Cannabis for Cancer

The therapeutic use of medical cannabis in cancer is the subject of intensive scientific research. This paper is based on a comprehensive meta-analysis by Castle et al. (2025), which evaluated over 10,000 studies with a total of 39,767 data points. The aim was to assess the efficacy, safety, and potential anticarcinogenic properties of cannabis. The results show a significantly positive trend: 71.4% of the studies support the use of cannabis, while only 25.6% are opposed. The benefit is particularly pronounced in the relief of therapy-associated symptoms such as pain, nausea, and loss of appetite. Furthermore, preclinical data suggest a possible tumor-inhibiting effect, especially with CBD and THC. The anti-inflammatory properties, the modulation of the endocannabinoid system, and the potential influence on the tumor microenvironment are discussed as key mechanisms. Although further clinical studies are needed, the available findings indicate a growing scientific consensus that suggests a reassessment of medical cannabis in the oncological context.
Philip Schmiedhofer, MSc

Autor

Philip Schmiedhofer, MSc

Inhaltsverzeichnis

How does medical hemp support the treatment of cancer?

The role of medicinal hemp in cancer treatment has increasingly come into the focus of scientific research in recent years.

What health effects does medical cannabis have in cancer treatments?

The health effects of hemp in cancer treatments can be divided into three main categories.

How does hemp affect inflammations in the body?

Inflammations play a central role in the onset and progression of cancer. Chronic inflammatory processes can not only promote tumor growth but also impair the body's immune response to cancer cells.

What role does hemp play in pain management in cancer treatment?

Pain is among the most common and distressing symptoms in cancer patients, especially in the advanced stage of the illness.

How is hemp used as a supportive treatment during chemotherapy?

Chemotherapy remains one of the main pillars of cancer treatment, but it is often associated with serious side effects.

Does cannabis have cancer-fighting properties?

The potentially cancer-preventing effect of hemp is one of the most exciting and at the same time most debated fields of research in cancer study.

How is hemp used to increase appetite during cancer treatments?

Loss of appetite and unintended weight loss are common accompanying symptoms of cancerous diseases, especially during chemotherapy.

How is hemp used to ease nausea caused by chemotherapy?

Chemotherapy-caused nausea and vomiting (CINV) are among the most distressing side effects for cancer patients.

How does hemp affect tumor growth and tumor size?

A central goal of modern cancer medicine is not only the control of symptoms but also the direct suppression of tumor growth.

What does research show about the long-term effects of using hemp in cancer treatment?

The long-term effects of medical cannabis use in cancer patients have so far been only limitedly studied.

How does medical hemp support cancer treatment?

The role of medical hemp in cancer care has increasingly come into the focus of scientific research in recent years. As shown by the meta-analysis of Castle et al. (2025), there is significant scientific support for the use of medical hemp both in palliative care and as a potentially cancer-fighting agent. The results from over 10,000 studies, containing a total of 39,767 relevant data points, show that the supportive effect of hemp in the context of cancer treatment is proven 31.38 times more strongly than opposing statements.

Hemp in cancer treatment

Hemp primarily supports cancer therapy by easing treatment-related side effects such as pain, nausea, and loss of appetite. Furthermore, preclinical studies show a growth-inhibiting effect on tumour cells, with cannabinoids like THC and CBD able to trigger apoptosis (programmed cell death) and inhibit the proliferation of cancer cells. Learn more about CBD in cancer.

The therapeutic potentials arise mainly through the interaction of cannabinoids with the body's own endocannabinoid system, which plays a regulatory role both in the central nervous system and the immune system. By activating CB1 and CB2 receptors, painful and inflammatory processes can be modulated. The analysis shows that 71.4% of the articles in the overall overview have a predominantly positive sentiment towards medical hemp.

What health effects does medical hemp have in cancer treatments?

The health effects of hemp in cancer treatments can be divided into three main categories: health metrics (e.g., inflammation, therapeutic benefit), cancer therapies (e.g., chemotherapy, immune therapy, pain management), and cancer dynamics (e.g., tumour growth, apoptosis, remission). The meta-analysis differentiates these categories and assigns each relevant topic a significant correlation with positive or negative sentiments.

The supportive effect is particularly pronounced in the category of health metrics. The correlation between hemp and therapeutic effects shows a 46.98-fold stronger tendency in favour of supportive statements compared to non-supportive ones. This indicates a very high level of scientific agreement regarding the health-promoting properties of hemp. Especially noteworthy is the therapeutic effect, which reaches a very high degree of statistical significance with a correlation value of 0.48.

Side effects are also discussed in the literature but are reported less frequently and less strongly than the positive effects. In the sentiment analysis, rejecting statements made up only 25.6% of the articles, while unclear results played a minor role at only 3%.

How does hemp affect inflammation in the body?

