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CA

cannabidiol (Xalex 10)

✓ Approved

RAMM Pharma · CNR1

What is cannabidiol?

cannabidiol is a therapeutic agent developed by RAMM Pharma. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand NamesXalex 10
CompanyRAMM Pharma
Molecular TargetCNR1, TRPV1, GPR55
RouteOral (PO)
StatusApproved

Mechanism of Action

Molecular Targets

cannabidiol acts on 3 molecular targets:

CNR1cannabinoid receptor 1 (CNR, CB1A)
TRPV1transient receptor potential cation channel subfamily V member 1 (VR1)
GPR55G protein-coupled receptor 55 (LPIR1)
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Therapeutic Indications

cannabidiol is developed for 1 unique indication across 1 therapeutic area.

Therapeutic AreaConditionPhase
Nervous system disordersEpilepsy✓ Approved

Related Research Articles

PubMedEFSA journal. European Food Safety Authority2026-09-19

Safety of synthetic cannabidiol as a novel food pursuant to regulation (EU) 2015/2283.

EFSA Panel on Nutrition, Novel Foods and Food Allergens (NDA), Turck Dominique D, Bohn Torsten T, Cámara Montaña M et al.

Following a request from the European Commission, the EFSA Panel on Nutrition, Novel Foods and Food Allergens (NDA) was asked to deliver an opinion on cannabidiol (CBD) obtained by chemical synthesis as a novel food (NF) pursuant to Regulation (EU) 2015/2283. The NF consists of ≥ 98% (w/w) CBD and is intended to be marketed exclusively dissolved in medium-chain triglyceride (MCT) oil in food supplements at a maximum daily dose of 2 mg. The proposed target population is the general adult population over 25 years old and excluding pregnant and lactating women. The safety of CBD in individuals taking medications cannot be established. The information provided on the production process, composition and specifications of the NF does not raise safety concerns. The NF is not considered to be nutritionally disadvantageous, and no concerns were identified with respect to genotoxicity. The applicant submitted a 90-day subchronic oral toxicity study with the NF in which the liver was identified as the key target organ, with female rats being more sensitive than males. A BMDL10 of 10.5 mg/kg bw of CBD per day was derived for increased liver weight relative to body weight in female rats. In view of the remaining data gaps, including those related to reproductive and developmental toxicity, the uncertainty factor proposed in the Updated Statement on the safety of CBD published by EFSA in 2026 (i.e. 400) was applied to derive a safe intake level for cannabidiol of 0.026 mg/kg bw per day (2 mg/day for a 70-kg adult). The Panel concludes that the NF is safe under the proposed conditions of use, except for people taking medication, for whom safety could not be established.

PubMedThe International journal on drug policy2026-09-19

Use of cannabidiol products in Canada, United States, Australia, Aotearoa New Zealand, United Kingdom and Germany: products, sources and reasons for use.

Wadsworth Elle E, Graham Myfanwy M, Rychert Marta M, Krowartz Eva-Maria EM et al.

Cannabidiol (CBD) has attracted scientific, clinical, and public interest due to its perceived therapeutic benefits and favourable safety profile. However, a gap remains in understanding how different CBD-only regulatory frameworks shape consumers interaction with the CBD-only market. The study aimed to compare across jurisdictions: 1) CBD-only product use; 2) use for mental/physical symptom management; 3) socio-demographic correlates; and 4) sources of purchase; and 5) to estimate associations between CBD-only product use and perceived access to medical cannabis in jurisdictions without legal recreational cannabis. Data were from the 2024 International Cannabis Policy Study, national cross-sectional surveys among participants aged 16-65 in Canada (CA), United States (US), Australia (AU), Aotearoa New Zealand (NZ), United Kingdom (UK), and Germany (DE) (n=79,644). Weighted estimates of CBD-only product use and behaviours were calculated, and multivariable regression analyses were conducted to examine correlates. Lifetime, past 12-month and past month CBD-only product use was the highest in the US and lowest in AU and NZ. Sources of purchase varied by jurisdiction but generally reflected legal access pathways. Oils (between US27.1% and NZ46.8%) and/or edibles (between AU19.8% and US34.2%) were the most reported product types. Pain (between UK32.3% and NZ49.3%), anxiety (between DE30.4% and US46.5%), and depression (between UK24.2% and AU31.1%) were the most reported reasons for use. The use of cannabis for medical purposes with a prescription had the strongest association with past 12-month use of CBD-only products (range: UKARR=3.42-NZARR=14.73). In UK, AU, and NZ, close to a third of respondents who had ever used a CBD-only product reported to do so because they could not legally access medical cannabis (UK28.4% and AU/NZ39.6%). There is wide cross-jurisdictional variation in CBD-only product use and retail access pathways reflecting distinct regulatory environments, alongside consistent patterns in products, and reasons for use. Variation in the relationship between CBD-only product use and medical cannabis systems, combined with the use of CBD-only products for managing anxiety, depression, and pain, underscores the need for clearer public health messaging, consumer guidance, and stronger evidence to guide policy and practice.

PubMedFrontiers in toxicology2026-09-19

Comparative in vitro safety assessments of synthetized and plant-derived cannabidiol (CBD), and pharmacokinetics of synthetized CBD: evidence of similar toxicological profiles and accumulation upon repeated oral administration.

Wong E T ET, Bovard D D, Schlage W K WK, Xia W W et al.

