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Vol 274 No 7340 p292
12 March 2005

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Cannabis-based medicine reduces cancer pain

Preliminary results of a phase III trial of the cannabis-based medicine Sativex have shown the product to be effective in reducing pain associated with cancer, according to GW Pharmaceuticals, the company developing the drug.

In a randomised controlled trial 177 patients with severe cancer pain were randomised to Sativex (containing tetrahydrocannabinol [THC] and cannabidiol), a THC-rich extract or placebo, all administered in the form of an oral spray. Patients remained on their existing analgesic medication.

The company says that approximately 40 per cent of the patients on Sativex reported a pain improvement of greater than 30 per cent (P=0.024). No significant effect on pain was observed with the THC-rich extract.

GW Pharmaceuticals has applied to the Medicines and Healthcare products Regulatory Agency for a UK licence and the application is under review. At the end of last year the Committee on Safety of Medicines requested more evidence on the effectiveness of the drug for spasticity associated with multiple sclerosis (PJ, 11 December 2004, p840).

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