Patent Application
20220249586
Industrial hemp products that are low in THC (below 0.3%) and higher in other cannabinoids are reported to have health benefits including analgesic, anti-anxiety, anti-inflammatory, anti-anxiolytic, and anti-epileptic; and are legal according to the industrial hemp act. There are numerous on-line companies selling hemp products including CBD oil claiming that they are safe and effective for various medical conditions in humans, as well as their pets. A recent survey by the American Holistic Veterinary Medical Association revealed that almost 60% of people who buy hemp products online use these products for their dogs. However, there is very little published data to support safety and efficacy claims in humans and veterinary patients. In the absence of an optimal treatments for both people and their pets, other potentially efficacious pharmacological agents, including cannabinoids, are often sought.
The present disclosure is directed toward compositions comprising cannabidiol and their use for the treatment of periuria, diabetes, lung cancer, inflammatory bowel disease, dermatological conditions, seizures, obsessive behaviors, migraine headaches, and insect bites in subjects.
In an aspect, provided herein is a method for treating periuria in a veterinary subject in need thereof, comprising administering to the subject a therapeutically effective amount of hemp extract. In an embodiment, the veterinary subject is canine, feline, bovine, porcine, or equine. In another embodiment, the veterinary subject is canine. In another embodiment, the veterinary subject is feline. In an embodiment, the feline suffers from chronic pain, conditions of the urinary system, anxiety, and/or frustration. In another embodiment, the condition is cystitis. In another embodiment, the condition is feline lower urinary tract disease.
In an aspect, provided herein is a method for treating diabetes, lung cancer, inflammatory bowel disease, dermatological conditions, seizures, or obsessive behaviors in a veterinary subject in need thereof, comprising administering to the subject a therapeutically effective amount of hemp extract. In an embodiment, the veterinary subject is a mammal. In an embodiment, the mammal is canine, feline, bovine, porcine, or equine. In an embodiment, the hemp extract is administered twice daily. In another embodiment, the hemp extract is administered a 2 mg/kg.
In an aspect, provided herein is a method for treating migraine in a subject in need thereof comprising administering to the subject a therapeutically effective amount of hemp extract. In an embodiment, the subject is a human. In an embodiment, about 1 mL of hemp extract is administered. In an embodiment, about 70 mg of cannabinoids is administered. In another embodiment, the hemp extract is administered sublingually.
In an embodiment, the hemp extract comprises:
cannabidiol; and
cannabidiolic acid;
wherein the ratio of cannabidiol to cannabidiolic acid is about 0.6:1 to about 1:0.6.
In another embodiment, the hemp extract further comprises:
cannabigerolic acid;
Δ9-tetrahydrocannabinol; and
cannabichromene.
In an embodiment, the hemp extract comprises:
cannabidiol;
cannabidiolic acid;
cannabigerolic acid;
Δ9-tetrahydrocannabinol; and
cannabichromene;
wherein the ratio of cannabidiol to cannabidiolic acid is about 0.6:1 to about 1:0.6.
In another embodiment, the hemp extract further comprises:
α-pinene;
β-myrcene;
β-pinene;
δ-limonene;
linalool;
β-caryophyllene;
α-humulene;
nerolidol 2;
guaiol;
caryophyllene oxide; and
α-bisabolol.
In an embodiment, the concentration of Δ9-tetrahydrocannabinol is insufficient to produce a psychotropic effect. In another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:25. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 1 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.5 mg/mL. In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.3 mg/mL. In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.2 mg/mL. In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.1 mg/mL. In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.05 mg/mL. In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0 mg/mL.
In an embodiment, the hemp extract comprises:
about 1-10 mg/mL of cannabidiol;
about 1-10 mg/mL of cannabidiolic acid;
about 0.05-0.2 mg/mL cannabigerolic acid;
about 0.1-0.3 mg/mL Δ9-tetrahydrocannabinol; and
about 0.1-0.4 mg/mL cannabichromene.
In an embodiment, the hemp extract comprises:
about 5 mg/mL of cannabidiol;
about 5 mg/mL of cannabidiolic acid;
about 0.11 mg/mL cannabigerolic acid;
about 0.25 mg/mL Δ9-tetrahydrocannabinol; and
about 0.27 mg/mL cannabichromene.
In another embodiment, the hemp extract comprises:
about 0.09-0.13% α-pinene;
about 0.23-0.44% β-myrcene;
about 0.04-0.09% β-pinene;
about 0.05-0.09% δ-limonene;
about 0.03-0.06% linalool;
about 0.04-0.07% β-caryophyllene;
about 0.02-0.04% α-humulene;
about 0.04-0.07% nerolidol 2;
about 0.04-0.08% caryophyllene oxide; and
about 0.01-0.04% α-bisabolol.
In an embodiment, the hemp extract further comprises:
camphene;
β-ocimene;
eucalyptol;
isopulegol; and/or
nerolidol 1.
In another embodiment, the hemp extract comprises:
about 0.02% camphene;
about 0.02-0.03% β-ocimene;
about 0.02-0.05% eucalyptol;
about 0.02% isopulegol; and/or
about 0.02-0.04% nerolidol 1.
In an embodiment, the composition is formulated in a carrier. In an embodiment, the carrier is selected from the group consisting of hemp seed oil, linseed oil, olive oil, fish oil, salmon oil, coconut oil, catnip oil, sesame oil, MCT oil, and grapeseed oil. In an embodiment, the carrier is grapeseed oil. In another embodiment, the carrier is catnip oil. In an embodiment, the carrier is sesame oil.
In an embodiment, the composition comprises lecithin. In another embodiment, the lecithin is sunflower lecithin. In another embodiment, the sunflower lecithin is up to 40%. In an embodiment, the composition further comprises NF-971P. In another embodiment, the NF-971P is up to 2% weight/volume ratio.
In an embodiment, the hemp extract comprises nepetalactone. In an embodiment, the hemp extract comprises taurine.
In an embodiment, the hemp extract comprises:
cannabidiol;
cannabidiolic acid;
cannabigerolic acid;
Δ9-tetrahydrocannabinol; and
cannabichromene;
wherein the carrier is grapeseed oil.
In an embodiment, the ratio of cannabidiol to cannabidiolic acid is selected from the group consisting of about 1:100, about 1:50, about 1:10, and about 1:1. In another embodiment, the ratio of cannabidiol to cannabidiolic acid is about 1:1.
In an embodiment, the hemp extract is administered in a dosage form comprising one or more pharmaceutically acceptable additives, flavoring agents, surfactants, and adjuvants. In an embodiment, the flavoring agent is selected from the group consisting of peppermint oil, mango extract, beef, poultry, and seafood. In an embodiment, the flavoring agent is selected from the group consisting of peanut butter, catnip oil, chicken liver powder, poultry extract, maltodextrin, butter, and bacon. In another embodiment, the flavoring agent is chicken liver powder. In another embodiment, the flavoring agent is catnip oil. In another embodiment, the flavoring agent is peanut butter.
In an embodiment, the dosage form comprises nepetalactone. In another embodiment, the dosage form comprises taurine.
In an embodiment, the dosage form is formulated as a sublingual spray. In another embodiment, the dosage form is formulated as a water or alcohol soluble solution, or a cream for topical or transdermal application. In another embodiment, the dosage form is formulated as a gel for buccal or mucosal administration. In another embodiment, the dosage form is formulated as a powder. In another embodiment, the dosage form is formulated as a solution for subcutaneous injection. In another embodiment, the dosage form is formulated as a tablet. In another embodiment, the dosage form is formulated as a capsule. In another embodiment, the dosage form is formulated as a hard chewable. In another embodiment, the dosage form is formulated as a soft chewable. In another embodiment, the dosage form is formulated for administration using a nebulizer. In another embodiment, the dosage form is formulated for inhalation. In another embodiment, the dosage form is formulated for administration using a pet collar. In another embodiment, the dosage form is formulated as a pet food for oral administration.
In an embodiment, the dosage form is formulated as a chew for oral administration. In an embodiment, the chew is produced using cold extrusion. In an embodiment, the weight of the chew is about 0.5-10 g. In another embodiment, the weight of the chew is about 4 g, about 6 g, about 9 g, or about 10 g. In another embodiment, the weight of the chew is about 4 g.
In an embodiment, the chew comprises:
about 7 mg of cannabidiol;
about 6 mg of cannabidiolic acid;
about 0.12 mg cannabigerolic acid;
about 0.32 mg Δ9-tetrahydrocannabinol; and
about 0.36 mg cannabichromene.
In an embodiment, the dosage form is formulated in a carrier for oral administration. In an embodiment, the carrier is selected from the group consisting of hemp seed oil, linseed oil, olive oil, fish oil, salmon oil, coconut oil, catnip oil, sesame oil, MCT oil, and grapeseed oil. In an embodiment, the carrier is grapeseed oil. In an embodiment, the carrier is catnip oil. In an embodiment, the carrier is sesame oil.
In an embodiment, the dosage form comprises:
glucosamine HCl;
chondroitin sulfate (76%);
brewer's yeast;
arabic gum;
guar gum;
a flavoring agent;
Verdilox;
Previon;
hemp extract;
glycerin;
sunflower lecithin; and
water.
In another embodiment, the dosage form comprises:
about 12-17% glucosamine HCl;
about 1-4% chondroitin sulfate (76%);
about 29-33% brewer's yeast;
about 3-6% arabic gum;
about 0.5-2% guar gum;
about 12-16% of a flavoring agent;
about 0.01-0.1% Verdilox;
about 0.5-1.5% Previon;
about 3-6% hemp extract;
about 13-17% glycerin;
about 3-7% sunflower lecithin; and
about 3-7% water.
In another embodiment, the dosage form comprises:
about 15.6% glucosamine HCl;
about 2.6% chondroitin sulfate (76%);
about 30% brewer's yeast;
about 4.7% arabic gum;
about 0.9% guar gum;
about 14.2% of a flavoring agent;
about 0.05% Verdilox;
about 0.9% Previon;
about 4.7% hemp extract;
about 15.1% glycerin;
about 5.7% sunflower lecithin; and
about 5.7% water.
In an embodiment, the dosage form comprises:
glucosamine HCl;
hyaluronic acid;
brewer's yeast;
arabic gum;
guar gum;
a flavoring agent;
Verdilox;
Previon;
hemp extract;
glycerin;
sunflower lecithin; and
water.
In another embodiment, the dosage form comprises:
about 12-17% glucosamine HCl;
about 0.01-1% hyaluronic acid;
about 29-33% brewer's yeast;
about 3-6% arabic gum;
about 0.5-2% guar gum;
about 12-16% of a flavoring agent;
about 0.01-0.1% Verdilox;
about 0.5-1.5% Previon;
about 3-6% hemp extract;
about 13-17% glycerin;
about 3-7% sunflower lecithin; and
about 3-7% water.
In another embodiment, the dosage form comprises:
about 16% glucosamine HCl;
about 0.1% hyaluronic acid;
about 30.6% brewer's yeast;
about 4.8% arabic gum;
about 0.97% guar gum;
about 14.5% of a flavoring agent;
about 0.05% Verdilox;
about 0.97% Previon;
about 4.8% hemp extract;
about 15.5% glycerin;
about 5.8% sunflower lecithin; and
about 5.8% water.
In an embodiment, the dosage form comprises:
hemp extract;
peanut butter;
rice bran;
glucosamine HCl;
sweet potato;
dry molasses;
sorbic acid;
brewer's yeast;
sugar;
water;
glycerin;
potato starch;
dehydrated peanut butter;
rice starch; and
guar gum.
In another embodiment, the dosage form comprises:
about 3.0-10.0% hemp extract;
about 10.0-20.0% peanut butter;
about 10.0-15.0% rice bran;
about 5.0-15.0% glucosamine HCl;
about 4.0-10.0% sweet potato;
about 6.0-13.0% dry molasses;
about 0.5-5.0% sorbic acid;
about 2.0-8.0% brewer's yeast;
about 3.0-8.0% sugar;
about 5.0-15.0% water;
about 8.0-18.0% glycerin;
about 1.0-8.0% potato starch;
about 0.5-5.0% dehydrated peanut butter;
about 1.0-5.0% rice starch; and
about 1.0-5.0% guar gum.
In another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 15.0% peanut butter;
about 12.5% rice bran;
about 12.75% glucosamine HCl;
about 5.5% sweet potato;
about 8.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 9.25% water;
about 13.0% glycerin;
about 2.0% potato starch;
about 1.0% dehydrated peanut butter;
about 2.0% rice starch; and
about 2.0% guar gum.
In another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 15.0% peanut butter;
about 13.0% rice bran;
about 8.5% glucosamine HCl;
about 6.0% sweet potato;
about 9.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 9.5% water;
about 13.0% glycerin;
about 4.0% potato starch;
about 1.0% dehydrated peanut butter;
about 2.0% rice starch; and
about 2.0% guar gum.
In an embodiment, the dosage form comprises:
hemp extract;
peanut butter;
rice bran;
glucosamine HCl;
sweet potato;
dry molasses;
sorbic acid;
brewer's yeast;
sugar;
water;
glycerin;
potato starch;
dehydrated peanut butter;
DigestaWell PET;
rice starch; and
guar gum.
In another embodiment, the dosage form comprises:
about 3.0-10.0% hemp extract;
about 5.0-20.0% peanut butter;
about 10.0-15.0% rice bran;
about 5.0-15.0% glucosamine HCl;
about 4.0-10.0% sweet potato;
about 6.0-13.0% dry molasses;
about 0.5-5.0% sorbic acid;
about 2.0-8.0% brewer's yeast;
about 3.0-8.0% sugar;
about 5.0-15.0% water;
about 8.0-18.0% glycerin;
about 1.0-8.0% potato starch;
about 0.5-5.0% dehydrated peanut butter;
about 0.1-3.0% DigestaWell PET;
about 1.0-8.0% rice starch; and
about 1.0-5.0% guar gum.
In another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 10.0% peanut butter;
about 12.0% rice bran;
about 12.75% glucosamine HCl;
about 5.5% sweet potato;
about 8.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 7.25% water;
about 10.0% glycerin;
about 5.0% potato starch;
about 4.0% dehydrated peanut butter;
about 0.5% DigestaWell PET;
about 6.0% rice starch; and
about 2.0% guar gum.
In yet another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 10.0% peanut butter;
about 12.5% rice bran;
about 8.5% glucosamine HCl;
about 8.0% sweet potato;
about 9.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 6.0% water;
about 10.0% glycerin;
about 6.0% potato starch;
about 4.0% dehydrated peanut butter;
about 0.5% DigestaWell PET;
about 6.5% rice starch; and
about 2.0% guar gum.
In an embodiment, the dosage form comprises:
hemp extract;
peanut butter;
rice bran;
glucosamine HCl;
sweet potato;
dry molasses;
sorbic acid;
brewer's yeast;
sugar;
water;
glycerin;
potato starch;
dehydrated peanut butter;
chondroitin;
DigestaWell PET;
rice starch; and
guar gum.
In another embodiment, the dosage form comprises:
about 3.0-10.0% hemp extract;
about 5.0-20.0% peanut butter;
about 10.0-15.0% rice bran;
about 5.0-15.0% glucosamine HCl;
about 4.0-10.0% sweet potato;
about 6.0-13.0% dry molasses;
about 0.5-5.0% sorbic acid;
about 2.0-8.0% brewer's yeast;
about 3.0-8.0% sugar;
about 5.0-15.0% water;
about 8.0-18.0% glycerin;
about 1.0-8.0% potato starch;
about 0.5-5.0% dehydrated peanut butter;
about 0.5-5.0% chondroitin;
about 0.1-3.0% DigestaWell PET;
about 1.0-8.0% rice starch; and
about 1.0-5.0% guar gum
In another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 10.0% peanut butter;
about 12.0% rice bran;
about 12.75% glucosamine HCl;
about 5.5% sweet potato;
about 8.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 7.25% water;
about 10.0% glycerin;
about 4.0% potato starch;
about 4.0% dehydrated peanut butter;
about 2.5% chondroitin;
about 0.5% DigestaWell PET;
about 4.5% rice starch; and
about 2.0% guar gum.
In another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 10.0% peanut butter;
about 12.5% rice bran;
about 8.5% glucosamine HCl;
about 8.0% sweet potato;
about 9.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 6.0% water;
about 10.0% glycerin;
about 5.0% potato starch;
about 4.0% dehydrated peanut butter;
about 2.5% chondroitin;
about 0.5% DigestaWell PET;
about 5.0% rice starch; and
about 2.0% guar gum.
