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Description
Curator's Comment: description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/23621668 | https://www.ncbi.nlm.nih.gov/pubmed/22954177 | https://www.ncbi.nlm.nih.gov/pubmed/24525548 | https://www.ncbi.nlm.nih.gov/pubmed/25777582 | https://www.ncbi.nlm.nih.gov/pubmed/23401746

Nabiximols (USAN, trade name Sativex) is a specific extract of Cannabis that was approved as a botanical drug in the United Kingdom in 2010 as a mouth spray to alleviate neuropathic pain, spasticity, overactive bladder, and other symptoms of multiple sclerosis. Nabiximols is an oromucosal spray of a formulated extract of the cannabis sativa plant that contains the principal cannabinoids tetrahydrocannabinol (THC) and cannabidiol (CBD) as well as specific minor cannabinoids and other non-cannabinoid components. THC is a partial agonist and can block activation by other ligands of both cannabinoid receptors (CBR). THC effects include analgesia, short-term memory loss, muscle relaxation, antiemesis, appetite stimulation, and anti-inflammatory activity. CBD acts on CBR and TRPV1, while also inhibiting reuptake and hydrolysis of anandamide N-arachidonylethanolamine (AEA). CBD effects include anticonvulsant, muscle relaxant, anxiolytic, neuroprotective, antioxidant, anti-inflammatory, immunomodulatory and anti-psychotic activity. CBD modulates some of the more undesirable psychological adverse effects of THC through both pharmacokinetic and pharmacodynamic effects. Each 100 μl spray contains: 2.7 mg of THC and 2.5 mg of CBD. Nabiximols was approved in other European countries and Canada.

Approval Year

Targets

Targets

Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Primary
Sativex

Approved Use

Unknown
Primary
Sativex

Approved Use

Unknown
Primary
Sativex

Approved Use

Unknown
Primary
Sativex

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
138.1 ng/mL
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CB-13 plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
278.2 ng/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CB-13 plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
481.5 ng/mL
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CB-13 plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1362 ng × h/mL
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CB-13 plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
3128 ng × h/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CB-13 plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
4966 ng × h/mL
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CB-13 plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
21.3 h
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CB-13 plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
54.8 h
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CB-13 plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
35.5 h
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CB-13 plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Doses

Doses

DosePopulationAdverse events​
80 mg single, oral
Highest studied dose
Dose: 80 mg
Route: oral
Route: single
Dose: 80 mg
Sources:
healthy, ADULT
Health Status: healthy
Age Group: ADULT
Sex: M
Food Status: FASTED
Sources:
Overview

Overview

OverviewOther

Other InhibitorOther SubstrateOther Inducer




Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no [IC50 >200 uM]
no [IC50 >200 uM]
no [IC50 >200 uM]
no [IC50 >200 uM]
no [IC50 >200 uM]
no [IC50 >200 uM]
weak [IC50 80.8 uM]
Tox targets
PubMed

PubMed

TitleDatePubMed
Characterization of the structural determinants required for potent mechanism-based inhibition of human cytochrome P450 1A1 by cannabidiol.
2014-05-25
Naphthalen-1-yl-(4-pentyloxynaphthalen-1-yl)methanone: a potent, orally bioavailable human CB1/CB2 dual agonist with antihyperalgesic properties and restricted central nervous system penetration.
2007-08-09
Patents

