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[行业动态] 华海原料药缬沙坦中检测出可能人类致癌物,欧盟监管部门启动召回相关药品

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药生
发表于 2018-7-7 13:39:51 | 显示全部楼层
beiwei5du 发表于 2018-7-7 13:26
诺华的供应商是华海吗?

Commonly prescribed heart drug is recalled in 22 countries

缬沙坦诺华研发的专利药 - 代文( Diovan)。它不是由华海供应的原料药。

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不是过专利了吗?  发表于 2018-7-7 13:42
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大师
发表于 2018-7-7 15:23:41 | 显示全部楼层
华海药业突爆冷门,昨天股票暴跌8%,引发朋友圈和行业巨震.......
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药徒
发表于 2018-7-7 16:59:00 | 显示全部楼层
可能要全球召回     
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药士
 楼主| 发表于 2018-7-8 10:29:00 | 显示全部楼层
Finnish regulators pull high blood pressure meds over cancer concerns


Ten varieties of the drug Valsartan were found to contain a carcinogen, but patients are urged not to stop using it before getting a subsitute from a pharmacy.
Fimea, the Finnish Medicines Agency, announced Wednesday it has called on pharmacies and hospitals to stop distributing some varieties of the high blood pressure treatment drug Valsartan.
Valsartan is used to treat high blood pressure and congestive heart failure and to extend the lives of those who've suffered heart attacks. The drug is used by some 20,000 people in Finland.
However, Fimea said that variants of Valsartan sold by ten firms (listed at the end of this article) contain the organic chemical N-Nitrosodimethylamine which has been found to cause cancer in animals.
The affected medications are produced in China by pharmaceutical firm Zhejiang Huahai Pharmaceutical. Fimea said the European Medicines Agency is looking into the matter as well.
Fimea said that it is not clear how much the substance increases the risk of cancer, but has recommended that patients who use it contact their local pharmacy for substitutes.
Patients should keep taking affected medsDespite the removal of the drug from Finnish pharmacies Fimea said that past of the use of the drug does not pose any immediate health risks.
Laura Ahonen, a branch manager from Finnish pharmacy chain Yliopiston Apteekki, urged patients who are taking the affected Valsarstan preparations to continue taking the medicine as prescribed until they secure a replacement for the drug.
Ahonen emphasised that high blood pressure patients should absolutely not stop taking their medication.
"If you can't get to the pharmacy right away, the most important thing is to get a replacement as soon as possible. There is no immediate danger, so it's better to continue taking the drug even if the pharmacy can't get a substitute right away," she said.
Pharmacies will not charge extra for the new medication even if it costs more than the one originally prescribed.
The medications being removed from the market are sold under the following brand names:

• Valsarstad (Stada Nordic)
• Valsartan Actavis (Actavis Group PTC ehf)
• Valsartan Orion (Orion Pharma)
• Valsartan ratiopharm (Ratiopharm GmbH)
• Valsartan Sandoz (Sandoz A/S)
• Valsartan/hydroklorotiazid Actavis (Actavis Group PTC ehf)
• Valsartan/hydrochlorothiazide Orion (Orion Pharma)
• Valsartan/hydrochlorothiazide ratiopharm (Ratiopharm GmbH)
• Valsartan/hydrochlorothiazide Sandoz (Sandoz A/S)
• Valsarstad Comp (Stada Nordic)
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药士
 楼主| 发表于 2018-7-8 11:58:55 | 显示全部楼层
本帖最后由 beiwei5du 于 2018-7-8 12:02 编辑

Recalled drugs not in Taiwan
By Lee I-chia  /  Staff reporterSun, Jul 08, 2018
The Food and Drug Administration (FDA) yesterday said that anti-hypertensive drugs produced in China that had been recalled and reported to contain a probable carcinogen were not imported to Taiwan.
The Hong Kong Department of Health on Friday recalled five prescription drugs made in China that are used to treat heart disease, because they were found to contain the chemical N-nitrosodimethylamine (NDMA), which can potentially cause cancer.
The department had detected NDMA — which is classified as a probable human carcinogen based on laboratory test results — in valsartan produced by a manufacturer in China.
The valsartan was used as an active ingredient in the recalled drugs: Valtensin 160mg tablets, Valtensin 80mg tablets, Valtensin HCT 160/12.5mg tablets and Valtensin HCT 80/12.5mg tablets registered to pharmaceutical company Actavis Generics, as well as Valsartan Stada 80mg tablets registered to Hong Kong Medical Supplies.
Following an alert by the UK’s Medicines and Healthcare Products Regulatory Agency, the British government on Thursday issued a news release, saying that pharmacies in the UK should “recall all batches of valsartan containing medicines made by Dexcel Pharma and Accord Healthcare (previously known as Actavis Group) as a precaution.”
The recall was under way across Europe, it said.
The five drugs being recalled were not imported to Taiwan, FDA official Chi Jo-feng (祁若鳳) said yesterday, but added that the manufacturer in question was Zhejiang Huahai Pharmaceutical Co Ltd (浙江華海製藥公司), which some Taiwanese pharmaceutical companies purchase raw materials from.
The administration is checking whether drugs produced in Taiwan contain the same problematic valsartan, she said.
The investigation results are to be announced next week at the earliest, and drugs are to be recalled if they are found to contain the probable carcinogen, Chi said.
Adittional reporting by CNA

