vol1 - Page 340
Page 340
Previous ,
Next ,
Original Image
Return to Index
For the Agency to argue almost ten years later that
these programs are without value in determining marijuanats
Waccepted medical use in treatment W for emesis because they were
not implemented as randomized_ double-blind research studies is
nonsensical. These programs were implemented as a result of a
recognition and acceptance by the state legislature_ of marijuana
as an antiemetic and unquestionably confirmed the accuracy of
this legislative determinations
As the Alliance demonstrated in its initial brief, all
FDA-approved and DEA-sanctioned state studies were properly
designed research programs. These well-controlled studies
compared marijuana to other antiemetics such as oral THC or
Torecan. _-_/ Under each state protocol, patients had to fail on
at least one conventional antiemetic therapy to be eligible. In
some state programs, such historical failure_even included THC
capsules. This was unquestionably a valid control to assess the
success or failure of the drug. _-_/ Phycological and biological
tests were conducted on patients prior to entering the program
and standard statistical procedures were utilized to evaluate
....... _2L/ ACT Brief at 49_91_ Robert J. Temple, Director of the
Office of Drug Research and Review, Center for Drugs and
Biologics, of FDA testified that in reviewing a proposed study
under an IND_ FDA must be _sure the major studies are of adequate
design so that their objectives can be met. If a study cannot
meet its objectives_ it will not be permitted (i.e., it will be
placed on clinical hold).# Affidavit of Robert Temple at 3o
9__/ The historical control in this context includes the notion
that the course of the medical problems emesis, is certainly
predictable in the absence of an effective treatment° That is,
after failing on one antiemetict patients will continue to suffe>__
from emesis during and after each chemotherapy treatment, absent
the utilization of an effective antiemetic -_ marijuana.
34
Previous ,
Next ,
Return to Index