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IACM-Bulletin of 9 July 2006

International Association for Cannabis as Medicine

Sunday 09 Jul 2006

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IACM-Bulletin of 9 July 2006

* Science: THC tested against brain tumour in pilot clinical study
* Germany: Federal Institute for Pharmaceuticals and Medical
Products makes unrealistically high demands of patients for the
approval of their medical use of cannabis

1.

Science: THC tested against brain tumour in pilot clinical study

Results of a clinical study with THC in nine brain cancer patients
conducted in a hospital on Tenerife, Spain, were published in the
British Journal of Cancer. Patients suffered from a gioblastoma,
a very aggressive brain tumour, and had previously failed
standard therapy (surgery and radiotherapy). Median survival
was 24 weeks. Two patients survived nearly one year.

THC was administered directly into the tumour by a small
catheter, whose tip was placed into the tumour during a surgery.
The initial THC dose was 20-40 micrograms, which was
increased to 80-180 micrograms daily. Patients were treated for
10-64 days. The treatment was well tolerated by all patients.

The tumours of the nine patients expressed different amounts of
CB1 and CB2 receptors, but there was no correlation between
receptor expression and survival. Due to the study design it was
not possible to determine the effect of THC on survival. This
would have required a control group with no or with a different
treatment. A comparison with survival in pilot studies with other
drugs suggests that THC may have been beneficial to the
patients in this study. Researchers noted that THC at least did
"not facilitate tumour growth nor decrease patient survival." They
suggest further trials with cannabinoids on this and other types of
tumours either alone or in combination with other anti-tumoural
drugs.

(Source: Guzman M, Duarte MJ, Blazquez C, Ravina J, Rosa
MC, Galve-Roperh I, Sanchez C, Velasco G, Gonzalez-Feria
L. A pilot clinical study of Delta(9)-tetrahydrocannabinol in
patients with recurrent glioblastoma multiforme. Br J Cancer,
2006 Jun 27; [electronic publication ahead of print])

2.

Germany: Federal Institute for Pharmaceuticals and Medical
Products makes unrealistically high demands of patients for the
approval of their medical use of cannabis

On 5 July, the Federal Institute for Pharmaceuticals and Medical
Products sent identical letters to applicants for permission to use
cannabis for medicinal purposes, in which the institute requests
additional information and documents. Referencing provisions of
the Federal Narcotics Control Law patients are also asked to
comply with requirements, which at best can be met by
pharmacies or pharmaceutical companies.

For example, they demand the storage of cannabis in a safe or in
rooms made of reinforced concrete and a certificate
documenting the patientÂ’s experience in the handling of
narcotics. If the cannabis were to be imported from abroad, the
Institute would require importation permits for each purchase.
The Institute asks applicants to respond by 31 August or to
request an extension.

The chairman of the German Association for Cannabis as
Medicine (ACM), Dr. Franjo Grotenhermen, points out that in
Canada and in those states in the USA, where the medical use
of cannabis is allowed, no such demands are made of patients.
In addition, patients who are prescribed opiates in Germany are
allowed to store a ration that suffices three months. "Even after
the 2005 ruling by the Federal Administrative Court the Institute
has been trying by all means to prevent patients from gaining
legal access to the medical use of cannabis," he said. "The
demands of the Federal Institute for Pharmaceuticals and
Medical Products contradict the spirit of the court ruling." The
Federal Administrative Court stated in its ruling of 19 May 2005
that "in particular in the case of cannabis" the federal institute
needs to consider granting a permission for cultivation by
patients.

The letter sent to patients by the Federal Institute for
Pharmaceuticals and Medical Products is available for download
at www.cannabis-med.org/german/bfarm2006.pdf

3.

News in brief

***Science: ICRS Meeting 2006
This year's meeting of the ICRS (International Cannabinoid
Research Society) took place on 25-28 June near the Lake
Balaton in Hungary. This year the book with the abstracts of all
talks and posters will be made available for free on the website
(www.cannabinoidsociety.org) within soon.

***USA: House of Representatives
The House of Representatives on 28 June voted to continue to
allow federal prosecution of patients who use cannabis for
medical purposes in states with laws that permit it. By a 259-
163 vote, the House again turned down an amendment that
would have blocked the Justice Department from prosecuting
people in the 11 states with such medical marijuana laws.
(Source: Associated Press of 28 June 2006)

***USA: Medical cannabis patients
During the Fourth National Clinical Conference on Cannabis
Therapeutics that took place on 6-8 April in Santa Barbara,
California, it was announced that the number of patients, who
receive medical cannabis from the federal government, has
reduced to five survivors. In 1978 the federal government
established a special program ("Compassionate IND"), under
which several patients gained access to medical cannabis. This
program was stopped by the federal government in the early
1990s. Already registered patients continued to receive cannabis
from the government. (Source: Press release of Patients out of
Time of 26 June 2006)

4.

ONE YEAR AGO:
- Science: Cannabis smoking does not cause cancer according
to a case-control study
- Science: News at the 2005 ICRS Conference
- USA: Rhode Island will likely legalize the medical use of
cannabis despite a veto by the governor

TWO YEARS AGO:
- IACM-Bulletin was not published

(More at the IACM-Bulletin archives: http://www.cannabis-
med.org/)

International Association for Cannabis as Medicine (IACM)
Rueckertstrasse 4
D-53819 Neunkirchen
Germany
Phone: 2247-968083
Fax: 2247-9159223
Email: info@cannabis-med.org
http://www.cannabis-med.org

 

 

 

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