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Medicinal cannabis in oncology
Frederike K Engels1, Floris A de Jong, Ron H J Mathijssen
1Erasmus University Medical Centre--Daniel den Hoed Cancer Centre, Department of Medical Oncology, Groene Hilledijk 301, 3075 EA, Rotterdam, The Netherlands.
Since 2003, The Netherlands has offered legal medicinal cannabis for research and patients. However, uptake for clinical research and patient use remains lower than anticipated, prompting a review of its implementation and future outlook.
Area of Science:
- Pharmacology
- Oncology
- Public Health Policy
Background:
- The Netherlands introduced a legal, whole-cannabinoid medicinal cannabis product in September 2003.
- The policy aimed to facilitate clinical research, drug development, and patient access via prescription.
Purpose of the Study:
- To review the background of legal medicinal cannabis in The Netherlands.
- To analyze Dutch clinical experience in oncology over the years.
- To identify reasons for suboptimal outcomes and discuss future perspectives.
Main Methods:
- Literature review of Dutch policy and clinical practice.
- Analysis of clinical research initiation and patient adoption rates.
- Discussion of potential barriers and future strategies.
Main Results:
- Limited clinical research has been initiated since the policy's inception.
- Only a small percentage of patients utilize the legal medicinal cannabis product.
- The policy has not fully achieved its intended goals regarding research and patient access.
Conclusions:
- Despite legal availability, medicinal cannabis use in The Netherlands faces challenges in research and patient uptake.
- Further investigation into barriers and strategic adjustments is needed to optimize the policy's effectiveness.
- Future perspectives may involve enhancing clinical trials and patient accessibility for medicinal cannabis.
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