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Medicine United States Science

FDA Approves First Drug Derived From Marijuana Plant (wsj.com) 116

The U.S. Food and Drug Administration on Monday approved the first prescription drug derived from the marijuana plant, as a treatment for rare forms of epilepsy that primarily afflict children. From a report: The FDA said Monday that it cleared GW Pharmaceuticals's Epidiolex, also known as cannabidiol, to reduce seizures associated with forms of epilepsy known as Lennox-Gastaut syndrome and Dravet syndrome, in patients 2 years of age and older. Cannabidiol is derived from the cannabis plant, also known as marijuana. U.K.-based GW Pharmaceuticals says the solution, taken by mouth, is made from a proprietary strain of cannabis designed to maximize a therapeutic component while minimizing components that produce euphoria. GW Pharmaceuticals grows the plants in the U.K.

The FDA said Monday that the drug doesn't cause the high that comes from the chemical tetrahydrocannabinol, or THC, which is the main psychoactive component of marijuana. FDA officials also said the drug doesn't appear to have abuse potential, citing minimal reports of euphoria in patients who took the drug in clinical studies.
Further reading: StatNews, The Guardian, and FDA.
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FDA Approves First Drug Derived From Marijuana Plant

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  • Euphoria is bad, MMkay?

    • If you like euphoria, you're bad...so don't be bad.

      Also, 90210 had an episode where Emily took Brandon to a rave where a guy sold "Euphoria" (a made up drug). Emily told Brandon that she knew he sold it because he had a football jersey with "U4" on it. Damn kids and their drugs

    • Re:Because: (Score:5, Insightful)

      by markdavis ( 642305 ) on Monday June 25, 2018 @05:34PM (#56844672)

      >"Euphoria is bad, MMkay?"

      Yeah, being "high" can, indeed, be bad in any number of situations when you might need to take a medication... like driving, operating on someone, doing dangerous work, operating machinery, being paid to be productive, making important decisions of directing people, etc.

      Being able to take medically-useful components out of marijuana, while suppressing the "high" is a great step forward that can benefit lots of people who otherwise would not be able to take it. It is unfortunate that the ridiculous listing of marijuana as "Schedule 1" makes it so difficult and dogmatic to do useful research and create useful products.

      • There is some degree of truth to what you say, but most of your claims make it clear that your knowledge of marijuana is limited to the bullshit propoganda you have bought into.
        • by rikkards ( 98006 )

          In a more polite way of putting it that may enlighten the GP, CBD dominant marijuana will not make you high (and can actually counteract the psychoactive component of THC that may be required for things like pain relief) but has been linked to numerous benefits including mood stabilization, anti-inflammation, allergy suppressant, and potentially cancer fighting.

          • by MobyDisk ( 75490 )

            Sounds like we need research into CBD dominant marijuana then. It would be great if we had a time release pill with all those benefits rather than having to smoke it. And if we could isolate the chemicals involved and understand them, we might be able to create more drugs with those specific individual benefits.

            • Sounds like we need research into CBD dominant marijuana then. It would be great if we had a time release pill with all those benefits rather than having to smoke it. And if we could isolate the chemicals involved and understand them, we might be able to create more drugs with those specific individual benefits.

              Yes we do, only problem, as a few people mentioned already, Cannabis is classified as a schedule I drug under the DEA's narcotic classification list meaning it's right up there with other baddies like: LSD and Heroin. That's seriously limiting the ability for researchers to get their hands on it. Also what pisses me off is that the definition of a schedule 1 drug is: that they: "have high abuse potential, no medical use, and severe safety concerns" I don't know what the safety concerns of Cannabis would be

      • by swb ( 14022 )

        I actually think that part of the effectiveness of some drugs, especially drugs aimed at pain, is enhanced by euphoria because it provides a mood elevation that counter-acts the mood depression of pain and the serious illness that often accompanies it.

        I think that even if they create magic pills that block pain with zero euphoria they might find that in controlled testing the drugs are viewed as less effective because they don't treat the mood depression that accompanies pain-causing illness.

        An interesting

      • It is unfortunate that the ridiculous listing of marijuana as "Schedule 1" makes it so difficult and dogmatic to do useful research and create useful products.

        I chuckled when I read the summary, because the US government is now officially contradicting itself. Schedule 1 drugs have a high potential for abuse and no knows medical use. Now we have the FDA approving a medical use. As a regular marijuana user, I appreciate the absurdity.

  • by rsilvergun ( 571051 ) on Monday June 25, 2018 @04:15PM (#56844122)
    Reason #1 is our private prison industry, which wouldn't be profitable if the only people we locked up were actual violent criminals. Pot heads are great because they just quietly do their time.

