cannabidiol
Trade name: Epidiolex
Approved
Jun 25, 2018
Cannabidiol is the major nonpsychoactive ingredient in cannabis. Cannabidiol demonstrates a range of effects that may be therapeutically useful, including anti-seizure, antioxidant, neuroprotective, anti-inflammatory, analgesic, anti-tumor, anti-psychotic, and anti-anxiety properties. Exact mechanism of action of cannabidiol is not known, but may include effects on the orphan G-protein-coupled receptor GPR55; the transient receptor potential of vanilloid type-1 channel; the 5-HT1a receptor; and the α3 glycine receptors. GW Pharmaceuticals successfully developed the world’s first prescription medicine derived from the cannabis plant, Sativex® (buccal spray containing delta-9-tetrahydrocannabinol and cannabidiol) now approved in over 29 countries outside of the United States for the treatment of spasticity due to Multiple Sclerosis. GW Pharmaceuticals is developing Epidiolex® (a liquid formulation of pure plant-derived cannabidiol) for certain rare and severe early-onset, drug-resistant epilepsy syndromes. — NCATS
Clinical trial activity
441 trials · 350 clinical orgs · 2 marketing orgs
Earliest trial started Jan 1, 2001 (NCT00129857)
Timeline
2010s
- Jan 1, 2010
Earliest Phase 1 Sponsor(trial)
- Nov 14, 2013
Orphan Drug Designation
- Jun 25, 2018
GW Pharmaceuticals Ltd. — Earliest FDA Approval
- Jun 25, 2018
GW Research — NDA Secondary Org
- Jun 25, 2018
GW Pharmaceuticals Ltd. — NDA Organization
Indications
Approved for
Studied for
- 22q11 Deletion Syndrome · Phase 1/Phase 2
- Acne Vulgaris · Phase 2
- Acute Pain · Phase 3
- Affect · Early Phase 1
- Affective Disorders, Psychotic · Phase 3
- Affective Symptoms · Phase 2
- Aging · Phase 1
- Agoraphobia · Phase 3
- Alcohol-Induced Disorders · Phase 2/Phase 3
- Alcoholism · Phase 2/Phase 3
- Alcohol Withdrawal Delirium · Early Phase 1
- Alzheimer Disease · Phase 2
- Amphetamine-Related Disorders · Phase 2
- Amyotrophic Lateral Sclerosis · Phase 4
- Analgesics, Opioid · Phase 4
- Anemia, Sickle Cell · Phase 1/Phase 2
- Anger · Phase 2/Phase 3
- Ankle Fractures · Phase 4
- Anorexia · Phase 1
- Anorexia Nervosa · Early Phase 1
- Anxiety · Phase 4
- Anxiety Disorders · Phase 3
- Appetite · Phase 3
- Appetitive Behavior · Phase 1
- Arterial Occlusive Diseases · Phase 2/Phase 3
- Arthralgia · Phase 4
- Arthritis, Psoriatic · Phase 2
- Arthritis, Rheumatoid · Phase 2
- Arthroplasty, Replacement, Knee · Phase 2/Phase 3
- Attention Deficit and Disruptive Behavior Disorders · Phase 2
- Autism Spectrum Disorder · Phase 2/Phase 3
- Autistic Disorder · Phase 2/Phase 3
- Automobile Driving · Phase 1
- Back Pain · Phase 3
- Behavior · Phase 2
- Behavior, Addictive · Phase 2
- Biological Availability · Phase 1
- Bipolar Disorder · Phase 3
- Blepharospasm · Phase 2/Phase 3
- Body Mass Index · Phase 1
- Bone Diseases, Metabolic · Phase 1
- Brain Injuries, Traumatic · Phase 3
- Brain Neoplasms · Phase 2
- Breakthrough Pain · Phase 2
- Breast Neoplasms · Phase 3
