Evidence map›Paper›PMID 40032389›Full record

ArticleBMJ open2025

Medicinal CANnabis (CBD/THC) to prevent the symptoms and side effects of chemotherapy in people with advanced CANcer (CANCAN): protocol for a phase II, randomised, double-blind, placebo-controlled trial.

Olivia M Bellas, Katrina Cao, Joanne Bowen, Scott Smid, Sepehr Shakib, Gregory B Crawford, Andrew Zannettino, David T Yeung, Ganessan Kichenadasse, Jarosalv Boublik and 5 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Olivia M Bellas *School of Biomedicine, University of Adelaide, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-7067-6925
Katrina Cao *School of Biomedicine, University of Adelaide, Adelaide, South Australia, Australia.
Joanne BowenSchool of Biomedicine, University of Adelaide, Adelaide, South Australia, Australia.
Scott SmidSchool of Biomedicine, University of Adelaide, Adelaide, South Australia, Australia.
Sepehr ShakibSchool of Biomedicine, University of Adelaide, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-7199-5733
Gregory B CrawfordNorthern Adelaide Local Health Network, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0001-7347-8855
Andrew ZannettinoSchool of Biomedicine, University of Adelaide, Adelaide, South Australia, Australia.
David T YeungPrecision Cancer Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-7558-9927
Ganessan KichenadasseFlinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Jarosalv BoublikSee Breeze Pty Ltd, Sunshine Coast, Queensland, Australia.
Jennie LouiseSchool of Biomedicine, University of Adelaide, Adelaide, South Australia, Australia.
Julie MarkerConsumer Representative, Cancer Voices, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-3887-8674
Bronwyn CambareriSchool of Biomedicine, University of Adelaide, Adelaide, South Australia, Australia.
Timothy PriceAdelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-3922-2693
Hannah R WardillSchool of Biomedicine, University of Adelaide, Adelaide, South Australia, Australia hannah.wardill@adelaide.edu.au.ORCID http://orcid.org/0000-0002-6613-3661

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMany chemotherapy agents used to treat advanced cancer are inherently mucotoxic, causing breakdown of the gastrointestinal mucosa (gastrointestinal mucositis (GI-M)) and lead to a constellation of secondary complications including diarrhoea, malnutrition, anorexia, pain, fatigue and sleep disturbances. These symptoms are usually managed individually, leading to polypharmacy and its associated risks. The endocannabinoid system regulates numerous biological and behavioural processes associated with chemotherapy side effects, suggesting its modulation could control these symptoms. Therefore, the CANnabinoids in CANcer (CANCAN) therapy trial is a phase II, randomised, double-blind, placebo-controlled trial that aims to determine the efficacy of medicinal cannabis in minimising GI-M and its associated symptom burden. METHODS AND ANALYSIS: The CANCAN trial is being conducted at four Australian sites: the Royal Adelaide Hospital, the Queen Elizabeth Hospital, Flinders Medical Centre and the Lyell McEwin Hospital. Adults (n=176) diagnosed with a solid tumour or a haematological cancer scheduled to receive mucotoxic chemotherapy will be eligible. Participants will be randomised 1:1 to receive either the investigational product (IP) or placebo, both delivered as sublingual wafers. The active IP contains cannabidiol (300 mg/day) and Δ ETHICS AND DISSEMINATION: The protocol has been approved by Central Adelaide Local Health Network Human Research Ethics Committee (2022HRE00037). All participants will be required to provide written or digitally authorised informed consent. Trial results will be disseminated in peer-reviewed journals, and at scientific conferences. TRIAL REGISTRATION NUMBER: ACTRN12622000419763.

Indexed as

Antineoplastic AgentsCannabidiolDronabinolMedical MarijuanaMucositisNeoplasmsAdultAustraliaClinical Trials, Phase II as TopicDouble-Blind MethodFemaleHumansQuality of LifeRandomized Controlled Trials as TopicAntineoplastic AgentsCannabidiolDronabinolMedical MarijuanaCHEMOTHERAPYHAEMATOLOGYONCOLOGYRandomised Controlled Trial

Identifiers

PMID40032389
PMCPMC11962810

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.