) * Breathlessness corresponding to mMRC score ≥ 3 * Informed written consent * Age ≥ 18 years * Cognitive relevant, of legal age * Understands and speaks Danish * For fertile women defined by amenorrhea for less than 12 months: negative HCG before entry into the trial * For fertile and sexually active subjects: use of safe contraception during medication intake and 4 weeks after: intrauterine device (IUD) or hormonal contraception (oral contraceptive pill, implant, transdermal patch, vaginal ring or depot injection). Exclusion Criteria: * Ongoing infection or exacerbation of COPD within the last month (30 days) * Regular treatment with THC or CBD within 1 month (30 days) * Life expectancy less than 3 months (90 days) * Treatment with medicines that, according to the summary of product characteristics, are strong inhibitors or inducers of CYP3A4, CYP2C9 or CYP2C19 * History of or current evidence of significant medical or psychiatric disorder that is considered by the investigator to put the subject at greater risk of experiencing an adverse event * Current or past substance abuse where the investigator finds it too risky for the subject to be included in the study