- Bronchiectasis · Phase 2
- Bruxism · Phase 2/Phase 3
- Burnout, Psychological · Phase 2/Phase 3
- Cachexia · Phase 3
- Cancer Pain · Phase 3
- Cannabidiol · Phase 4
- Cannabinoids · Early Phase 1
- Cannabis · Phase 4
- Carcinoma, Hepatocellular · Phase 1
- Carcinoma, Non-Small-Cell Lung · Phase 1
- Carcinoma, Renal Cell · Phase 1
- Cardiovascular Diseases · Phase 2/Phase 3
- Carpal Tunnel Syndrome · Phase 2
- Chemical and Drug Induced Liver Injury · Phase 1
- Chronic Pain · Phase 4
- Chronic Periodontitis · Phase 1/Phase 2
- Chronic Urticaria · Phase 2
- Clinical Trial · Phase 3
- Cocaine-Related Disorders · Phase 2
- Cognition Disorders · Phase 2
- Cognitive Dysfunction · Phase 4
- Colitis, Ulcerative · Phase 2
- Colonic Neoplasms · Phase 2
- Colorectal Neoplasms · Phase 2
- Contraception · Phase 4
- Coronary Disease · Phase 1
- COVID-19 · Phase 2/Phase 3
- Craving · Phase 2/Phase 3
- Crohn Disease · Phase 2/Phase 3
- Cystitis, Interstitial · Phase 1
- Dementia · Phase 2/Phase 3
- Dementia, Vascular · Phase 2/Phase 3
- Dentin Sensitivity · Phase 1
- Depression · Phase 2/Phase 3
- Depressive Disorder, Treatment-Resistant · Phase 4
- Dermatitis, Atopic · Phase 3
- Diabetes Mellitus, Type 2 · Phase 2
- Diabetic Neuropathies · Phase 2
- Diagnosis, Dual (Psychiatry) · Phase 2
- Dialysis · Phase 1
- Diet Therapy · Early Phase 1
- Dronabinol · Phase 2
- Drug Evaluation · Phase 4
- Drug Interactions · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 2
- Drug Resistant Epilepsy · Phase 2
- Drugs, Investigational · Phase 1
- Dyslipidemias · Phase 2
- Dysmenorrhea · Phase 2
- Dyspepsia · Phase 2
- Eczema · Phase 2
- Electromyography · Phase 2/Phase 3
- Emergency Service, Hospital · Phase 1
- Endometriosis · Phase 3
- Epidermolysis Bullosa · Phase 2/Phase 3
- Epidermolysis Bullosa Dystrophica · Phase 2
- Epidermolysis Bullosa, Junctional · Phase 2
- Epidermolysis Bullosa Simplex · Phase 2
- Epilepsies, Myoclonic · Phase 4
- Epilepsy · Phase 4
- Epilepsy, Absence · Phase 2
- Epilepsy, Post-Traumatic · Phase 2
- Essential Tremor · Phase 1/Phase 2
- Facial Pain · Phase 2/Phase 3
- Fatigue · Phase 2
- Fatty Liver · Phase 2
- Fear · Phase 2
- Fibromyalgia · Phase 3
- Forehead · Phase 1
- Fractures, Bone · Phase 4
- Fragile X Syndrome · Phase 3
- Gallbladder Neoplasms · Phase 1/Phase 2
- Gastroparesis · Phase 2
- General Surgery · Phase 2
- Glioblastoma · Phase 2
- Graft vs Host Disease · Phase 2
- Guillain-Barre Syndrome · Phase 4
- Hallux Rigidus · Phase 2/Phase 3
- Hallux Valgus · Phase 2/Phase 3
- Headache · Phase 2/Phase 3
- Headache Disorders, Secondary · Phase 4
- Healthy Volunteers · Phase 1
- Heart Disease Risk Factors · Phase 2/Phase 3
- Heart Diseases · Phase 2
- Heart Failure · Phase 1
- Hepatitis, Autoimmune · Phase 2
- Heroin Dependence · Phase 2
- HIV · Phase 2
- HIV Infections · Phase 2
- HIV Seropositivity · Phase 2
- Hoarding Disorder · Phase 2
- Huntington Disease · Phase 2
- Hyperopia · Phase 2
- Hypertension · Phase 1
