Skip to main content

Cannabis Oil Mitigates Osteoarthritis Knee Pain In Clinical Trial

Unfortunately, knee injuries are common worldwide, especially within the sports community and among older individuals. Researchers estimate that knee injuries account for as much as 41% of all sports-related injuries for athletes.

Many knee injuries result in the affected patient developing osteoarthritis in the injured knee. An estimated 365 million people worldwide suffer from knee osteoarthritis, which can be very painful for the individual suffering from the condition.

A team of researchers in Thailand recently conducted a clinical trial involving the use of cannabis-infused oil among patients suffering from osteoarthritis knee pain. Below is more information about the clinical trial and its results via a news release from NORML:

Sukhothai, Thailand: The sublingual administration of oil extracts containing plant-derived cannabinoids significantly reduces knee pain in subjects suffering from treatment-resistant osteoarthritis, according to clinical data published in the Journal of Southeast Asian Orthopaedics.

A team of Thai investigators conducted a randomized, double-blind, placebo-controlled clinical trial involving 32 patients diagnosed with severe osteoarthritic knee pain. All the participants in the study were awaiting total knee arthroplasty. Participants consumed either oral extracts containing THC (4.59 mg/drop) and CBD (24.25 mg/drop) or a placebo (coconut oil) for 30 days in addition to traditional prescription medications.

Patients’ pain scores “demonstrated a statistically significant improvement” following cannabis treatment, researchers reported.

The study’s authors concluded: “Cannabis oil significantly reduced pain intensity and improved the QOL [quality of life] in patients with knee OA, as reflected by improvements in the NRS [Numeric Rating Scale]and KOOS [Knee Injury and Osteoarthritis Outcome] scores. … Future research with optimized dosages, larger sample sizes, and longer follow-up periods is needed to evaluate its true clinical relevance.”

Full text of the study, “Effectiveness of cannabis oil as an adjuvant therapy in patients with severe knee osteoarthritis: A randomized, double-blind study,” appears in the Journal of Southeast Asian OrthopaedicsAdditional information on cannabis and arthritis is available from NORML’s publication, Clinical Applications for Cannabis & Cannabinoids.

Transdermal Cannabis Mitigates Diabetic Neuropathy In Clinical Trial

Diabetic neuropathy is a form of nerve damage that can happen in patients who suffer from diabetes. International researchers estimate that roughly 536.6 million people worldwide have been diagnosed with diabetes.

Health investigators around the world are researching how medical cannabis products and diabetes interact at an ever-increasing rate, and many studies are finding that medical cannabis can help treat diabetes to some degree.

A team of researchers in Thailand recently conducted a clinical trial focusing on transdermal cannabis products and patients who suffer from diabetic neuropathy. Below is more information about the results of the study and its findings via a news release from NORML:

Khon Kaen, Thailand: The transdermal application of oil extracts containing plant-derived cannabinoids significantly reduces diabetic neuropathy, according to clinical data published in the journal Medical Cannabis and Cannabinoids.

A team of Thai investigators conducted a Phase III, randomized, double-blind, placebo-controlled clinical trial involving 100 patients diagnosed with diabetic neuropathy of the lower extremities. Participants received either transdermal formulations containing THC (3.20 mg/drop), CBD (0.32 mg/drop), and CBN (0.65 mg/drop) or a placebo (coconut oil) for 12 weeks. Subjects’ pain levels were assessed at baseline and at four, eight, and 12 weeks.

“Mean total NPSI-T (Neuropathic Pain Symptom Inventory) scores decreased markedly from 25.60 to 5.57 in the treatment cohort, contrasting with minimal reduction from 25.24 to 22.85 in the placebo group,” researchers reported. “GEE (Generalized Estimating Equation) analysis revealed significant pain amelioration at weeks 4, 8, and 12. The cannabis formulation exhibited an excellent safety profile, with only 10 percent of participants reporting mild adverse events, comparable to placebo group outcomes.”

The study’s authors concluded: “This novel transdermal medical cannabis formulation (consisting of THC, CBD, and CBN) demonstrated significant therapeutic efficacy in ameliorating painful DPN [diabetic peripheral neuropathy] symptoms while maintaining a favorable safety profile. These findings provide robust clinical evidence supporting its potential as an innovative therapeutic option for managing painful diabetic peripheral neuropathy.”

Prior studies have similarly shown that a wide range of cannabis formulations, including vaporized cannabis floweroral CBD extracts, and aerosolized THC can mitigate neuropathic pain.