Sample Use Guides

1 to 80 mg of CRA13
Route of Administration: Oral
CHO-CB2 cells were plated overnight onto poly-D-lysine pre-coated 24 well plates (Corning - cat no. 3667) at a density of 2 x 10^5 cells per well. For the experiment, cells were washed once with 500 μl stop-medium (DMEM without FBS) and a further 250 μl stop medium containing 3 μCi/ml 2-[3H]adenine added to the cells and incubated for 3 h at 37°C. The media was aspirated and the cells washed 2 x with 500 μl HBS buffer (130 mM NaCl, 0.9 mM NaH2PO4, 0.8 mM MgSO4, 1.8 mM CaCl2, 5.4 mM KCl, 25 mM glucose, 20 mM HEPES, pH 7.4 with phenol red added at 5 mg/l) with a further 500 μl HBS added. Where required IBMX (1 mM final concentration), forskolin (10 μM final concentration) and compound (CB-13, at varying concentrations from 100 x stock solutions in DMSO) were added and the plates incubated for 15 min in a water bath at 37°C. The media was aspirated and 500 μl cold 5% (v/v) TCA added to stop the reaction. A further 500 μl cold 5% (v/v) TCA which contained 1 mM ATP and 1 mM cAMP (to block non-specific binding sites) was added and the plate incubated at 4 °C for 20 min. The resultant extract was loaded directly onto pre-equilibrated dowex columns. A further 2.5 ml H2O was added and ATP drained from the columns. The dowex columns were placed directly above preequilibrated alumina columns and 8 ml H2O added and allowed to flow through both columns. Scintillation vials were placed beneath the alumina columns and 6 ml 0.1 M imidazole added to elute the bound cAMP. 10 ml of scintillation fluid (IREA-Safe, Perkin-Elmer) was added to each vial, lids applied, the vials shaken and counted on a Wallac 1409 Liquid Scintillation Counter for 2 min, with dpm’s reported. Nucleotide binding and cAMP data were analyzed by non-linear regression with the software Origin, version 7.5, from Origin Lab Corporation, MA, US.
Substance Class Mixture
Created
by admin
on Mon Mar 31 20:34:23 GMT 2025
Edited
by admin
on Mon Mar 31 20:34:23 GMT 2025
Record UNII
K4H93P747O
Record Status Validated (UNII)
Record Version
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Name Type Language
NABIDIOLEX
Preferred Name English
NABIXIMOLS
USAN  
USAN  
Official Name English
SAB 378
Code English
GW 1000
Code English
NABIXIMOLS [USAN]
Common Name English
GW-1000
Code English
GW 1000-02
Code English
SATIVEX
Brand Name English
TETRANABINEX
Brand Name English
SAB-378
Code English
Classification Tree Code System Code
NCI_THESAURUS C29631
Created by admin on Mon Mar 31 20:34:23 GMT 2025 , Edited by admin on Mon Mar 31 20:34:23 GMT 2025
Code System Code Type Description
SMS_ID
100000166617
Created by admin on Mon Mar 31 20:34:23 GMT 2025 , Edited by admin on Mon Mar 31 20:34:23 GMT 2025
PRIMARY
EVMPD
SUB180792
Created by admin on Mon Mar 31 20:34:23 GMT 2025 , Edited by admin on Mon Mar 31 20:34:23 GMT 2025
PRIMARY
DRUG CENTRAL
4793
Created by admin on Mon Mar 31 20:34:23 GMT 2025 , Edited by admin on Mon Mar 31 20:34:23 GMT 2025
PRIMARY
NCI_THESAURUS
C71037
Created by admin on Mon Mar 31 20:34:23 GMT 2025 , Edited by admin on Mon Mar 31 20:34:23 GMT 2025
PRIMARY
WIKIPEDIA
NABIXIMOLS
Created by admin on Mon Mar 31 20:34:23 GMT 2025 , Edited by admin on Mon Mar 31 20:34:23 GMT 2025
PRIMARY
PUBCHEM
44148067
Created by admin on Mon Mar 31 20:34:23 GMT 2025 , Edited by admin on Mon Mar 31 20:34:23 GMT 2025
PRIMARY
EPA CompTox
DTXSID40972015
Created by admin on Mon Mar 31 20:34:23 GMT 2025 , Edited by admin on Mon Mar 31 20:34:23 GMT 2025
PRIMARY
CAS
56575-23-6
Created by admin on Mon Mar 31 20:34:23 GMT 2025 , Edited by admin on Mon Mar 31 20:34:23 GMT 2025
PRIMARY
FDA UNII
K4H93P747O
Created by admin on Mon Mar 31 20:34:23 GMT 2025 , Edited by admin on Mon Mar 31 20:34:23 GMT 2025
PRIMARY
USAN
UU-89
Created by admin on Mon Mar 31 20:34:23 GMT 2025 , Edited by admin on Mon Mar 31 20:34:23 GMT 2025
PRIMARY
All of the following components must be present:
Definition References