In an embodiment, the hemp extract, dosage form, or pharmaceutical composition is packaged to provide one or more doses of hemp extract per package. In an embodiment, the package is resealable. In an embodiment, one dose of hemp extract is a therapeutically effective amount.
In an aspect, provided herein is a method for treating insect bites in a subject in need thereof comprising administering to the subject a therapeutically effective amount of hemp extract. In an embodiment, the hemp extract is formulated for topical administration. In an embodiment, the hemp extract comprises about 70 mg/mL of cannabinoids. In an embodiment, the cannabinoids are cannabidiol and cannabidiolic acid.
The endocannabinoid receptor system is known to play a role in pain modulation and attenuation of inflammation. Cannabinoid receptors (CB1 and CB2) are widely distributed throughout the central and peripheral nervous system and are also present in the synovium. However, the psychotropic effects of certain cannabinoids prevent extensive research into their use as single agents for pain relief. The cannabinoids are a group of as many as 60 different compounds that may or may not act at CB receptors. One class of cannabinoids, cannabidiol (CBD), may actually be an antagonist of the CB receptors. In lower vertebrates, CBD can also have immunomodulatory, anti-hyperalgesic, antinociceptive, anti-anxiety, and anti-inflammatory actions, making it an attractive therapeutic option in animals.
Urinary house-soiling problems (periuria) in cats can be divided into those related to latrine behavior and those related to marking. Chronic pain and anxiety/frustration may be indicated in both of these conditions. Marking is commonly seen as a response to a threat to the key resources within cat's core area, and latrine related problems commonly arise from issues relating to access to what the cat perceives as an appropriate latrine (Barcelos et al., (2018) Front. Vet. Sci. 5:108). Both of these can be seen as limitations to the cat's autonomy and therefore likely to induce frustration. This may be combined with anxiety as the animal either perceives a physical threat from other individuals (in the case of marking), or is potentially distressed by the lack of access to a desirable latrine. In addition, anxiety may occur at the prospect of discomfort during elimination, if the cat has some painful condition of the urinary system. A recent review indicated that cats with periuria may be around 4 times more likely to have a history of urinary tract disease. (Barcelos et al., 2018). It has recently reported that cats may change posture from squatting to spraying or vice versa, should house-soiling become uncomfortable (Ramos et al., (2018) J Feline Med Surg. doi: 10.1177/1098612X18801034). It is also worth noting that around 40% of superficially healthy subjects with periuria may have a medical problem detectable upon initial clinical examination, with the figure rising to 66.7% for spraying cats and 56.5% for latrining cats upon closer medical evaluation (Ramos et al., 2018).
Migraine is a common neurovascular disorder manifesting itself in attacks of headaches that can reach a level of severe pain in many patients, leading to substantial functional impairment. The recent Global Burden of Disease Study 2010 (GBD2010), conducted by the World Health Organization, estimates a worldwide prevalence of migraine of 14.7%, ranking it third place among the most common diseases, seventh place among specific causes of disability, and top among neurological disorders as cause of total years lived with disability. Migraine, thus, affects millions of people. To date, the pathophysiology of migraine is not fully understood.
The present disclosure is directed toward compositions comprising hemp extract and their use for the treatment of pain, anxiety, aggression, behavioral issues, periuria, diabetes, lung cancer, inflammatory bowel disease, dermatological conditions, seizures, obsessive behaviors, migraine headaches, or insect bites in subjects. Also provided herein are methods for treatment of pain in human subjects. The efficacy of these compositions and treatment methods has not previously been demonstrated. Clinical trial and pharmacokinetic data regarding dosing is also provided herein.
Listed below are definitions of various terms used herein. These definitions apply to the terms as they are used throughout this specification and claims, unless otherwise limited in specific instances, either individually or as part of a larger group.
Unless defined otherwise, all technical and scientific terms used herein generally have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Generally, the nomenclature used herein and the laboratory procedures in cell culture, molecular genetics, organic chemistry, and peptide chemistry are those well-known and commonly employed in the art.
As used herein, the articles “a” and “an” refer to one or to more than one (i.e., to at least one) of the grammatical object of the article. By way of example, “an element” means one element or more than one element. Furthermore, use of the term “including” as well as other forms, such as “include,” “includes,” and “included,” is not limiting.
As used herein, the term “about” will be understood by persons of ordinary skill in the art and will vary to some extent on the context in which it is used. As used herein when referring to a measurable value such as an amount, a temporal duration, and the like, the term “about” is meant to encompass variations of ±5% from the specified value, as such variations are appropriate to perform the disclosed methods.
As used in the specification and in the claims, the term “comprising” may include the embodiments “consisting of” and “consisting essentially of.” The terms “comprise(s),” “include(s),” “having,” “has,” “may,” “contain(s),” and variants thereof, as used herein, are intended to be open-ended transitional phrases, terms, or words that require the presence of the named ingredients/steps and permit the presence of other ingredients/steps. However, such description should be construed as also describing compositions or processes as “consisting of” and “consisting essentially of” the enumerated compounds, which allows the presence of only the named compounds, along with any pharmaceutically acceptable carriers, and excludes other compounds.
All ranges disclosed herein are inclusive of the recited endpoint and independently combinable (for example, the range of “from 50 mg to 500 mg” is inclusive of the endpoints, 50 mg and 500 mg, and all the intermediate values). The endpoints of the ranges and any values disclosed herein are not limited to the precise range or value; they are sufficiently imprecise to include values approximating these ranges and/or values.
As used herein, the term “treatment” or “treating,” is defined as the application or administration of a therapeutic agent, i.e., a compound provided herein (alone or in combination with another pharmaceutical agent), to a patient or subject, or application or administration of a therapeutic agent to an isolated tissue or cell line from a patient (e.g., for diagnosis or ex vivo applications), with the purpose to cure, heal, alleviate, relieve, alter, remedy, ameliorate, improve or affect the symptoms of a disease, disorder, syndrome, or condition. Such treatments can be specifically tailored or modified, based on knowledge obtained from the field of pharmacogenomics.
In certain embodiments, the compositions described herein reduce pain in a subject. Pain can be measured using any metric known in the art. For example, pain can be measured using the canine brief pain inventory (CBPI), the Hudson activity scale, flexion and tension measurements and gait analysis. A reduction in any of these metrics shows a treatment of or reduction in pain.
As used herein, the term “prevent” or “prevention” means no disorder or disease development if none had occurred, or no further disorder or disease development if there had already been development of the disorder or disease. Also considered is the ability of one to prevent some or all of the symptoms associated with the disorder or disease.
As used herein, the term “use” includes any one or more of the following embodiments of the invention, respectively: the use in the treatment of pain the use for the manufacture of pharmaceutical compositions for use in the treatment of these diseases, e.g., in the manufacture of a medicament; methods of use of compounds of the invention in the treatment of these diseases; pharmaceutical preparations having compounds of the invention for the treatment of these diseases; and compounds of the invention for use in the treatment of these diseases; as appropriate and expedient, if not stated otherwise.
As used herein, the term “patient,” “individual,” or “subject” is intended to include organisms, e.g., prokaryotes and eukaryotes, which are capable of suffering from or afflicted with a disease, disorder or condition associated with the activity of a protein kinase. Examples of subjects include mammals, e.g., humans, dogs, cows, horses, pigs, sheep, goats, cats, mice, rabbits, rats, and transgenic non-human animals. In certain embodiments, the subject is a human, e.g., a human suffering from, at risk of suffering from, or potentially capable of suffering from, schizophrenia. In another embodiment, the subject is a cell.
When used with respect to methods of treatment/prevention and the use of the compounds and pharmaceutical compositions thereof described herein, an individual “in need thereof” may be an individual who has been diagnosed with or previously treated for the condition to be treated. With respect to prevention, the individual in need thereof may also be an individual who is at risk for a condition (e.g., a family history of the condition, life-style factors indicative of risk for the condition, etc.). Typically, when a step of administering a compound of the invention is disclosed herein, the invention further contemplates a step of identifying an individual or subject in need of the particular treatment to be administered or having the particular condition to be treated.
In some embodiments, the individual is a mammal, including, but not limited to, bovine, equine, feline, rabbit, canine, rodent, or primate. In some embodiments, the mammal is a primate. In some embodiments, the primate is a human. In some embodiments, the individual is human, including adults, children and premature infants. In some embodiments, the individual is a non-mammal. In some variations, the primate is a non-human primate such as chimpanzees and other apes and monkey species. The term “individual” does not denote a particular age or sex.
As used herein, the term “pharmaceutically acceptable” refers to a material, such as a carrier or diluent, which does not abrogate the biological activity or properties of the compound, and is relatively non-toxic, i.e., the material can be administered to an individual without causing undesirable biological effects or interacting in a deleterious manner with any of the components of the composition in which it is contained.
As used herein, the term “pharmaceutically acceptable salt” refers to derivatives of the disclosed compounds wherein the parent compound is modified by converting an existing acid or base moiety to its salt form. Examples of pharmaceutically acceptable salts include, but are not limited to, mineral or organic acid salts of basic residues such as amines; alkali or organic salts of acidic residues such as carboxylic acids; and the like. The pharmaceutically acceptable salts of the present invention include the conventional non-toxic salts of the parent compound formed, for example, from non-toxic inorganic or organic acids. The pharmaceutically acceptable salts of the present invention can be synthesized from the parent compound which contains a basic or acidic moiety by conventional chemical methods. Generally, such salts can be prepared by reacting the free acid or base forms of these compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two; generally, nonaqueous media like ether, ethyl acetate, ethanol, isopropanol, or acetonitrile are preferred. Lists of suitable salts are found in Remington's Pharmaceutical Sciences, 17th ed., Mack Publishing Company, Easton, Pa., 1985, p. 1418 and Journal of Pharmaceutical Science, 66, 2 (1977), each of which is incorporated herein by reference in its entirety.
As used herein, the term “composition” or “pharmaceutical composition” refers to a mixture of at least one compound useful within the invention with a pharmaceutically acceptable carrier. The pharmaceutical composition facilitates administration of the compound to a patient or subject. Multiple techniques of administering a compound exist in the art including, but not limited to, intravenous, oral, aerosol, parenteral, ophthalmic, pulmonary and topical administration.
As used herein, the term “pharmaceutically acceptable carrier” or “carrier” means a pharmaceutically acceptable material, composition or carrier, such as a liquid or solid filler, stabilizer, dispersing agent, suspending agent, diluent, excipient, thickening agent, solvent or encapsulating material, involved in carrying or transporting a compound useful within the invention within or to the patient or subject such that it can perform its intended function. Typically, such constructs are carried or transported from one organ, or portion of the body, to another organ, or portion of the body. Each carrier must be “acceptable” in the sense of being compatible with the other ingredients of the formulation, including the compound useful within the invention, and not injurious to the patient or subject. Some examples of materials that can serve as pharmaceutically acceptable carriers include: sugars, such as lactose, glucose and sucrose; starches, such as corn starch and potato starch; cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; powdered tragacanth; malt; gelatin; talc; excipients, such as cocoa butter and suppository waxes; oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; glycols, such as propylene glycol; polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol; esters, such as ethyl oleate and ethyl laurate; agar; buffering agents, such as magnesium hydroxide and aluminum hydroxide; surface active agents; alginic acid; pyrogen-free water; isotonic saline; Ringer's solution; ethyl alcohol; phosphate buffer solutions; and other non-toxic compatible substances employed in pharmaceutical formulations. As used herein, “pharmaceutically acceptable carrier” also includes any and all coatings, antibacterial and antifungal agents, and absorption delaying agents, and the like that are compatible with the activity of the compound useful within the invention, and are physiologically acceptable to the patient or subject. Supplementary active compounds can also be incorporated into the compositions. The “pharmaceutically acceptable carrier” or “carrier” can further include a pharmaceutically acceptable salt of the compound useful within the invention. Other additional ingredients that can be included in the pharmaceutical compositions used in the practice of the invention are known in the art and described, for example in Remington's Pharmaceutical Sciences (Genaro, Ed., Mack Publishing Co., 1985, Easton, Pa.), which is incorporated herein by reference.
The term “stabilizer,” as used herein, refers to polymers capable of chemically inhibiting or preventing degradation. Stabilizers are added to formulations of compounds to improve chemical and physical stability of the compound.
As used herein, the term “adjuvant” may include, for example, preserving, wetting, suspending, sweetening, flavoring, perfuming, emulsifying, and dispensing agents. Prevention of the action of microorganisms is generally provided by various antibacterial and antifungal agents, such as, parabens, chlorobutanol, phenol, sorbic acid, and the like. Isotonic agents, such as sugars, sodium chloride, and the like, may also be included. Prolonged absorption of an injectable pharmaceutical form can be brought about by the use of agents delaying absorption, for example, aluminum monostearate and gelatin. The auxiliary agents also can include wetting agents, emulsifying agents, pH buffering agents, and antioxidants, such as, for example, citric acid, sorbitan monolaurate, triethanolamine oleate, butylated hydroxytoluene, and the like.
As used herein, the terms “effective amount,” “pharmaceutically effective amount,” and “therapeutically effective amount” refer to a nontoxic but sufficient amount of an agent to provide the desired biological result. That result may be reduction or alleviation of the signs, symptoms, or causes of a disease, or any other desired alteration of a biological system. An appropriate therapeutic amount in any individual case may be determined by one of ordinary skill in the art using routine experimentation.
As used herein, the term “weight percent” is meant to refer to the quantity by weight of a compound and/or component in a composition as the quantity by weight of a constituent component of the composition as a percentage of the weight of the total composition. The weight percent can also be calculated by multiplying the mass fraction by 100. The “mass fraction” is the ratio of one substance of a mass m1 to the mass of the total composition mT such that weight percent=(m1/mT)*100.
“Aqueous buffer” refers to a water solution which resists change in hydronium ion and the hydroxide ion concentration (and consequent pH) upon addition of small amounts of acid or base, or upon dilution. Buffer solutions consist of a weak acid and its conjugate base (more common) or a weak base and its conjugate acid (less common). The buffer can be prepared by methods well known in the art with the appropriate buffering agents to give the desired pH value. Examples of the suitable buffering agents include hydrochloric acid, lactic acid, acetic acid, citric acid, malic acid, maleic acid, pyruvic acid, succinic acid, tris-hydroxymethylaminomethane, sodium hydroxide, sodium bicarbonate, phosphoric acid, sodium phosphate, and other biologically acceptable buffering agents. Aqueous buffers are readily available commercially and they can be used in preparation of the compositions of this invention without further treatment.
As used herein, the term “hemp extract” refers to a composition of cannabinoids and terpenes that are isolated from a hemp plant. The terms “hemp extract” and “CBD oil” have the same meaning and are used interchangeably herein. The hemp extract can be obtained by any method known in the art. For example, the hemp extract can be obtained by supercritical (or subcritical) CO2 extraction, which uses carbon dioxide under high pressure and low temperatures to isolate, preserve and maintain the purity of hemp extract. In an embodiment, the hemp extract is obtained from a supercritical CO2 extraction. For example, supercritical CO2 extraction may be performed as described in U.S. Pat. No. 8,895,078, which is incorporated herein by reference in its entirety. Alternatively, a solvent such as petroleum ether, ethanol, methanol, butanol, acetone, dry ice, or olive oil can be used, at room temperature (ambient temperature) with stirring, by passive extraction, heated to a temperature above room temperature, or under reflux, as known in the art to provide the hemp extract. In another embodiment, hemp extract from a butanol extraction is employed as starting material for methods disclosed herein.
Suitable methods for measuring the cannabinoid and terpene content in the hemp extract are known in the art. In an embodiment, cannabinoid content is determined using liquid chromatography with mass spectrometry detection (LC-MS). In another embodiment, terpene content is determined using gas chromatography with flame ionization detection (GC-FID) analysis of headspace.
As used herein, the term “flavoring agent” refers to an ingredient that is added to a composition to impart a particular flavor, smell, or other organoleptic property.
As used herein, the term “oil” refers to a nonpolar viscous liquid that is both hydrophobic and lipophilic. Oils may be isolated from animal, vegetable, or petrochemical products.