Full text of the study, “Efficacy and safety of transdermal medical cannabis (THC: CBD: CBN formula) to treat painful diabetic peripheral neuropathy of the lower extremities,” appears in Medical Cannabis and Cannabinoids.

Germany Finalizes Recreational Cannabis Pilot Projects

A major component of Germany’s adult-use cannabis legalization model involves launching regional adult-use cannabis commerce pilot trials. The European nation took a major step forward in implementing pilot trials by announcing that the Federal Office for Agriculture and Food will help oversee the nation’s adult-use cannabis research projects, part of which includes pilot trials.

“By passing the Consumer Cannabis Act, the Bundestag has given the Federal Ministry of Food and Agriculture (BMEL) was given the task of appointing the responsible body for processing research applications on consumer cannabis and industrial hemp. The regulation that has now been issued – the Consumer Cannabis Science Responsibility Regulation – stipulates that the Federal Office for Agriculture and Food will examine corresponding research applications and monitor the approved projects.” the German government stated in a news release (translated from German to English).

“Previously, this task was carried out by the Federal Institute for Drugs and Medical Devices (BfArM). The BfArM remains the responsible authority for research into medical cannabis.” German officials also stated.

Germany enacted the first provisions of the CanG legalization law on April 1st, 2024. Adults in Germany are now allowed to cultivate cannabis in their private residences and to possess a personal amount of cannabis in their homes and while away from their residences.

Starting on July 1st, 2024, adults could apply to start a member-based cultivation association in Germany. Personal cultivation, possession, and consumption combined with cultivation associations were part of ‘pillar 1’ of Germany’s CanG law.

“Research on and with consumer cannabis is now possible again, but requires a permit. Applicants must meet the criteria set out in the Consumer Cannabis Act, demonstrate the required expertise and demonstrate an interest in research. Not only universities, but also companies can submit research applications. Research can help to effectively curb the black market, expand health prevention and make the debate more objective.” the German government stated.

While this week’s announcement gets Germany a step closer to launching pilot trials, more steps are necessary before final implementation.

“The regulation pursuant to Section 2 Paragraph 4 of the KCanG regulates the scientific use of cannabis for consumption. Anyone who wants to possess, cultivate, produce, import, export, acquire, receive, hand over, pass on, extract cannabinoids from the cannabis plant or trade in cannabis for consumption for scientific purposes requires a permit from the Federal Office for Agriculture and Food.” German officials state on a recently published FAQ page.

“This is not the “second pillar” of the key points paper. The “second pillar” should test cannabis specialty stores nationwide in a comprehensive and detailed law. The Federal Ministry of Health is responsible for drafting such a draft law.” the FAQ page also states.

Israel Government Offers Co-Financing For Participation At International Cannabis Business Conference Berlin 2025

The Ministry of Economy and Industry of Israel has included the International Cannabis Business Conference in Berlin 2025 as an event for which companies can receive co-financing for the cost of exhibiting or participating.

The grant falls under the Foreign Trade Administration’s “Growth for the World” program, allowing Israeli entities to apply for and reimburse up to 4K euros for expenses related to participation/exhibition at the Berlin conference, which is Europe’s largest and longest-running cannabis B2B event.

Applications to participate in the program can be submitted until December 17, 2024 at 5:00 PM. Prospective applicants can apply at this link here. The International Cannabis Business Conference is noted under the ‘Med & Bio’ category in the list of conferences for which companies can receive grants.

The Berlin conference could not be timelier, with Germany’s legal cannabis industry currently undergoing a historic expansion. Starting on April 1st, 2024, cannabis became legal for adults to cultivate, possess, and consume in Germany. Additionally, as of July 1st, 2024, aspiring cultivation association operators can apply with their local regulatory authorities in Germany.

“Europe is by far the most exciting place on the planet for cannabis policy and industry right now. Germany is leading a continental revolution and creating opportunities that we have never witnessed before and may never witness again. Entrepreneurs and investors who get in on the ground floor now could reap the benefits for generations to come.” says Alex Rogers, founder and CEO of the International Cannabis Business Conference.

The International Cannabis Business Conference is the leading cannabis B2B event series on the planet, with previous conferences occurring in several countries on multiple continents. The event series is owned and operated by cannabis advocates who believe in celebrating cannabis culture, in addition to providing world-class cannabis industry education and networking opportunities.

