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Researchers to test cannabis for medical benefits

Jeremy Laurance

Independent

Tuesday 14 Dec 1999


Researchers are to test different forms of cannabis in the first
clinical trials into the medical benefits of the drug for multiple
sclerosis sufferers.

The Medical Research Council (MRC) approved a grant of almost
£1myesterday for a three-year study of the drug which people with MS
say can ease symptoms. The drug will be given orally because a pill is
thought to be more acceptable for patients. But critics believe it
will be too slow to take effect and will increase the risk of
side-effects.

The trial, to be run in conjunction with the Multiple Sclerosis
Society, will involve 660 patients who will be given one of three
treatments. These will contain cannabis extract, the active
constituent tetrahydrocannabinol or a placebo containing vegetable
oil.

A second trial by the company GW Pharmaceuticals will involve 2,000
patients suffering from MS, spinal cord injuries and intractable pain,
who will be given the drug as drops under the tongue, a spray or an
aerosol to be inhaled. The company has a licence to grow the drug and
has 20,000 plants from which to produce pure extracts.

Dr John Zajicek, consultant neurologist at Derriford Hospital in
Plymouth, who will lead the MRC trial, said: "We hope the study will
provide definitive scientific evidence about whether or not taking
cannabis is helpful to people with MS."

Dr Geoffrey Guy, director of GW Pharmaceuticals, said it was more
difficult for patients to judge the right dose using oral preparations
of the drug because it took 90 minutes to reach its peak level in the
blood. The dose could be either too little to control the symptoms or
too much, causing side- effects. With drops under the tongue the
effects were felt in minutes and the dose was easier to adjust. "I
think we might get clearer, cleaner results using a non-oral route,"
he said.

Both research groups welcomed yesterday's announcement by the MRC as
indicating growing acceptance of the potential of cannabis as a
medicinal treatment.

Peter Cardy, chief executive of the Multiple Sclerosis Society, said:
"The trial will provide us with the evidence we need to know whether
cannabis or cannaboids [extracts of the drug] are a safe and effective
treatment of spasticity in MS."

Clare Hodges, who heads the Alliance for Cannabis Therapeutics, said
she was forced to break the law to relieve the symptoms of MS. "I tend
to smoke it because it gives an instant hit, which is what you need
with MS. If I wake up at night with spasms or feeling really sick and
ill, I can have a smoke and feel better."

 

 

 

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