As used herein, the term “chew” refers to a product or a portion thereof that has rheological and other texture and organoleptic properties which tend to promote chewing upon the article by a target animal. Generally speaking, a chewable matrix will exhibit sufficient ductility that it is at least slightly malleable when bitten by the target animal and sufficient palatability that the target animal is not deterred by its taste from biting it multiple times. By contrast, “chewable” does not mean merely that an article can be chewed by an animal (i.e., it does not mean merely that some portion of the article will fit within an animal's mouth sufficiently to permit engagement of the animal's teeth against the portion).
The “maximal serum concentration level” of a substance, as used herein, refers to the maximal level of the substance found in a plasma sample following a single administration.
As used herein, the term “cold extrusion” refers to a process for producing edible food products comprising several unit operations including mixing, kneading, shearing, shaping, and forming, all of which are conducted at or near ambient temperature.
As used herein, the term “psychotropic effect” refers to a modification of brain function that results in an alteration of perception, mood, consciousness, or behavior.
In an aspect, provided herein is a pharmaceutical composition comprising hemp extract and a carrier, wherein the hemp extract comprises:
cannabidiol; and
cannabidiolic acid.
In another embodiment, the hemp extract comprises:
cannabidiol;
cannabidiolic acid;
cannabigerolic acid;
Δ9-tetrahydrocannabinol; and
cannabichromene.
In another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is from about 1:50 to about 1:20. In an embodiment, the ratio of cannabidiol to cannabidiolic acid is about 0.1:1 to about 1:0.1. In another embodiment, the ratio of cannabidiol to cannabidiolic acid is about 0.1:1, about 0.2:1, about 0.3:1, about 0.4:1, about 0.5:1, about 0.6:1, about 0.7:1, about 0.8:1, about 0.9:1, about 1:1, about 1:0.9, about 1:0.8, about 1:0.7, about 1:0.6, about 1:0.5, about 1:0.4, about 1:0.3, about 1:0.2, or about 1:0.1. In yet another embodiment, the ratio of cannabidiol to cannabidiolic acid is about 0.6:1 to about 1:0.6. In still another embodiment, the ratio of cannabidiol to cannabidiolic acid is about 1:1.
In an embodiment, the concentration of Δ9-tetrahydrocannabinol is insufficient to produce a psychotropic effect. In another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is from about 1:50 to about 1:20. In yet another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:50. In still another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:45. In an embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:40. In another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:35. In yet another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:30. In still another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:25. In an embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:20.
In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 2 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 1.5 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 1 mg/mL. In still another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.9 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.8 mg/mL. In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.7 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.6 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.5 mg/mL. In still another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.4 mg/mL. In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.3 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.2 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.1 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.05 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is about 0 mg/mL.
In an embodiment, the hemp extract comprises:
about 0.1-20 mg/mL of cannabidiol;
about 0.1-20 mg/mL of cannabidiolic acid;
about 0.01-0.5 mg/mL cannabigerolic acid;
about 0.01-0.5 mg/mL Δ9-tetrahydrocannabinol; and
about 0.01-0.5 mg/mL cannabichromene.
In another embodiment, the hemp extract comprises:
about 1-10 mg/mL of cannabidiol;
about 1-10 mg/mL of cannabidiolic acid;
about 0.05-0.2 mg/mL cannabigerolic acid;
about 0.1-0.3 mg/mL Δ9-tetrahydrocannabinol; and
about 0.1-0.4 mg/mL cannabichromene.
In yet another embodiment, the hemp extract comprises:
about 5 mg/mL of cannabidiol;
about 5 mg/mL of cannabidiolic acid;
about 0.11 mg/mL cannabigerolic acid;
about 0.25 mg/mL Δ9-tetrahydrocannabinol; and
about 0.27 mg/mL cannabichromene.
In an embodiment, the hemp extract comprises about 5 mg/mL of cannabinoids. In an embodiment, the hemp extract comprises about 10 mg/mL of cannabinoids. In an embodiment, the hemp extract comprises about 20 mg/mL of cannabinoids. In an embodiment, the hemp extract comprises about 30 mg/mL of cannabinoids. In an embodiment, the hemp extract comprises about 40 mg/mL of cannabinoids. In an embodiment, the hemp extract comprises about 50 mg/mL of cannabinoids. In an embodiment, the hemp extract comprises about 60 mg/mL of cannabinoids. In an embodiment, the hemp extract comprises about 70 mg/mL of cannabinoids. In an embodiment, the hemp extract comprises about 80 mg/mL of cannabinoids. In an embodiment, the hemp extract comprises about 90 mg/mL of cannabinoids. In an embodiment, the hemp extract comprises about 100 mg/mL of cannabinoids. In an embodiment, the cannabinoids are cannabidiol and cannabidiolic acid. According to some embodiments, about 0.05-0.5 mL of the extract is administered topically.
In an embodiment, provided herein is a pharmaceutical composition comprising hemp extract and a carrier, wherein the hemp extract comprises:
α-pinene;
β-myrcene;
β-pinene;
δ-limonene;
linalool;
β-caryophyllene;
α-humulene;
nerolidol 2;
guaiol;
caryophyllene oxide; and
α-bisabolol.
In another embodiment, the hemp extract comprises:
about 0.09-0.13% α-pinene;
about 0.23-0.44% β-myrcene;
about 0.04-0.09% β-pinene;
about 0.05-0.09% δ-limonene;
about 0.03-0.06% linalool;
about 0.04-0.07% β-caryophyllene;
about 0.02-0.04% α-humulene;
0.04-0.07% nerolidol 2;
about 0.02-0.04% guaiol;
about 0.04-0.08% caryophyllene oxide; and
about 0.01-0.04% α-bisabolol.
In another embodiment, the hemp extract comprises:
about 0.07-0.30% α-pinene;
about 0.10-0.60% β-myrcene;
about 0.02-0.20% β-pinene;
about 0.03-0.20% δ-limonene;
about 0.01-0.08% linalool;
about 0.03-0.09% β-caryophyllene;
about 0.01-0.06% α-humulene;
about 0.02-0.09% nerolidol 2; and
about 0.01-0.06% guaiol;
In another embodiment, the hemp extract comprises:
about 0.01-0.50% α-pinene;
about 0.01-0.90% β-myrcene;
about 0.01-0.50% β-pinene;
about 0.01-0.50% δ-limonene;
about 0.01-0.50% linalool;
about 0.01-0.50% β-caryophyllene;
about 0.01-0.50% α-humulene;
about 0.01-0.50% nerolidol 2;
about 0.01-0.50% guaiol;
about 0.01-0.50% caryophyllene oxide; and
about 0.01-0.50% α-bisabolol.
In another embodiment, the hemp extract further comprises:
camphene;
β-ocimene;
eucalyptol;
isopulegol; and/or
nerolidol 1.
In another embodiment, the hemp extract comprises:
about 0.02% camphene;
about 0.02-0.03% β-ocimene;
about 0.02-0.05% eucalyptol;
about 0.02% isopulegol; and/or
about 0.02-0.04% nerolidol 1.
In another embodiment, the hemp extract comprises:
about 0.01-0.04% camphene;
about 0.01-0.05% β-ocimene;
about 0.01-0.07% eucalyptol;
about 0.01-0.04% isopulegol; and/or
about 0.01-0.05% nerolidol 1.
In another embodiment, the hemp extract comprises:
about 0.01-0.50% camphene;
about 0.01-0.50% β-ocimene;
about 0.01-0.50% eucalyptol;
about 0.01-0.50% isopulegol; and/or
about 0.01-0.50% nerolidol 1.
In an embodiment, the hemp extract does not comprise terpenes.
In an embodiment, the hemp extract comprises 1 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 2 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 3 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 4 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 5 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 6 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 7 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 8 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 9 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 10 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 11 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 12 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 13 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 14 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 15 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the composition is formulated as an oil. In another embodiment, the carrier is selected from the group consisting of hemp seed oil, linseed oil, olive oil, fish oil, salmon oil, coconut oil, catnip oil, sesame oil, MCT oil, and grapeseed oil. In yet another embodiment, the carrier is grapeseed oil. In an embodiment, the carrier is sesame oil.
In an embodiment, the dosage form comprises nepetalactone.
In an embodiment, the dosage form comprises taurine.
In an embodiment, the pharmaceutical composition comprises lecithin. In another embodiment, the lecithin is sunflower lecithin. In another embodiment, the sunflower is about 5%, about 10%, about 15%, about 20%, about 25%, about 30%, about 35%, about 40%, about 45%, or 50%.
In an embodiment, the pharmaceutical composition comprises NF-971P. In an embodiment, the NF-971P is about 0.5%, about 1.0%, about 1.5%, about 2.0%, about 2.5%, or about 3.0% weight/volume ratio.
In an embodiment, the pharmaceutical composition is formulated as a sublingual spray. In still another embodiment, the pharmaceutical composition is formulated as a water or alcohol soluble solution, a gel, or a cream for topical or transdermal application. In an embodiment, the pharmaceutical composition is applied to the back of the neck. In another embodiment, the pharmaceutical composition is administered at a dose of 4 mg/kg. In another embodiment, the pharmaceutical composition is administered twice daily for four weeks. In an embodiment, the pharmaceutical composition is formulated as a gel for buccal or mucosal administration. In an embodiment, the pharmaceutical composition is formulated as a powder. In another embodiment, the pharmaceutical composition is formulated as a solution for subcutaneous injection. In yet another embodiment, the pharmaceutical composition is formulated as a tablet. In still another embodiment, the pharmaceutical composition is formulated as a capsule. In an embodiment, the pharmaceutical composition is formulated as a hard chewable. In an embodiment, the pharmaceutical composition is formulated as a soft chewable.
In an embodiment, the composition is formulated as a chew for oral administration. In another embodiment, the chew is produced using cold extrusion. In another embodiment, the weight of the chew is about 0.5-10 g. In yet another embodiment, the weight of the chew is about 4 g, about 6 g, about 9 g, or about 10 g. In still another embodiment, the weight of the chew is about 0.5 g. In an embodiment, the weight of the chew is about 1 g. In another embodiment, the weight of the chew is about 1.5 g. In yet another embodiment, the weight of the chew is about 2 g. In still another embodiment, the weight of the chew is about 3 g. In an embodiment, the weight of the chew is about 4 g. In another embodiment, the weight of the chew is about 5 g. In yet another embodiment, the weight of the chew is about 6 g. In still another embodiment, the weight of the chew is about 7 g. In an embodiment, the weight of the chew is about 8 g. In another embodiment, the weight of the chew is about 9 g. In yet another embodiment, the weight of the chew is about 10 g.
In an embodiment, the 4 g chew comprises:
about 7 mg of cannabidiol;
about 6 mg of cannabidiolic acid;
about 0.12 mg cannabigerolic acid;
about 0.32 mg Δ9-tetrahydrocannabinol; and
about 0.36 mg cannabichromene.
The pharmaceutical compositions of the present disclosure may be manufactured by processes well known in the art, e.g., by means of conventional mixing, dissolving, granulating, grinding, pulverizing, dragee-making, levigating, emulsifying, encapsulating, entrapping or by lyophilizing processes.
The compositions for use in accordance with the present disclosure thus may be formulated in conventional manner using one or more pharmaceutically acceptable carriers comprising excipients and auxiliaries, which facilitate processing of the active compounds into preparations which can be used pharmaceutically. Proper formulation is dependent upon the route of administration chosen.
In an aspect, provided herein is a dosage form comprising:
cannabidiol; and
cannabidiolic acid; and
one or more pharmaceutically acceptable additives, flavoring agents, surfactants, and adjuvants.
In another embodiment, the dosage form comprises:
cannabidiol;
cannabidiolic acid;
cannabigerolic acid;
Δ9-tetrahydrocannabinol;
cannabichromene; and
one or more pharmaceutically acceptable additives, flavoring agents, surfactants, and adjuvants.
In an embodiment, the ratio of cannabidiol to cannabidiolic acid is selected from the group consisting of about 1:100, about 1:50, about 1:10, and about 1:1. In an embodiment, the ratio of cannabidiol to cannabidiolic acid is about 0.1:1 to about 1:0.1. In another embodiment, the ratio of cannabidiol to cannabidiolic acid is about 0.1:1, about 0.2:1, about 0.3:1, about 0.4:1, about 0.5:1, about 0.6:1, about 0.7:1, about 0.8:1, about 0.9:1, about 1:1, about 1:0.9, about 1:0.8, about 1:0.7, about 1:0.6, about 1:0.5, about 1:0.4, about 1:0.3, about 1:0.2, or about 1:0.1. In yet another embodiment, the ratio of cannabidiol to cannabidiolic acid is about 0.6:1 to about 1:0.6. In still another embodiment, the ratio of cannabidiol to cannabidiolic acid is about 1:1.
In an embodiment, the concentration of Δ9-tetrahydrocannabinol is insufficient to produce a psychotropic effect. In another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is from about 1:50 to about 1:20. In yet another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:50. In still another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:45. In an embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:40. In another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:35. In yet another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:30. In still another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:25. In an embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:20.
In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 2 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 1.5 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 1 mg/mL. In still another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.9 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.8 mg/mL. In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.7 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.6 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.5 mg/mL. In still another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.4 mg/mL. In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.3 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.2 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.1 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.05 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is about 0 mg/mL.
In an embodiment, the dosage form comprises:
about 0.1-20 mg/mL of cannabidiol;
about 0.1-20 mg/mL of cannabidiolic acid;
about 0.01-0.5 mg/mL cannabigerolic acid;
about 0.01-0.5 mg/mL Δ9-tetrahydrocannabinol; and
about 0.01-0.5 mg/mL cannabichromene.
In another embodiment, the dosage form comprises:
about 1-10 mg/mL of cannabidiol;
about 1-10 mg/mL of cannabidiolic acid;
about 0.05-0.2 mg/mL cannabigerolic acid;
about 0.1-0.3 mg/mL Δ9-tetrahydrocannabinol; and
about 0.1-0.4 mg/mL cannabichromene.
In yet another embodiment, the dosage form comprises:
about 5 mg/mL of cannabidiol;
about 5 mg/mL of cannabidiolic acid;
about 0.11 mg/mL cannabigerolic acid;
about 0.25 mg/mL Δ9-tetrahydrocannabinol; and
about 0.27 mg/mL cannabichromene.
In some embodiments, the dosage form comprises:
α-pinene;
β-myrcene;
β-pinene;
δ-limonene;
linalool;
β-caryophyllene;
α-humulene;
nerolidol 2;
guaiol;
caryophyllene oxide; and
α-bisabolol.
In another embodiment, the dosage form comprises:
about 0.09-0.13% α-pinene;
about 0.23-0.44% β-myrcene;
about 0.04-0.09% β-pinene;
about 0.05-0.09% δ-limonene;
about 0.03-0.06% linalool;
about 0.04-0.07% β-caryophyllene;
about 0.02-0.04% α-humulene;
about 0.04-0.07% nerolidol 2;
about 0.02-0.04% guaiol;
about 0.04-0.08% caryophyllene oxide; and
about 0.01-0.04% α-bisabolol.
In another embodiment, the dosage form comprises:
about 0.07-0.30% α-pinene;
about 0.10-0.60% β-myrcene;
about 0.02-0.20% β-pinene;
about 0.03-0.20% δ-limonene;
about 0.01-0.08% linalool;
about 0.03-0.09% β-caryophyllene;
about 0.01-0.06% α-humulene;
about 0.02-0.09% nerolidol 2; and
about 0.01-0.06% guaiol.
In another embodiment, the dosage form comprises:
about 0.01-0.50% α-pinene;
about 0.01-0.90% β-myrcene;
about 0.01-0.50% β-pinene;
about 0.01-0.50% δ-limonene;
about 0.01-0.50% linalool;
about 0.01-0.50% β-caryophyllene;
about 0.01-0.50% α-humulene;
about 0.01-0.50% nerolidol 2;
about 0.01-0.50% guaiol;
about 0.01-0.50% caryophyllene oxide; and
about 0.01-0.50% α-bisabolol.
In another embodiment, the dosage form further comprises:
camphene;
β-ocimene;
eucalyptol;
isopulegol; and/or
nerolidol 1.
In another embodiment, the dosage form comprises:
about 0.02% camphene;
about 0.02-0.03% β-ocimene;
about 0.02-0.05% eucalyptol;
about 0.02% isopulegol; and/or
about 0.02-0.04% nerolidol 1.