It is becoming increasingly difficult to gain an edge on the competition in the emerging international cannabis industry, and people need to get their ideas, products, or services in front of the right people at the right time.

With executives, entrepreneurs, investors, policymakers, and industry service providers converging from across the planet, the International Cannabis Business Conference B2B trade show event in Berlin is the perfect place to put cannabis ideas on the global cannabis stage.

Over 5,000 cannabis leaders from over 80 countries are expected to be represented at the conference in Berlin and that includes representatives from every sector of the industry as well as leading international cannabis policymakers and industry service providers.

Bring your company to the International Cannabis Business Conference in Berlin to network with the best and take your industry pursuits to the next level. Secure your exhibitor and/or sponsorship slot now before the event sells out.

UK Study Finds Cannabis Provides Quality Of Life Improvements In Pain Patients

A team of researchers affiliated with several different healthcare and academic institutions in the United Kingdom found that chronic pain patients reported sustained improvements in their symptoms after medical cannabis use. The researchers published their observational data  in the journal Pain Practice.

“Chronic pain (CP) affects 35.0%–51.3% of the UK population, with 67%–88% reporting sleep disturbances. Cannabis-based medicinal products (CBMPs) have shown therapeutic potential in managing CP. Evidence suggests poor sleep worsens pain perception; therefore, this study aimed to assess patient-reported outcome measures (PROMs) following CBMP treatment in CP patients with and without co-morbid sleep impairment.” the researchers stated about their study.

“The sleep impaired cohort showed improvements in all PROMs at each follow-up (p < 0.010). The sleep unimpaired cohort showed similar results (p < 0.050), except in SQS and ED-5Q-5L: self-care and anxiety/depression scores (p > 0.050). However, the sleep impaired cohort observed greater improvements in BPI pain severity (p < 0.050) and SQS (p < 0.001) than the sleep unimpaired cohort at all follow-ups.” they reported about the results of the study.

“Whilst these results show promise for the effects of CBMPs on CP, they must be examined within the limitations of the study design. These findings provide further evidence to support the design of subsequent randomized controlled trials to verify causality between CBMPs and pain outcomes.” the authors concluded.

Starting in 2018, health specialists in Britain are permitted to prescribe cannabis-based medicinal products to suffering patients unresponsive to conventional medications.

A separate study conducted earlier this year in the United Kingdom found that older patients reported experiencing better general health and well-being following their use of medical cannabis products.

“There were consistent improvements across measures of general health and well-being after three months of treatment. … These findings accord with a growing body of observational and real-world evidence from jurisdictions that have legalized medicinal cannabis that cannabis is effective for improving sleep, mood and quality of health across multiple primary conditions.” the authors of that particular study reported.

International Hemp Sector Seeks Science-Based Animal Feed Regulations

Members of the global hemp sector are calling for uniform international science-based regulations for animal hemp feed. Hemp-derived animal feeds are increasing in popularity as countries worldwide move to modernize their hemp policies and regulations.

Earlier this year, the U.S. Food and Drug Administration’s Center for Veterinary Medicine and the Association of American Feed Controls approved hemp seed meal as feed for laying hens. The regulatory entities set a threshold of 2 parts per million (ppm) of THC and a threshold of 20 ppm for CBD, which hemp sector members in other nations have reportedly taken issue with.

“The European Industrial Hemp Association (EIHA) is concerned regarding the current application from the Hemp Feed Coalition (HFC) to AAFCO to register hempseed meal as a livestock feed ingredient for laying hens with maximum cannabinoid limits of 2 ppm for total THC and 20 ppm for total CBD.” EIHA stated in an open letter in response to the then-proposed cannabinoid thresholds.

“We believe this feed ingredient definition does not reflect current research on feed-based cannabinoid risk, would needlessly exclude most commercially available hempseed meal, and therefore create a market that would not be commercially viable. We also believe that moving forward with this registration would create precedent that will complicate commercially viable hemp livestock feed ingredient registrations in Europe and other important global markets.” the letter also stated.

Members of the Canadian Hemp Trade Alliance (CHTA) also issued their own public letter earlier this year calling for an increase in cannabinoid thresholds.

“While we are optimistic for the new market opportunities, we do have concern that the proposed limits of 2 ppm of total THC and 20 ppm of total CBD are too low when the hempseed meal is
produced from hemp varieties that are commonly grown in North America. The observed variation of these natural constituents after decades of food manufacturing shows that most lots
will not meet these low levels.” members of CHTA stated in their letter.

