Cochrane · systematic review · CD012954

Cannabis for the treatment of ulcerative colitis

Kafil, TS, Nguyen, TM, MacDonald, JK, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

GutAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
8
No studies
6
Included studies
NR
No studies 6 · 42.9%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 35.7%Moderate 3 · 21.4%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Cannabidiol compared to placebo for the treatment of ulcerative colitis

Population: participants with active ulcerative colitis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical remission at 10 weeks
Cannabidiol vs placebo
RR 0.94 [0.39, 2.25]1 study · 60 participantsLow
Downgraded: imprecision
Clinical response at 10 weeks
Cannabidiol vs placebo
RR 1.37 [0.59, 3.21]1 study · 60 participantsLow
Downgraded: imprecision
CRP at 10 weeks
Cannabidiol vs placebo
no estimate extracted1 study · 59 participantsModerate
Downgraded: imprecision
Quality of life Inflammatory Bowel Disease Questionnaire (IBDQ) at 10 weeks
Cannabidiol vs placebo
no estimate extracted1 study · 53 participantsModerate
Downgraded: imprecision
Adverse events
Cannabidiol vs placebo
RR 1.28 [1.05, 1.56]1 study · 60 participantsModerate
Downgraded: imprecision
Serious adverse events
Cannabidiol vs placebo
RR 0.15 [0.01, 2.83]1 study · 60 participantsLow
Downgraded: imprecision
Withdrawal due to adverse event
Cannabidiol vs placebo
RR 2.14 [0.83, 5.51]1 study · 60 participantsLow
Downgraded: imprecision

Cannabis cigarettes compared to placebo for the treatment of ulcerative colitis

Population: participants with active ulcerative colitis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical remission
Cannabis cigarettes vs placebo
no estimate extractedNRNo studies
Clinical response
Cannabis cigarettes vs placebo
no estimate extractedNRNo studies
CRP at 8 weeks
Cannabis cigarettes vs placebo
no estimate extracted1 study · 28 participantsLow
Downgraded: imprecision
Quality of life Inflammatory Bowel Disease Questionnaire (IBDQ)
Cannabis cigarettes vs placebo
no estimate extractedNRNo studies
Adverse events
Cannabis cigarettes vs placebo
no estimate extractedNRNo studies
Serious adverse events
Cannabis cigarettes vs placebo
no estimate extractedNRNo studies
Withdrawal due to adverse events
Cannabis cigarettes vs placebo
no estimate extractedNRNo studies