Cannabinoid compositions and methods of use thereof
11504350 · 2022-11-22
Assignee
Inventors
Cpc classification
A61K9/0053
HUMAN NECESSITIES
A61K31/352
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K31/352
HUMAN NECESSITIES
International classification
A61K31/352
HUMAN NECESSITIES
Abstract
Embodiments relate to a method for treatment of a sleep disorder and to compositions comprising tetrahydrocannabinol (THC), cannabidiol (CBD), and cannabinol (CBN), wherein the ratio of THC:CBD:CBN by weight is A:B:C where A is between 0.0001 and 1, B is 1, and C is between 0.05 and 1. Optionally A is between 0.001 and 0.02, B is 1 and C is between 0.2 and 0.7.
Claims
1. A method for treatment of a sleep disorder, the method comprising administering to a subject in need thereof a therapeutically effective amount of a composition comprising a tetrahydrocannabinol (THC), a cannabidiol (CBD), and a cannabinol (CBN), wherein the ratio of THC:CBD:CBN by weight is A:B:C where A is between 0.0001 and 1, B is 1, and C is between 0.05 and 1.
2. The method according to claim 1 wherein A is between 0.001 and 0.02, B is 1 and C is between 0.2 and 0.7.
3. The method according to claim 2 wherein A is between 0.00125 and 0.0125, B is 1 an C is between 0.25 and 0.5.
4. The method according to claim 3 wherein A is 0.0025.
5. The method according to claim 3 wherein A is 0.00125.
6. The method according to claim 1 wherein C is 0.25.
7. The method according to claim 1 wherein C is 0.5.
8. The method according to claim 1 wherein C is 0.375.
9. The method according to claim 1 wherein the sleep disorder is selected from the group consisting of: decreased sleep duration, prolonged sleep onset, increased number of transient awakenings during a sleep session, aberrant sleep-awake cycles, aberrant sleep architecture, parasomnia, and insomnia.
10. The method according to claim 1 wherein the composition is free of terpenes.
11. The method according to claim 1 wherein the composition comprises a whole plant extract.
12. The method according to claim 1 wherein the composition is administered through the pulmonary, nasal, oral, or oral cavity route.
13. The method according to claim 1 wherein the composition is administered once daily.
14. The method according to claim 1 wherein the composition is administered within 1 hour before sleep.
15. The method according to claim 1 wherein the amount of CBD administered per day is between 0.375 and 3.75 mg per kg of bodyweight of the subject.
16. The method according to claim 1 wherein the amount of CBN administered per day is between 0.09375 and 1.875 mg per kg of bodyweight of the subject.
17. The method according to claim 1 wherein the amount of THC administered per day is between 0.4 and 50 micrograms per kg of bodyweight of the subject.
18. The method according to claim 1 wherein the composition comprises less than 5% of other cannabinoids relative to the combined weight of THC, CBD and CBN in the composition.
19. The method according to claim 18, wherein the composition comprises no cannabinoids other than THC, CBD and CBN.
20. A composition comprising a tetrahydrocannabinol (THC), a cannabidiol (CBD), and a cannabinol (CBN), wherein the ratio of THC:CBD:CBN by weight is A:B:C where A is between 0.0001 and 1, B is 1, and C is between 0.05 and 1.
Description
BRIEF DESCRIPTION OF FIGURES
(1) Non-limiting examples of embodiments of the disclosure are described below with reference to figures attached hereto that are listed following this paragraph. Identical features that appear in more than one figure are generally labeled with a same label in all the figures in which they appear. A label labeling an icon representing a given feature of an embodiment of the disclosure in a figure may be used to reference the given feature. Dimensions of features shown in the figures are chosen for convenience and clarity of presentation and are not necessarily shown to scale.
