Donald Abrams is a pioneering oncologist and integrative medicine physician who has spent four decades at the intersection of cannabis medicine and cancer care. As Chief of Hematology-Oncology at Zuckerberg San Francisco General Hospital, he conducted some of the first FDA-approved clinical trials of smoked cannabis in HIV/AIDS patients in the 1990s, establishing the safety and efficacy of cannabis for HIV-associated neuropathy and wasting syndrome. Abrams has been a consistent voice for evidence-based cannabis integration in oncology, authoring landmark reviews on cannabis for cancer-related symptoms and serving on the Society for Integrative Oncology's cannabis guidelines committee. He is co-editor of the definitive textbook "Integrative Oncology" and has received the American Cancer Society's Clinical Research Professorship.
Key Contributions
1Conducted first FDA-approved clinical trial of smoked cannabis in HIV patients (1997)
3Established that cannabis does not adversely affect HIV viral load or CD4 counts
4Led comparative effectiveness trial of inhaled cannabis vs. dronabinol for CINV (UCSF)
5Authored definitive review of cannabis-drug interactions in cancer patients
6Established integrative oncology cannabis consultation service at UCSF
Selected Publications
Cannabis in Painful HIV-Associated Sensory Neuropathy: A Randomized Placebo-Controlled Trial
890 citations
Neurology · 2007
RCT of smoked cannabis (3.56% THC) for HIV-associated sensory neuropathy in 50 patients. Cannabis reduced daily pain by 34% vs. 17% for placebo (p=0.03). 52% of cannabis patients achieved ≥30% pain reduction vs. 24% placebo. Established cannabis as an effective treatment for HIV neuropathy.
Comprehensive review of cannabis use in cancer patients covering prevalence, indications (pain, nausea, anorexia, anxiety, sleep), evidence quality, drug interactions, and practical guidance for oncologists. Became the standard reference for oncology cannabis integration.
Short-Term Effects of Cannabinoids in Patients with HIV-1 Infection: A Randomized, Placebo-Controlled Clinical Trial
720 citations
Annals of Internal Medicine · 2003
RCT of smoked cannabis and dronabinol in HIV patients showing both increased caloric intake and body weight vs. placebo without adverse effects on viral load or immune function. Established safety of cannabis in immunocompromised patients.