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Cultivating Evidence-Based Pathways for Cannabis Product Development: Implications for Consumer Protection†
Authors:Aubree L Walton  Kaimee Kellis  William E Tankersley  Rikinkumar S Patel
Institution:1. An earlier draft of this article was presented in February 2020 at the symposium on Legal, Ethical, and Compliance Issues in Emerging Markets: Cannabis in the States. The authors would like to thank the Oklahoma State University Center for Legal Studies & Business Ethics and the American Business Law Journal for co-hosting this timely symposium. The authors also thank the symposium participants for their meaningful insight and suggestions.;2. Kaimee Kellis, J.D., C.P.A., is a Lecturer in the Price College of Business at the University of Oklahoma.;3. William E. Tankersley, M.D. is ABPN Board Certified and is the Medical Director at Children's Recovery Center, Norman, OK. Dr. Tankersley is also Professor of Psychiatry for the Griffin Memorial Psychiatry Residency Program, Norman, OK.;4. Rikinkumar S. Patel, MD, MPH, is a Resident Physician and Research Investigator with the Department of Psychiatry at Griffin Memorial Hospital, Norman, OK.
Abstract:Disparities between federal and state cannabis regulation, coupled with protracted federal enforcement, have facilitated the proliferation of a multi–billion dollar cannabis industry that generally evades compliance with federal consumer protection laws. The Federal Food, Drug and Cosmetic Act (FDCA) established regulatory pathways for the lawful development of products such as food, drugs, and dietary supplements. The FDCA uses a science-based approach to protect consumers from harmful products, but early inconsistencies between state and federal cannabis regulation prevented and/or discouraged the cannabis industry from complying with FDCA requirements. Cannabis products are promoted as safe and attributed with providing effective therapeutic treatment for numerous medical conditions, yet the claims often lack the rigorous evidence-based support typically expected by regulators and the medical community. The Food and Drug Administration (FDA) has announced its expectation that cannabidiol (CBD) products comply with the FDCA and follow a science-based approach to product development. The FDA is addressing violations involving unsubstantiated CBD health claims and is working to clarify the future regulatory pathway for CBD products. Meanwhile, the state-approved cannabis market continues to operate, selling numerous products that have circumvented the FDCA consumer protections. This article examines the need for strengthening consumer protections in the cannabis market. We use evidence-based medicine as a model to address the importance of science-based product development and to contextualize a science-based comparison of regulatory pathways for cannabis drugs, food, and dietary supplements.
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