In another embodiment, the dosage form comprises:
about 0.01-0.04% camphene;
about 0.01-0.05% β-ocimene;
about 0.01-0.07% eucalyptol;
about 0.01-0.04% isopulegol; and/or
about 0.01-0.05% nerolidol 1.
In another embodiment, the dosage form comprises:
about 0.01-0.50% camphene;
about 0.01-0.50% β-ocimene;
about 0.01-0.50% eucalyptol;
about 0.01-0.50% isopulegol; and/or
about 0.01-0.50% nerolidol 1.
In an embodiment, the hemp extract does not comprise terpenes.
In an embodiment, the hemp extract comprises 1 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 2 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 3 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the hemp extract comprises 4 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the dosage form comprises 5 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the dosage form comprises 6 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the dosage form comprises 7 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the dosage form comprises 8 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the dosage form comprises 9 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the dosage form comprises 10 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the dosage form comprises 11 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the dosage form comprises 12 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the dosage form comprises 13 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the dosage form comprises 14 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the dosage form comprises 15 or more of the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the dosage form comprises the following: α-pinene, β-myrcene, β-pinene, δ-limonene, linalool, β-caryophyllene, α-humulene, nerolidol 2, guaiol, caryophyllene oxide, α-bisabolol, camphene, β-ocimene, eucalyptol, isopulegol, and nerolidol 1.
In an embodiment, the flavoring agent is selected from the group consisting of peanut butter, catnip oil, peppermint oil, mango extract, beef, poultry, and seafood. In another embodiment, the flavoring agent is peanut butter.
In an embodiment, the dosage form is formulated as a sublingual spray. In still another embodiment, the dosage form is formulated as a water or alcohol soluble solution, a gel, or a cream for topical or transdermal application. In an embodiment, the pharmaceutical composition is applied to the back of the neck. In another embodiment, the pharmaceutical composition is administered at a dose of 4 mg/kg. In another embodiment, the pharmaceutical composition is administered twice daily for four weeks. In an embodiment, the dosage form is formulated as a gel for buccal or mucosal administration. In an embodiment, the dosage form is formulated as a powder. In another embodiment, the dosage form is formulated as a solution for subcutaneous injection. In yet another embodiment, the dosage form is formulated as a tablet. In still another embodiment, the dosage form is formulated as a capsule. In an embodiment, the dosage form is formulated as a soft chewable.
In some embodiments, the invention includes infusing edible products with hemp extract. In another embodiment, the edible product is an extruded food product, baked food product, nut butter, spread, pelleted feed, or processed food. In another embodiment, the edible product is a pet food. In another embodiment the pet food is in a dry, shelf-stable form such as dried meals, dried fish, dried dairy products, fish meal, fish flour, cereals, flours, carbohydrates, dried fruits, etc. In another embodiment, the pet food is moist or semi-moist. In another embodiment, the pet food contains food additives or supplements such as vitamins, minerals, medicinals, etc., for example chemicals, enzymes, etc., capable of removing plaque or tartar from the animal's teeth, etc. In an embodiment, the hemp extract is administered with catnip oil. In another embodiment, any of the dosage forms described can also include catnip.
In another embodiment, hemp extracts are administered using a nebulizer. In another embodiment, the nebulizer delivery device and system is capable of effectively and efficiently administering one or more nebulized drug to an animal. In another embodiment, the nebulizer system can easily be used on animals without removing them from their natural environment. In another embodiment, the nebulizer delivery device and system enables animals to be easily treated daily or multiple times a day without undue stress or the need for extensive resources. In another embodiment, the nebulizer delivery device and system can be used on animals having varying levels of training.
In one embodiment, hemp extract is administered using a diffuser. The diffuser can be any device which disperses hemp extract into the air. Hemp extract may be dispersed by any method, including by natural convection, by forced convection, by heating a wick or pad, for example, holding the hemp extract, by using pumps, or with fans.
In one embodiment, hemp extract is administered by a pet collar. The pet collar may comprise a belt with a buckle on one side, a free end on the other side and an attachment means, such as apertures disposed longitudinally within the central portion of the belt, or a quick release clasp mechanism, for securing the collar in a closed loop configuration. The pet collar may be made from a variety of materials including nylon, polyester leather or other suitable material. The belt material may be treated with a water-proofing compound. The nylon or polyester belt may be interwoven with reflective fibers to enhance the visibility of the pet collar during nighttime hours. In one embodiment, the collar is infused with hemp extract.
In an embodiment, the dosage form is formulated as a chew for oral administration. In another embodiment, the chew is produced using cold extrusion. In another embodiment, the weight of the chew is about 0.5-10 g. In yet another embodiment, the weight of the chew is about 4 g, about 6 g, about 9 g, or about 10 g. In still another embodiment, the weight of the chew is about 0.5 g. In an embodiment, the weight of the chew is about 1 g. In another embodiment, the weight of the chew is about 1.5 g. In yet another embodiment, the weight of the chew is about 2 g. In still another embodiment, the weight of the chew is about 3 g. In an embodiment, the weight of the chew is about 4 g. In another embodiment, the weight of the chew is about 5 g. In yet another embodiment, the weight of the chew is about 6 g. In still another embodiment, the weight of the chew is about 7 g. In an embodiment, the weight of the chew is about 8 g. In another embodiment, the weight of the chew is about 9 g. In yet another embodiment, the weight of the chew is about 10 g.
In one embodiment, the dosage form comprises:
brewer's yeast;
arabic gum;
guar gum;
a flavoring agent;
Verdilox;
Previon;
hemp extract;
glycerin;
sunflower lecithin; and
water.
In another embodiment, the dosage form comprises:
about 25-35% brewer's yeast;
about 1-10% arabic gum;
about 0.1-4% guar gum;
about 10-20% of a flavoring agent;
about 0.01-1% Verdilox;
about 0.1-2% Previon;
about 1-10% hemp extract;
about 10-20% glycerin;
about 1-10% sunflower lecithin; and
about 1-10% water.
In another embodiment, the dosage form comprises:
about 29-33% brewer's yeast;
about 3-6% arabic gum;
about 0.5-2% guar gum;
about 12-16% of a flavoring agent;
about 0.01-0.1% Verdilox;
about 0.5-1.5% Previon;
about 3-6% hemp extract;
about 13-17% glycerin;
about 3-7% sunflower lecithin; and
about 3-7% water.
In yet another embodiment, the dosage form comprises:
about 30% brewer's yeast;
about 4.7% arabic gum;
about 0.9% guar gum;
about 14.2% of a flavoring agent;
about 0.05% Verdilox;
about 0.9% Previon;
about 4.7% hemp extract;
about 15.1% glycerin;
about 5.7% sunflower lecithin; and
about 5.7% water.
In one embodiment, the dosage form comprises:
glucosamine HCl;
brewer's yeast;
arabic gum;
guar gum;
a flavoring agent;
Verdilox;
Previon;
hemp extract;
glycerin;
sunflower lecithin; and
water.
In another embodiment, the dosage form comprises:
about 10-20% glucosamine HCl;
about 25-35% brewer's yeast;
about 1-10% arabic gum;
about 0.1-4% guar gum;
about 10-20% of a flavoring agent;
about 0.01-1% Verdilox;
about 0.1-2% Previon;
about 1-10% hemp extract;
about 10-20% glycerin;
about 1-10% sunflower lecithin; and
about 1-10% water.
In another embodiment, the dosage form comprises:
about 12-17% glucosamine HCl;
about 29-33% brewer's yeast;
about 3-6% arabic gum;
about 0.5-2% guar gum;
about 12-16% of a flavoring agent;
about 0.01-0.1% Verdilox;
about 0.5-1.5% Previon;
about 3-6% hemp extract;
about 13-17% glycerin;
about 3-7% sunflower lecithin; and
about 3-7% water.
In yet another embodiment, the dosage form comprises:
about 15.6% glucosamine HCl;
about 30% brewer's yeast;
about 4.7% arabic gum;
about 0.9% guar gum;
about 14.2% of a flavoring agent;
about 0.05% Verdilox;
about 0.9% Previon;
about 4.7% hemp extract;
about 15.1% glycerin;
about 5.7% sunflower lecithin; and
about 5.7% water.
In one embodiment, the dosage form comprises:
glucosamine HCl;
chondroitin sulfate (76%);
brewer's yeast;
arabic gum;
guar gum;
a flavoring agent;
Verdilox;
Previon;
hemp extract;
glycerin;
sunflower lecithin; and
water.
In another embodiment, the dosage form comprises:
about 10-20% glucosamine HCl;
about 0.1-7% chondroitin sulfate (76%);
about 25-35% brewer's yeast;
about 1-10% arabic gum;
about 0.1-4% guar gum;
about 10-20% of a flavoring agent;
about 0.01-1% Verdilox;
about 0.1-2% Previon;
about 1-10% hemp extract;
about 10-20% glycerin;
about 1-10% sunflower lecithin; and
about 1-10% water.
In another embodiment, the dosage form comprises:
about 12-17% glucosamine HCl;
about 1-4% chondroitin sulfate (76%);
about 29-33% brewer's yeast;
about 3-6% arabic gum;
about 0.5-2% guar gum;
about 12-16% of a flavoring agent;
about 0.01-0.1% Verdilox;
about 0.5-1.5% Previon;
about 3-6% hemp extract;
about 13-17% glycerin;
about 3-7% sunflower lecithin; and
about 3-7% water.
In yet another embodiment, the dosage form comprises:
about 15.6% glucosamine HCl;
about 2.6% chondroitin sulfate (76%);
about 30% brewer's yeast;
about 4.7% arabic gum;
about 0.9% guar gum;
about 14.2% of a flavoring agent;
about 0.05% Verdilox;
about 0.9% Previon;
about 4.7% hemp extract;
about 15.1% glycerin;
about 5.7% sunflower lecithin; and
about 5.7% water.
In another embodiment, the dosage form comprises:
hyaluronic acid;
brewer's yeast;
arabic gum;
guar gum;
a flavoring agent;
Verdilox;
Previon;
hemp extract;
glycerin;
sunflower lecithin; and
water.
In another embodiment, the dosage form comprises:
about 0.01-3% hyaluronic acid;
about 25-35% brewer's yeast;
about 1-10% arabic gum;
about 0.1-5% guar gum;
about 10-20% of a flavoring agent;
about 0.01-1% Verdilox;
about 0.1-3% Previon;
about 1-10% hemp extract;
about 10-20% glycerin;
about 1-10% sunflower lecithin; and
about 1-10% water.
In another embodiment, the dosage form comprises:
about 0.01-1% hyaluronic acid;
about 29-33% brewer's yeast;
about 3-6% arabic gum;
about 0.5-2% guar gum;
about 12-16% of a flavoring agent;
about 0.01-0.1% Verdilox;
about 0.5-1.5% Previon;
about 3-6% hemp extract;
about 13-17% glycerin;
about 3-7% sunflower lecithin; and
about 3-7% water.
In yet another embodiment, the dosage form comprises:
about 0.1% hyaluronic acid;
about 30.6% brewer's yeast;
about 4.8% arabic gum;
about 0.97% guar gum;
about 14.5% of a flavoring agent;
about 0.05% Verdilox;
about 0.97% Previon;
about 4.8% hemp extract;
about 15.5% glycerin;
about 5.8% sunflower lecithin; and
about 5.8% water.
In another embodiment, the dosage form comprises:
glucosamine HCl;
hyaluronic acid;
brewer's yeast;
arabic gum;
guar gum;
a flavoring agent;
Verdilox;
Previon;
hemp extract;
glycerin;
sunflower lecithin; and
water.
In another embodiment, the dosage form comprises:
about 10-20% glucosamine HCl;
about 0.01-3% hyaluronic acid;
about 25-35% brewer's yeast;
about 1-10% arabic gum;
about 0.1-5% guar gum;
about 10-20% of a flavoring agent;
about 0.01-1% Verdilox;
about 0.1-3% Previon;
about 1-10% hemp extract;
about 10-20% glycerin;
about 1-10% sunflower lecithin; and
about 1-10% water.
In another embodiment, the dosage form comprises:
about 12-17% glucosamine HCl;
about 0.01-1% hyaluronic acid;
about 29-33% brewer's yeast;
about 3-6% arabic gum;
about 0.5-2% guar gum;
about 12-16% of a flavoring agent;
about 0.01-0.1% Verdilox;
about 0.5-1.5% Previon;
about 3-6% hemp extract;
about 13-17% glycerin;
about 3-7% sunflower lecithin; and
about 3-7% water.
In yet another embodiment, the dosage form comprises:
about 16% glucosamine HCl;
about 0.1% hyaluronic acid;
about 30.6% brewer's yeast;
about 4.8% arabic gum;
about 0.97% guar gum;
about 14.5% of a flavoring agent;
about 0.05% Verdilox;
about 0.97% Previon;
about 4.8% hemp extract;
about 15.5% glycerin;
about 5.8% sunflower lecithin; and
about 5.8% water.
In yet another embodiment, the dosage form comprises:
hemp extract;
peanut butter;
rice bran;
sweet potato;
dry molasses;
sorbic acid;
brewer's yeast;
sugar;
water;
glycerin;
potato starch;
dehydrated peanut butter;
rice starch; and
guar gum.
In another embodiment, the dosage form comprises:
about 3.0-10.0% hemp extract;
about 10.0-20.0% peanut butter;
about 10.0-15.0% rice bran;
about 4.0-10.0% sweet potato;
about 6.0-13.0% dry molasses;
about 0.5-5.0% sorbic acid;
about 2.0-8.0% brewer's yeast;
about 3.0-8.0% sugar;
about 5.0-15.0% water;
about 8.0-18.0% glycerin;
about 1.0-8.0% potato starch;
about 0.5-5.0% dehydrated peanut butter;
about 1.0-5.0% rice starch; and
about 1.0-5.0% guar gum.
In another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 15.0% peanut butter;
about 12.5% rice bran;
about 5.5% sweet potato;
about 8.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 9.25% water;
about 13.0% glycerin;
about 2.0% potato starch;
about 1.0% dehydrated peanut butter;
about 2.0% rice starch; and
about 2.0% guar gum.
In yet another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 15.0% peanut butter;
about 13.0% rice bran;
about 6.0% sweet potato;
about 9.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 9.5% water;
about 13.0% glycerin;
about 4.0% potato starch;
about 1.0% dehydrated peanut butter;
about 2.0% rice starch; and
about 2.0% guar gum.
In an embodiment, the dosage form comprises:
hemp extract;
peanut butter;
rice bran;
glucosamine HCl;
sweet potato;
dry molasses;
sorbic acid;
brewer's yeast;
sugar;
water;
glycerin;
potato starch;
dehydrated peanut butter;
rice starch; and
guar gum.
In another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 15.0% peanut butter;
about 12.5% rice bran;
about 12.75% glucosamine HCl;
about 5.5% sweet potato;
about 8.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 9.25% water;
about 13.0% glycerin;
about 2.0% potato starch;
about 1.0% dehydrated peanut butter;
about 2.0% rice starch; and
about 2.0% guar gum.
In yet another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 15.0% peanut butter;
about 13.0% rice bran;
about 8.5% glucosamine HCl;
about 6.0% sweet potato;
about 9.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 9.5% water;
about 13.0% glycerin;
about 4.0% potato starch;
about 1.0% dehydrated peanut butter;
about 2.0% rice starch; and
about 2.0% guar gum.
In yet another embodiment, the dosage form comprises:
about 3.0-10.0% hemp extract;
about 10.0-20.0% peanut butter;
about 10.0-15.0% rice bran;
about 5.0-15.0% glucosamine HCl;
about 4.0-10.0% sweet potato;
about 6.0-13.0% dry molasses;
about 0.5-5.0% sorbic acid;
about 2.0-8.0% brewer's yeast;
about 3.0-8.0% sugar;
about 5.0-15.0% water;
about 8.0-18.0% glycerin;
about 1.0-8.0% potato starch;
about 0.5-5.0% dehydrated peanut butter;
about 1.0-5.0% rice starch; and
about 1.0-5.0% guar gum.
In another embodiment, the dosage form further comprises chondroitin sulfate.
