Table 2.
Summary of findings from studies reporting on weight
Outcome (units) | Study author, year | Intervention | Sample size | Results | ||
---|---|---|---|---|---|---|
Intervention | Control | p value | ||||
RCTs | ||||||
% patients with >10% increase above BL | Jatoi et al., 2002 42 | 2.5 mg dronabinol capsules b.i.d. |
I: 152 C: 159 |
Self‐reported 3, physician‐reported 5 | Self‐reported 11, physician‐reported 14 | 0.02, 0.009 |
% patients with a max weight gain of 0%, 1–4%, 5–9% or >10% | 65, 23, 8, & 3 | 57, 23, 10, & 10 | 0.041 | |||
Mean change in body weight, kg (SD) | Turcott et al., 2018 43 | 0.5 mg nabilone for 2 weeks, then 1 mg for 6 weeks |
I: 14 C: 19 |
−1.4 (1.6) | −1.09 (2.6) | 0.724 |
NRSI | ||||||
Percent % change, range | Bar‐Sela et al., 2019 44 |
Cannabis capsules 10 mg THC:CBD (9.5:0.5) or 5 mg THC:CBD (4.75:0.25) q.d. for 2 weeks then b.i.d. (morning, then +8 h) |
11 | 7.7–21.6 | None | Not reported |
Mean BL and final weight, kg (SD) Mean weight change, kg |
Kasvis et al., 2019 45 | medical cannabis treatment based on individual assessment by multidisciplinary team | 37 |
BL: 70.7 (19.3) Final: 66.1 (23.0) Calculated from mean BL and final weight: −4.6 |
None | 0.509 |
Mean BL and final weight, kg (SD) Mean weight change, kg |
Kasvis et al., 2019 46 |
cannabinoid therapy (# of participants): THC/CBD (1:1) (6 total) THC‐rich (17 total) CBD‐rich (0 total) combined therapies (# of participants): THC/CBD and THC‐rich (17 total) THC/CBD and CBD‐rich (7 total) THC‐ and CBD‐rich (17 total) THC/CBD, THC‐rich, CBD‐rich (1 total) |
54 (51 included in analysis) |
BL: 70.7 (14.6) Final: 71.0 (14.8) Calculated from mean BL and final weight: 0.3 |
None | Not reported |
Median weight change, kg (range) | Nelson et al., 1994 47 | THC 2.5 mg p.o. t.i.d. 1 h post‐meals | 6 | 1.3 (1.0–2.7) | None | Not reported |
Descriptive weight change, n | 2.5 mg b.i.d. for 3 days if >65 years |
3 gained weight 2 maintained a stable weight 1 lost weight |
None | N/A | ||
Median rate of weight loss before and after therapy, kg/months | Plasse et al., 1991 23 |
I: dronabinol treatment, 4 groups;
Study 1: group 3 received dose before breakfast; Study 2: group 3 received dose before dinner; |
42 |
Before I:
After I:
|
None | Group 1 and group 3 only: <0.05 |
Median weight gain, kg (range) | Walsh et al., 2005 48 | 7.5 to 15 mg dronabinol q.d. in 5 patients, 1 patient remained on initial dose | 5 | 1 (0.5) | None | Not reported |
Individual patient weight change, patient #, kg | 6 |
1: +1 2: 0 3: n/a (withdrew) 4: +5 5: +1 6: +3 |
None | Not reported |
Abbreviations: b.i.d., twice daily; C, comparison; CBD, cannabidiol; CE, cannabis extract; F/U, follow up; I, intervention; NRSI, non‐randomized study of intervention; q.d., daily; RCT, randomized controlled trial; SC, synthetic cannabinoid; SD, standard deviation; THC, tetrahydrocannabinol; t.i.d., three times daily.