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Pain Medicine2 Active Trials

Mark Ware, MBBS, MSc, MRCP

Chief Medical Officer; Adjunct Professor, Anesthesia

Canopy Growth Corporation / McGill University · Montreal, Canada

h-index 54
14,000+ citations
190+ publications
2 active trials

Biography

Mark Ware is a physician-scientist who has spent over two decades building the clinical evidence base for cannabis in pain medicine. As a faculty member at McGill University and former Director of Clinical Research at the Alan Edwards Pain Management Unit, he conducted some of the first rigorous clinical trials of smoked and vaporized cannabis for neuropathic pain. His work on the long-term safety of medical cannabis — including the landmark COMPASS study — has been foundational for regulatory frameworks worldwide. Ware served as Vice-Chair of the Canadian Task Force on Cannabis Legalization and Regulation, directly shaping Canada's landmark 2018 Cannabis Act. He is currently Chief Medical Officer at Canopy Growth while maintaining his academic affiliation at McGill.

Key Contributions

  • 1Conducted first RCT of smoked cannabis for neuropathic pain (2010, CMAJ)
  • 2Led COMPASS study — largest long-term safety study of medical cannabis (1,000+ patients, 1 year)
  • 3Demonstrated vaporized cannabis reduces neuropathic pain in a dose-dependent manner
  • 4Established that medical cannabis does not increase serious adverse events vs. non-cannabis controls at 1 year
  • 5Shaped Canadian medical cannabis regulations as Vice-Chair of the Task Force on Cannabis Legalization

Selected Publications

Smoked Cannabis for Chronic Neuropathic Pain: A Randomized Controlled Trial

980 citations

CMAJ · 2010

Crossover RCT of smoked cannabis (2.5–9.4% THC) for chronic neuropathic pain in 23 patients. Higher THC dose significantly reduced average pain intensity (NRS −0.7 vs. placebo) and improved sleep and anxiety. One of the first rigorous RCTs of inhaled cannabis for pain.

DOI: 10.1503/cmaj.091414

Cannabis for the Management of Pain: Assessment of Safety Study (COMPASS)

720 citations

Journal of Pain · 2015

Prospective cohort study of 431 medical cannabis users and 1,145 controls over 1 year. Medical cannabis users showed no significant increase in serious adverse events vs. controls. Cognitive function and pulmonary function were not significantly impaired. Established the 1-year safety profile of medical cannabis.

DOI: 10.1016/j.jpain.2015.07.014

Vaporized Cannabis Dose-Dependently Reduces Neuropathic Pain

560 citations

Journal of Pain · 2013

Crossover RCT of vaporized cannabis at 0%, 2.9%, 6.7%, and 9.4% THC for neuropathic pain. Dose-dependent reduction in pain intensity with 9.4% THC producing the greatest effect. Established vaporization as a viable delivery route for clinical cannabis research.

DOI: 10.1016/j.jpain.2013.01.010
View all publications on PubMed