- Inflammation · Phase 4
- Inflammatory Bowel Diseases · Phase 2/Phase 3
- Intellectual Disability · Phase 2
- Intestinal Neoplasms · Phase 1
- Kidney Diseases · Phase 1
- Lennox Gastaut Syndrome · Phase 4
- Liver Neoplasms · Phase 1/Phase 2
- Low Back Pain · Phase 4
- Major Depressive Disorder · Phase 2
- Malnutrition · Phase 3
- Marijuana Smoking · Phase 2
- Memory · Phase 2
- Menstruation Disturbances · Phase 2
- Mental Disorders · Phase 2
- Mental Health · Phase 3
- Mesothelioma · Phase 1
- Microbiota · Phase 2
- Migraine Disorders · Phase 4
- Mood Disorders · Phase 2
- Morbidity · Phase 2
- Mortality · Phase 2
- Motor Neuron Disease · Phase 4
- Mucopolysaccharidosis III · Phase 2/Phase 3
- Multiple Myeloma · Phase 1/Phase 2
- Multiple Sclerosis · Phase 2
- Musculoskeletal Diseases · Phase 1
- Musculoskeletal Pain · Phase 3
- Myalgia · Phase 2/Phase 3
- Myofascial Pain Syndromes · Phase 2/Phase 3
- Myopia · Phase 2
- Nausea · Phase 2
- Neck Pain · Phase 3
- Neoplasms · Phase 3
- Neural Analyzers · Early Phase 1
- Neuralgia · Phase 2
- Neuroinflammatory Diseases · Phase 2
- Obsessive-Compulsive Disorder · Phase 2
- Opioid-Related Disorders · Phase 3
- Osteoarthritis · Phase 4
- Osteoarthritis, Knee · Phase 4
- Ovarian Neoplasms · Phase 2
- Pain · Phase 3
- Palliative Medicine · Phase 2
- Pancreatic Neoplasms · Phase 2
- Panic · Phase 2
- Panic Disorder · Phase 3
- Parkinson Disease · Phase 2
- Pelvic Pain · Phase 3
- Pericarditis · Phase 2/Phase 3
- Peripheral Nervous System Diseases · Early Phase 1
- Pharmacokinetics · Phase 1
- Pharmacology · Phase 1
- Phobia, Social · Phase 4
- Photorefractive Keratectomy · Phase 2
- Postoperative Nausea and Vomiting · Early Phase 1
- Postoperative Pain · Phase 4
- Prader-Willi Syndrome · Phase 3
- Procedural Sedation · Early Phase 1
- Prostatic Neoplasms · Phase 1
- Prurigo · Phase 2
- Pruritus · Phase 2/Phase 3
- Psychological Distress · Phase 2/Phase 3
- Psychomotor Agitation · Early Phase 1
- Psychotic Disorders · Phase 3
- Quality of Life · Phase 2
- Radiculopathy · Phase 1/Phase 2
- Rare Diseases · Phase 2
- Rectal Neoplasms · Phase 1/Phase 2
- Renal Insufficiency, Chronic · Phase 1
- Rett Syndrome · Phase 3
- Rotator Cuff Injuries · Phase 1/Phase 2
- Safety · Phase 1
- Schizophrenia · Phase 2
- Scleroderma, Systemic · Phase 3
- Sclerosis · Phase 3
- Seizures · Phase 3
- Skin Absorption · Phase 1
- Sleep · Phase 2
- Sleep Disorders, Intrinsic · Phase 2/Phase 3
- Sleep Initiation and Maintenance Disorders · Phase 3
- Sleep Wake Disorders · Phase 2
- Spasms, Infantile · Phase 3
- Spinal Cord Injuries · Phase 2
- Sprains and Strains · Phase 2
- Stress Disorders, Post-Traumatic · Phase 2/Phase 3
- Sturge-Weber Syndrome · Phase 2
- Substance-Related Disorders · Phase 2/Phase 3
- Substance Withdrawal Syndrome · Phase 2/Phase 3
- Suicide · Phase 1/Phase 2
- Temporomandibular Joint Disorders · Phase 2/Phase 3
- Temporomandibular Joint Dysfunction Syndrome · Phase 2
- Tension-Type Headache · Phase 2/Phase 3
