In recent years there have been a number of positive developments in the recreational and medicinal cannabis markets, both globally and within SynBiotic’s main market of Germany. Despite cannabis being used for various medical purposes for thousands of years (and having a safety profile that is superior to alcohol in many respects), there are surprisingly few therapeutics containing cannabis that have been approved by major regulatory authorities.
GW Pharma’s Epidiolex, for the treatment of certain rare epilepsies, was a game-changer as the first FDA-approved cannabinoid drug. It was launched at the end of 2018 and soon after the World Health Organization called for the reclassification of cannabis and its derivatives to facilitate trade for medicinal and scientific purposes, suggesting that CBD with THC of 2% or less should not be subject to international controls. Within Germany, the use of medical cannabis has been legal since 2017 following the passing of the Medicinal Cannabis Act. Regulation in 2023 made the process of obtaining a prescription for medicinal cannabis more accessible for patients and health insurance providers, for which the guidance has been clarified. Germany is now one of the only countries where medical cannabis treatment is covered under a public health insurance system.
In December 2020, the United Nations Commission for Narcotic Drugs, the UN’s central drug policy-making body, voted to remove cannabis for medicinal purposes from a category of the world’s most dangerous drugs (Schedule IV of the 1961 Single Convention on Narcotic Drugs) to which the strictest control measures apply. This classification had generally discouraged cannabis use for medical purposes. Following a vote of 27 in favour (including the US and European nations), 25 against (including China and Russia) and one abstention, UN News stated that the commission ‘has opened the door to recognising the medicinal and therapeutic potential of the drug, although its use for non-medical and non-scientific purposes will continue to remain illegal’. Although governments retain jurisdiction over the classification of cannabis, the decision signalled the intent to loosen international controls.
While the use of recreational cannabis is illegal in most countries, the German government passed partial legalisation in February 2024 permitting regional pilot projects that allow for the production and sale of cannabis in designated areas. There were 407 votes in favour, 226 rejections and four abstentions. Under the new law, from 1 April 2024 over-18s can possess 25g of cannabis in public and 50g in private, and up to three cannabis plants can be grown per person. However, the use of cannabis is restricted in designated public places, such as within sight of schools, sports centres and pedestrian zones, between 7am and 8pm. From 1 July 2024, designated cannabis clubs can be formed with up to 500 members, who are allowed to grow cannabis and distribute it to their members on a not-for-profit basis. The clubs are limited to dispense a maximum of 50g of cannabis per person per month. Members of the clubs must be residents of Germany (membership is not available to tourists) and membership is heavily regulated. Certain SynBiotic businesses, such as Bushdoctor and WEECO, are already benefiting from the new legislation, with increased demand.
While these changes represent a significant shift in legislature, the legalisation of commercial supply of cannabis is yet to be decided. Currently, as the recreational cannabis market is not-for-profit, supply can only come from home cultivation or through the cannabis clubs. The outcome of the regional trials may influence broader cannabis policies within Germany, which may pave the way for legalisation and guidance on the supply of recreational cannabis.
In the US, the largest market for cannabis use, laws on recreational use are being relaxed. Already, 24 states and the District of Columbia have legalised the use of recreational cannabis, while 38 states have legalised the use of cannabis for medicinal purposes. In May 2024, the US Department of Justice reclassified cannabis from a Schedule I controlled substance, a classification that includes addictive drugs such as heroin, to Schedule III, which classes it as a moderate or low-risk dependency drug. The move not only signals a change in attitudes towards recreational use, but could potentially enable greater clinical research and opportunities for pharmaceutical companies to submit new drug applications with cannabis-based products. Although SynBiotic does not operate in the US, it is nonetheless a key global market for cannabis and hemp products and could facilitate regulatory change in other markets.
Key current and prospective market applications for SynBiotic
The hemp and cannabis market can be divided into three distinct segments: medical cannabis, recreational cannabis (currently illegal in most jurisdictions) and industrial hemp. SynBiotic believes it is well-positioned in all three of these markets, with products illustrated in Exhibit 3.
Exhibit 3: SynBiotic products
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Medical cannabis refers to herbal or plant-derived cannabis products that are prescribed by a medical professional. Products are available as herbal materials, oils, tinctures, food or capsules, and SynBiotic is working to expand this list.