In an embodiment, the dosage form comprises:
hemp extract;
peanut butter;
rice bran;
glucosamine HCl;
sweet potato;
dry molasses;
sorbic acid;
brewer's yeast;
sugar;
water;
glycerin;
potato starch;
dehydrated peanut butter;
DigestaWell PET;
rice starch; and
guar gum.
In another embodiment, the dosage form comprises:
about 3.0-10.0% hemp extract;
about 5.0-20.0% peanut butter;
about 10.0-15.0% rice bran;
about 5.0-15.0% glucosamine HCl;
about 4.0-10.0% sweet potato;
about 6.0-13.0% dry molasses;
about 0.5-5.0% sorbic acid;
about 2.0-8.0% brewer's yeast;
about 3.0-8.0% sugar;
about 5.0-15.0% water;
about 8.0-18.0% glycerin;
about 1.0-8.0% potato starch;
about 0.5-5.0% dehydrated peanut butter;
about 0.1-3.0% DigestaWell PET;
about 1.0-8.0% rice starch; and
about 1.0-5.0% guar gum.
In another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 10.0% peanut butter;
about 12.0% rice bran;
about 12.75% glucosamine HCl;
about 5.5% sweet potato;
about 8.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 7.25% water;
about 10.0% glycerin;
about 5.0% potato starch;
about 4.0% dehydrated peanut butter;
about 0.5% DigestaWell PET;
about 6.0% rice starch; and
about 2.0% guar gum.
In yet another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 10.0% peanut butter;
about 12.5% rice bran;
about 8.5% glucosamine HCl;
about 8.0% sweet potato;
about 9.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 6.0% water;
about 10.0% glycerin;
about 6.0% potato starch;
about 4.0% dehydrated peanut butter;
about 0.5% DigestaWell PET;
about 6.5% rice starch; and
about 2.0% guar gum.
In an embodiment, the dosage form comprises:
hemp extract;
peanut butter;
rice bran;
glucosamine HCl;
sweet potato;
dry molasses;
sorbic acid;
brewer's yeast;
sugar;
water;
glycerin;
potato starch;
dehydrated peanut butter;
chondroitin;
DigestaWell PET;
rice starch; and
guar gum.
In another embodiment, the dosage form comprises:
about 3.0-10.0% hemp extract;
about 5.0-20.0% peanut butter;
about 10.0-15.0% rice bran;
about 5.0-15.0% glucosamine HCl;
about 4.0-10.0% sweet potato;
about 6.0-13.0% dry molasses;
about 0.5-5.0% sorbic acid;
about 2.0-8.0% brewer's yeast;
about 3.0-8.0% sugar;
about 5.0-15.0% water;
about 8.0-18.0% glycerin;
about 1.0-8.0% potato starch;
about 0.5-5.0% dehydrated peanut butter;
about 0.5-5.0% chondroitin;
about 0.1-3.0% DigestaWell PET;
about 1.0-8.0% rice starch; and
about 1.0-5.0% guar gum.
In another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 10.0% peanut butter;
about 12.0% rice bran;
about 12.75% glucosamine HCl;
about 5.5% sweet potato;
about 8.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 7.25% water;
about 10.0% glycerin;
about 4.0% potato starch;
about 4.0% dehydrated peanut butter;
about 2.5% chondroitin;
about 0.5% DigestaWell PET;
about 4.5% rice starch; and
about 2.0% guar gum.
In yet another embodiment, the dosage form comprises:
about 5.0% hemp extract;
about 10.0% peanut butter;
about 12.5% rice bran;
about 8.5% glucosamine HCl;
about 8.0% sweet potato;
about 9.0% dry molasses;
about 1% sorbic acid;
about 5.0% brewer's yeast;
about 6.0% sugar;
about 6.0% water;
about 10.0% glycerin;
about 5.0% potato starch;
about 4.0% dehydrated peanut butter;
about 2.5% chondroitin;
about 0.5% DigestaWell PET;
about 5.0% rice starch; and
about 2.0% guar gum.
In an embodiment, the dosage form further comprises brewers dried yeast, fructo-oligosaccharides, fumaric acid, lactic acid, citric acid, malic acid, thyme oil, anethole, cinnamaldehyde, vegetable oil, dehydrated alfalfa meal, mineral oil, and/or sodium aluminosilicate.
In another embodiment, the dosage form comprises 2.0% hemp extract. In another embodiment, the dosage form comprises 3.0% hemp extract. In another embodiment, the dosage form comprises 4.0% hemp extract. In another embodiment, the dosage form comprises 5.0% hemp extract. In another embodiment, the dosage form comprises 6.0% hemp extract. In another embodiment, the dosage form comprises 7.0% hemp extract. In another embodiment, the dosage form comprises 8.0% hemp extract. In another embodiment, the dosage form comprises 9.0% hemp extract. In another embodiment, the dosage form comprises 10.0% hemp extract.
In an embodiment, the hemp extract comprises:
cannabidiol;
cannabidiolic acid;
cannabigerolic acid;
Δ9-tetrahydrocannabinol; and
cannabichromene.
In an embodiment, the ratio of cannabidiol to cannabidiolic acid is selected from the group consisting of about 1:100, about 1:50, about 1:10, and about 1:1. In an embodiment, the ratio of cannabidiol to cannabidiolic acid is about 0.1:1 to about 1:0.1. In another embodiment, the ratio of cannabidiol to cannabidiolic acid is about 0.1:1, about 0.2:1, about 0.3:1, about 0.4:1, about 0.5:1, about 0.6:1, about 0.7:1, about 0.8:1, about 0.9:1, about 1:1, about 1:0.9, about 1:0.8, about 1:0.7, about 1:0.6, about 1:0.5, about 1:0.4, about 1:0.3, about 1:0.2, or about 1:0.1. In yet another embodiment, the ratio of cannabidiol to cannabidiolic acid is about 0.6:1 to about 1:0.6. In still another embodiment, the ratio of cannabidiol to cannabidiolic acid is about 1:1.
In an embodiment, the concentration of Δ9-tetrahydrocannabinol is insufficient to produce a psychotropic effect. In another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is from about 1:50 to about 1:20. In yet another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:50. In still another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:45. In an embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:40. In another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:35. In yet another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:30. In still another embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:25. In an embodiment, the ratio of Δ9-tetrahydrocannabinol to the other cannabinoids is about 1:20.
In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 2 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 1.5 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 1 mg/mL. In still another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.9 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.8 mg/mL. In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.7 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.6 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.5 mg/mL. In still another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.4 mg/mL. In an embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.3 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.2 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.1 mg/mL. In another embodiment, the concentration of Δ9-tetrahydrocannabinol is less than about 0.05 mg/mL. In yet another embodiment, the concentration of Δ9-tetrahydrocannabinol is about 0 mg/mL.
In an embodiment, the hemp extract comprises:
about 0.1-20 mg/mL of cannabidiol;
about 0.1-20 mg/mL of cannabidiolic acid;
about 0.01-0.5 mg/mL cannabigerolic acid;
about 0.01-0.5 mg/mL Δ9-tetrahydrocannabinol; and
about 0.01-0.5 mg/mL cannabichromene.
In another embodiment, the hemp extract comprises:
about 1-10 mg/mL of cannabidiol;
about 1-10 mg/mL of cannabidiolic acid;
about 0.05-0.2 mg/mL cannabigerolic acid;
about 0.1-0.3 mg/mL Δ9-tetrahydrocannabinol; and
about 0.1-0.4 mg/mL cannabichromene.
In yet another embodiment, the hemp extract comprises:
about 5 mg/mL of cannabidiol;
about 5 mg/mL of cannabidiolic acid;
about 0.11 mg/mL cannabigerolic acid;
about 0.25 mg/mL Δ9-tetrahydrocannabinol; and
about 0.27 mg/mL cannabichromene.
In an embodiment, the hemp extract comprises:
α-pinene;
β-myrcene;
β-pinene;
δ-limonene;
linalool;
β-caryophyllene;
α-humulene;
nerolidol 2;
guaiol;
caryophyllene oxide; and
α-bisabolol.
In another embodiment, the hemp extract comprises:
about 0.09-0.13% α-pinene;
about 0.23-0.44% β-myrcene;
about 0.04-0.09% β-pinene;
about 0.05-0.09% δ-limonene;
about 0.03-0.06% linalool;
about 0.04-0.07% β-caryophyllene;
about 0.02-0.04% α-humulene;
about 0.04-0.07% nerolidol 2;
about 0.02-0.04% guaiol;
about 0.04-0.08% caryophyllene oxide; and
about 0.01-0.04% α-bisabolol.
In another embodiment, the hemp extract comprises:
about 0.07-0.30% α-pinene;
about 0.10-0.60% β-myrcene;
about 0.02-0.20% β-pinene;
about 0.03-0.20% δ-limonene;
about 0.01-0.08% linalool;
about 0.03-0.09% β-caryophyllene;
about 0.01-0.06% α-humulene;
about 0.02-0.09% nerolidol 2; and
about 0.01-0.06% guaiol;
In another embodiment, the hemp extract comprises:
about 0.01-0.50% α-pinene;
about 0.01-0.90% β-myrcene;
about 0.01-0.50% β-pinene;
about 0.01-0.50% δ-limonene;
about 0.01-0.50% linalool;
about 0.01-0.50% β-caryophyllene;
about 0.01-0.50% α-humulene;
about 0.01-0.50% nerolidol 2;
about 0.01-0.50% guaiol;
about 0.01-0.50% caryophyllene oxide; and
about 0.01-0.50% α-bisabolol.
In another embodiment, the hemp extract further comprises:
camphene;
β-ocimene;
eucalyptol;
isopulegol; and/or
nerolidol 1.
In another embodiment, the hemp extract comprises:
about 0.02% camphene;
about 0.02-0.03% β-ocimene;
about 0.02-0.05% eucalyptol;
about 0.02% isopulegol; and/or
about 0.02-0.04% nerolidol 1.
In another embodiment, the hemp extract comprises:
about 0.01-0.04% camphene;
about 0.01-0.05% β-ocimene;
about 0.01-0.07% eucalyptol;
about 0.01-0.04% isopulegol; and/or
about 0.01-0.05% nerolidol 1.
In another embodiment, the hemp extract comprises:
about 0.01-0.50% camphene;
about 0.01-0.50% β-ocimene;
about 0.01-0.50% eucalyptol;
about 0.01-0.50% isopulegol; and/or
about 0.01-0.50% nerolidol 1.
In an embodiment, the composition is formulated as an oil. In another embodiment, the carrier is selected from the group consisting of hemp seed oil, linseed oil, olive oil, fish oil, salmon oil, coconut oil, catnip oil, sesame oil, MCT oil, and grapeseed oil. In yet another embodiment, the carrier is grapeseed oil. In an embodiment, the carrier is sesame oil.
In an embodiment, the flavoring agent is selected from the group consisting of peanut butter, catnip oil, chicken liver powder, poultry extract, maltodextrin, butter, and bacon. In another embodiment, the flavoring agent is chicken liver powder. In another embodiment, the flavoring agent is peanut butter.
In an embodiment, the composition is formulated as a chew for oral administration. In another embodiment, the chew is produced using cold extrusion. In another embodiment, the weight of the chew is about 0.5-10 g. In yet another embodiment, the weight of the chew is about 4 g, about 6 g, about 9 g, or about 10 g. In still another embodiment, the weight of the chew is about 0.5 g. In an embodiment, the weight of the chew is about 1 g. In another embodiment, the weight of the chew is about 1.5 g. In yet another embodiment, the weight of the chew is about 2 g. In still another embodiment, the weight of the chew is about 3 g. In an embodiment, the weight of the chew is about 4 g. In another embodiment, the weight of the chew is about 5 g. In yet another embodiment, the weight of the chew is about 6 g. In still another embodiment, the weight of the chew is about 7 g. In an embodiment, the weight of the chew is about 8 g. In another embodiment, the weight of the chew is about 9 g. In yet another embodiment, the weight of the chew is about 10 g.
In an embodiment, the 4 g chew comprises:
about 7 mg of cannabidiol;
about 6 mg of cannabidiolic acid;
about 0.12 mg cannabigerolic acid;
about 0.32 mg Δ9-tetrahydrocannabinol; and
about 0.36 mg cannabichromene.
In an aspect, provided herein is a method for treating or reducing pain in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of any of the compositions or dosage forms described above.
In an embodiment, the pain is associated with migraine headache.
In an aspect, provided herein is a method for treating periuria in a veterinary subject in need thereof, comprising administering to the subject a therapeutically effective amount of any of the compositions or dosage forms described above. In an embodiment, the veterinary subject suffers from chronic pain, conditions of the urinary system, anxiety, and/or frustration.
In an embodiment, the veterinary subject is feline. In an embodiment, the feline is >6 months and <12 years old. In an embodiment, the feline is <6 months old. In an embodiment, the feline is about 6-12 months old. In an embodiment, the feline is about 1-3 years old. In an embodiment, the feline is about 3-6 years old. In an embodiment, the feline is about 6-9 years old. In an embodiment, the feline is about 9-12 years old. In an embodiment, the feline is about 12-15 years old. In an embodiment, the feline is about >15 years old.
In an embodiment, the veterinary subject has diabetes, lung cancer, inflammatory bowel disease, dermatological conditions, seizures, or obsessive behaviors.
In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 0.1-15.0 mg/kg. In another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 0.1-10.0 mg/kg. In yet another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 0.1 mg/kg. In still another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 0.2 mg/kg. In yet another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 0.3 mg/kg. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 0.4 mg/kg. In another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 0.5 mg/kg. In yet another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 0.6 mg/kg. In still another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 0.7 mg/kg. In yet another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 0.8 mg/kg. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 0.9 mg/kg. In another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 1 mg/kg. In yet another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 1.5 mg/kg. In still another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 2 mg/kg. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 3 mg/kg. In another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 4 mg/kg. In yet another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 5 mg/kg. In still another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 6 mg/kg. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 7 mg/kg. In another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 8 mg/kg. In yet another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 9 mg/kg. In still another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 10 mg/kg. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 11 mg/kg. In another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 12 mg/kg. In yet another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 13 mg/kg. In still another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 14 mg/kg. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 15 mg/kg.
In another embodiment, the pharmaceutical composition or dosage form is administered at twice the therapeutically effective dosage for one week, and then subsequently administered at a therapeutically effective dosage. In yet another embodiment, the therapeutically effective dosage is about 0.1-0.5 mg/kg. In still another embodiment, the therapeutically effective dosage is about 2 mg/kg. In an embodiment, the therapeutically effective dosage is about 8 mg/kg.
In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 1 mg/kg for one week, and then subsequently administered at a dosage of about 0.1-0.5 mg/kg. In another embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 4 mg/kg for one week, and then subsequently administered at a dosage of about 2 mg/kg.
In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 1.0 mg/kg once daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 1.0 mg/kg twice daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 1.0 mg/kg three times daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 1.0 mg/kg four times daily.
In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 2.0 mg/kg once daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 2.0 mg/kg twice daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 2.0 mg/kg three times daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 2.0 mg/kg four times daily.
In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 3.0 mg/kg once daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 3.0 mg/kg twice daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 3.0 mg/kg three times daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 3.0 mg/kg four times daily.
In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 4.0 mg/kg once daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 4.0 mg/kg twice daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 4.0 mg/kg three times daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 4.0 mg/kg four times daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 5.0 mg/kg once daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 5.0 mg/kg twice daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 5.0 mg/kg three times daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 5.0 mg/kg four times daily.
In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 6.0 mg/kg once daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 6.0 mg/kg twice daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 6.0 mg/kg three times daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 6.0 mg/kg four times daily.
In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 7.0 mg/kg once daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 7.0 mg/kg twice daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 7.0 mg/kg three times daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 7.0 mg/kg four times daily.
In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 8.0 mg/kg once daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 8.0 mg/kg twice daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 8.0 mg/kg three times daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 8.0 mg/kg four times daily.
In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 9.0 mg/kg once daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 9.0 mg/kg twice daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 9.0 mg/kg three times daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 9.0 mg/kg four times daily.
In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 10.0 mg/kg once daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 10.0 mg/kg twice daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 10.0 mg/kg three times daily. In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 10.0 mg/kg four times daily.
In an embodiment, the pharmaceutical composition or dosage form is administered at a dosage of about 2 mg/kg twice daily.
