Clinical Outcome Data of Children Treated with Cannabis-Based Medicinal Products for Treatment Resistant Epilepsy - Analysis from the UK Medical Cannabis Registry

Background There is a paucity of high-quality evidence of the efficacy and safety of cannabis-based medicinal products in treatment of treatment-resistant epilepsy (TRE) in children.Methods A case series of children (< 18 years old) with TRE from the UK Medical Cannabis Registry was analyzed. Primary outcomes were >= 50% reduction in seizure frequency, changes in the Impact of Pediatric Epilepsy Score (IPES), and incidence of adverse events.Results Thirty-five patients were included in the analysis. Patients were prescribed during their treatment with the following: CBD isolate oils ( n = 19), CBD broad-spectrum oils ( n = 17), and CBD/delta(9) -THC combination therapy ( n = 17). Twenty-three (65.7%) patients achieved a >= 50% reduction in seizure frequency. 94.1% ( n = 16) of patients treated with CBD and delta(9) -THC observed a >= 50% reduction in seizure frequency compared to 31.6% ( n = 6) and 17.6% ( n = 3) of patients treated with CBD isolates and broad-spectrum CBD products, respectively ( p < 0.001). Twenty-six (74.3%) adverse events were reported by 16 patients (45.7%). The majority of these were mild ( n = 12; 34.2%) and moderate ( n = 10; 28.6%).Conclusion The results of this study demonstrate a positive signal of improved seizure frequency in children treated with Cannabis-based medicinal products (CBMPs) for TRE. Moreover, the results suggest that CBMPs are well-tolerated in the short term. The limitations mean causation cannot be determined in this open-label, case series.