Table 1.
Summary of antiemetic efficacy of pharmaceutical cannabinoids in patients with CINV
Treatments | Studies, n (no. of patients) | Statistical significance of treatments | ||
---|---|---|---|---|
Resolution of nausea and vomiting, RR (95% CI) | Resolution of nausea, RR (95% CI) | Resolution of vomiting, RR (95% CI) | ||
Dronabinol or nabilone vs prochlorperazine [25] | 9 (n = 1221) | 2.0 (0.7–5.4) | 1.5 (0.7–3.2) | 1.1 (0.9–1.4) |
Dronabinol vs prochlorperazine [23] | 5 (n = 325) | 0.7 (0.5–1.0); P = 0.03; NNT = 3.4 | NR | NR |
Nabilone vs prochlorperazine, alizapride, or domperidone [23] | 6 (n = 277) | 0.9 (0.7–1.1); P = 0.2 | NR | NR |
Dronabinol or nabilone vs prochlorperazine or alizapride [24] | 13 (n = 422) | NR | 1.4 (1.2–1.6); NNT = 6.4 | 1.3 (1.1–1.5); NNT = 8.0 |
Data presented for oral cannabinoids approved in the US for the treatment of CINV (i.e., dronabinol and nabilone)
CI confidence interval, CINV chemotherapy-induced nausea and vomiting, NNT number needed to treat, NR not reported, RR relative risk