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Nabiximols + temozolomide is a combination therapy under investigation for the treatment of recurrent glioblastoma multiforme (GBM). Nabiximols (marketed as Sativex) is an oromucosal spray containing a standardized extract of Cannabis sativa with a 1:1 ratio of delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD), acting primarily on cannabinoid receptors in the central nervous system. Temozolomide is an oral alkylating agent used as chemotherapy, which induces DNA damage in tumor cells leading to cell death. The combination aims to leverage potential synergistic antitumor effects, with nabiximols possibly enhancing the cytotoxicity of temozolomide against GBM cells. Clinical trials have shown that this combination has acceptable safety and tolerability profiles, with preliminary evidence suggesting improved survival compared to standard therapy alone[1][2][3][4][5][8].
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