Was thalidomide a placebo hypnotic?

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-06-01 Epub Date: 2024-05-28 DOI:10.1177/14782715241258503
Stewart Justman
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引用次数: 0

Abstract

Six decades ago the world learned that thalidomide, a seemingly non-toxic sedative and hypnotic, caused severe birth defects including the flipper-like deformity of the arms known as phocomelia. When thalidomide was tested against placebo by the trialist Louis Lasagna in 1960 (while the drug was banned from the U.S. marketplace), he found the 100-mg dosage equivalent to placebo, as well as greatly inferior to the 200-mg dosage, in producing sleep. Even as these findings were made known, a 100-mg dose of thalidomide was in general use as a sleep aid for pregnant women. It appears that unbeknownst to themselves, an untold number of pregnant women around the world who were prescribed thalidomide incurred the risks of a teratogen in return for the benefits of a sugar pill.

沙利度胺是安慰剂催眠药吗?
六十年前,全世界都知道沙利度胺这种看似无毒的镇静剂和催眠药会导致严重的先天缺陷,包括被称为 "畸形儿 "的手臂蹼状畸形。1960 年,试验者路易斯-拉萨格纳(Louis Lasagna)将沙利度胺与安慰剂进行了对比试验(当时该药已被禁止在美国市场上销售),他发现 100 毫克剂量的沙利度胺与安慰剂的效果相当,而 200 毫克剂量的沙利度胺在促进睡眠方面则大为逊色。就在这些研究结果公之于众的同时,100 毫克剂量的沙利度胺被普遍用作孕妇的助眠药物。看来,全世界有不计其数的孕妇在不知情的情况下服用了沙利度胺,承担了致畸的风险,却换来了糖丸的好处。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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