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This specific formulation of smoked cannabis is characterized by a high concentration of cannabidiol (CBD, 15.76%) and a low concentration of delta-9-tetrahydrocannabinol (THC, 3.11%). Developed for clinical investigation by the New York State Psychiatric Institute, it is primarily studied for the management of chronic pain and symptoms in palliative care patients. The formulation is designed to leverage the potent anti-inflammatory and analgesic properties of CBD while minimizing the psychoactive and intoxicating effects typically associated with high-THC cannabis strains. Its therapeutic effect is mediated through the modulation of the endocannabinoid system, where THC acts as a partial agonist at CB1 and CB2 receptors, and CBD acts as a negative allosteric modulator of these receptors while also engaging TRPV1 and 5-HT1A pathways.
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