“We feel that the established limit of 10 ppm for total THC for hempseed-derived food products in Canada is more appropriate in that it will not require separate testing of lots to qualify for feed, an effort in cost and time that the feeding industry will not be prepared to incur.” the letter also stated.

According to original reporting by FeedNavigator, the Federation of International Hemp Organizations is “working to harmonize global hemp regulations” and the organization is “collating the expertise of over 100 hemp professionals” to advocate for “policies that reflect hemp’s agricultural and industrial potential.”

A recent study conducted in China using hemp seed cake (HSC) to feed chickens found that “adding 20% HSC in the feed had a notable effect on the growth, antioxidant and immune capabilities, blood lipid metabolism, and meat performance” of the chickens in the study.

In addition to hemp increasingly being used as a source of animal feed, cannabinoids are also being increasingly used by veterinarians as medicine for suffering pets. For example, Brazil’s National Health Surveillance Agency recently decided to amend Ordinance SVS/MS 344/1998 to allow the regulation of medical cannabis products for animals by the Ministry of Agriculture and Livestock.

According to a recent market analysis by Global Market Insights, the global cannabidiol (CBD) pet market was worth an estimated $693.4 million in 2023. The CBD pet product market is projected to grow at an estimated 18.2% CAGR from 2024 to 2032.

Market growth will be driven by “growing pet ownership coupled with increasing awareness and acceptance of the potential therapeutic benefits of hemp-derived CBD for pets” the researchers stated.

“The dogs segment is set to lead the market, accounting for the largest revenue of USD 416.1 million in 2023, anticipating its dominance throughout the forecast period with a significant growth rate.” Global Market Insights reported.

Colombian Review Of Clinical Trials Finds Cannabis Improves Fibromyalgia Symptoms

The use of cannabis-based medications by patients diagnosed with fibromyalgia syndrome, including the use of unprocessed cannabis flower, is associated with symptomatic improvements according to a systematic review of clinical trials previously published in the journal Exploratory Research in Clinical and Social Pharmacy.

“There is a need to explore pharmacological options for syndrome (FMS), such as medical cannabis. The aim of this systematic review was to synthesize and analyze the available information about the effectiveness/efficacy and safety of cannabis-based products for medical use (CBPMs) and cannabis-based medicines (CBMs), in patients with FMS.” the researchers stated about the goal of the review. The team of researchers conducting the review were affiliated with:

  • Research Group on Pharmaceutical Promotion and Prevention, University of Antioquia, UdeA, AA 1226, Medellin 050010, Colombia
  • 2El Dorado Botanical, Independent Researcher and Advisor in Bioinformatics and Precision Medicine, Medellin, Colombia.
  • 3Research Group on Pharmaceutical Care, University of Granada, 18071 Granada, Spain

“Interventional or observational studies, systematic reviews and meta-analysis regarding the effectiveness/efficacy and safety of CBPMs and CBMs in patients with FMS were retrieved from the PubMed/Medline database until April 2024. Then, the information was summarized in tables, with the type of CBPM and CBM, the method used in the study and the effective-ness/efficacy and safety outcomes.” the researchers stated about their methodology.

Fibromyalgia syndrome is a chronic musculoskeletal condition that is estimated to affect as much as 5% of the world’s population. Women are more likely to be diagnosed with fibromyalgia syndrome compared to men.

“19 publications were selected from the search or form the relevant references. Different CBPM and CBM were used across the studies. Also, different instruments for measuring the effectiveness were used. In general, the use of CBPMs and CBM showed an important improvement in pain, quality of life, and sleep habits. There were no serious adverse events.” researchers stated about the systematic review of clinical trials.

“The results show that CBMPs and CBMs could be effective and safe in patients with FMS; however, the evidence is limited and there is a need for high-quality clinical studies conducted with improved methodological design.” the review authors concluded.

According to a recent market analysis by S&S Insider, the global medical cannabis market was valued at $16.84 billion in 2023, and is projected to reach an estimated $86.04 billion in value by 2032 with CAGR of 19.89% from 2024 to 2032.

CBD Mitigates Symptoms In Alzheimer’s Patients In Colombian Study

Alzheimer’s disease is a serious health condition that results in a brain disorder that slowly destroys a patient’s memory and thinking skills. Eventually, the condition impedes the patient’s ability to carry out simple daily tasks.

