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A Phase-2 Pilot Study of a Therapeutic Combination of Delta-9-Tetrahydracannabinol and Palmitoylethanolamide for Adults With Tourette's Syndrome

Bloch MH, Landeros-Weisenberger A, Johnson JA, Leckman JF. J Neuropsychiatry Clin Neurosci. 2021;33(4):328-336.

Open-label, no control groupHumansWith delta-9-tetrahydrocannabinol (THC)

This study tested palmitoylethanolamide together with delta-9-tetrahydrocannabinol (THC). Its results cannot be assigned to palmitoylethanolamide alone. More combination studies.

Design
Open-label, no control group
Subjects
16 adults with treatment-refractory Tourette's syndrome
Dose used in the study
THX-110: THC up to 10 mg a day with a fixed 800 mg a day of PEA
Duration
12 weeks, with a 24-week extension
What was measured
Yale Global Tic Severity Scale total tic score; comorbid symptoms; continuation into the extension

What the authors reported

Tic scores fell by about 7 points, over 20 percent, with a significant change within the first week. 12 of 16 continued into the extension. Side effects were common and were managed by lowering or slowing the THC dose.

Limits of this study

Uncontrolled and open label, 16 patients. The active partner is THC, a psychoactive drug, and the authors note that blinding such trials is hard. Nothing can be assigned to PEA. The product is a Yale-linked development compound.

Source

PubMed 34340527 · doi:10.1176/appi.neuropsych.19080178

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.