Inflammation plays a central role in the development and progression of cancer. Chronic inflammatory processes can not only promote tumour growth but also impair the body's immune response to cancer cells. In this context, the anti-inflammatory effect of medical hemp is of particular importance. The meta-analysis by Castle et al. (2025) clearly shows that studies dealing with hemp in connection with inflammatory processes are highly likely to report a supportive effect. The correlation value for anti-inflammatory effects was 0.077 (p < 1.33 × 10⁻¹⁵), indicating very strong statistical significance.

Cannabinoids such as CBD (cannabidiol) and THC (tetrahydrocannabinol) modulate the immune system through various mechanisms. They interact with CB2 receptors, which are mainly found on immune cells, and can inhibit the production of pro-inflammatory cytokines there. These anti-inflammatory properties are not only important for reducing accompanying complaints but could also exert a direct cancer-inhibiting effect by modulating the tumour-promoting inflammatory environment.

A particularly interesting aspect of the meta-analysis is the inverse correlation between "not supported" sentiments and the topic "inflammatory" in the dominance analysis. This means that studies dealing with inflammation in the context of hemp report significantly fewer negative results. This evidence base justifies the assumption that medical hemp not only alleviates symptoms but can also take on a protective function at the pathophysiological level.

What role does hemp play in pain management in cancer therapy?

Pain is one of the most common and burdensome symptoms in cancer patients, especially in the advanced stages of the disease. Opioids are considered the gold standard in pain therapy but are associated with significant side effects and addiction potential. Here, medical hemp offers a promising alternative or supplement.

Hemp for cancer pain

The meta-analysis records one of the strongest positive correlations with supportive sentiments for the topic "Pain" in the entire study. The correlation value of 0.156 (p < 7.53 × 10⁻⁵⁹) in the keyword occurrence analysis, as well as a similarly high value in the dominance analysis, indicate a pronounced scientific consensus. Studies report that cannabinoids act on the nociceptive system, especially through the activation of CB1 receptors in the central nervous system, which leads to a reduction in pain sensations.

Another advantage of medical hemp is the possibility to reduce the use of opioids. Individual studies point out that patients using hemp medication less frequently require high doses of opioids, which can reduce the risk of side effects and dependency. Although further research is needed on this interaction, the meta-analysis shows that the majority of studies report a positive effect on pain management.

It is also remarkable how rarely negative reports occur: only a small portion of studies addressed unwanted effects such as paranoia or nervousness, and even these mostly appeared in moderate form. This underlines the good tolerability of hemp in pain therapy for cancer patients.

How is hemp used as a supportive treatment during chemotherapy?

Chemotherapy remains one of the central pillars of cancer treatment but is often associated with severe side effects. These mainly include nausea, vomiting, loss of appetite, and fatigue. Medical hemp has established itself as one of the most effective complementary measures to alleviate these side effects and improve quality of life during treatment.

In the meta-analysis, the topic "Chemotherapy" showed a very strong association with supportive sentiments. The correlation value was 0.088 (p < 1.33 × 10⁻¹⁹), indicating a clear and robust evidence base. Hemp is particularly often used to relieve chemotherapy-induced nausea (CINV). THC acts here via CB1 receptors in the brain, which are responsible, among other things, for regulating nausea and appetite. CBD appears to modulate the effect of THC and can enhance the anxiety-reducing effects.

Furthermore, there is evidence that patients who use hemp alongside chemotherapy tolerate the treatment better and less often discontinue it. This may also have psychosomatic reasons, as hemp positively influences not only physical well-being but also mood, sleep quality, and general resilience.

The analysis also highlights that supportive statements about hemp use in connection with chemotherapy occur significantly more often than rejecting or unclear assessments. The dominance analysis also shows a clear trend: studies on chemotherapy and hemp are highly likely to report positive effects. This underlines the clinical benefit as a palliative adjunct in standard cancer therapy.

Does hemp have cancer-fighting properties?

The potentially cancer-fighting effect of hemp is one of the most exciting and at the same time controversial fields of research in oncology. The meta-analysis by Castle et al. (2025) confirms that an increasing number of preclinical and some clinical studies provide evidence that certain cannabinoids – especially THC and CBD – can directly affect the growth of tumour cells.

The analysed data show that the topic "Anticarcinogenic" has a correlation value of 0.088 (p < 7.17 × 10⁻²⁰), indicating a highly significant association with supportive sentiments. Among other findings, the studies describe that cannabinoids induce apoptosis (programmed cell death of cancer cells), inhibit angiogenesis (the formation of new blood vessels that supply tumours with nutrients), and block signalling pathways crucial for the growth of malignant cells.

The picture is particularly nuanced for different cancer types: certain breast cancer subtypes seem sensitive to THC- or CBD-containing therapies, while other tumours such as glioblastomas, pancreatic cancers, or prostate cancer involve different receptor profiles. The so-called "entourage effect" – the synergistic effect of several cannabinoids and terpenes – is also increasingly regarded as therapeutically relevant.

However, the meta-analysis also emphasises that many of these effects have so far been demonstrated mainly in vitro or in animal studies. Clinically reliable data in humans are scarce and urgently needed. Nevertheless, the quantitative evaluation shows that the scientific community increasingly recognises the cancer-fighting potentials of hemp – without becoming uncritical.

