# Optimization of Cannabinoids for Development as FDA-Approved Migraine Therapeutics

> **NIH NIH R41** · SCHEDULE 1 THERAPEUTICS, INC. · 2020 · $308,465

## Abstract

Optimization of Cannabinoids for Development as FDA-Approved Migraine Therapeutics
Project Summary:
Migraine is a disorder that affects 15% of all people in the US, the majority of which are women. Migraine is
one of the leading causes of missed days at work during which patients are unable to complete many daily
activities. Currently approved treatments for migraine are not satisfying with at most half of the patients
relieved from their pain. There is historical evidence for the efficacy of cannabis for the treatment of migraine.
However, due partly to the regulatory status of cannabis in most countries worldwide, there are very few
clinical or pre-clinical studies on its efficacy on migraine symptoms. The limited studies that do exist suffer from
lack of controls or lack of knowledge of which of the many cannabinoids are present in the tested preparations
and which of those cannabinoids are responsible for efficacy. Overall, there is a critical need for more rigorous
preclinical and clinical studies of the effect of cannabis on migraine headache to better characterize the
efficacy and adverse effects of its multiple components. The specific molecules extracted from cannabis that
will be used in this study are Δ9-tetrahydrocannabinol (THC) and cannabidiol (CBD), the two primary plant-
based cannabinoids. These molecules have different pharmacological and physiological effects and also have
distinct adverse effect profiles. In an effort to provide proper preclinical scientific rationale for a formulation of
cannabis-derived molecules that can be developed into an FDA-approved treatment of migraine, Schedule 1
Therapeutics is developing purified, orally administered CBD and THC molecules and proposes to test them as
acute treatments for migraine. The objective of the proposed project is to determine the efficacy of purified
CBD and THC in a preclinical model of migraine and identify a ratio of CBD:THC that maximizes efficacy and
minimizes adverse effects. Our overall hypothesis is that while CBD and THC may show efficacy when used
separately, a combination of the two will be more effective with fewer adverse effects than either alone. We
propose two aims that use well established experimental behavioral approaches to validate CBD and THC as
good candidate drugs to be further developed for the treatment of migraine symptoms. In Aim 1, we will
determine the most efficient combination of CBD:THC to reduce CGRP-induced migraine-like phenotypes in
mice. In Aim 2, we will determine the adverse effects of the different combinations of CBD:THC in mice. We
propose to study THC and CBD separately as well as together in different combinations in order to find an
optimal ratio that would have a high efficacy and low adverse effects. The outcome of these studies will add
much-needed data from rigorous experiments to the scientific literature on the efficacy of cannabinoids for
migraine and also constitute components of the development plan of cannabis-based d...

## Key facts

- **NIH application ID:** 10011498
- **Project number:** 1R41DA051309-01
- **Recipient organization:** SCHEDULE 1 THERAPEUTICS, INC.
- **Principal Investigator:** George Pappas
- **Activity code:** R41 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $308,465
- **Award type:** 1
- **Project period:** 2020-09-30 → 2022-09-29

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10011498

## Citation

> US National Institutes of Health, RePORTER application 10011498, Optimization of Cannabinoids for Development as FDA-Approved Migraine Therapeutics (1R41DA051309-01). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10011498. Licensed CC0.

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