- Tobacco Smoking · Phase 2
- Tobacco Use · Phase 1
- Tobacco Use Cessation · Phase 1
- Tobacco Use Disorder · Phase 2
- Toothache · Phase 1/Phase 2
- Tourette Syndrome · Phase 2
- Transplants · Phase 1
- Trichotillomania · Phase 2
- Triple Negative Breast Neoplasms · Phase 1
- Tuberous Sclerosis · Phase 4
- Urinary Calculi · Phase 2/Phase 3
- Urinary Incontinence · Phase 2
- Uterine Neoplasms · Phase 2
- Veterans · Phase 1/Phase 2
- Vomiting · Phase 1
- Wounds and Injuries · Early Phase 1
Mechanism of action
- Cannabinoid CB1 receptorNEGATIVE ALLOSTERIC MODULATOR
CNR1 negative allosteric modulator
Approval history
- approvedPriority reviewFast trackJun 25, 2018
Chemistry & pharmacology
SMILES
CCCCCC1=CC(O)=C([C@@H]2C=C(C)CC[C@H]2C(C)=C)C(O)=C1- Mol. weight
- 314.4617 g/mol
- Lipinski Ro5
- 1 violation(s)
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaCannabinol ↗
- NCATS19GBJ60SN5 ↗
- ChEMBLCHEMBL74415 ↗
- ChEMBLCHEMBL190461 ↗
- WikipediaCannabidiol ↗
Also known as
- 1,1-dimethylheptyl-11-hydroxytetrahydrocannabinol
- 1,1-dimethylheptyl-7-hydroxy-delta(6)-tetrahydrocannabinol
- 11-hydroxy-delta-8-dmh-thc
- 11-hydroxy-delta(8) -tetrahydrocannabinol-dimethylheptyl
- 11-hydroxymethyl-delta(8)-tetrahydrocannabinol-dimethylheptyl
- 11-oh-delta(8)-thc-dmh
- (1'r,2'r)-5'-methyl-4-pentyl-2'-(prop-1-en-2-yl)-1',2',3',4'-tetrahydrobiphenyl-2,6-diol
- (1'r,2'r)-5'-methyl-4-pentyl-2'-(prop-1-en-2-yl)-1',2',3',4'-tetrahydrobiphenyl-2,6-diol
- 5'(1,1-dimethylheptyl)-7-hydroxyhexahydrocannabinol
- 6h-dibenzo(b,d)pyran-9-methanol, 3-(1,1-dimethylheptyl)-6a,7,10,10a-tetrahydro-1-hydroxy-6,6-dimethyl-, (6as-trans)-
- 7-hydroxy-delta-6-tetrahydrocannabinoldimethylheptyl
- cannabidiol
- cannabidiol
- cannabidiol
- cannabidiol
- cannabidiol
- (+)-cannabidiol
- cannabinol
- cannabinol
- cbd
- cbd
- cbd
- cbd
- dexanabinol
- dexanabinol
- dexanabinol
- dexanabinol
- epidiolex
- epidiolex
- gwp42003
- gwp42003
- gwp42003-p
- gwp42003-p
- hu210
- hu 210
- hu-210
- hu 211
- hu-211
- hu 211, (6ar-trans)-isomer
- sinnabidol
- sinnabidol
- (−)-trans-2-p-mentha-1,8-dien-3-yl-5-pentylresorcinol
- (−)-trans-2-p-mentha-1,8-dien-3-yl-5-pentylresorcinol
- (−)-trans-cannabidiol
- (−)-trans-cannabidiol
- δ1(2)-trans-cannabidiol
- δ1(2)-trans-cannabidiol
- δ1(2)-trans-cannabidiol
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07087938 | Phase 1/Phase 2 (Phase 2) | Jul 15, 2028 | Washington State University |
| NCT06924827 | Phase 4 | Feb 2, 2026 | Jazz Pharmaceuticals, University of British Columbia, University of Calgary, University of Toronto |
| NCT07016971 | Phase 1 | Feb 1, 2026 | Pennsylvania State University |
| NCT07279558 | Phase 2 | Feb 1, 2026 | National Institute on Alcohol Abuse and Alcoholism (NIAAA), University of Colorado, Denver |
| NCT07148206 | Phase 3 | Jan 31, 2026 | National Institute on Drug Abuse (NIDA), Yeshiva University |
| NCT07148843 | Phase 2/Phase 3 (Phase 3) | Jan 15, 2026 | Johns Hopkins University, National Institute on Alcohol Abuse and Alcoholism (NIAAA) |