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DETAILED DESCRIPTION
(10) Embodiments of the disclosure relate to a method for treatment of a sleep disorder, the method comprising administering to a subject in need thereof a therapeutically effective amount of a composition comprising a tetrahydrocannabinol (THC), a cannabidiol (CBD), and a cannabinol (CBN), wherein the ratio of THC:CBD:CBN by weight is A:B:C where A is between 0.0001 and 1, B is 1, and C is between 0.05 and 1. Optionally, A is between 0.001 and 0.02, B is 1 and C is between 0.2 and 0.7. Optionally, A is between 0.00125 and 0.0125, B is 1 an C is between 0.25 and 0.5. Optionally, A is 0.0025. Optionally, A is 0.00125. Optionally, C is 0.25. Optionally, C is 0.5. Optionally, C is 0.375. Optionally, the sleep disorder is selected from the group consisting of: decreased sleep duration, prolonged sleep onset, increased number of transient awakenings during a sleep session, aberrant sleep-awake cycles, aberrant sleep architecture, parasomnia, and insomnia. Optionally, the composition is free of terpenes. Optionally, the composition comprises a whole plant extract. Optionally, the composition is administered through the pulmonary, nasal, oral, or oral cavity route. Optionally, the composition is administered once daily. Optionally, the composition is administered within 1 hour before sleep. Optionally, the amount of CBD administered per day is between 0.375 and 3.75 mg per kg of bodyweight of the subject. Optionally, the amount of CBN administered per day is between 0.09375 and 1.875 mg per kg of bodyweight of the subject. Optionally, the amount of THC administered per day is between 0.4 and 50 micrograms per kg of bodyweight of the subject. Optionally, the composition comprises less than 5% of other cannabinoids relative to the combined weight of THC, CBD and CBN in the composition. Optionally, the composition comprises no cannabinoids other than THC, CBD and CBN.
(11) Further embodiments relate to a composition comprising a tetrahydrocannabinol (THC), a cannabidiol (CBD), and a cannabinol (CBN), wherein the ratio of THC:CBD:CBN by weight is A:B:C where A is between 0.0001 and 1, B is 1, and C is between 0.05 and 1. Optionally, wherein A is between 0.001 and 0.02, B is 1 and C is between 0.2 and 0.7. Optionally, A is between 0.00125 and 0.0125, B is 1 an C is between 0.25 and 0.5. Optionally, A is 0.0025. Optionally, A is 0.00125. Optionally, C is 0.25. Optionally, C is 0.5. Optionally, C is 0.375. Optionally, the composition is for the treatment of a sleep disorder. Optionally, the composition comprises less than 5% of other cannabinoids relative to the combined weight of THC, CBD and CBN in the composition. Optionally, the source of a cannabinoid in the composition is whole plant extract. Optionally, the composition is prepared for administration via the pulmonary, nasal, oral, or oral cavity route. Optionally, the composition further comprises a carrier or an inactive ingredient.
(12) Unless otherwise noted, technical terms are used according to conventional usage.
(13) Unless otherwise explained, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs. The singular terms “a,” “an,” and “the” include plural referents unless context clearly indicates otherwise. Similarly, the word “or” is intended to include “and” unless the context clearly indicates otherwise. Although methods and materials similar or equivalent to those described herein can be used in the practice or testing of this disclosure, suitable methods and materials are described below. The term “comprises” means “includes.” The abbreviation, “e.g.” is derived from the Latin exempli gratia, and is used herein to indicate a non-limiting example. Thus, the abbreviation “e.g.” is synonymous with the term “for example.”
(14) In case of conflict, the present specification, including explanations of terms, will control. In addition, all the materials, methods, and examples are illustrative and not intended to be limiting.
Definitions
(15) Cannabinoid: a compound active on the cannabinoid receptor in a human. Preferably, a phytocannabinoid.
(16) Cannabis: a plant from the family Cannabaceae, optionally Cannabis sativa, indica and ruderalis. Preferably a plant comprising a cannabinoid.
(17) CBD: cannabidiol. A cannabinoid having the structure:
(18) ##STR00001##
(19) CBN: cannabinol. A cannabinoid having the structure:
(20) ##STR00002##
(21) Sleep disorder: a condition in which sleeping patterns of a human are disrupted, impaired or otherwise pathologic. A sleep disorder may include: insomnia.
(22) THC: tetrahydrocannabinol. A cannabinoid having the structure:
(23) ##STR00003##
(24) Therapeutically effective amount: an amount, when administered to a human, shows a therapeutic effect, either upon acute or chronic administration.
(25) The following examples are provided to illustrate certain particular features and/or embodiments. These examples should not be construed to limit the disclosure to the particular features or embodiments described.
Example 1: Effects of THC, CBD, CBN Compositions on Sleep
(26) A study was conducted to measure the effects of compositions comprising cannabinoids THC, CBD, CBN on sleep latency and sleep duration using a well-established mouse model-based sleep test called the Loss Of Righting Reflex (LORR) test. The study identified compositions that exhibited positive effect in the aforementioned model.
