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Cannabis cancer trial failure

The BBC

Monday 28 Jan 2002

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A drug derived from cannabis is less effective than the standard treatment
for improving appetite and increasing weight in patients with advanced
cancer, scientists have found.

A large scale study in the US and Canada, compared the two after
suggestions drugs derived from cannabis could boost appetite.

Researchers from the Mayo Clinic in Rochester, Minnesota and the North
Central Cancer Treatment Group said their finding to the contrary should
"dampen enthusiasm" for using cannabis medications in this way.

Dr Aminah Jatoi, Mayo Clinic
More than half of patients with advanced cancer suffer a loss of weight and
appetite.

The study monitored 469 cancer patients aged 18 and over between December
1996 and December 1999.

All had reported some loss of appetite or weight loss of at least five
pounds during the preceding two months.

Search for answers

Doctors compared the effects of megestrol acetate, a standard drug for
treating loss of appetite and weight in cancer patients, with dronabinol
(Marinol), which is derived from marijuana.

Some patients were given both drugs.

Of those taking only the standard treatment, 75% said their appetite
improved, compared to just 49% of patients taking dronabinol.

And 11% of those on megestrol acetate, gained more than 10% of their
baseline weight, compared with only 3% who were taking dronabinol.

The study also found that there was no notable benefit when both drugs were
given together.

Dr Aminah Jatoi, who led the research, said: "These findings should dampen
enthusiasm for using marijuana derivatives for this purpose.

She added: "Nobody knows all of the factors that come into play as cancer
patients lose weight.

"This study was an attempt to help cancer patients by finding some answers
about what works and what doesn't work for those struggling with eating.

"To our knowledge, this is the first study to compare a standard drug to a
drug derived from marijuana in an effort to help cancer patients with this
problem."

She said megestrol acetate was not the complete answer, and more work
needed to be done to find better drugs.

But she said it was more effective than the cannabis derivative.

GW Pharmaceuticals is spearheading UK research into the medicinal benefits
of cannabis, concentrating on its pain relieving effects, rather than
appetite or weight gain.

Mark Rogerson of GW Pharmaceuticals said: "As the US researchers have
noted, there is anecdotal evidence linking the recreational use of cannabis
to appetite stimulus.

"We have found that patient response to cannabis medicine tends to be very
dose-specific, and it may be that these results hold only for the doses
tested.

"We note that appetite gain was observed in nearly 50% of cases, and would
regard that as a welcome adjunct to the pain relief which we believe can be
provided to cancer patients by a cannabis medicine."

The results of the study are published in the Journal of Clinical Oncology.

 

 

 

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