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Clinical Oncology1 Active Trial

Donald Abrams, MD

Professor Emeritus of Clinical Medicine; Chief of Hematology-Oncology (Emeritus)

University of California, San Francisco / Zuckerberg San Francisco General Hospital · San Francisco, CA

h-index 58
16,000+ citations
210+ publications
1 active trial

Biography

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)
  • 2Demonstrated smoked cannabis reduces HIV-associated neuropathic pain in RCT (2007, Neurology)
  • 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.

DOI: 10.1212/01.wnl.0000253187.66183.9c

Integrating Cannabis Into Clinical Cancer Care

560 citations

Current Oncology · 2016

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.

DOI: 10.3747/co.23.3099

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.

DOI: 10.7326/0003-4819-139-4-200308190-00008
View all publications on PubMed