    Bonus reason #3 is that our uneven law enforcement policy allows states to implement defacto segregation by harassing and locking up minorities that show up in the 'wrong' place. Bonus reason #4 is harassing people who get uppity about political issues like the hippy left.
    • by alvinrod ( 889928 ) on Monday June 25, 2018 @04:39PM (#56844298)
      Focusing on the private prison industry (8% of total prisoners in the U.S. [bjs.gov]) is ignoring the bigger problem: prison guard unions support the same measures that increase prison population [prisonlegalnews.org] and they're much, much larger and politically more powerful. According to this article [theintercept.com] police and prison guard groups were responsible for about half of money raised to oppose legalizing recreational marijuana in California.
    • It depends on the type of people being locked up. Minorities, hippies, street kids, runaways, well... if they get caught up in a drug abuse epidemic then lock up and forget about them seems to be society's response. But "normal" people caught up in the current opiate epidemic and now the problem needs to be solved with medical and social workers and not with prisons. A double standard?

    • by swb ( 14022 )

      There's also the idea that some cops worry that small-time pot dealers (mostly blacks) will turn to other, potentially more dangerous, types of criminal behavior if pot is legalized and undermines their income.

      • Assuming this is a real line of thought, it demonstrates why the police should not be determining what is and is not legal. The fact is that crime rates [thenewstribune.com] go down [realfarmacy.com] when cannabis is legalized.
        • by swb ( 14022 )

          There was an op-ed in the local paper yesterday written by a former cop and police chief that said pretty much this.

          It was in response to the city aborting a police sting operation that was busting small time pot dealers (some as low as 1-2 grams) selling on the street downtown.

          It turned out that they only busted black people, but the apparent 100% racism isn't entirely clear since the chief *and* the downtown precinct commander are both black and at least one (if not both) of them would have approved of th

  • by PortHaven ( 242123 ) on Monday June 25, 2018 @04:15PM (#56844128) Homepage

    So then the Federal government should be forced to drop the Schedule C classification.

    • So then the Federal government should be forced to drop the Schedule C classification.

      Schedule 1; but yes.

    • I believe you mean schedule 1. [wikipedia.org]

      I don't understand how you can ban testing on a substance because it has no known medical use. If you can't test it, how will you ever know?

      I could understand if the list of substances under schedule 1 was basically just potent poisons like arsenic, and cyanide. However, even those may have some therapeutic uses. [wikipedia.org]

      The current list just makes no sense.
  • Full stop (Score:5, Insightful)

    by TFlan91 ( 2615727 ) on Monday June 25, 2018 @04:18PM (#56844146)

    " is made from a proprietary strain of cannabis"

    Full fuckin stop right there.

    How is DNA proprietary? If I have two plants at home and they spawn a seed with similar genetics, am I going to get sued for some patent violation?

    • Re:Full stop (Score:4, Informative)

      by HornWumpus ( 783565 ) on Monday June 25, 2018 @04:31PM (#56844240)

      You breed two strains. You have a F1 hybrid with unique properties, it will not breed true and nobody except you knows exactly which strains you crossed.

      As a practical matter, you own it.

      They can square the plant (manipulate the genetics of a cutting to make it produce male parts) than cross it to itself. But that produces an inbred version, which won't be as good as the original (see modern 'Trainwreck'). As noted above, a regular self cross (breeding two instances in the regular way) won't produce more of the same, rather a 3rd generation with each individual having randomized properties, some being 100% like original parent 1, some 100% like parent 2, each trait being mixed individually).

      Seed companies have 'owned' strains of hybridized plants since _long_ before genetic engineering. There are patented rose strains, taking cuttings is criminal.

      • So you're saying that my "experimentation" of cross-breeding plants and getting lucky with a seed strain similar to the one in FTFA would not violate any patents?

        Let's say I had two of these seeds. I planted the first, found out what it could do, then planted the second and turned it into a mother plant from which I take a lot of clones.

        Or what if I continue to cross-breed the original two strains?

        Honestly curious, you're first answer has me even more curious.

        • A similar strain violates nothing, high CBD, low THC strains are readily available. Theirs is nothing 'special', just FDA reviewed, which will have been an expensive process. By putting a particular strain's output to FDA review, they can own the FDA CBD market, for a while. But now that this drug has passed review, chemically similar drugs from non-proprietary strains will have really good odds at the FDA, but who will fund the studies?

          It is already 'illegal' to take cuttings from some roses, but unless

        • How is this news to you? Companies have been patenting plant genes forever (ok, for 80 years in the US, more than that in the EU).
    • Re:Full stop (Score:4, Insightful)

      by galabar ( 518411 ) on Monday June 25, 2018 @05:09PM (#56844504)
      It may not be patented, but rather, kept secret by the company.
    • by Anonymous Coward

      Patenting plants is not new. Most of the vegetables you eat are probably from a patented strain developed and mass produced for sale to farmers. Bananas without seeds, corn that grows with less water while producing more fruit, soybeans that resists insects, crops that will only grow from the bought seed and all of the resulting seeds are sterile, etc. It guarantees a farmer can sell their yields for authorized purposes (food for cattle and humans for example) but prevents them from selling the seeds to

    • If I have two plants at home and they spawn a seed with similar genetics, am I going to get sued for some patent violation?

      Monsanto has been trying educate bees on copyright law for several years -- they've been spreading the round-up ready gene all over the place.

    • How is DNA proprietary?

      Because Fuck You, that's why. [nih.gov]

      Although at least they invalidated patents on genes found in nature.

