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What a waste!

机译:真是浪费!

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摘要

Amphetamine-like appetite suppressants have been known for decades to have harmful cardiovascular effects.In 2011, the first marketing application for the naltrexone + bupropion combination in the United States was rejected, mainly because of blood pressure elevation in comparison to placebo. The U.S. Food and Drug Administration (FDA) then requested a trial specifically designed to assess the cardiovascular effects of this combination before the company could submit a new marketing application (1). This trial, called CVOT or Light, was expected to last 4 years. The protocol stipulated that an interim analysis would be conducted so that the trial could be interrupted if a marked increase in cardiovascular events occurred in patients taking the naltrexone + bupropion combination. This was ethically justified, as it would have avoided unnecessarily exposing patients to a dangerous medication.
机译:苯丙胺样食欲抑制剂具有有害的心血管作用已有数十年的历史.2011年,纳曲酮+安非他酮组合在美国的第一个市场销售申请被拒绝,主要是因为与安慰剂相比血压升高。然后,美国食品药品监督管理局(FDA)要求进行一项专门设计的试验,以评估该组合对心血管的影响,然后该公司才能提交新的营销申请(1)。这项名为CVOT或Light的试验预计将持续4年。该方案规定进行中期分析,以便在服用纳曲酮+安非他酮组合的患者中发生心血管事件显着增加时可以中断该试验。从道德上讲这是合理的,因为这样可以避免不必要地使患者接触危险的药物。

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  • 来源
    《Prescrire international》 |2015年第164期|共2页
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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 药学;
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