(27) The LORR test was used to study the effect of cannabinoid compositions on pentobarbital-induced sleep, and was conducted as follows: 30 minutes prior to sedation/sleep induction with an intraperitoneal (IP) injection of Pentobarbital (30 or 40 mg/kg), mice (7-week-old male Balb/C mice) were weighed and treated with an IP injection of: vehicle (Ethanol:Cremophor:Saline, volume ratio 1:1:18) as negative control; diazepam (3 mg/kg) as positive control; or with one of a plurality of test cannabinoid compositions in accordance with embodiments of the disclosure (described below). Observation of the mouse began immediately after administration of Pentobarbital. Once the mouse was asleep (as determined by the loss of righting reflex), it was transferred to a home cage and placed on its back, and observation was continued. Mice were considered awake when they could successfully upright themselves (all four feet in contact with the surface). Once a mouse righted itself, it was placed on its back once more and allowed to right a second time for confirmation. For the negative control group (vehicle treatment), mean sleep onset was 8-12 min and mean sleep duration was 25-45 min. For the positive control group (diazepam treatment), mean sleep onset was 3-5 min and mean sleep duration was 60-90 min. The 3 mg/kg dose of diazepam used in the mice is equivalent to approximately 10-12 mg dose in human subjects.
(28) Test cannabinoid compositions were prepared using cannabinoids purified from whole cannabis plant extract, having >95% purity. The compositions were prepared in the aforementioned vehicle.
(29) The test cannabinoid compositions contained two or more of THC at a dosage between 0.05 mg/kg (mg cannabinoid/kg weight of subject) and 3 mg/kg, CBD at a dosage of between 4 mg/kg and 150 mg/kg, and CBN at a dosage of between 10 mg/kg and 80 mg/kg. The following compositions were tested:
(30) TABLE-US-00001 TABLE 1 Dosage in mg/kg Composition # THC CBD CBN 111 0.05 4 10 131 0.05 150 10 113 0.05 4 80 221 0.5 40 10 311 3 4 10 122 0.05 40 20 121 0.05 40 10 123 0.05 40 80 021 0 40 10 321 3 40 10
(31) The cannabinoid ratios of the tested compositions can be expressed as follows, with the relative concentration of THC arbitrarily set at 1 or 0, for ease of comparison of the relative amounts of the cannabinoids between the different compositions:
(32) TABLE-US-00002 TABLE 2 Relative dosage ratio Composition # THC CBD CBN 111 1 80 200 131 1 3000 200 113 1 80 1600 221 1 80 20 311 1 1 3 122 1 800 400 121 1 800 200 123 1 800 1600 021 0 4 1 321 1 13 3
(33) Alternatively, the cannabinoid ratios of the tested compositions can be expressed as follows, with the relative concentration of CBD arbitrarily set at 1:
(34) TABLE-US-00003 TABLE 3 Relative dosage ratio Composition # THC CBD CBN 111 0.0125 1 2.5 131 0.00033 1 0.07 113 0.0125 1 20 221 0.0125 1 0.25 311 0.75 1 2.5 122 0.00125 1 0.5 121 0.00125 1 0.25 123 0.00125 1 2 021 0 1 0.25 321 0.075 1 0.25
(35) The study included 12 mouse subjects treated with vehicle, 12 subjects treated with diazepam, and 6 subjects treated for each test cannabinoid composition.
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(38) Diazepam treated animals, as expected, slept for a longer duration following pentobarbital administration compare to those treated with vehicle (37% sleep duration compared to diazepam treatment). Many of the test cannabinoid compositions were even more effective than diazepam in prolonging pentobarbital-induced sleep—compositions 131, 221, 122, 121, 123, 021 and 321 each exhibited a mean total sleep duration that was substantially longer than diazepam-treated controls (between 214% and 563% of diazepam treatment).
(39) The pentobarbital dosing regimen induced sleep in only a portion of the vehicle-treated negative control mice.
(40) During the full course of pentobarbital-induced sleep, some of the subjects briefly woke up then fell back asleep, before fully waking up.
(41) Diazepam-treated animals, as expected, exhibited fewer transient awakenings compared to vehicle-treated negative controls. diazepam-treated subjects had lower incidence of transient awakenings during the respective sleep sessions. 60% of vehicle-treated subjects exhibited one transient awakening and 40% stayed asleep during the pentobarbital-induced sleep session. By contrast, out of the diazepam-treated subjects, 25% of the subjects woke up once and 75% stayed asleep during the sleep session. Many of the test cannabinoid compositions were as effective or more effective than diazepam in reducing the number of transient awakenings during the sleep session—groups treated with compositions 113, 311, 122, 221 and 321 had a higher incidence of sleep sessions with no transient awakenings (between 83% and 100%) compared to diazepam-treated controls.
(42) Out of the test cannabinoid compositions tested using the LORR method, composition 122 had an especially favorable combination of sleep-enhancing properties. Subjects treated with a composition 122 had a mean total sleep duration 2.5-fold longer compared to diazepam controls while having fewer transient awakenings during the sleep session (83% of the group had no transient awakenings during the session compared 75% with diazepam treatment), and similar sleep onset latency compared to diazepam treatment.
