Evidence map›Paper›PMID 36352103›Full record

ArticleCommunications medicine2022

Clinical and cognitive improvement following full-spectrum, high-cannabidiol treatment for anxiety: open-label data from a two-stage, phase 2 clinical trial.

Mary Kathryn Dahlgren, Ashley M Lambros, Rosemary T Smith, Kelly A Sagar, Celine El-Abboud, Staci A Gruber

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Communications medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.1field-weighted citation impact, top 2% 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.

NCT02548559 phase2completednot on this map

Sublingual Cannabidiol for Anxiety

TypeinterventionalSponsorStaci Gruber, Ph.D.Ran2018 to 2025Enrolled46ConditionsAnxietyArmsFull-Spectrum Cannabidiol, Single-Compound Cannabidiol, Placebo
NCT07783295 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of Bone Turnover Biomarkers, CB2 and TRPV1 Polymorphisms as Potential Preventive Data in Osteoporosis and Perception of Improvement in Quality of Life in Women With Chronic Pain Treated With Medicinal Cannabis

TypeinterventionalSponsorAssociação Pan-Americana Multidisciplinar de EndocanabinologiaRan2026 to 2027Enrolled80ConditionsChronic Pain, Fibromyalgia, Osteoporosis, Orofacial PainArmsFull-Spectrum Cannabis Extract 5:1 (CBD:THC)
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 42 citations in OpenAlex.

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  7. Genome-Wide Identification of the TIFY Family inInternational journal of molecular sciences · 2025
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  17. Cannabidiol-Based Prodrugs: Synthesis and Bioevaluation.ACS medicinal chemistry letters · 2024
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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.

Mary Kathryn DahlgrenCognitive and Clinical Neuroimaging Core, McLean Hospital Imaging Center, 115 Mill Street, Belmont, MA, 02478, USA.ORCID http://orcid.org/0000-0003-0706-531X
Ashley M LambrosCognitive and Clinical Neuroimaging Core, McLean Hospital Imaging Center, 115 Mill Street, Belmont, MA, 02478, USA.
Rosemary T SmithCognitive and Clinical Neuroimaging Core, McLean Hospital Imaging Center, 115 Mill Street, Belmont, MA, 02478, USA.
Kelly A SagarCognitive and Clinical Neuroimaging Core, McLean Hospital Imaging Center, 115 Mill Street, Belmont, MA, 02478, USA.
Celine El-AbboudCognitive and Clinical Neuroimaging Core, McLean Hospital Imaging Center, 115 Mill Street, Belmont, MA, 02478, USA.
Staci A GruberCognitive and Clinical Neuroimaging Core, McLean Hospital Imaging Center, 115 Mill Street, Belmont, MA, 02478, USA. gruber@mclean.harvard.edu.ORCID http://orcid.org/0000-0002-6921-677X
Harvard University · USMcLean Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence suggests cannabidiol (CBD) has anxiolytic properties, indicating potential for novel treatment strategies. However, few clinical trials of CBD-based products have been conducted, and none thus far have examined the impact of these products on cognition.

methodsFor the open-label stage of clinical trial NCT02548559, autoregressive linear modeling assessed efficacy and tolerability of four-weeks of 1 mL t.i.d. treatment with a full-spectrum, high-CBD sublingual solution (9.97 mg/mL CBD, 0.23 mg/mL Δ-9-tetrahydrocannabinol) in 14 outpatients with moderate-to-severe anxiety, defined as ≥16 on the Beck Anxiety Inventory (BAI) or ≥11 on the Overall Anxiety Severity and Impairment Scale (OASIS).

resultsFindings suggest significant improvement on primary outcomes measuring anxiety and secondary outcomes assessing mood, sleep, quality of life, and cognition (specifically executive function) following treatment. Anxiety is significantly reduced at week 4 relative to baseline (BAI: 95% CI = [-21.03, -11.40], p < 0.001, OASIS: 95% CI = [-9.79, -6.07], p < 0.001). Clinically significant treatment response (≥15% symptom reduction) is achieved and maintained as early as week 1 in most patients (BAI = 78.6%, OASIS = 92.7%); cumulative frequency of treatment responders reached 100% by week 3. The study drug is well-tolerated, with high adherence/patient retention and no reported intoxication or serious adverse events. Minor side effects, including sleepiness/fatigue, increased energy, and dry mouth are infrequently endorsed.

conclusionsResults provide preliminary evidence supporting efficacy and tolerability of a full-spectrum, high-CBD product for anxiety. Patients quickly achieve and maintain symptom reduction with few side effects. A definitive assessment of the impact of this novel treatment on clinical symptoms and cognition will be ascertained in the ongoing double-blind, placebo-controlled stage.

Identifiers

PMID36352103
PMCPMC9628346
OpenAlexW4307920223

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.