Evidence map›Paper›PMID 33571293›Full record

Trial reportPloS one2021

Cannabis is associated with clinical but not endoscopic remission in ulcerative colitis: A randomized controlled trial.

Timna Naftali, Lihi Bar-Lev Schleider, Fabiana Scklerovsky Benjaminov, Fred Meir Konikoff, Shelly Tartakover Matalon, Yehuda Ringel

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01040910 (A Double Blind Placebo Controlled Study of Cannabis Smoking in Inflammatory Bowel Disease), which is not on this map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 3% of its field
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.

NCT01040910 phase1 / phase2unknown statusnot on this map

A Double Blind Placebo Controlled Study of Cannabis Smoking in Inflammatory Bowel Disease

TypeinterventionalSponsorMeir Medical CenterRan2010 to 2012Enrolled20ConditionsCrohn's Disease, Ulcerative ColitisArmssmoking of cannabis, smoking cigarettes with placebo
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Health-related quality of life in patients receiving medicinal cannabis: systematic review and meta-analysis of primary research findings 2015-2025.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Pooled it
  3. The impact of cannabis on immune checkpoint inhibitor therapy: a systematic review of immunomodulatory effects of cannabis in patients with and without cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  4. Trial
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  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
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  13. Medicinal Cannabis and the Intestinal Microbiome.Pharmaceuticals (Basel, Switzerland) · 2024
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Cannabinoids and the Gastrointestinal Tract.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Review
  19. Review
  20. Article
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

6 authors at 2 institutions in 1 country.

Timna NaftaliInstitute of Gastroenterology and Hepatology, Meir Medical Center, Kfar Saba, Israel.ORCID 0000-0002-8931-6524
Lihi Bar-Lev SchleiderResearch Department, Tikun-Olam - Cannbit Pharmaceuticals, Tel-Aviv, Israel.
Fabiana Scklerovsky BenjaminovInstitute of Gastroenterology and Hepatology, Meir Medical Center, Kfar Saba, Israel.
Fred Meir KonikoffInstitute of Gastroenterology and Hepatology, Meir Medical Center, Kfar Saba, Israel.
Shelly Tartakover MatalonInstitute of Gastroenterology and Hepatology, Meir Medical Center, Kfar Saba, Israel.
Yehuda RingelInstitute of Gastroenterology and Hepatology, Meir Medical Center, Kfar Saba, Israel.
Tel Aviv University · ILBen-Gurion University of the Negev · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCannabis is often used by patients with ulcerative colitis, but controlled studies are few. We aimed to assess the effect of cannabis in improving clinical and inflammatory outcomes in ulcerative colitis patients.

methodsIn a double-blind, randomized, placebo-controlled trial, patients received either cigarettes containing 0.5 g of dried cannabis flowers with80mgTetrahydrocannabinol (THC)or placebo cigarettes for 8 weeks. Parameters of disease including Lichtiger disease activity index, C reactive protein (CRP), calprotectin, Mayo endoscopic score and quality of life (QOL) were assessed before, during and after treatment.

resultsThe study included 32 patients. Mean age was 30 years, 14 (43%) females. Lichtiger index improved in the cannabis group from 10.9 (IQR 9-14) to5 (IQR 1-7), (p<0.000), and in the placebo group from 11 (IQR 9-13) to 8 (IQR 7-10)(p = 0.15, p between groups 0.001). QOL improved in the cannabis group from 77±4 to 98±20 (p = 0.000) but not in the placebo group (78±3 at week 0 and 78±17 at week 8;p = 0.459; p between groups 0.007). Mayo endoscopic score changed in the cannabis group from 2.13±1 to 1.25±2 (p = 0.015) and in the placebo group from 2.15±1to 1.69±1 (p = 0.367, p between groups 0.17).

conclusionShort term treatment with THC rich cannabis induced clinical remission and improved quality of life in patients with mild to moderately active ulcerative colitis. However, these beneficial clinical effects were not associated with significant anti-inflammatory improvement in the Mayo endoscopic score or laboratory markers for inflammation.(clinicaltrials.gov NCT01040910).

Indexed as

Quality of LifeAdultColitis, UlcerativeDouble-Blind MethodEndoscopyFemaleHumansMaleMedical MarijuanaRemission InductionSeverity of Illness IndexTreatment OutcomeMedical Marijuana

Identifiers

PMID33571293
PMCPMC7877751
OpenAlexW3127492912

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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 OpenQuestion graph.