Global researchers estimate that every 3 seconds someone develops dementia somewhere on Earth, and that there were over 55 million people worldwide living with dementia as of 2020. The number of sufferers will roughly double every 20 years, reaching a projected 78 million in 2030 and 139 million in 2050.

A team of investigators in Colombia recently conducted a study in which they examined the use of CBD oil by Alzheimer’s patients experiencing neuropsychiatric symptoms. The study was published in Medical Cannabis and Cannabinoids.

“Neuropsychiatric symptoms (NPS) may be disruptive and problematic for patients with Alzheimer’s disease (AD) and for their caregivers. Cannabidiol (CBD) may be a safer alternative. The objective was to evaluate whether CBD-rich oil was effective, and safe in adults with NPS secondary to AD.” the researchers stated about their study.

“An open-label, prospective cohort, single-center study in patients with AD onset after the age of 65 with untreated NPS. A CBD-rich oil was administrated 0.1 mL sublingually every 8–12 h, up-titrated weekly. The primary outcome was to establish a reduction in the NPI-Q severity score of >30% at 12 weeks compared with the baseline. A p value of <0.05 was statistically significant.” the researchers stated about the study’s methodology.

“Between July 2020 and July 2023, 59 (93.5%) patients completed ≥3 months of follow-up. The patients were under treatment for a mean of 23.2 months, the median dose of CBD was 111 mg/day. The median NPI-Q severity and caregiver’s distress scores at baseline were 24 and 29, respectively. At 3 months, the median NPI-Q severity score shifted to 12 (p < 0.001) and 14 (p < 0.001), respectively. The proportion of patients who achieved a reduction in the NPI-Q severity score of >30% was 94.9%, while a reduction of >50% was achieved by 54.2%. The improvement was maintained for up to 24 months,” they stated regarding the study’s findings.

“This study shows that CBD-rich oil is an effective and safe therapy for treating NPS in AD patients, while also reducing the caregivers’ distress.” the researchers concluded.

According to a recent market analysis by Insightace Analytic, “the global CBD oil market is poised for significant growth, projected to reach $3.12 billion by 2030, with a robust compound annual growth rate (CAGR) of 32.65% from 2022 to 2030.”

60% In New Zealand Survey Indicated Cannabis Decreased Their Alcohol Use

A recent survey of more than 23,000 New Zealanders found that 60% of respondents reported that they consumed less alcohol after beginning cannabis use. The survey also found that of people who report using cannabis and other substances, 60% of respondents reported consuming less synthetic cannabinoids, 44% reported using less morphine, and 40% reported using less methamphetamine.

“To explore the co-use of cannabis with alcohol and other drugs within demographic subgroups of a large sample of people who use cannabis. Specifically: (1) whether cannabis is being substituted for other drugs, and (2), whether cannabis use leads to more, less or the same level of other drug use.” the survey’s authors stated about the aim of their research. The findings of the survey were originally published in the Harm Reduction Journal.

“Online convenience survey promoted via Facebook™ completed by 23,500 New Zealand respondents. Those who had used cannabis and any of eight other substances in the same six-month period were asked if their use of cannabis had any impact on their use of each other substance (“a lot more”, “little more”, “no impact/same”, “little less”, “a lot less”). Frequency and quantity used of each other drug was compared by co-use group. Generalised logistic regression models were developed to predict co-use categories.” the researchers stated about their methodology.

“Young adults (21–35-years) were more likely to report cannabis use led to “less” drinking and methamphetamine use.” the researchers reported. “Māori were more likely to report cannabis use resulted in “less” alcohol, tobacco, methamphetamine, and LSD use.”

“Cannabis and other drug co-use patterns are moderated by life stages, lifestyles, cultural perspectives, and urbanicity. Harm reduction initiatives and policy reforms should take account of these moderating factors.” the investigators concluded.

The results of the New Zealand survey add to a growing area of research that is finding that cannabis can be an ‘exit drug’ for many consumers. For example, according to data from Health Canada, nearly one-quarter of surveyed Canadians report that they are consuming less alcohol after consuming cannabis.

Separate survey data from the U.S. found that 36 percent of U.S. consumers report consuming less alcohol following state-level cannabis legalization. Polling data previously published by Gallup found that most U.S. adults believe that cannabis use poses fewer risks to health than alcohol. A study conducted in 2015 found that alcohol is 114 times more harmful to humans than cannabis.