In an embodiment, a dropperful of the pharmaceutical composition or dosage form is administered to the subject. In another embodiment, 0.5 mL of the pharmaceutical composition or dosage form is administered to the subject. In another embodiment, 1 mL of the pharmaceutical composition or dosage form is administered to the subject. In another embodiment, 2 mL of the pharmaceutical composition or dosage form is administered to the subject. In another embodiment, 3 mL of the pharmaceutical composition or dosage form is administered to the subject. In another embodiment, 4 mL of the pharmaceutical composition or dosage form is administered to the subject. In another embodiment, 5 mL of the pharmaceutical composition or dosage form is administered to the subject. In another embodiment, 6 mL of the pharmaceutical composition or dosage form is administered to the subject. In another embodiment, 7 mL of the pharmaceutical composition or dosage form is administered to the subject. In another embodiment, 8 mL of the pharmaceutical composition or dosage form is administered to the subject. In another embodiment, 9 mL of the pharmaceutical composition or dosage form is administered to the subject. In another embodiment, 10 mL of the pharmaceutical composition or dosage form is administered to the subject.
In an embodiment, the method results in a therapeutically effective median maximal serum concentration of cannabidiol. In another embodiment, the median maximal serum concentration of cannabidiol is about 90-310 ng/mL. In yet another embodiment, the median maximal serum concentration of cannabidiol is about 90 ng/mL. In still another embodiment, the median maximal serum concentration of cannabidiol is about 100 ng/mL. In still another embodiment, the median maximal serum concentration of cannabidiol is about 102 ng/mL. In an embodiment, the median maximal serum concentration of cannabidiol is about 200 ng/mL. In another embodiment, the median maximal serum concentration of cannabidiol is about 300 ng/mL. In yet another embodiment, the median maximal serum concentration of cannabidiol is about 400 ng/mL. In still another embodiment, the median maximal serum concentration of cannabidiol is about 500 ng/mL. In an embodiment, the median maximal serum concentration of cannabidiol is about 590 ng/mL. In another embodiment, the median maximal serum concentration of cannabidiol is about 600 ng/mL.
In an embodiment, the veterinary subject is canine, feline, bovine, porcine, or equine. In another embodiment, the veterinary subject is canine. In yet another embodiment, the veterinary subject is feline.
In an aspect, provided herein are methods for treating periuria, diabetes, lung cancer, inflammatory bowel disease, dermatological conditions, seizures, obsessive behaviors, migraine headaches, or insect bites in a subject comprising administering to the subject a therapeutically effective amount of hemp extract.
In an embodiment, the hemp extract is administered at a dosage of about 0.1-15.0 mg/kg. In another embodiment, the hemp extract is administered at a dosage of about 0.1-10.0 mg/kg. In yet another embodiment, the hemp extract is administered at a dosage of about 0.1 mg/kg. In still another embodiment, the hemp extract is administered at a dosage of about 0.2 mg/kg. In yet another embodiment, the hemp extract is administered at a dosage of about 0.3 mg/kg. In an embodiment, the hemp extract is administered at a dosage of about 0.4 mg/kg. In another embodiment, the hemp extract is administered at a dosage of about 0.5 mg/kg. In yet another embodiment, the hemp extract is administered at a dosage of about 0.6 mg/kg. In still another embodiment, the hemp extract is administered at a dosage of about 0.7 mg/kg. In yet another embodiment, the hemp extract is administered at a dosage of about 0.8 mg/kg. In an embodiment, the hemp extract is administered at a dosage of about 0.9 mg/kg. In another embodiment, the hemp extract is administered at a dosage of about 1 mg/kg. In yet another embodiment, the hemp extract is administered at a dosage of about 1.5 mg/kg. In still another embodiment, the hemp extract is administered at a dosage of about 2 mg/kg. In an embodiment, the hemp extract is administered at a dosage of about 3 mg/kg. In another embodiment, the hemp extract is administered at a dosage of about 4 mg/kg. In yet another embodiment, the hemp extract is administered at a dosage of about 5 mg/kg. In still another embodiment, the hemp extract is administered at a dosage of about 6 mg/kg. In an embodiment, the hemp extract is administered at a dosage of about 7 mg/kg. In another embodiment, the hemp extract is administered at a dosage of about 8 mg/kg. In yet another embodiment, the hemp extract is administered at a dosage of about 9 mg/kg. In still another embodiment, the hemp extract is administered at a dosage of about 10 mg/kg. In an embodiment, the hemp extract is administered at a dosage of about 11 mg/kg. In another embodiment, the hemp extract is administered at a dosage of about 12 mg/kg. In yet another embodiment, the hemp extract is administered at a dosage of about 13 mg/kg. In still another embodiment, the hemp extract is administered at a dosage of about 14 mg/kg. In an embodiment, the hemp extract is administered at a dosage of about 15 mg/kg.
In another embodiment, the hemp extract is administered at twice the therapeutically effective dosage for one week, and then subsequently administered at a therapeutically effective dosage. In yet another embodiment, the therapeutically effective dosage is about 0.1-0.5 mg/kg. In still another embodiment, the therapeutically effective dosage is about 2 mg/kg. In an embodiment, the therapeutically effective dosage is about 8 mg/kg.
In an embodiment, the hemp extract is administered at a dosage of about 1 mg/kg for one week, and then subsequently administered at a dosage of about 0.1-0.5 mg/kg. In another embodiment, the hemp extract is administered at a dosage of about 4 mg/kg for one week, and then subsequently administered at a dosage of about 2 mg/kg.
In an embodiment, the method results in a therapeutically effective median maximal serum concentration of cannabidiol. In another embodiment, the median maximal serum concentration of cannabidiol is about 90-310 ng/mL. In yet another embodiment, the median maximal serum concentration of cannabidiol is about 90 ng/mL. In still another embodiment, the median maximal serum concentration of cannabidiol is about 100 ng/mL. In still another embodiment, the median maximal serum concentration of cannabidiol is about 102 ng/mL. In an embodiment, the median maximal serum concentration of cannabidiol is about 200 ng/mL. In another embodiment, the median maximal serum concentration of cannabidiol is about 300 ng/mL. In yet another embodiment, the median maximal serum concentration of cannabidiol is about 400 ng/mL. In still another embodiment, the median maximal serum concentration of cannabidiol is about 500 ng/mL. In an embodiment, the median maximal serum concentration of cannabidiol is about 590 ng/mL. In another embodiment, the median maximal serum concentration of cannabidiol is about 600 ng/mL.
In an embodiment, the veterinary subject is canine, feline, bovine, porcine, or equine. In another embodiment, the veterinary subject is canine. In yet another embodiment, the veterinary subject is feline.
The pharmaceutical compositions and dosage forms of the present disclosure may be administered by any convenient route, for example, by infusion or bolus injection, by absorption through epithelial or mucocutaneous linings (e.g., oral mucosa, rectal and intestinal mucosa, etc.) and may be administered together with any other therapeutic agent. Administration can be systemic or local. In an embodiment, administration is topical. In another embodiment, topical administration is used to treat local pain. In another embodiment, the local pain is joint pain. In an embodiment, the veterinary subject is an animal >100 kg (e.g., a horse, cow, or pig).
The therapeutic compositions of the invention will be administered with suitable carriers, excipients, and other agents that are incorporated into formulations to provide improved transfer, delivery, tolerance, and the like. A multitude of appropriate formulations can be found in the formulary known to all pharmaceutical chemists: Remington's Pharmaceutical Sciences, Mack Publishing Company, Easton, Pa. These formulations include, for example, powders, pastes, ointments, jellies, waxes, oils, lipids, lipid (cationic or anionic) containing vesicles (such as LIPOFECTIN™), DNA conjugates, anhydrous absorption pastes, oil-in-water and water-in-oil emulsions, emulsions carbowax (polyethylene glycols of various molecular weights), semi-solid gels, and semi-solid mixtures containing carbowax. See also Powell et al. “Compendium of excipients for parenteral formulations” PDA (1998) J Pharm Sci Technol 52:238-311.
The dose may vary depending upon the age and the weight of a subject to be administered, target disease, conditions, route of administration, and the like. Various delivery systems are known and can be used to administer the pharmaceutical composition of the invention, e.g., encapsulation in liposomes, microparticles, microcapsules, receptor mediated endocytosis (see, e.g., Wu et al. (1987) J. Biol. Chem. 262:4429-4432). Methods of introduction include, but are not limited to, intradermal, intramuscular, intraperitoneal, intravenous, topical, transdermal, buccal, sublingual, subcutaneous, intranasal, epidural, and oral routes. The composition may be administered by any convenient route, for example by infusion or bolus injection, by absorption through epithelial or mucocutaneous linings (e.g., oral mucosa, rectal and intestinal mucosa, etc.) and may be administered together with other biologically active agents. Administration can be systemic or local.
Pharmacological preparations for oral use can be made using a solid excipient, optionally grinding the resulting mixture, and processing the mixture of granules, after adding suitable auxiliaries if desired, to obtain tablets or dragee cores. Suitable excipients are, in particular, fillers such as sugars, including lactose, sucrose, mannitol, or sorbitol; cellulose preparations such as, for example, maize starch, wheat starch, rice starch, potato starch, gelatin, gum, methyl cellulose, hydroxypropylmethyl-cellulose, sodium carbomethylcellulose, and/or physiologically acceptable polymers such as polyvinylpyrrolidone (PVP). If desired, disintegrating agents may be added, such as cross-linked polyvinyl pyrrolidone, agar, or alginic acid or a salt thereof such as sodium alginate.
Dragee cores are provided with suitable coatings. For this purpose, concentrated sugar solutions may be used which may optionally contain gum arabic, talc, polyvinyl pyrrolidone, carbopol gel, polyethylene glycol, titanium dioxide, lacquer solutions and suitable organic solvents or solvent mixtures.
The injectable preparations may include dosage forms for intravenous, subcutaneous, intracutaneous and intramuscular injections, local injection, drip infusions, etc. These injectable preparations may be prepared by methods publicly known. For example, the injectable preparations may be prepared, e.g., by dissolving, suspending or emulsifying the pharmaceutical composition or dosage form in a sterile aqueous medium or an oily medium conventionally used for injections. As the aqueous medium for injections, there are, for example, physiological saline, an isotonic solution containing glucose and other auxiliary agents, etc., which may be used in combination with an appropriate solubilizing agent such as an alcohol (e.g., ethanol), a polyalcohol (e.g., propylene glycol, polyethylene glycol), a nonionic surfactant [e.g., polysorbate 80, HCO-50 (polyoxyethylene (50 mol) adduct of hydrogenated castor oil)], etc. As the oily medium, there are employed, e.g., sesame oil, soybean oil, etc., which may be used in combination with a solubilizing agent such as benzyl benzoate, benzyl alcohol, etc. The injection thus prepared can be filled in an appropriate ampoule.
Pharmaceutical compositions, which can be used orally, include push-fit capsules made of gelatin as well as soft, sealed capsules made of gelatin and a plasticizer, such as glycerol or sorbitol. The push-fit capsules may contain the active ingredients in admixture with filler such as lactose, binders such as starches, lubricants such as talc or magnesium stearate and, optionally, stabilizers. In soft capsules, the active components may be dissolved or suspended in suitable liquids, such as fatty oils, liquid paraffin, or liquid polyethylene glycols.
Alternatively, the composition may be in a powder form for constitution before use with a suitable vehicle, e.g., sterile, pyrogen-free water. The exact formulation, route of administration and dosage may be chosen by the physician familiar with the patient's condition. (See for example Fingl, et al., 1975, in “The Pharmacological Basis of Therapeutics”, Chapter I, p. 1). Depending on the severity and responsiveness of the condition treated, dosing can also be a single administration of a slow release composition, with course of treatment lasting from several days to several weeks or until cure is effected or diminution of the disease state is achieved.
Advantageously, the pharmaceutical compositions for oral or parenteral use described above are prepared into dosage forms in a unit dose suited to fit a dose of the active ingredients. Such dosage forms in a unit dose include, for example, tablets, pills, capsules, injections (ampoules), suppositories, chews, pet food, etc. In certain embodiments, for the dosages provided above, they are administered in one serving of pet food, e.g. 1 mg/kg of hemp extract provided in one serving of pet food.
Hemp extract, dosage forms, and pharmaceutical compositions described herein can be packaged to provide one or more doses of hemp extract per package. Any suitable type of packaging can be used, including wrappers, pouches, boxes, tubs, cans, blister packs, and bags. Such packaging is convenient and accessible to consumers, enhances the consumer's ease of use, reduces the presence of pathogens, increases shelf life, and reduces spoilage. In an embodiment, the hemp extract, dosage form, or pharmaceutical composition is packaged to provide one or more doses of hemp extract per package. In an embodiment, the package is resealable. In some embodiments, the dosage form is edible. In some embodiments, the edible dosage form is formed into a flat shape that can be more easily divided. In some embodiments, this flat shape is a disk or cookie shape. In some embodiments, the edible dosage form includes indentations to show where the edible dosage form should be divided to provide specific dosages. In some embodiments, the edible dosage form comes in multiple pieces. In some embodiments, each of the multiple pieces provides a certain dosage. In some embodiments, a package contains 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 pieces. In some embodiments, the package is resealable. In an embodiment, one dose of hemp extract is a therapeutically effective amount. In accordance with the methods disclosed herein, pharmaceutical formulations can be administered to the patient or subject using any acceptable device or mechanism. For example, the administration can be accomplished using a syringe and needle or with a reusable pen and/or autoinjector delivery device. The methods of the present invention include the use of numerous reusable pen and/or autoinjector delivery devices to administer a pharmaceutical formulation.
In an embodiment for non-human animal administration, the term “pharmaceutical” as used herein may be replaced by “veterinary.”
The industrial hemp strain used in this study was a proprietary hemp strain utilizing ethanol and heat extraction with the final desiccated product reconstituted into an olive oil base containing approximately 10 mg/ml of CBD as an equal mix of CBD and carboxylic acid of CBD (CBDa), 0.24 mg/ml tetrahydrocannabinol (THC), 0.27 mg/ml cannabichromene (CBC), and 0.11 mg/ml cannabigerol (CBG) which is dehydrated; all other cannabinoids were less than 0.01 mg/ml. Analysis of 5 different production runs using a commercial analytical laboratory (MCR Laboratories, Framingham, Mass.) show less than a 9% difference across batches for each of the detected cannabinoids listed above. The study was performed after the Cornell University institutional animal care and use committee (IACUC) approved the study which follows the guidelines for animal use according to the IACUC. Client owned dogs were enrolled after informed consent in accordance with the Declaration of Helsinki.
Terpene profiles were determined using gas chromatography with flame ionization detection (GC-FID) analysis of headspace for four separate oil extractions. All oils contained 0.09-0.13% α-pinene, 0.23-0.44% β-myrcene, 0.04-0.09% β-pinene, 0.05-0.09% δ-limonene, 0.03-0.06% linalool, 0.04-0.07% β-caryophyllene, 0.02-0.04% α-humulene, 0.04-0.07% nerolidol 2, 0.02-0.04% guaiol, 0.04-0.08% caryophyllene oxide, and 0.01-0.04% α-bisabolol. In addition, some of the oils tested contained 0.02% camphene, 0.02-0.03% β-ocimene, 0.02-0.05% eucalyptol, 0.02% isopulegol, and/or 0.02-0.04% nerolidol 1. Total terpenes ranged from 0.73-1.10%,
An initial investigation into single-dose oral pharmacokinetics was performed with 4 beagles (3.5-7 years, male castrated, 10.7-11.9 kg). Each dog received a 2 mg/kg and an 8 mg/kg oral dosage of CBD oil, with a 2-week washout period between each experiment. The dogs were fed two hours after dosing. Physical examination was performed at 0, 4, 8 and 24 hours after dosing. Attitude, behavior, proprioception, and gait were subjectively evaluated at each time point during free running/walking and navigation around standard traffic cones (weaving). Five ml of blood was collected at time 0, 0.5, 1, 2, 4, 8, 12 and 24 hours after oil administration. Blood samples were obtained via jugular venipuncture and transferred to a coagulation tube for 20 minutes. Samples were centrifuged (VWR, Clinical Centrifuge) at 3,600×g for 10 minutes; serum was removed and stored at −80° C. until analysis using liquid chromatography-mass spectrometry (LC-MS) at Colorado State University Core Mass Spectrometry facility.
