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