Comparative toxicology between synthetized and plant-derived cannabidiol (CBD) remains underexplored, as most previous research has focused on a single type of CBD. This leaves uncertainties regarding whether differences in origin, purity, or extraction methods affect the safety profiles or metabolic outcomes of CBD. This study assessed the in vitro safety, in vitro hepatotoxicity, and repeated oral dose pharmacokinetics (PK) of CBD in rats. Two brands of synthetized CBD were evaluated alongside two plant-derived CBD (a high-purity isolate and a lower-purity distillate) in vitro. These findings indicated no meaningful in vitro safety differences among the CBD sources and therefore supported selection of a single synthetized CBD source for an in vivo PK study in male Sprague-Dawley rats dosed orally once daily at 26.5 mg/kg for 21 days. Blood samples were collected at multiple time points on days 1 and 21, and pre-dose samples on selected days to assess baseline accumulation. CBD and its metabolites (7-COOH-CBD, 7-OH-CBD, 6-OH-CBD) were measured in plasma and tissues using liquid chromatography-tandem mass spectrometry. All CBD samples showed comparable safety profiles, with no evidence of genotoxicity or mutagenicity in micronucleus and Ames assays, similar cytotoxicity in HepaRG monolayer cultures, and comparable cytochrome P450 (CYP) inhibition. Over 21 days, repeated dosing increased plasma CBD (AUCINF_D 567 vs. 209 h*kg*ng/mL/mg; Day 21 vs. 1), 7-COOH-CBD (AUClast_D 1006 vs. 581), 6-OH-CBD (AUClast_D 33 vs. 13) and 7-OH-CBD (AUClast_D 43 vs. 31) exposure, and prolonged CBD half-life (41.9 h vs. 5.9 h). The steady-state plasma CBD concentration was achieved by Day 6. Tissue analysis showed marked CBD accumulation in adipose tissue (70,124 ng/g, 1470-fold relative to plasma level) and mesenteric lymph nodes (10,018 ng/g, 201-fold relative to plasma level). Notably, 7-OH-CBD accumulated in adipose tissue (42 ng/g, 21-fold relative to plasma level) and mesenteric lymph nodes (136 ng/g, 73-fold relative to plasma level). Overall, high-purity synthetized and plant-derived CBD showed similar in vitro safety outcomes, while oral administration produced distinct accumulation of CBD and metabolites in plasma and tissue. These findings support flexible CBD source selection for standardized nonclinical research while highlighting the need to consider accumulation dynamics during repeated dosing.

PubMedExpert review of neurotherapeutics2026-09-19

Epilepsy with myoclonic-atonic seizures: a comprehensive review with emphasis on current and emerging pharmacotherapies.

Samanta Debopam D

Epilepsy with myoclonic-atonic seizures (EMAtS), historically termed Doose syndrome, is a developmental and epileptic encephalopathy characterized by the usually abrupt onset of multiple generalized seizure types, including myoclonic-atonic seizures, in early childhood. Advances in genetic diagnostics, antiseizure treatments, and precision therapies have reshaped understanding and management of EMAtS. This review synthesizes the clinical spectrum of EMAtS, including core clinical features and diagnostic approach based on a literature search of PubMed, Embase, and OVID/MEDLINE. The genetic landscape is discussed to contextualize emerging precision therapies. Treatment is reviewed hierarchically, from valproate, clobazam, levetiracetam and ethosuximide as commonly used first- and second-line agents to the ketogenic diet, cannabidiol, felbamate, and sulthiame for drug-resistant disease. Precision approaches for key genetic etiologies, includingSLC2A1, SLC6A1, SYNGAP1, CHD2, STXBP1,andSCN2A, are also reviewed. Although approximately two-thirds of patients with EMAtS achieve seizure remission, a substantial minority experience drug-resistant seizure, intellectual disability, and behavioral comorbidities, underscoring the importance of timely diagnosis, appropriate pharmacotherapy, and early consideration of the ketogenic diet in drug-resistant cases. As precision therapeutics advance, syndrome-based care will increasingly be complemented by treatments tailored to the specific genetic etiology.

PubMedL'Encephale2026-09-19

The relationship between the use of Δ-9-tetrahydrocannabinol and the cannabinoid vaping in French student vapers: An exploratory mixed-methods study.

Kinouani Shérazade S, Simon Maximilien M, Tzourio Christophe C

There is little data on vaping non-nicotine substances (NNS vaping) among young adults, its relationship with other methods of consuming cannabinoids, or how this practice is perceived in France. Our research aimed to: (i) measure the association between Δ-9-tetrahydrocannabinol (THC) use in the past 12 months and NNS vaping; (ii) describe THC and cannabidiol (CBD) vaping; and (iii) explore reasons for, and barriers to, THC and CBD vaping. We led explanatory sequential research in a French university, combining data from a cross-sectional sub-study among current vapers and a qualitative sub-study among daily vapers. Among the 206 student vapers of the quantitative sub-study (median age: 21, men: 60.5%), 11 of whom reported NNS vaping with a predominance of THC or CBD vaping. After adjustment, no significant association was found between THC use in the past 12 months and NNS vaping (aOR=2.29, 95% CI: 0.23-22.37). The qualitative sub-study had 30 participants (median age: 21.5, men: 57%). They did not regularly vape cannabinoids and were largely unaware of this practice. Some intrinsic and extrinsic factors influencing cannabinoid vaping were identified as either facilitators or barriers to the practice. Cannabinoid vaping was perceived as appealing primarily among heavy THC consumers. In this exploratory study the cannabinoid vaping was uncommon among student vapers and had not become the norm. Further research is necessary to understand cannabinoid vaping practices, particularly in the event of changes to French THC and CBD regulations.

PubMedRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)2026-09-18

When 'Cannabidiol' Is Not Cannabidiol - And Why It Matters for Clinicians and Patients.

Crippa José Alexandre S JAS

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