After epilepsy, pain is probably the area with the highest quantity of evidence associated with the efficacy of cannabinoids, and is a large market. According to the Centers for Disease Control and Prevention (CDC), 20% of adults in the US (c 50 million) have chronic pain. In Europe, the prevalence of moderate to severe pain in the adult population is estimated to be similarly high at 19% (c 80 million). Research into the benefits of CBD products for the treatment of chronic pain is, however, relatively mixed. For example, a recent study in The Journal of Pain from researchers at the University of Bath, University of Oxford and University of Alberta, Canada, questioned the effectiveness of CBD in pain relief. Other substantial markets are sleep disorders and anxiety. The CDC estimates that between 50 million and 70 million people in the US suffer from chronic or ongoing sleep disorders, while the World Health Organization estimates nearly 301 million people suffer from anxiety.
The legalisation of medical cannabis is advanced across Europe with medical professionals being able to offer cannabis-containing medicines to patients with a serious illness since 2017. Doctors still tend to prescribe cannabis only when other therapies are ineffective, as very few cannabis products have been approved for pain; however, acceptance of medicinal cannabis is increasing steadily. Over-the-counter (OTC) medicinal cannabis (containing THC) is currently only legal in a few EU countries. Germany, however, has been relatively progressive in this field, with an estimated 200k active medical cannabis patients in April 2024. Following the partial legalisation in April, medicinal cannabis has been removed from the German Narcotics Act, resulting in less red tape to facilitate more prescriptions of medicinal cannabis. The number of medical cannabis patients in Germany is expected to grow to 311k (source: Statista) by 2027, while the total medical cannabis market in Europe is expected to grow from US$745m in FY23 to US$2.25bn in FY27 (source: Statista).
The recent changes to legislation could also boost domestic German medicinal cannabis production. The previous tender process has been removed and domestic cannabis producers with a valid permit from the Bundesinstitut für Arzneimittel und Medizinprodukte (BfArM), Germany’s Federal Institute for Drugs and Medical Devices, are no longer limited in the amount of cannabis they can cultivate.
SynBiotic is poised to take advantage of the changes in the regulation of recreational cannabis in Germany, having successfully built out a portfolio of companies that operate within the recreational cannabis value chain. A recent YouGov poll showed that 7% of adults had bought cannabis seeds for private home cultivation, with a further 11% planning on doing so in the future. That said, illicit cannabis sales within Germany remain large, with Statista estimating that the market will grow to $16.6bn by 2025 given that the commercial sale of cannabis continues to be banned. The legalisation of the commercial sale of cannabis is likely to be a slower process compared to the pilot projects that have been put in place, particularly as cities and regions decide whether they would like to participate in the pilots. Although non-profit cannabis clubs are legal nationwide, owing to bureaucracy, many clubs have reported delays in obtaining licences and have found it difficult to comply with the current regulations. There are other legal considerations at both the state and broader EU level that may slow the process to full legalisation of the sale of recreational cannabis. Consequently, SynBiotic has sought to diversify its strategy to cover the wider CBD space with industrial hemp.
SynBiotic believes the opportunity within the industrial hemp category is large, estimating global revenues will triple from $5.5bn in 2023 to c $17bn by 2030. Industrial hemp has a broad range of uses, including wellness and food, cosmetics, food supplements, animal foods, textiles and plastics among the many categories for finished products. Management believes that key milestones for the industry within the German context are the clarification of whether CBD and extracts are a novel food, destigmatisation and continued R&D into the segment to find new use cases. We profile a few of these industries below to show the potential opportunities for SynBiotic.
Many European countries do not allow the sale of CBD-containing food, citing insufficient data on the effects of CBD products on the body. However, the UK’s Food Standard Agency recently granted its first positive safety assessment to a CBD product intended for use as a novel food supplement. Within Germany, applications for the approval of CBD-containing products are ongoing, however SynBiotic expects a favourable decision to be made by mid-2025.
SynBiotic is active in the CBD-based dietary supplements market, which has grown steadily in recent years. SynBiotic’s Hempamed brand is present in hemp oils, with products aimed at different areas such as improved sleep, stress reduction and muscle regeneration.
According to Statista, the European pet food market is expected to reach $42.8bn in 2024, with CBD products accounting for a tiny proportion of this at an estimated $142.4m (source: Statista). Although this clearly is limited in comparison with the broader CBD market, it represents a rapidly growing segment of the market. Another use case is for hemp protein in industrial animal feed, which would represent a significant market opportunity for SynBiotic. At present there are regulatory concerns regarding the transfer of THC from animals to humans. However, benefits seen in trials relating to animal health, meat quality and lower methane production may encourage regulatory change.