Framework for the Design of Cannabis-Mediated Phase I Drug-Drug Interaction Studies
Cannabis has become legal in much of the United States similar to many other countries, for either recreational or medical use. The use of cannabis products is rapidly increasing while the body of knowledge of its myriad of effects still lags. and clinical data show that cannabis' main constitu...
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Published in | Current reviews in clinical and experimental pharmacology Vol. 17; no. 1; p. 18 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Netherlands
2022
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Abstract | Cannabis has become legal in much of the United States similar to many other countries, for either recreational or medical use. The use of cannabis products is rapidly increasing while the body of knowledge of its myriad of effects still lags.
and clinical data show that cannabis' main constituents, delta-9-tetrahydrocannabinol and cannabidiol, can affect pharmacokinetics (PK), safety, and pharmacodynamics (PD) of other drugs. Within the context of clinical drug development, the widespread and frequent use of cannabis products has essentially created another special population: the cannabis user. We propose that all clinical drug development programs include a Phase 1 study to assess the drug-drug interaction potential of cannabis as a precipitant on the PK, safety, and if applicable, the PD of all new molecular entities (NMEs) in a combination of healthy adult subjects as well as frequent and infrequent cannabis users. This data should be required to inform drug labeling and aid health care providers in treating any patient, as cannabis has quickly become another common concomitant medication and cannabis users, a new special population. |
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AbstractList | Cannabis has become legal in much of the United States similar to many other countries, for either recreational or medical use. The use of cannabis products is rapidly increasing while the body of knowledge of its myriad of effects still lags.
and clinical data show that cannabis' main constituents, delta-9-tetrahydrocannabinol and cannabidiol, can affect pharmacokinetics (PK), safety, and pharmacodynamics (PD) of other drugs. Within the context of clinical drug development, the widespread and frequent use of cannabis products has essentially created another special population: the cannabis user. We propose that all clinical drug development programs include a Phase 1 study to assess the drug-drug interaction potential of cannabis as a precipitant on the PK, safety, and if applicable, the PD of all new molecular entities (NMEs) in a combination of healthy adult subjects as well as frequent and infrequent cannabis users. This data should be required to inform drug labeling and aid health care providers in treating any patient, as cannabis has quickly become another common concomitant medication and cannabis users, a new special population. |
Author | Pastino, Gina Shuster, Diana L Cerneus, Dirk |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34455952$$D View this record in MEDLINE/PubMed |
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Keywords | cannabidiol clinical pharmacology Cannabis delta-9-tetrahydrocannabinol drug-drug interactions marijuana |
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SubjectTerms | Adult Cannabidiol - pharmacology Cannabis - adverse effects Clinical Trials, Phase I as Topic Drug Interactions Humans United States |
Title | Framework for the Design of Cannabis-Mediated Phase I Drug-Drug Interaction Studies |
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