Effects of medicinal cannabis use in the treatment of cancer- related pain: a systematic review

Authors

DOI:

https://doi.org/10.5585/23.2024.26196

Keywords:

Analgesia, Cannabis, Cannabinoids, Cancer-related pain

Abstract

Introduction: Pain, considered a sensory experience that may be associated with injuries, can aggravate suffering in cancer patients.
Objective: To identify the effectiveness of products derived from the Cannabis genus in the treatment of cancer-related pain compared to other pain treatments and placebo in cancer patients.
Material and methods: Systematic review that followed the PRISMA checklist for its preparation. The research question was created using the PICO strategy, with the search terms being “Cancer pain”, “Cannabis” and “Cannabinoids”. Searches for studies were carried out in the PubMed, Embase and CENTRAL databases.
Results: The predominant interventions of the selected studies were the use of extracts of Cannabidiol (CBD), Tetrahydrocannabinol (THC) and CBD and THC compunds (Nabiximols); the main outcomes analyzed were pain relief and cancer-related symptoms.
Conclusion: The use of Cannabis derivatives to treat pain did not demonstrate superiority over conventional treatments or placebo.

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Author Biographies

Ayra Lisiane Ferreira dos Santos, Centro Universitário de Maceió

Master's student of the Postgraduate Program in Society, Technologies and Public Policies (SOTEPP) at Centro Universitário de Maceió, Maceió, AL, Brazil.

Eduardo Salomão Rodrigues Nascimento dos Santos, Centro Universitário de Maceió

Graduated in Physiotherapy – Centro Universitário de Maceió, Maceió, AL, Brazil.

Almir Vieira Dibai Filho, Federal University of Maranhão

Adjunct Professor of the Department of Physical Education of the Postgraduate Program in Physical Education at the Federal University of Maranhão (UFMA), São Luís, MA, Brazil.

Cid André Fidelis de Paula Gomes, july nine university

Professor of the Postgraduate Program in Rehabilitation Sciences at Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.

Caroline de Menezes Pinto, Centro Universitário de Maceió

Master's student of the Postgraduate Program in Society, Technologies and Public Policies (SOTEPP) at Centro Universitário de Maceió, Maceió, AL, Brazil.

Cesário da Silva Souza, Centro Universitário de Maceió

Professor do Programa de Pós-graduação em Sociedade, Tecnologias e Políticas Públicas (SOTEPP) do Centro Universitário de Maceió, Maceió, AL, Brasil.

References

Terminology | International Association for the Study of Pain. International Association for the Study of Pain (IASP) 2020. https://www.iasp-pain.org/resources/terminology/ (accessed February 13, 2024).

DeSantana JM, Perissinotti DMN, Oliveira Junior JOD, Correia LMF, Oliveira CMD, Fonseca PRBD. Definition of pain revised after four decades. Brazilian Journal Of Pain 2020;3. https://doi.org/10.5935/2595-0118.20200191.

Clark D. Cicely Saunders. vol. 1. Oxford University Press; 2018. https://doi.org/10.1093/oso/9780190637934.001.0001.

Hoff PMG. Controle da dor. Tratado de oncologia, Rio de Janeiro: Atheneu; 2013, p. 1291–319.

Ercolani DS, Hopf LB da S, Schwan L. Dor crônica oncológica: avaliação e manejo. Acta Médica 2018;39:151–62.

Cancer Pain (PDQ®) - NCI 2024. https://www.cancer.gov/about-cancer/treatment/side-effects/pain/pain-hp-pdq (accessed February 13, 2024).

