ANSM publishes the first conclusions of the CSST

On September 10, 2018, the ANSM created, for one year, a Temporary Specialized Scientific Committee (CSST) on the evaluation of the relevance and feasibility of making therapeutic cannabis available in France.
This committee has already met 3 times to assess the therapeutic value of cannabis in the treatment of certain pathologies or symptoms of pathologies, to analyze the experience of other countries that have already implemented it, and to take stock of national and international regulations on the subject.
The committee held hearings with stakeholders to gather testimonials and views from healthcare professionals and patients on the use of cannabis for therapeutic purposes.
A replay of these hearings is available on the ANSM Youtube channel
The initial conclusions of the committee's experts, based on all these elements, are published today.
The agency has taken note of the results and will decide in the next few days on the follow-up to this work, in particular on the possible arrangements for making cannabis available for therapeutic purposes in France.
Summary of CSST opinions
The Committee believes, that it is appropriate to authorize the use of cannabis[1] for therapeutic purposes for patients in certain clinical situations andin the event of insufficient relief or poor tolerance of available drug or non-drug therapies (including cannabis- or cannabinoid-based specialties).
This use can be envisaged as a complement to or replacement for certain therapies.
The therapeutic situations selected by the experts for the use of cannabis for medical purposes are as follows:
The CSST would like to see a national registry set up to monitor treated patients and assess their benefit/risk profile, as well as regular assessment of adverse effects by pharmacovigilance and addicto-vigilance networks, and the promotion of research.
To ensure that all these proposals are implemented, the experts would like to see a change in legislation.
Furthermore, in view of the health risks involved, the committee excludes the smoked route of administration for therapeutic cannabis. If necessary, it will issue a detailed opinion on the various possible routes of administration.
Source: www.ansm.sante.fr
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