←Palliative Care
Study register · detail Prospektive Fallserie · Palliative Care · 1995

An efficient new cannabinoid antiemetic in pediatric oncology.

Clear benefit GRADE Very low 183 citations
Samplen = 8 Pat.
Durationup to 8 months
EndpointVomiting frequency
Blindingn.a.
DesignProspektive Fallserie
Cannabinoidthc
Routeoral
Key finding

Delta-8-THC completely prevented chemotherapy-induced vomiting in all treated children.

Summary

n=8 pediatric oncology patients (3–13 years) undergoing antineoplastic therapy, Delta-8-THC as antiemetic supportive measure (480 treatments, up to 8 months); complete prevention of chemotherapy-induced emesis in 100% of administrations; side effects negligible — relevant for palliative symptom control in children with hematological malignancies.

P
PopulationChildren with hematological cancers undergoing chemotherapy, n=8, age 3–13 years
I
InterventionDelta-8-THC 18 mg/m² in edible oil, oral, 2 h before chemotherapy, then every 6 h for 24 h
O
OutcomeVomiting completely prevented in all 480 treatment cycles; side effects negligible
Confidence in the evidence
Very low

The lowest GRADE level, the effect estimate remains uncertain.

Downgraded for
Imprecision
Quality profile
Sample size ★★★★★
Blinding —
Effect size Clear benefit
Citations / year ★★★★★
Authors
Abrahamov A, Abrahamov A, Mechoulam R.
DOI 10.1016/0024-3205(95)00194-b↗
Design: Prospektive Fallserie
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Abstract
Delta-8-tetrahydrocannabinol (delta-8-THC), a cannabinoid with lower psychotropic potency than the main Cannabis constituent, delta-9-tetrahydrocannabinol (delta-9-THC), was administered (18 mg/m2 in edible oil, p.o.) to eight children, aged 3-13 years with various hematologic cancers, treated with different antineoplastic drugs for up to 8 months. The total number of treatments with delta-8-THC so far is 480. The THC treatment started two hours before each antineoplastic treatment and was continued every 6 hrs for 24 hours. Vomiting was completely prevented. The side effects observed were negligible.

The impediment to action advances action. — Marcus Aurelius