(43) Other examples of compositions with notably favorable combinations of sleep-enhancing properties include composition 131, composition 121, and composition 123.
(44) Subjects treated with composition 123 had a mean total sleep duration 5.6-fold longer compared to diazepam controls and slightly shorter sleep onset latency compared to diazepam treatment. Composition 123 treatment resulted in having substantially more transient awakenings during the sleep session (17% of the group had no transient awakenings during the session compared 75% with diazepam treatment). Without being bound by theory, the increase in the incidence of transient awakenings indicates changes in the sleep architecture associate with this composition, in that while other compositions may induce deeper sleep stages the composition 123 induces relatively shallow sleep with sharp transition between sleep stages that observationally result with apparent awakening of the subject. Alternatively, and without being bound by theory, the increase in the incidence of transient awakenings in mice treated with composition 123 is reflective of the substantial increase in the duration of the sleep session, in which transient awakenings as measured per unit time (as opposed to during the entire sleep session). Mice treated with composition 123 exhibited, on average, a 3.3-fold increase in incidence of a transient awakening during their respective sleep sessions compared to diazepam-treated subjects (83% incidence of a transient awakening in composition 123 mice compared to 25% in diazepam-treated mice). However, this increase in mean incidence of transient awakening is offset by the 5.6-fold increased total sleep duration for composition 123-treated mice. As such, the mean incidence of transient awakening per unit time of sleep session duration is lower in composition 123-treated mice.
(45) Subjects treated with composition 121 had a mean total sleep duration 2.1-fold longer compared to diazepam controls while having only slightly more awakenings during the sleep session (50% of the group had no awakenings during the session compared 75% with diazepam treatment), and slightly longer sleep onset latency of 1.2-fold longer compared to diazepam treatment.
(46) Subjects treated with composition 131 had a mean total sleep duration 3.2-fold longer compared to diazepam-treated controls while having only slightly more awakenings during the sleep session (50% of the group had no awakenings during the session compared 75% with diazepam treatment), and only slightly longer sleep onset latency of 1.4-fold longer compared to diazepam treatment.
(47) Without being bound by theory, differences between composition 021 and composition 121 with regard to sleep onset latency and percent of mice that fell asleep (
Example 2: Further Effects of THC, CBD, CBN Compositions on Sleep
(48) The LORR model was performed as in Example 1, using compositions described in table 4. The test cannabinoid compositions contained two or more of THC at a dosage between 0.05 mg/kg and 0.1 mg/kg, CBD at a dosage of between 20 mg/kg and 40 mg/kg, and CBN at a dosage of between 1 mg/kg and 15 mg/kg. The following compositions were tested:
(49) TABLE-US-00004 TABLE 4 Dosage in mg/kg Composition # THC CBD CBN 2 2 0.5 0.5 40 1 1 1.5 0.5 0.05 20 1 1.5 1.5 1 0.1 20 10 1 1.5 1 0.05 20 10 1.5 2 1.5 0.1 40 15 1.5 2 1 0.1 40 10 1 2 1.5 0.05 40 15 2 2 1 0.5 40 10 1.5 2 1.5 0.1 40 15
(50) The cannabinoid ratios of the tested compositions are expressed with relative concentration of CBD set at 1.
(51) TABLE-US-00005 TABLE 5 Relative dosage ratio Composition # THC CBD CBN 2 2 0.5 0.0125 1 0.025 1 1.5 0.5 0.025 1 0.05 1.5 1.5 1 0.005 1 0.5 1 1.5 1 0.0025 1 0.5 1.5 2 1.5 0.0025 1 0.375 1.5 2 1 0.0025 1 0.25 1 2 1.5 0.00125 1 0.375 2 2 1 0.0125 1 0.25 1.5 2 1.5 0.0025 1 0.375
(52) The cannabinoid ratios of the tested compositions are expressed with relative concentration of THC set at 1 are shown in table 6.
(53) TABLE-US-00006 TABLE 6 Relative dosage ratio Composition # THC CBD CBN 2 2 0.5 1 80 2 1 1.5 0.5 1 400 20 1.5 1.5 1 1 200 100 1 1.5 1 1 400 200 1.5 2 1.5 1 400 150 1.5 2 1 1 400 100 1 2 1.5 1 800 300 2 2 1 1 80 20 1.5 2 1.5 1 400 150
(54) The study included 12 mouse subjects treated with vehicle, 14 subjects treated with diazepam, 6 subjects treated for each test cannabinoid composition and 4 subjects in each terpenes-only group.
