大型制药公司的悖论(BPP):同时销售诱导和治疗黑色素瘤的药物:复杂关系的简单例子!

G. Tchernev, I. Temelkova
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引用次数: 0

摘要

再一次,我们想把注意力集中在缬沙坦诱发的黑色素瘤上:1例患者在2008年至2018年期间接受了两种医疗产品(氨氯地平和缬沙坦联合用药10/ 160mg(1-0-0),并从2015年开始额外服用缬沙坦160mg(0-0-1), 1)怀疑原发性黑色素细胞病变是在开始使用两种不同的沙坦治疗约3年后发生的;2)在2.5年的时间内,缬沙坦剂量增加一倍,观察到进展为皮肤黑色素瘤。3) AJCC指南在皮肤黑色素瘤手术治疗中的确切应用并不能防止黑色素瘤的进展(如我们所描述的情况),不像OSMS手术模型那样,这种进展是不存在的[3,4]。令人惊讶的是,皮肤黑色素瘤的发展到第4阶段,实际上是在一名患者身上观察到的,他最初接受了两种不同的沙坦治疗,这两种沙坦是由生产Dabrafenib和Trametinib药物的同一家公司生产的:这是目前治疗黑色素瘤最广泛的药物[1]!这些药物后来也被用来治疗“我们的”病人?!
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Big Pharma Paradoxes (BPP): Selling simultaneously drugs which Induce and Treat melanomas: "The simple example for complicated Relations!"
Again we would like to focus the attention to a case of valsartan induced melanoma: a patient who has received two medical products (combined drug of amlodipine and valsartan 10/ 160mg (1-0-0), in the period 2008 to 2018, and additional valsartan 160mg (0-0-1) from 2015 that 1) the suspected primary melanocytic lesion was acquired one and occurred about three years after the start of the treatment with two different sartans 2) progression to cutaneous melanoma was observed when the dose of the valsartan was doubled within a period of 2,5 years, and 3) the exact application of the guidelines of AJCC for surgical treatment of cutaneous melanoma does not protect from melanoma progression (as in the case described by us) unlike the OSMS surgical model in which this progression is absent [3,4]. And what seems to be extraordinary is that 4) the progression of cutaneous melanoma to stage 4 was actually observed in a patient who was initially treated with two different sartans, produced from the same company that produces the Dabrafenib and Trametinib medication : the most widespread medications for treatment of melanoma at the moment [1]! Drugs, which have been subsequently used to treat ʺourʺ patient also?!
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