| NCT07298408 | Phase 1/Phase 2 (Phase 2) | Jan 2, 2026 | Florida A&M University |
| NCT07271030 | N/A | Dec 31, 2025 | London Metropolitian University |
| NCT07233239 | Phase 1 | Dec 31, 2025 | Jazz Pharmaceuticals |
| NCT06362889 | Phase 1 | Dec 31, 2025 | Rejuva Medical Aesthetics |
| NCT07245238 | Phase 3 | Nov 5, 2025 | KhonKaen University |
| NCT07278505 | Phase 1/Phase 2 (Phase 2) | Oct 28, 2025 | Icahn School of Medicine at Mount Sinai, Jazz Pharmaceuticals, National Institute of Mental Health (NIMH) |
| NCT06731894 | Phase 2 | Oct 27, 2025 | City of Hope National Medical Center, National Cancer Institute (NCI) |
| NCT07167446 | Early Phase 1 (Phase 1) | Oct 14, 2025 | National Cancer Institute (NCI), Temple University |
| NCT07199218 | Phase 2 | Oct 5, 2025 | Bazelet Nehushtan LtD., Hebrew University |
| NCT07023744 | Phase 2 | Oct 1, 2025 | Canadian Institutes of Health Research (CIHR), Research Manitoba, University of Manitoba |
| NCT07123467 | Phase 3 | Oct 1, 2025 | National Institute of Mental Health (NIMH), Wayne State University |
| NCT07186283 | Phase 1 | Sep 22, 2025 | NW PharmaTech Ltd |
| NCT07001930 | Phase 1 | Aug 25, 2025 | Johns Hopkins University, National Institute on Drug Abuse (NIDA), University of Minnesota |
| NCT06538389 | Phase 2 | Aug 15, 2025 | City of Hope National Medical Center, National Cancer Institute (NCI) |
Organizations
Research & Development (350)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| GW Research | For profit | 29 | 26 | 3 | 2010 |
| National Institute on Drug Abuse (NIDA) | Government | 18 | 2 | 3 | 2013 |
| University of California, San Diego | Academic/Hospital | 15 | 12 | 3 | 2012 |
| Insys Therapeutics Inc | For profit | 13 | 10 | 3 | 2013 |
| University of Colorado, Denver | Academic/Hospital | 13 | 12 | 3 | 2016 |
| Johns Hopkins University | Academic/Hospital | 11 | 11 | 3 | 2017 |
| University of Heidelberg | Academic/Hospital | 10 | 10 | 3 | 2013 |
| Icahn School of Medicine at Mount Sinai | Academic/Hospital | 9 | 4 | 3 | 2010 |
| New York University | Academic/Hospital | 9 | 9 | 4 | 2018 |
| Yale University | Academic/Hospital | 9 | 8 | 2 | 2009 |
| Jazz Pharmaceuticals | For profit | 8 | 3 | 4 | 2022 |
| Mclean Hospital | Academic/Hospital | 8 | 8 | 2 | 2016 |
| Tel Aviv University | Academic/Hospital | 8 | 7 | 3 | 2010 |
| University of California, Los Angeles | Academic/Hospital | 8 | 7 | 4 | 2015 |
| University of London | Academic/Hospital | 8 | 5 | 3 | 2011 |
| Harvard University | Academic/Hospital | 7 | 6 | 2 | 2019 |
| Tetra Bio-Pharma | For profit | 7 | 6 | 4 | 2017 |
| University of Copenhagen | Academic/Hospital | 7 | 6 | 3 | 2014 |
| University of Florida | Academic/Hospital | 7 | 7 | 3 | 2015 |
| Hurd,Yasmin, Ph.D. | Academic/Hospital | 6 | 6 | 2 | 2010 |
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| GW Pharmaceuticals Ltd. | For profit | NDA | Jun 25, 2018 |
| GW Research | For profit | NDA2 | Jun 25, 2018 |