    • by Anonymous Coward

      Proprietary can mean secret - they have developed a cultivar that they aren't making available to anyone else.

      Proprietary could also mean that yes, they do have a "patent" on the cultivar via something known as "Plant Breeder's Rights". That's something that's been around for a long time because developing new cultivars of plants is something that takes years of trial and error and much expense.

      I come from a family that's been in horticulture for a few generations and my grandfather obtained PBR on a type o

    • by judoguy ( 534886 )

      " is made from a proprietary strain of cannabis"

      Full fuckin stop right there.

      How is DNA proprietary? If I have two plants at home and they spawn a seed with similar genetics, am I going to get sued for some patent violation?

      Yes, if Monsanto(Bayer) owns the DNA.

  • by Anonymous Coward

    And by first drug, they mean the first one since Marinol, the Schedule III medical grade THC right?

    • Marinol is pure _synthetic_ THC. It was never a pot plant.

      Marinol is the way to go if you've got a fed related job that includes 'pissing on command' in the job description. The script, not the pills, they can't tell.

    • And by first drug, they mean the first one since Marinol, the Schedule III medical grade THC right?

      Marinol was completely symthetic; but yes.

    • Marinol is "dronabinol", a name apparently invented for synthetic THC, which as you noted, is Schedule III, simply because it came from a lab, not a plant.

      THC (or any other compound) extracted from an actual cannabis plant is a naughty Schedule I drug.

  • by lazlo ( 15906 ) on Monday June 25, 2018 @04:44PM (#56844336) Homepage

    "citing minimal reports of euphoria in patients who took the drug in clinical studies."

    This is, of course, after controlling for the natural euphoria that comes from not having seizures.

  • Trojan creating a line of condoms that, "Stops pregnancy and the spread of STDs, all without the pesky euphoria that comes from sexual intercourse!"

  • by Ellis D. Tripp ( 755736 ) on Monday June 25, 2018 @05:18PM (#56844556) Homepage

    The active ingredient in this drug (cannabidiol, CBD) is still listed as a Schedule 1 controlled substance (Cannabis Extracts), and rescheduling it would be a public admission that the plant it is derived from also has medical applications, and itself would then be disqualified for Schedule 1 status.

    Will be really interesting how the inter-agency pissing contest over this plays out, now that Big Pharma has some skin in the game...

    • by amicusNYCL ( 1538833 ) on Monday June 25, 2018 @08:11PM (#56845360)

      My money is on no laws changing and the government continuing to act like there is no accepted medical use. It will probably take a court case to force them to change, especially with Sessions being there.

    • Until they approve only the patented strains "invented" by big pharma, and put the screws to everyone else.

      Must have that $100,000 testing and approval done before it can be sold as medical. Everyone else is still breaking the law as desired.

    • Big Pharma has long since demonstrated they have no shame. They can easily hold both beliefs. e.g. that Marijuana has no medicinal applications and that this drug treats epilepsy. When money is at stake it's easy to have your cake and eat it too. And there's no shortage of people who are happy to keep Marijuana illegal for their own reasons (tough on crime, racism, fear, indifference, etc). It's easy enough to turn those voters out and get anti-Marijuana folks like Jeff Session in power.
    • by swb ( 14022 )

      Does the DEA still even care about marijuana?

      While I'm sure individuals in the DEA are still subscribed to a marijuana-driven moral panic and opposed to anything other than jailing marijuana users and dealers, the broader culture has moved so far towards legalization and acceptance its hard to see how the DEA isn't affected by this, too.

      Maybe they hold out some kind of hope that the next state to legalize marijuana has all kinds of provable problems related to it or the public loses interest, it seems like

  • It's still evil because Jeff Sessions and the DOJ tells me so
  • "... as a treatment for rare forms of epilepsy that primarily afflict children."

    So what happens with time?
    1 They grow out of the epilepsy
    2 It change to a different form in adults
    3 It kill most sufferers before adulthood
    4 The statement is wrong, it should say onset is in children

    Lennox-Gastaut syndrome [wikipedia.org]
    No support for 1 or 2, refutes 3 (mortality rate on order of 5% over 10 years).

    Dravet syndrome [wikipedia.org]
    Refutes 1 and 2.

  • But I eagerly look forward to seeing something stupid about people trying to get prescribed this by claiming to be epileptic children.
  • We finally found a "medical" reason to grow the stuff! said stoners everywhere.
    • We finally found a "medical" reason to grow the stuff! said stoners everywhere.

      We only needed a medical reason because, "I like it, and it's relatively harmless" wasn't good enough for some people.

  • So this company gets to slap its name on an existing compound which other companies have been isolating for years, and suddenly they get to make it a prescription drug and get major headlines? CBD has been known to the cannabis community for years, and it's already legal in all 50 states if derived from hemp (though not if derived from cannabis).

    Where were all the headlines when companies were selling CBD derived from hemp? Same compound, different source. It doesn't matter what strain it came from, it's
  • "I now have absolute proof that smoking even one marijuana cigarette is equal in brain damage to being on Bikini Island during an H-bomb blast."

    - Ronald Reagan

  • That will be ideal as a treatment for vomiting.

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