NATIONAL ACADEMIES OF SCIENCES ENGINEERING MEDICINE

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NATIONAL ACADEMIES OF SCIENCES ENGINEERING MEDICINE THE HEALTH EFFECTS OF CANNABIS AND CANNABINOIDS: THE CURRENT STATE OF EVIDENCE AND RECOMMENDATIONS FOR RESEARCH ADDRESSING BARRIERS TO POLICY, SURVEILLANCE, AND FUNDING TEDDY SCOTT, PH.D., J.D. PHARMACANN LLC FEBRUARY 21, 2017

Goals Participate in science-based research involving marijuana Promote the development of objective evidence-based policy for marijuana regulation Provide perspective from the medical marijuana industry Act quickly Seek alternative research strategies Make resources available in collaboration

Personal Background Education - University of Texas Southwestern Medical Center, Ph.D., Molecular Biophysics - Northwestern University, J.D. Professional - Polsinelli PC, equity partner in Science and Technology Business - University of Chicago Innovation Fund, advisor - Accelerated Pharma, cofounder Currently - PharmaCann LLC, Chief Executive Officer

Marijuana Spectrum of Beliefs Driving Policy Unlimited Access No Use is Acceptable Liberal Conservative

Marijuana Spectrum of Beliefs Driving Policy Unlimited Access Protect People People Suffering Dangers Overstated No Use is Acceptable Need Regulation Allow Access Liberal Conservative

Marijuana Spectrum of Beliefs Driving Policy Unlimited Access Protect People People Suffering Dangers Overstated No Use is Acceptable POLICY DECISIONS NEED OBJECTIVE EVIDENCE Liberal Conservative

Different Areas for Policy Decisions Recreational Marijuana - vice - lessons from tobacco and alcohol Medicinal Marijuana - NOT normal medicine compassion - policy based exception to marijuana prohibition - physicians are NOT prescribers gatekeepers confirming condition True Medical Marijuana - standard healthcare - physician prescribed/advised - FDA regulated clinical trials safety and efficacy

Status of Marijuana Legalization States with Legal Marijuana Access to Legalized Marijuana Source: Leafly

Failure to Take Action Quickly Medicinal Marijuana Policy - delayed regulation potential danger to public health - delayed liberalization unnecessary suffering Recreational Marijuana Policy - delayed regulation potential danger to public health - delayed liberalization unjust incarcerations and waste of resources for enforcement

PharmaCann Conventional Research and Development Potential Collaborators - Stanford - Northwestern - University of Chicago - Columbia - Temple Roadblocks - Schedule I blocks preclinical and clinical - NIDA sourced material

Opportunity for Alternative Research Plans Resources of state-licensed medical marijuana providers - >1 million medical marijuana patients in US - product quality standards testing for accurate cannabinoid levels - seed to sale software for collecting data - HIPAA-compliant systems Federal action - DOJ - Cole Memo - DEA - license to supply marijuana for research among the factors to be considered are whether the applicant has engaged in illegal activity involving controlled substances. In this context, illegal activity includes any activity in violation of the CSA (regardless of whether such activity is permissible under State law) While past illegal conduct involving controlled substances does not automatically disqualify an applicant, it may weigh heavily against granting the registration.

PharmaCann Manufacturing Facility - Hamptonburgh, NY

Product Capabilities

Testing of Products

Data Collection Systems - BioTrack

Takeaways Do we want to participate prospectively or retrospectively? Opportunity to Take Action Quickly - Thousands of current patients available for collecting data - Unlimited number of product SKUs with validated specifications - Seed to Sale systems track patient data and product information - Recommend for DEA to approve regulated medical cannabis providers Understand differences between recreational, medicinal and true medicine Potential to coordinate through additional Federal guidelines DEA, DOJ and FDA