Chung M, Kim HK, Abdi S. Update on cannabis and cannabinoids for cancer pain. Current Opinion in Anaesthesiology 2020;33:825–31. https://doi.org/10.1097/ACO.0000000000000934

Zuardi AW. History of cannabis as a medicine: a review. Rev Bras Psiquiatr 2006;28:153–7. https://doi.org/10.1590/S1516-44462006000200015

Ebbert JO, Scharf EL, Hurt RT. Medical Cannabis. Mayo Clinic Proceedings 2018;93:1842–7. https://doi.org/10.1016/j.mayocp.2018.09.005

Owens B. Drug development: The treasure chest. Nature 2015;525:S6–8. https://doi.org/10.1038/525S6a

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021:n71. https://doi.org/10.1136/bmj.n71

Santos CMDC, Pimenta CADM, Nobre MRC. The PICO strategy for the research question construction and evidence search. Rev Latino-Am Enfermagem 2007;15:508–11. https://doi.org/10.1590/S0104-11692007000300023

Risk of bias tools - RoB 2 for cluster-randomized trials 2020. https://www.riskofbias.info/welcome/rob-2-0-tool/rob-2-for-cluster-randomized-trials (accessed February 13, 2024).

Data collection form (for RCTs) 2014. https://training.cochrane.org/data-collection-form-rcts (accessed February 13, 2024).

Zylla DM, Eklund J, Gilmore G, Gavenda A, Guggisberg J, VazquezBenitez G, et al. A randomized trial of medical cannabis in patients with stage IV cancers to assess feasibility, dose requirements, impact on pain and opioid use, safety, and overall patient satisfaction. Support Care Cancer 2021;29:7471–8. https://doi.org/10.1007/s00520-021-06301-x

Good P, Haywood A, Gogna G, Martin J, Yates P, Greer R, et al. Oral medicinal cannabinoids to relieve symptom burden in the palliative care of patients with advanced cancer: a double-blind, placebo controlled, randomised clinical trial of efficacy and safety of cannabidiol (CBD). BMC Palliat Care 2019;18:110. https://doi.org/10.1186/s12904-019-0494-6

Lichtman AH, Lux EA, McQuade R, Rossetti S, Sanchez R, Sun W, et al. Results of a Double-Blind, Randomized, Placebo-Controlled Study of Nabiximols Oromucosal Spray as an Adjunctive Therapy in Advanced Cancer Patients with Chronic Uncontrolled Pain. Journal of Pain and Symptom Management 2018;55:179-188.e1. https://doi.org/10.1016/j.jpainsymman.2017.09.001

Johnson JR, Burnell-Nugent M, Lossignol D, Ganae-Motan ED, Potts R, Fallon MT. Multicenter, Double-Blind, Randomized, Placebo-Controlled, Parallel-Group Study of the Efficacy, Safety, and Tolerability of THC:CBD Extract and THC Extract in Patients with Intractable Cancer-Related Pain. Journal of Pain and Symptom Management 2010;39:167–79. https://doi.org/10.1016/j.jpainsymman.2009.06.008

Portenoy RK, Ganae-Motan ED, Allende S, Yanagihara R, Shaiova L, Weinstein S, et al. Nabiximols for Opioid-Treated Cancer Patients With Poorly-Controlled Chronic Pain: A Randomized, Placebo-Controlled, Graded-Dose Trial. The Journal of Pain 2012;13:438–49. https://doi.org/10.1016/j.jpain.2012.01.003

Hassman M, Tetra Bio-Pharma. Inhaled PPP001 Versus Immediate-release Oral Opioids for the Management of Breakthrough Pain in Cancer Subjects: a Randomized, Open Label, Crossover, Comparison Study. clinicaltrials.gov; 2021.

Hawley P. A Randomized, Double-Blind, Placebo-Controlled, Multiple Crossover N-of-1 Study Design of the Use of Medicinal Cannabis Oil-Based Extracts for Symptom Management in Cancer Patients. clinicaltrials.gov; 2022.

Li Y, Ma J, Lu G, Dou Z, Knaggs R, Xia J, et al. Hydromorphone for cancer pain. Cochrane Database of Systematic Reviews 2021;2021. https://doi.org/10.1002/14651858.CD011108.pub3

Published

2024-09-05

How to Cite

1.
Santos ALF dos, dos Santos ESRN, Dibai Filho AV, Gomes CAF de P, Pinto C de M, Souza C da S. Effects of medicinal cannabis use in the treatment of cancer- related pain: a systematic review. Cons. Saúde [Internet]. 2024 Sep. 5 [cited 2024 Sep. 19];23(1):e26196. Available from: https://uninove.emnuvens.com.br/saude/article/view/26196

Issue

Section

Literature reviews