In 2006 an excellent review on cannabis and cannabinoid clinical trials was published by Ben Amar. However, there have been at least 37 new clinical trials evaluating medical applications of cannabis and cannabinoids since 2005. The new review of clinical trials was published by Dr. Arno Hazekamp and Dr.Franjo Grotenhermen.

Abstract

To date, a large number of controlled clinical trials have been done evaluating the therapeutic applications of cannabis and cannabis-based preparations. In 2006, an excellent review was published, discussing the clinical trials performed in the period 1975 to June 2005 [Ben Amar 2006].

The current review reports on the more recent clinical data available. A systematic search was performed in the scientific database of PubMed, focused on clinical studies that were randomized, (double) blinded, and placebo-controlled. The period screened was from July 1, 2005 up to August 1, 2009.

The key words used were: cannabis, marijuana, marihuana, hashish, cannabinoid(s), tetrahydrocannabinol, THC, CBD, dronabinol, Marinol, nabilone, Cannador and Sativex. For the final selection, only properly controlled clinical trials were retained. Open-label studies were excluded, except if they were a direct continuation of a study discussed here.

Thirty-seven controlled studies evaluating the therapeutic effects of cannabinoids were identified. For each clinical trial, the country where the project was held, the number of patients assessed, the type of study and comparisons done, the products and the dosages used, their efficacy and their adverse effects are described. Based on the clinical results, cannabinoids present an interesting therapeutic potential mainly as analgesics in chronic neuropathic pain, appetite stimulants in debilitating diseases (cancer and AIDS), as well as in the treatment of multiple sclerosis.

Keywords: cannabinoids, cannabis, therapeutic potential, controlled clinical trial, efficacy, safety

This article can be downloaded, printed and distributed freely for any non-commercial purposes, provided the original work is properlycited (see copyright info below). Available online at www.cannabis-med.org

Author’s address: Arno Hazekamp, [email protected]