How is hemp used to increase appetite during cancer treatments?

Loss of appetite and unwanted weight loss are common accompanying symptoms of cancer, especially during chemotherapy. The so-called "anorexia-cachexia syndrome" can significantly worsen the prognosis. Medical hemp is used here because its effect on the endocannabinoid system can modulate essential bodily functions such as hunger and metabolism.

Hemp for cancer-related loss of appetite

The meta-analysis assigns the topic "Appetite" a correlation value of 0.066 (p < 5.91 × 10⁻¹²) – a clear indication of a consistent positive study situation. THC activates CB1 receptors in the hypothalamus, stimulating the feeling of hunger. CBD also seems to support this, especially by modulating serotonergic and dopaminergic systems that influence eating behaviour.

Many patients report a noticeable increase in appetite and weight stabilisation in clinical studies. Although there are some studies with inconsistent results – depending on cancer type, dosage, or individual reaction – the sentiment analysis shows a clear majority of positive assessments.

Notably, the dominance analysis found no significant "not supported" or "unclear" results. This underlines the clinical relevance and potential standardisation of hemp as a supportive measure to promote appetite in cancer patients.

How is hemp used to relieve nausea caused by chemotherapy?

Chemotherapy-induced nausea and vomiting (CINV) are among the most distressing side effects for cancer patients. Even modern anti-nausea drugs often do not fully suppress these complaints. Hemp has been used in this context since the 1980s – partly in synthetic form (e.g., dronabinol), partly as an extract.

The current meta-analysis confirms this tradition with impressive statistical clarity: the topic "Nausea" shows a correlation of 0.079 (p < 2.95 × 10⁻¹⁶), indicating a stable evidence base. Cannabinoids act via CB1 receptors in the brainstem, where they influence the neural pathways that trigger nausea and vomiting.

Subjective patient reports also confirm these results. Many state that they feel significantly better through hemp treatment, suffer less vomiting, and thus improve treatment adherence. The analysis also notes that both the keyword-based and dominant sentiment analyses show no significant negative results – a strong indication of acceptance and effectiveness in practice.

How does hemp affect tumour growth and tumour size?

A central goal of modern cancer care is not only symptom control but also the direct inhibition of tumour growth. This raises the question of whether hemp, beyond its immune-modulating and cell-regulating effects, also acts to inhibit tumours. The meta-analysis addresses this question using the categories "Tumour growth" and "Tumour size."

Both topics show significant positive correlations with supportive study results. "Tumour growth" has a correlation value of 0.037 (p < 0.0001), and "Tumour size" 0.022 (p < 0.025). These figures suggest increasing evidence that cannabinoids can inhibit tumour cell proliferation and slow the growth of existing tumours in preclinical models.

This is explained mechanistically by various effects: inhibition of cell cycle progression, induction of self-digestion (autophagy), influence on gene expression of oncogenic signalling pathways, and an anti-inflammatory microenvironment that hinders tumour growth. Inhibition of tumour blood vessel formation also plays a role, as it reduces the tumour's nutrient supply.

However, it should be noted that these findings mainly come from animal models and cell culture studies. Clinical studies in humans are still pending. Nevertheless, the dominant sentiment analyses show a stable pattern in favour of a supportive effect, while opposing statements rarely occur significantly.

What does research show about the long-term effects of using hemp in cancer treatment?

The long-term effects of medical hemp use in cancer patients have so far been only limitedly studied. The meta-analysis addresses this mainly in terms of the sentiment distribution across the entire body of literature. Here, an impressively consistent tendency in favour of supportive statements is evident – both regarding acute effects and longer-term observations.

Hemp as cancer therapy

Of a total of 10,641 analysed studies, over 71% were characterised by a supportive sentiment. The likelihood that a study describes a supportive effect of hemp was more than 31 times higher than the opposite. This speaks for a consistent positive assessment – also considering potential limitations such as publication bias or study heterogeneity.

At the same time, the analysis emphasises the need for further research to systematically capture long-term effects – especially regarding mental health, dependency risks, and interactions with other medicines. Currently, there is no evidence of serious long-term harm in the cancer context, but the evidence base in this regard still needs to be expanded.

Philip Schmiedhofer, MSc

Philip Schmiedhofer, MSc

Philip is managing director and co-founder of cannhelp GmbH. With studies in medical engineering and molecular biology, specializing in brain sciences and focusing on cannabinoids, he is recognized as an expert in the use of cannabinoids in medicine. As a medical device consultant, he also leads the sales of cannmedic and offers specialized advice for medical professionals. His expertise includes the development and sales of cannabinoid-based products. In research, he participates in significant basic research at the Centre for Brain Research at the Medical University of Vienna. As co-founder and current managing director of cannmedic GmbH, a pioneer in the trade of CBD medical products, he has many years of entrepreneurial experience. Furthermore, he maintains an extensive network in the field and advises internationally operating companies in the area of medical cannabinoids.