CBD was extracted from canine serum using a combination of protein precipitation and liquid-liquid extraction using n-hexane, with minor modifications for microflow ultra-high pressure liquid chromatography (UHPLC). Briefly, 0.05 ml of canine serum was subjected to protein precipitation in the presence of ice-cold acetonitrile (80% final concentration), spiked with deuterated CBD as the internal standard (0.06 mg/ml, CDB-d3 Cerilliant, Round Rock, Tex., USA). 0.2 ml of water was added to each sample prior to the addition of 1.0 ml of hexane to enhance liquid-liquid phase separation. Hexane extract was removed and concentrated to dryness under laboratory nitrogen. Prior to LC-MS analysis, samples were resuspended in 0.06 mL of 100% acetonitrile. A standard curve using the CBD analytical standard was prepared in canine serum non-exposed to CBD and extracted as above. Cannabidiol concentration in serum was quantified using a chromatographically coupled triple-quadropole mass spectrometer (UHPLC-QQQ-MS).
From the UHPLC-QQQ-MS data, peak areas were extracted for CBD detected in biological samples and normalized to the peak area of the internal standard CBD-d3, in each sample using Skyline as well as an in-house R Script (www.r-project.org). CBD concentrations were calculated to nanograms per mL of serum as determined by the line of regression of the standard curve (r2=0.9994, 0-1000 ng/mL). For this assay, the limits of detection (LOD) and limits of quantification (LOQ) represent the lower limits of detection and quantification for each compound in the matrix of this study. Pharmacokinetic variables were estimated by means of non-compartmental analysis, utilizing a pharmacokinetic software package (PK Solution, version 2.0, Montrose, Colo., USA).
The study population consisted of client-owned dogs presenting to Cornell University Hospital for Animals for evaluation and treatment of a lameness due to OA. Dogs were considered for inclusion in the study if they had radiographic evidence of OA, signs of pain according to assessment by their owners, detectable lameness on visual gait assessment and painful joint(s) on palpation. Each dog had an initial complete blood count ([CBC] Bayer Advia 120, Siemens Corp., New York, N.Y., USA) and serum chemistry analysis (Hitachi 911, Roche Diagnostics, Indianapolis, Ind., USA) performed to rule out any underlying disease that might preclude enrolment. Elevations in alkaline phosphatase (ALP), alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were allowed if prior hepatic ultrasound was deemed within normal limits except for potential non-progressive nodules (possible hepatic nodular hyperplasia).
All owners completed a brief questionnaire to define the affected limb(s), duration of lameness, and duration of analgesic or other medications taken.
All dogs underwent radiographic examination of affected joints and a radiologist confirmed the presence or absence of OA, and excluded the presence of concomitant disease that might preclude them from enrolment (i.e. lytic lesions).
During the trial, dogs were only allowed to receive NSAIDs, fish oil, and/or glucosamine/chondroitin sulphate without any change in these medications for 4 weeks prior to or during the 10-week study period as standard of care for the disease process. Other analgesic medications used, such as gabapentin and tramadol, were discontinued at least 2 weeks prior to enrollment. Dogs were excluded if they had evidence of renal, uncontrolled endocrine, neurologic, or neoplastic disease, or if they had a temperament not suited for gaiting on a lead or were undergoing physical therapy. Every dog was fed its regular diet with no change allowed during the trial.
The study was a placebo-controlled, double-blind, cross-over clinical trial. Dogs received each of two treatments in random order (Randomizer iPhone Application): CBD, 2 mg/kg every 12 hours, or placebo (an equivalent volume of olive oil with 10 parts per thousands of anise oil and 5 parts per thousands of peppermint oil to provide a similar herbal smell) every 12 hours. Each treatment was administered for 4 weeks with a 2-week washout period in between treatments. Blood was collected to repeat complete blood counts and chemistry analysis at weeks 2 and 4 for each treatment.
At each visit, each dog was evaluated by a veterinarian based on a scoring system, as well as by its owner (canine brief pain inventory [CBPI], Hudson activity scale) before treatment initiation and at weeks 2 and 4 thereafter.
Initial power analysis was performed to assess number of dogs needed for this study as a cross over design with a power set 0.80 and alpha of 0.05 using prior data suggesting a baseline CBPI or Hudson score change of approximately 15 points (two tailed) with a standard deviation of 20. When calculated it was assumed that 14 dogs would be necessary to find significance.
Statistical analysis was performed with a commercially available software package (JMP 12.0, Cary, N.C., USA). All data was assessed utilizing a Shapiro-Wilks test for normality. Considering a majority of our blood, serum and scoring data was normally distributed a mixed model analysis of variance was used. Cross-over study variables included in the model were: fixed effects of treatment, time, sequence of oil, gender, age, NSAID usage, treatment×time; as well as random effects of observation period, period nested within dog, time point nested within period nested within dog. To control for difference and relative change in CBPI pain and activity interference assessments and Hudson scoring across dogs, the fixed effect of initial CPBI or Hudson Score was also included for these analyses. Dunnett's tests were performed post hoc on any significant effects of time×treatment to assess differences with week 0 of CBD oil or placebo oil as the baseline time point for comparison. A p value of less than 0.05 was determined to be significant for all analyses.
Pharmacokinetics demonstrated that CBD half-life of elimination median was 4.2 hours (3.8-6.8 hours) with the 2 mg/kg dose, and 4.2 hours (3.8-4.8 hours) with the 8 mg/kg dose (Table 1). Median maximal concentration of CBD oil (
Twenty-two client-owned dogs with clinically and radiographically confirmed evidence of osteoarthritis were recruited. Sixteen of these dogs completed the trial and were included in the analyses; their breed, weight, age, sex, worse affected limb, radiographic findings, use of NSAIDs and sequence of treatments are summarized in Table 2. Dogs were removed due to osteosarcoma at the time of enrolment, gastric torsion (placebo), prior aggression issues (OBO oil), pyelonephritis/kidney insufficiency (OBO oil), recurrent pododermatitis (placebo oil), and diarrhea (placebo oil).
CBPI and Hudson scores (
Weight-bearing was scored as follows: 1 = equal on all limbs standing and walking, 2 = normal standing, favors affected limb when walking, 3 = partial weight-bearing standing and walking, 4 = partial weight-bearing standing, non-weight-bearing walking, 5 = non-weight-bearing standing and walking.
Chemistry analysis and CBC were performed at each visit. No significant change in the measured CBC values was noted in either the CBD oil or placebo treated dogs (data not shown). Serum chemistry values were not different between placebo compared to CBD oil (Table 4), except for alkaline phosphatase (ALP) which significantly increased over time from baseline by week 4 of CBD oil treatment (p=0.005); with nine of the sixteen dogs showing increases over time (
A 12-week safety study was performed in canines to evaluate the safety of a soft chew containing CBD.
Eight purebred beagle dogs, 11 months-5 years old, weighing 7.39-11.95 kg at study start were selected for the study, as shown in Table 5.
Dogs were single housed in cages of a size in accordance with the Animal Welfare Act, with a 12-hour-light/12-hour-dark cycle and targeted conditions of 50° to 85° F. Cages and food bowls were cleaned daily and sanitized in accordance with the Animal Welfare Act. Fresh tap water, fit for human consumption, was available ad libitum by means of an automatic watering system. There were no known contaminants that were reasonably expected to be present in the dietary material that were known to be capable of interfering with the purpose or conduct of the study.
During the study, the control diet, Purina Dog Chow, was the sole source of food supplied to each animal once daily for approximately 1 hour. Dogs were fed according to ideal body condition and fasted for a minimum of 12 hours prior to blood collections. CBD was administered by a soft chew offered twice daily at the approximate dosage of 2 mg/kg. Dosing is shown in Table 6.
Prior to study initiation, 5 milliliters of blood was collected for each dog and was used to determine eligibility for the study. During the study, 5 milliliters of blood was collected weekly (±2 days). Blood was collected via jugular venipuncture in sterile syringes. Samples were split into two tubes: a red-top serum separator tube and a lavender-top EDTA tube. Red-top tubes were spun in a refrigerated centrifuge for 15 minutes at 3000 RPM after being allowed to clot. Lavender-top tubes were placed on a rocker to allow the blood to adequately mix with the anticoagulant. Blood samples were packaged and sent by priority-overnight to Antech Diagnostics for analysis.
On the first day of dosing, blood was collected for a PK analysis from 6 of the 8 dogs. The most cooperative dogs were selected for the PK analysis. Approximately 6 milliliters of blood was collected via jugular venipuncture in sterile syringes at 0 min, 30 min, 60 min, 2 hrs, 4 hrs, 8 hrs, 12 hrs, and 24 hrs after treatment. Samples were placed into red top clotting tubes with no serum separator. Serum was harvested by centrifuging the tubes at 3000 RPM for 15 minutes. The harvested serum was placed in cyrovials and stored at −70° C. Each tube was labeled with the dog id, date of collection, and collection time point. Samples were shipped overnight on dry ice to the Proteomics & Metabolomics Facility at the Colorado State University.
A veterinarian performed a complete physical examination of all dogs prior to the initiation of the study and at study completion. Each dog was evaluated as to general health, body and hair coat condition. Qualified personnel performed clinical observations twice daily in accordance with Summit Ridge Farms' Program of Veterinary Care and SOP VC-003 (Rounds Observations). All animals were evaluated twice daily with reference to SOP VC-016 (Recognizing Pain, Stress and/or Distress). Clinical laboratory diagnostic procedures were performed as needed. Veterinary care was given as appropriate to each individual animal in accordance with the Program of Veterinary Care.
Blood was analyzed for white blood cell count, red blood cell count, hemoglobin, hematocrit, MCV, MCHC, MCH, and platelet count along with a complete differential. In addition, a 22-test chemistry screen was performed consisting of Glucose, Urea Nitrogen, Creatinine, Total Protein, Albumin, Total Bilirubin, Alkaline Phosphatase, ALT, AST, CPK, Cholesterol, Calcium, Phosphorus, Sodium, Potassium, Chloride, A/G Ratio, BUN/Creatinine Ratio, Globulin, Triglycerides, GGTP and Magnesium. Measurements were taken prior to the start of the study and then weekly during the course of the study.
Analysis of the blood level values and pharmacokinetics of the test article were performed as described in Gamble et al. (2018) Front Vet Sci. 165:1-9.
The mean average weight change for dogs during the 12 weeks of the study was −0.04 kg (−0.43%).
The mean daily food consumption per week for dogs during the study was 204 g.
Five of the eight dogs had 100% acceptance of the chews. Three dogs had to be dosed on occasion during the study: Dog ID #13644 (dosed 6.5% of the time), Dog ID #13513 (dosed 2.4% of the time) and Dog ID #2784123 (dosed 17.3% of the time).
Beginning in Week 1, there was a slight increase mean alkaline phosphatase (ALP) value for the group. This value remained stable until Week 7 when the group mean ALP value became increasingly elevated. The highest group mean value was observed during the final week of the study, but did not exceed the normal reference range. The cause of the group mean value elevations appeared to be due to three dogs (Dog ID #s 13536, 2753822 and 2808987). By the end of the study Dog ID #s 13536 and 2753822 were above 100 U/L, but did not exceed the normal high of 131 U/L. Thus, their levels remained within the normal reference range. The observed elevations in only a few animals in the group may indicate individual sensitivity to the product. All other blood parameters remained within normal limits and no apparent trends were noted.
During the study, occasional instances of loose stool and emesis were recorded. Dog ID #13536 was observed having five instances of food or bile emesis and six instances of loose stool. Dog ID #13513 was observed having two instances of loose stool. Dog ID #27583822 was observed having two instances of food emesis and eight instances of loose stool. Dog ID #13644 was observed having 12 instances of loose stool. Dog ID #13490 was observed having two instances of loose stool. Dog ID #2808987 was observed having four instances of loose stool. Dog ID #2963028 was observed having six instances of loose stool. Dog ID #2784123 was observed having six instances of loose stool. Occasional episodes of loose stool and bile emesis are not unusual in the dog colony and were not considered to be related to the test article. Clinical observations are listed in Table 7.
There were no adverse effects on body weights or food consumption. Group mean alkaline phosphatase values exhibited mild elevations during the study without exceeding the normal reference range. The remaining hematology and serum chemistry results remained within normal limits throughout the study and apparent trends were not observed over time. No clinical observations that were considered to be related to the administration of the test article were observed for any of the dogs during the course of the study. Overall acceptance of the treat was 96.7% with 5 out of 8 consuming the treat 100% of the time for the duration of the study.
A pilot study was conducted to assess the effectiveness of hemp extract on the treatment of osteoarthritis in canines.
Five dogs suffering from end stage osteoarthritis, joint pain, and geriatric pain were selected for the study, as shown in Tables 8 and 9.
Per manufacturer's instructions, dogs were given a loading dose of 2 mg/kg every 12 hours for the first 2 weeks then reduced to 1 mg/kg every 12 hours for 2 weeks. Dogs were then returned to doses of 2 mg/kg every 12 hours for the final four weeks of the study.
On days 0, 14, 30, and 60, dogs were evaluated by flexion and extension measurements, muscle musculature measurements, a canine brief pain inventory survey, and a gait analysis using a pressure sensing walkway.
Three out of five owners (60%) reported a significant improvement in pain severity score and pain interference score. Gait analysis revealed that total pressure index (TPI %), step/stride ratio, and stance percentage did not significantly improve or decline throughout the length of the study, as shown in
A 12-week safety study was performed in felines to evaluate the safety of an oil containing CBD.
Eight cats, 2-6 years old, weighing 3.33-5.17 kg at study start were selected for the study, as shown in Table 10.
Cats were single housed in cages of a size in accordance with the Animal Welfare Act, with a 12-hour-light/12-hour-dark cycle and targeted conditions of 50° to 85° F. Cages, food bowls, water bowls and litter boxes were cleaned daily and sanitized in accordance with the Animal Welfare Act. Fresh tap water, fit for human consumption, was available ad libitum by means of stainless steel bowls. There were no known contaminants that were reasonably expected to be present in the dietary material that were known to be capable of interfering with the purpose or conduct of the study
During the study, the control diet, Purina Cat Chow, was the sole source of food supplied to each animal once daily for approximately 4 hours. Cats were fed according to ideal body condition and were fasted for a minimum of 12 hours prior to blood collections. CBD oil was orally administered twice a day using a 1 ml syringe at a dosage of 2 mg/kg. The total dose per 24 hour period was 4 mg/kg. Dosing is shown in Tables 11 and 12.
Prior to study initiation, 5 milliliters of blood was collected for each cat and was used to determine eligibility for the study. During the study, 5 milliliters of blood was collected weekly (±2 days). Blood was collected via jugular venipuncture in sterile syringes. Samples were split into two tubes: a red-top serum separator tube and a lavender-top EDTA tube. Redtop tubes were spun in a refrigerated centrifuge for 15 minutes at 3000 RPM after being allowed to clot. Lavender-top tubes were placed on a rocker to allow the blood to adequately mix with the anticoagulant. Blood samples were packaged and sent by priority-overnight to Antech Diagnostics for analysis.
On the first day of dosing, blood was collected for a PK analysis from 6 of the 8 cats. The most cooperative cats were selected for the PK analysis. Approximately 4 milliliters of blood was collected via jugular venipuncture in sterile syringes at one day prior to treatment (timepoint 0) and then 1, 4, 8 and 24 hours after treatment. Samples were placed into a red top clotting tube with no serum separator. Serum was harvested by centrifuging the tubes at 3000 RPM for 15 minutes. The harvested serum was placed in cyrovials stored at −70° C. Each tube was labeled with the cat id, date of collection and collection time point. Samples were shipped overnight on dry ice to the Proteomics & Metabolomics Facility at Colorado State University.
A veterinarian performed a complete physical examination to all cats prior to the initiation of the study and at study completion. Each cat was evaluated as to general health, body and hair coat condition. Qualified personnel performed clinical observations twice daily in accordance with Summit Ridge Farms' Program of Veterinary Care and SOP VC-003 (Rounds Observations). All animals were evaluated twice daily with reference to SOP VC-016 (Recognizing Pain, Stress and/or Distress). Clinical laboratory diagnostic procedures were performed as needed. Veterinary care was given as appropriate to each individual animal in accordance with the Program of Veterinary Care.