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Example 3: Effects of Terpene-Containing Compositions on Sleep
(58) A mixture of terpenes resembling the profile occurring in Cannabis strain “Grand Daddy Purple” was obtained. The profile of the terpenes was as listed in table 7.
(59) TABLE-US-00007 TABLE 7 Terpene Percent Milligrams per gram β- Caryophyllene 9 90 D-Limonene 7.6 76 α- Humulene 3.5 35 Linalool 5.1 51 β-Myrcene 24 240 α-Pinene 50 500 Total Measured: 99 992
(60) Composition 1 2 2 as in Example 1 was prepared, and was also prepared with the modification of addition of 0.1% v/v terpenes.
(61) In addition, compositions with only terpenes at 0.001%, 0.01%, 0.1% and 1% v/v were prepared in the same aforementioned vehicle as cannabinoid-containing combinations (Ethanol:Cremophore:Saline).
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Example 4: Naturally Occurring Compositions Comprising THC and CBD
(63) Compositions comprising THC, CBD and CBN as described above do not occur in naturally occurring cannabis plant or in cannabis smoke or vapor. Tables 8-10 depict three common, representative cannabis strains, bedrocan, bedrobinol, and bediol. Presence of THC, CBD and CBN in plant matter extract obtained through ethanolic extraction (Table 8), vapor (Table 9) and smoke (Table 10) is shown. The source of the data in these tables is Fischedick, et al. Chem. Pharm. Bull. 58(2) 201-207 (2010).
(64) TABLE-US-00008 TABLE 8 Bedrocan Bedrobinol Bediol THC (mg/g) 220.8 110.1 67.6 CBD (mg/g) 0.79 0.39 85.6 CBN (mg/g) 0 0 0 ratio of THC THC 1 1 1.0 CBD 0 0 1.3 CBN 0 0 0 ratio of CBD THC 279 282 0.8 CBD 1 1 1.0 CBN 0 0 0
(65) TABLE-US-00009 TABLE 9 Bedrocan Bedrobinol Bediol THC (mg/g) 46.5 35.4 23.5 CBD (mg/g) 1.5 1.6 28 CBN (mg/g) 0.09 0.05 0.03 ratio of THC THC 1 1 1.0 CBD 0 0 1.2 CBN 0 0 0 ratio of CBD THC 31 22 0.8 CBD 1 1 1.0 CBN 0 0 0
(66) TABLE-US-00010 TABLE 10 Bedrocan Bedrobinol Bediol THC 36.2 26.7 17.6 CBD 0.54 0.1 21.1 CBN 6.9 3.5 2.9 ratio of THC THC 1 1 1.0 CBD 0 0 1.2 CBN 0.2 0.1 0.2 ratio of CBD THC 67 267 0.8 CBD 1 1 1.0 CBN 12.8 35.0 0.1
(67) As seen in the tables, CBN does not exist in significant, detectable levels in cannabis plant matter or vapor. In cannabis smoke, some of the THC is converted into CBN. This indicates that compositions used in examples 1 and 2, having significant amounts of CBN relative to CBD, as described, do not occur in nature.
Example 5: Treatment of Humans Using THC, CBD and CBN Compositions
(68) In treatment of humans, compositions may be administered via a variety of routes, with preference to the pulmonary, nasal, per os, and delivery via oral cavity. Compositions may be administered on a daily basis, or may be administered as per a patient's need. Compositions may be administered when sleep is desired. Optionally, compositions may be administered within 1 hour of desired bedtime.
(69) Table 11 shows exemplary doses which may be used for treating humans according to methods described herein.
(70) TABLE-US-00011 TABLE 11 Composition THC μg/kg CBD mg/kg CBN mg/kg Range 1 0.4-100 0.1-5 0.05-2 Range 2 0.4-10 0.375-3.75 0.09-1.4 Composition A 0.46875 0.375 0.1875 Composition B 0.46875 0.375 0.09375 Composition C 0.9375 0.375 0.09375 Composition D 0.9375 0.375 0.140625 Composition E 4.6875 3.75 1.875 Composition F 4.6875 3.75 0.9375 Composition G 9.375 3.75 0.9375 Composition H 9.375 3.75 1.40625
(71) Indications which may be treated using compositions described herein include, but are not limited to sleep disorders. Such sleep disorders may be: Dyssomnia, parasomnia, or sleep disorder associated with mental, neurologic or other medical disorders.
(72) In view of the many possible embodiments to which the principles of the disclosed invention may be applied, it should be recognized that the illustrated embodiments are only preferred examples of the invention and should not be taken as limiting the scope of the invention. Rather, the scope of the invention is defined by the following claims. We therefore claim as our invention all that comes within the scope and spirit of these claims.