Hermush Vered, Mizrahi Nisim, Brodezky Tal, Ezra Rafael
Geriatric Wing, Laniado Hospital, Netanya, Israel.
Ariel School of Medicine, Ariel, Israel.
J Cannabis Res. 2025 Jun 13;7(1):35. doi: 10.1186/s42238-025-00294-8.
The oral bioavailability of cannabinoids is limited due to extensive first-pass metabolism, reducing their therapeutic efficacy. This study aimed to evaluate the pharmacokinetics and relative bioavailability of cannabinoids delivered via delta-9-tetrahydrocannabinol/cannabidiol self-emulsifying (THC/CBD-SE) powder, a self-nanoemulsifying drug delivery system, compared to standard oil-based drops.
Fourteen healthy volunteers (3 men, 11 women) participated in a crossover study. Each received a single oral doses of 8 mg THC and 8 mg CBD in both formulations, with a 30-day washout period between treatments. Blood samples were collected at specified intervals post-administration to assess pharmacokinetic parameters, including maximum plasma concentration (Cmax) and time to reach Cmax (Tmax).
THC/CBD-SE Powder significantly enhanced Cmax for THC (32.79 ± 44.37 ng/mL) and its metabolite 11-OH-THC (10.91 ± 6.64 ng/mL) compared to oil-based drops (THC: 10.17 ± 11.41 ng/mL; 11-OH-THC: 4.64 ± 2.55 ng/mL). Similarly, Cmax for 7-OH-CBD was higher with THC/CBD-SE Powder (2.38 ± 1.63 ng/mL vs. 0.86 ± 0.56 ng/mL). Tmax for 11-OH-THC and 7-OH-CBD was shorter with THC/CBD-SE Powder (0.86 ± 0.36 h vs. 4.54 ± 3.44 h and 1.11 ± 0.59 h vs. 4.68 ± 3.38 h, respectively), indicating a faster onset of action. The THC/CBD-SE Powder exhibited over double the relative bioavailability of cannabinoids compared to oil drops, suggesting improved absorption and rapid onset. Both formulations were well tolerated with no serious adverse events.
THC/CBD-SE Powder significantly improves cannabinoid bioavailability and absorption rates compared to oil-based drops, offering a promising oral delivery method for enhanced therapeutic potential.
大麻素的口服生物利用度因广泛的首过代谢而受限,从而降低了它们的治疗效果。本研究旨在评估通过δ-9-四氢大麻酚/大麻二酚自乳化(THC/CBD-SE)粉末(一种自纳米乳化药物递送系统)递送的大麻素与标准油基滴剂相比的药代动力学和相对生物利用度。
14名健康志愿者(3名男性,11名女性)参与了一项交叉研究。每位志愿者在两种制剂中均接受单次口服剂量的8毫克THC和8毫克CBD,治疗之间有30天的洗脱期。给药后按指定时间间隔采集血样,以评估药代动力学参数,包括最大血浆浓度(Cmax)和达到Cmax的时间(Tmax)。
与油基滴剂(THC:10.17±11.41纳克/毫升;11-羟基-THC:4.64±2.55纳克/毫升)相比,THC/CBD-SE粉末显著提高了THC(32.79±44.37纳克/毫升)及其代谢物11-羟基-THC(10.91±6.64纳克/毫升)的Cmax。同样,THC/CBD-SE粉末的7-羟基-CBD的Cmax更高(2.38±1.63纳克/毫升对0.86±0.56纳克/毫升)。THC/CBD-SE粉末使11-羟基-THC和7-羟基-CBD的Tmax更短(分别为0.86±0.36小时对4.54±3.44小时和1.11±0.59小时对4.68±3.38小时),表明起效更快。与油滴相比,THC/CBD-SE粉末的大麻素相对生物利用度提高了一倍多,表明吸收改善且起效迅速。两种制剂耐受性良好,无严重不良事件。
与油基滴剂相比,THC/CBD-SE粉末显著提高了大麻素的生物利用度和吸收率,为增强治疗潜力提供了一种有前景的口服给药方法。