Blood was analyzed for white blood cell count, red blood cell count, hemoglobin, hematocrit, MCV, MCHC, MCH, and platelet count along with a complete differential. In addition, a 22-test chemistry screen was performed consisting of Glucose, Urea Nitrogen, Creatinine, Total Protein, Albumin, Total Bilirubin, Alkaline Phosphatase, ALT, AST, CPK, Cholesterol, Calcium, Phosphorus, Sodium, Potassium, Chloride, A/G Ratio, BUN/Creatinine Ratio, Globulin, Triglycerides, GGTP and Magnesium. Measurements were taken prior to the start of the study and then weekly during the course of the study.
Extraction of Cannabidiol from Feline serum for LC-MS Aliquots of feline serum were delivered to the facility on dry ice and stored at −80° C. upon receipt. For cannabidiol (CBD) extraction, serum was thawed on ice and 50 μL of each sample was placed into a 2.0 ml glass extraction vial (VWR ROBO Unassembled Autosampler Vial) kept on chilled on ice. 200 μL of cold (−20 C) 100% Acetonitrile (spiked with 60 ng/mL of d3-CBD) was added to each sample and vortexed at room temperature for 5 minutes. 200 μL of water was added and vortexed for an additional 5 minutes. 1 ml of 100% hexane was then added to each sample and vortexed for a final 5 minutes. Phase separation was enhanced under centrifugation at 3000 rpm for 15 minutes at 4 C. The upper hexane layer was transferred to new-labeled glass vials (˜900 uL per sample), carefully avoiding the middle and lower layers. Samples were concentrated to dryness under N2 and resuspended in 60 μL of 100% acetonitrile (Zgair et al. (2015) J Pharm Biomed Anal. 114:145-51).
An 8 point standard curve of CBD was generated in matrix background using a blank serum. Concentrations ranged from 0 ng/mL 1000 ng/mL (3.2× dilution series). 50 uL of each spiked serum sample was extracted as above.
LC-MS/MS was performed on a Waters Acquity M-Class UPLC coupled to a Waters Xevo TQ-S triple quadrupole mass spectrometer. Chromatographic separations were carried out on a Waters BEH C18 iKey Separation Device (150 μm×50 mm, 1.7 μM). Mobile phases were 99.9% acetonitrile, 0.1% formic acid (B) and water with 0.1% formic acid (A). The analytical gradient was as follows: time=0 min, 70% B; time=1.0 min, 70% B; time=6 min, 100% B; time 7.0 min, 100% B; time 7.5 min, 70% B. Total run time was 10 minutes. Flow rate was 3.0 μL/min and injection volume was 2.0 μL. Samples were held at 6° C. in the autosampler, and the column was operated at 70° C. The MS was operated in selected reaction monitoring (SRM) mode, where a parent ion is selected by the first quadrupole, fragmented in the collision cell, then a fragment ion selected for by the third quadrupole. Product ions, collision energies, and cone voltages were optimized for each analyte by direct injection of individual synthetic standards. Inter-channel delay was set to 3 ms. The MS was operated in positive ionization mode with the capillary voltage set to 3.6 kV. Source temperature was 120° C. and desolvation temperature 992° C. Desolvation gas flow was 1 L/hr, cone gas flow was 150 L/hr, and collision gas flow was 0.2 mL/min. Nebulizer pressure (nitrogen) was set to 7 Bar. Argon was used as the collision gas.
All Raw data files were imported into the Skyline open source software package (MacLean et al. (2010) Bioinformatics. 26(7):966-8). Each target analyte was visually inspected for retention time and peak area integration. Peak areas were extracted for target compounds detected in biological samples and normalized to the peak area of the appropriate internal standard in each sample using in-house R Script (TQS-tools). CBD concentrations were calculated in nanograms per milliliter of extract (0.06 mL) and then back calculated to nanograms per mL of serum (0.05 mL of serum).
Calculation of Variance using QC Pool
50 uL of all serum samples (feline and canine) were pooled into a single Quality Control sample and 50 uL was extracted as described above. The QC pool was injected every 10 samples and CBD concentrations were used to measure the technical variance over the course of data acquisition.
The LOD and LOQ represent the lower limits of detection and quantification for each compound in the matrix of this study. LOD are calculated based on the standard deviation of the response (Sy) of the 0 point calibration standard (i.e., 0 ng/mL CBD as an estimate on noise) and the slope of the calibration curve (S) at levels approximating the LOD according to the formula: LOD=3*(Sy/S). LOQ=10*(Sy/S). The Sy of y is the standard deviation used for LOD and LOQ calculation (Shrivastava (2011) Chronicles of Young Scientists. 2:21-5; Broccardo et al. (2013) Chromatogr B Analyt Technol Biomed Life Sci. 934:16-21).
The mean average weight change for cats during the 12 weeks of the study was 0.06 kg (1.04%).
The mean daily food consumption per week for cats during the study was 62 g.
Overall all cats exhibited behaviors of licking, salivating, pacing, head shaking, chomping, dose resentment (uncooperative behavior), etc. at various intervals throughout the study that were indicative of dislike of the test article.
Beginning in Week 2, there was an increase in the mean alanine aminotransferase (ALT) value for the group. This value remained increased from baseline until the end of the study. Mild increases in individual ALT levels were observed in the majority of the cats throughout the study. The cat with the greatest increase in ALT (above the normal reference range of 100 U/L), with a concurrent increase in aspartate aminotransferase (AST), was Cat ID #13CNL3. Beginning in Week 4, this cat's ALT and AST levels began to decrease, but remained elevated from baseline. ALT levels remained above the normal reference range, shown in Table 70, for the duration of the study. Also during Week 2, the ALT levels of Cat ID #s 131RD3 and 13CPJ7 increased by 23 to 31 U/L, respectively, from baseline values. The ALT levels of Cat ID #13CPJ7 returned to baseline by Week 10. At Week 4, the ALT of Cat ID #13CCL1 was elevated from baseline by 32 U/L. Levels returned to baseline by Week 10. The test article appeared to cause mild ALT changes in the majority of cats with one cat maintaining elevated ALT levels above normal limits throughout the study. The group mean values of all other blood parameters remained within normal limits and no apparent trends were noted.
During the study, occasional instances of loose stool and emesis were recorded, as shown in Table 13. Cat ID #13CCL1 was observed having five instances of food emesis. Cat ID #13CNL3 was observed having one instance of hairball emesis and one instance of hair and bile emesis. Cat ID #131RD3 was observed having one instance of food emesis. Cat ID #15EGA5 was observed having three instances of food vomit and one instance of hair and bile emesis. Cat ID #GJY3 was observed having two instances of hairball emesis and one instance of food emesis. Occasional episodes of hairball and food emesis are not unusual in the cat colony and were not considered to be related to the test article.
Table 14 shows the quantification of cannabidiol in feline serum and Table 15 shows cat cannabadiol pharmacokinetics.
The LOD for CBD in feline serum was calculated to be 1.9 ng/mL (ppb in serum). The LOQ for CBD in feline serum was calculated to be 6.2 ng/mL (ppb in serum).
There were no adverse effects on body weights or food consumption. Group mean alanine aminotransferase values exhibited elevations during the study that peaked at Week 2. Levels decreased during the following weeks, but did not return to baseline levels. ALT levels of one cat (Cat ID #13CNL3) remained significantly elevated throughout the study, exceeding normal reference ranges for the duration of the treatment period. The remaining group mean hematology and serum chemistry values remained within normal reference limits throughout the study and apparent trends were not observed over time. No adverse clinical observations that were considered to be related to the administration of the test article were observed for any of the cats during the course of the study. However, acceptance of the test article was considered to be poor.
A study is conducted to determine the efficacy of hemp extract on treating periuria in cats.
The study includes 10 cats with latrine issues and 10 cats with a marking problem. Cats enrolled in the study have periuria, but without defecation outside the litter box. There is clear evidence that the cat suspected of the problem behavior is the cat involved (e.g., only cat or video evidence). The cats have no known ongoing medical problems and are >6 months and <12 years of age. The cats enrolled in the study have not experienced any major changes in their home environment (e.g., moving to a new house, introduction of new cats, child leaving home) in the last 4 weeks and do not have any anticipated in the next 3 months. Clients have not changed their management of urinary house-soiling and are not presently using any treatment. If the above criteria are not verified or cats have medical issues requiring urgent intervention, cats are not enrolled in the study. In addition, cats are not enrolled in the study if the client seeks immediate treatment, wishes to introduce their own management changes in addition to those required by the study, or will not provide informed consent.
The cats enrolled in the study undergo an initial evaluation, including a full behavioral history and a preliminary clinical exam. Further medical evaluation, including CBC, biochemistry, and abdominal ultrasound, is also performed.
Baseline data is collected on a number of patches of urine identified each day at locations on a rough home plan. A diary is provided for a minimum of 7 days, but ideally 14 days.
Cats are withdrawn from the study if they experience a medical issue requiring urgent intervention, contra-indications for cannabidiol treatment are identified, or the client withdraws informed consent.
The cats enrolled in the study are placed into treatment groups. Treatment consists of hemp extract administration, a cleaning regime for urine found in the home using a biological cleaner, and routine litter box management. Progress is reviewed weekly and treatment is reviewed after 2 weeks and 4 weeks. The clients are asked if they wish to continue with present treatment, continue with further management advice, or withdraw. The study is completed after 4 weeks of treatment. Following completion of the study, outcome measures are assessed, including the average number of urine patches at week 4 of treatment as a proportion of baseline values, owner satisfaction scores, and the number of clients withdrawn before treatment completion.
A pet owner has a dog with diabetes that routinely had high blood sugar. After discussions with her vet, the dog was treated with hemp extract at a dose of 1 mg/kg given twice daily for two months. The pet owner kept a diary of blood sugar readings taken twice a day for the duration of treatment. Over a 6 week period of time, the dog's blood sugar levels dropped significantly, from a 700-800 reading to a 200-300 reading. In some instances, readings were below 200. Nothing had been changed in the dog's diet or medications aside from the addition of hemp extract.
Darla is a mixed breed dog who presented with a cough and lethargy. Darla's veterinarian performed an x-ray and found a mass in her lung, which was clearly visible on radiographs. In October 2018, Darla was diagnosed with lung cancer. The pet owners decided to treat Darla with only hemp oil oil at 2 mg/kg twice a day and curcumin. In January 2019, the veterinarian performed another set of x-rays. At that time, the mass was gone and not visible on any of the x-rays. Curcumin is known to have absorption at approximately 5%. The conclusion by the vet and pet owners is that the hemp extract caused the tumor to shrink and ultimately disappear.
Multiple pet owners have reported improvement of IBD symptoms in their pets, such as chronic diarrhea and intolerance to many foods, following treatment with hemp extract. One veterinarian in California reported that her dog with IBD, who has been on a lifelong prescription diet, showed such improvement after one month of taking hemp extract that she was able to get off the prescription diet.
A pet owner in Florida reported that her small dog suffered from constant itchy and irritated skin, requiring daily medicated baths to soothe his skin and alleviate the discomfort. Upon the advice of her dog's dermatologist, she tried hemp extract and reported a significant reduction in redness, inflammation, and itchiness.
Multiple pet owners and veterinarians treating dogs with seizures have reported positive responses to treatment with hemp extract. One dog, Mac, was on phenobarbital and kepra and still having breakthrough seizures multiple times per week. Upon starting treatment with hemp extract, his seizures were reduced to one in 3 months. He has remained on the hemp extract with continued success.
A zoo in Pennsylvania is treating obsessive behaviors in jaguars, including tail chewing and pacing, using hemp extract. Jaguars receiving treatment twice daily have experienced a documented reduction in obsessive behaviors.
Three subjects suffering from migraines have taken hemp extract sublingually at the onset of a migraine headache and in each case found that the migraine resolved within in 15 minutes. The subjects had taken migraine medication with no improvement in the pain level, and reported that only the hemp extract worked. Further, the subjects noted that the migraine did not reoccur that day.
Two subjects experienced inflammation and itching from insect bites. After topical application of hemp extract (70 mg/mL cannabidiol/cannabidiolic acid), both subjects experienced relief from their symptoms.
A study is conducted to determine the efficacy of hemp extract on treating atopy in dogs.
The study is a double-blinded, prospective, placebo controlled, randomized study. Client-owned dogs with atopic dermatitis are included. Eligible dogs have been diagnosed with cAD based on published guidelines. Owner consent is obtained for each case before the study. Parasitic and infectious causes of pruritus are excluded with negative combings, skin scrapings, and cytological examinations. Dogs have shown no improvement with a prior two month hydrolyzed or novel protein exclusion diet. For each case, a dermatological examination is performed and lesions and pruritus are evaluated using validated scoring systems. Only cases of localized and mild to moderate cAD are included. Mild to moderate cAD is defined as those patients with a pVAS score between 3 and 7 and a CADESI-4 score between 10 and 35.
Concurrent administration of Cyclosporine (either brand name Atopica or generic microemulsion) are not allowed, and patients who have received this medication in the past two months are excluded. Concurrent administration of Allergen Specific Immunotherapy, injectable or sublingual, is allowed for patients who have received this treatment for at least one year prior to the initial study. Concurrent administration of Oclacitinib, oral glucocorticoids, ketoconazole and other imidazoles is allowed for patients who have received these medications for at least two months prior to the initial study. Patients who have received a Cytopoint injection within three months of the initial study are excluded. No other treatments, concomitant medications, or changes in medications are allowed during the study. No change in the patient's typical bathing routine is allowed during the study. No dietary changes are allowed during the study.
Investigators are blinded to the group assignments. Group A consists of those patients receiving oral, oil based CBD at a dose of 2 mg/kg once daily in a capsule form. Group B consists of those patients receiving a matching placebo oil in capsule form. Dog with concurrent co-morbidities such as kidney failure, hepatic disease, endocrine diseases or other immunological dysfunctions (ITP, IMHA) are excluded. The study is designed to accommodate at least 36 dogs with cAD. Dosage with systemic CBD is approximately 2 mg/kg twice daily for twenty-eight days. Owners are asked to administer the drug with a meal.
During the duration of the study, the doses of allowed medications the patient was receiving prior to the study remain unchanged. Additionally, the medication doses have not been changed within the 21 days prior to the initiation of the study.
Clients are asked to sign a consent form. On day (0) each dog receives an initial consultation by an investigator including a thorough history and physical examination. Treatment is initiated as described above and follow up visits are conducted at weeks 2 and 4. Changes in owner perception of the extent and severity of atopic dermatitis are evaluated using the pVAS. Changes in the extent and severity of atopic dermatitis are evaluated by the veterinarian based CADESI-4. Benchmarks separating normal/remission from mild, moderate and severe cAD using CADESI-4 are 10, 35 and 60, respectively, as suggested by a validating study. Prior to the onset of the investigation, all participating investigators are trained in how to evaluate and interpret the CADESI-4, which includes evaluating clinical case examples. 1 cc of serum from visits 0 and 4 are stored at −20° C. for future cytokine analysis and for serum CBD testing.
Current power analysis reveals that if there is a 2.5 standard deviation and a 2.0 change in vAS scoring by owners that the necessary population to find a statistical significance is approximately 13 patients. To ensure adequate enrollment and completion of the trial 18 dogs are enrolled based on a random number generator allocating up to 36 patients into groups A or B. After data collection and cleaning all scores and blood parameters are assessed using a mixed model analysis of variance including the effects of time, treatment, concurrent medications, and the random effect of dog with an alpha set at 0.05 or less as significant. If differences are found Tukey's post hoc analysis is performed to assess the differences between time points.
The disclosed subject matter is not to be limited in scope by the specific embodiments and examples described herein. Indeed, various modifications of the disclosure in addition to those described will become apparent to those skilled in the art from the foregoing description and accompanying figures. Such modifications are intended to fall within the scope of the appended claims.
All references (e.g., publications or patents or patent applications) cited herein are incorporated herein by reference in their entirety and for all purposes to the same extent as if each individual reference (e.g., publication or patent or patent application) was specifically and individually indicated to be incorporated by reference in its entirety for all purposes. Other embodiments are within the following claims.
This application claims the benefit of U.S. Provisional Patent Application Ser. No. 62/933,340, filed Nov. 8, 2019, the entire disclosure of which is hereby incorporated herein by reference.
| Number | Date | Country | |
|---|---|---|---|
| 62933340 | Nov 2019 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | PCT/US2020/059467 | Nov 2020 | US |
| Child | 17661122 | US |
