# US 2021/0330636 A1 · Use of cannabidiol in the treatment of epilepsy

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- Number: US 2021/0330636 A1
- Document ID: US20210330636A1
- Status: Published application
- Kind: A1
- Application number: 16/935,005
- Filed: 2020-07-21
- Published: 2021-10-28
- Earliest claimed: 2014-10-14
- Applicants: GW Research Limited
- Inventors: Geoffrey GUY; Stephen WRIGHT; Orrin DEVINSKY
- Web page: https://patentgrep.com/patent/US20210330636A1

## CPC

- A61K 31/658: {o-phenolic cannabinoids, e.g. cannabidiol, cannabigerolic acid, cannabichromene or tetrahydrocannabinol}
- A61K 9/08: Solutions {(composition of solutions A61K47/00)}
- A61K 36/3482: {Cannabis}
- A61K 45/06: Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
- A61K 47/10: Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
- A61K 47/26: Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
- A61K 47/44: Oils, fats or waxes according to two or more groups of A61K47/02-A61K47/42; Natural or modified natural oils, fats or waxes, e.g. castor oil, polyethoxylated castor oil, montan wax, lignite, shellac, rosin, beeswax or lanolin (synthetic glycerides, e.g. medium-chain triglycerides, A61K47/14)
- A61P 25/08: Antiepileptics; Anticonvulsants
- A61P 25/10: for petit-mal
- A61P 25/12: for grand-mal
- A61K: PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES (devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms A61J3/00; chemical aspects of, or use of materials for deodorisation of air, for disinfection or sterilisation, or for bandages, dressings, absorbent pads or surgical articles A61L; soap compositions C11D)
- A61P: SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS

## Abstract

The present disclosure relates to the use of cannabidiol (CBD) for the reduction of seizure frequency in the treatment of “treatment-resistant epilepsy” (TRE). In particular, the disclosure relates to the use of CBD of treating TRE when the TRE is Lennox-Gastaut syndrome; Dravet syndrome; or Acardi syndrome.

## Claims

### Claim 1

A method of reducing convulsive seizure frequency in a patient with a treatment-resistant epilepsy, which is Lennox-Gastaut syndrome, comprising administering to the patient in need thereof cannabidiol (CBD), wherein the CBD has a purity of at least 98% (w/w) CBD and comprises not more than 0.15% (w/w) Δ9-tetrahydrocannabinol (THC), wherein the dose of the CBD ranges from 5-25 mg/kg/day.

### Claim 2

A method of treating seizures in a subject having Aicardi Syndrome, comprising administering to the subject in need thereof cannabidiol (CBD), wherein the CBD has a purity of at least 95 (w/w), and the dose of CBD ranges from about 5-25 mg/kg/day.

### Claim 3 (depends on 2)

The method of claim 2, wherein the seizures are convulsive seizures.

### Claim 4 (depends on 2)

The method of claim 2, wherein the seizures are focal seizures with impairment.

### Claim 5 (depends on 2)

The method of claim 2, wherein the seizures are infantile spasms.

### Claim 6 (depends on 2)

The method of claim 2, wherein the seizures are treatment resistant.

### Claim 7 (depends on 2)

The method of claim 2, wherein the CBD is a highly purified extract of cannabis which has a purity of at least 98% (w/w).

### Claim 8 (depends on 7)

The method of claim 7, wherein the extract comprises less than 0.15% tetrahydrocannabinol (THC).

### Claim 9 (depends on 7)

The method of claim 7, wherein the extract further comprises up to 1% cannabidivarin (CBDV).

### Claim 10 (depends on 2)

The method of claim 2, wherein the CBD is present as a synthetic compound.

### Claim 11 (depends on 2)

The method of claim 2, wherein the dose of the CBD is 10 mg/kg/day.

### Claim 12 (depends on 2)

The method of claim 2, wherein the dose of the CBD is 12 mg/kg/day.

### Claim 13 (depends on 2)

The method of claim 2, wherein the dose of the CBD is 14 mg/kg/day.

### Claim 14 (depends on 2)

The method of claim 2, wherein the dose of CBD is 15 mg/kg/day.

### Claim 15 (depends on 2)

The method of claim 2, wherein the dose of the CBD is 16 mg/kg/day.

### Claim 16 (depends on 2)

The method of claim 2, wherein the dose of the CBD is 18 mg/kg/day.

### Claim 17 (depends on 2)

The method of claim 2, wherein the dose of the CBD is 20 mg/kg/day.

### Claim 18 (depends on 24)

The method of claim 24, wherein the CBD is administered as a composition, comprising cannabidiol (CBD), a solvent, a co-solvent, a sweetener, and a flavoring.

### Claim 19 (depends on 18)

The method of claim 18, wherein the solvent is sesame oil.

### Claim 20 (depends on 18)

The method of claim 18, wherein the co-solvent is ethanol.

### Claim 21 (depends on 18)

The method of claim 18, wherein the sweetener is sucralose.

### Claim 22 (depends on 18)

The method of claim 18, wherein the CBD is present at a concentration of ranging from about 25 mg/ml and to about 100 mg/ml.

### Claim 23 (depends on 2)

The method of claim 2, wherein the patient is administered a starting dose of 5 mg/kg/day, and then the dose is increased by about 2-5 mg/kg up to a maximum of 25 mg/kg/day.

### Claim 24 (depends on 23)

The method of claim 23, wherein the dose of the CBD is increased up to 10 mg/kg/day.

### Claim 25 (depends on 23)

The method of claim 23, wherein the dose of the CBD is increased up to 12 mg/kg/day.

### Claim 26 (depends on 23)

The method of claim 23, wherein the dose of the CBD is increased up to 14 mg/kg/day.

### Claim 27 (depends on 23)

The method of claim 23, wherein the dose of CBD is increased up to 15 mg/kg/day.

### Claim 28 (depends on 23)

The method of claim 23, wherein the dose of the CBD is increased up to 16 mg/kg/day.

### Claim 29 (depends on 23)

The method of claim 23, wherein the dose of the CBD is increased up to 18 mg/kg/day.

### Claim 30 (depends on 23)

The method of claim 23, wherein the dose of the CBD is increased up to 20 mg/kg/day.