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FDA recalls six drugs amid scareABOUT-TURNespite earlier saying that Taiwan was not affected, the FDA has found six products that used valsartan produced by the Chinese company involvedBy Lee I-chia  详情 回复 发表于 2018-7-9 06:51
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药徒
发表于 2018-7-8 12:07:00 | 显示全部楼层
事件发生后,华海药业连发几个公告,也引发多方讨论,看微信群和公众号文章,说法不一:

有的说:华海是诺华的原料供应商,华海自己检测发现有这个杂质,通知供应商,然后供应商投诉到了EMA,就有了EMA关于召回的公告

有的说:是EMA检测先发现的,随即发的公告,华海公告中称自己是主动发现并报告

有的说:这是外资企业抹黑中国一致性评价

有的说:华海在中国根本没做一致性评价,是按照欧美共线申报,那欧美出事召回了,中国也应该召回,义务和责任是一样的

有的说:一致性评价,也就那么回事

有的说:这是外国企业的一个阴谋

我看到的大概就这些,糊涂了,蒲友们,对于“华海事件”,你怎么看?
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药士
 楼主| 发表于 2018-7-9 06:51:29 | 显示全部楼层
本帖最后由 beiwei5du 于 2018-7-9 06:56 编辑
beiwei5du 发表于 2018-7-8 11:58
Recalled drugs not in Taiwan
By Lee I-chia  /  Staff reporterSun, Jul 08, 2018
The Food and Drug  ...



FDA recalls six drugs amid scare

ABOUT-TURN:Despite earlier saying that Taiwan was not affected, the FDA has found six products that used valsartan produced by the Chinese company involved


By Lee I-chia  /  Staff reporter






The prescription drugs for treating heart disease and hypertension that are being recalled over concerns that they could contain a probable carcinogen.Photo: CNA


[Six types of prescription drugs for treating heart disease and hypertension registered under Taiwanese pharmaceutical companies are being recalled as a precaution, as they could contain a probable carcinogen, the Food and Drug Administration (FDA) said yesterday.
The announcement came after governments in Hong Kong, Macau, the UK and several other countries ordered recalls of anti-hypertensive drugs containing valsartan produced by Zhejiang Huahai Pharmaceutical Co Ltd (浙江華海製藥公司) in China.
N-nitrosodimethylamine, a chemical classified as a probable human carcinogen based on laboratory test results, was detected in the valsartan.
The FDA on Saturday said that the recalled products registered under pharmaceutical company Actavis Generics were not imported to Taiwan.
However, after a preliminary examination of drugs containing valsartan that are registered in Taiwan, it discovered that six products contain valsartan from Huahai Pharmaceutical Co.
The products being recalled are: Valsart FC Tablet 160mg and Valsart FC Tablet 80mg registered to Standard Chemical and Pharmaceutical Co Ltd (生達化學製藥); Kovan Plus Coated Tablets 80/12.5mg registered to Macro Co Ltd (瑪科隆); Valsardin Film Coated Tablet 160mg and Valsardin Film Coated Tablet 80mg registered to Yung Shin Pharmaceutical Industrial Co (永信藥品); and Valen FC Tablet 160mg registered to Purzer Pharmaceutical Co Ltd (瑞安大藥廠).
The six products that are being recalled account for about 3 to 4 percent of their category in Taiwan, so the majority of heart disease patients do not have to panic, FDA official Chi Jo-feng (祁若鳳) said.
Healthcare facilities and pharmacies have been told to recall the products within a month, the FDA said, adding that patients taking the recalled drugs should not to stop taking them, but rater see a doctor as soon as possible for an alternative prescription.

This story has been viewed 595 times.






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药士
 楼主| 发表于 2018-7-9 07:11:23 | 显示全部楼层
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药士
 楼主| 发表于 2018-7-9 07:15:11 | 显示全部楼层
Cancer risk sparks generic drug recall(巴林)

Mon, 09 Jul 2018Raji Unnikrishnan
THOUSANDS of patients with high blood pressure and congestive heart failure will be forced to switch to a significantly costlier medicine after a generic drug was recalled from the market.
Valsartan, which is manufactured in China, was taken off Bahrain’s shelves yesterday after the European Medicines Agency (EMA) confirmed it contained harmful ingredients that could lead to cancer.
In a statement issued yesterday, the National Health Regulatory Authority (NHRA) said it has instructed all agents to withdraw the product from the market, adding that a notice of the recall has been circulated to all hospitals and pharmacies in the country.
Valsartan is a copy of Diovan, manufactured by Switzerland-based Novartis, which is available in the local market and public health facilities and costs around 80 per cent more than the generics.
“(The recall) is due to a problem with a preliminary manufacturing product in these drugs, which is impure and might cause cancer if used for a long time – hence the early alert,” NHRA chief executive Dr Maryam Al Jalahma told the GDN.
“The NHRA has asked to withdraw all the medicines from the market in order to identify the manufacturers.
“Those from China will be withdrawn and destroyed in Bahrain, while others, from Switzerland, will be returned to the market.”
Bahrain is one of 22 countries that received about 2,300 batches of the drug with manufacturing defects, supplied from Zhejiang Huahai Pharmaceuticals in Linhai, China.
However, Dr Al Jalahma maintained that the public has no reason to panic.
“People don’t have to panic as any effect will happen after a long time of the usage of the medicine,” she said.
“The company withdrew it as soon as they realised the issue and the recall was to curb the future effect of the drug, but using it for a while might not cause any side-effects.”
Novartis, the company that developed the original drug under the name Diovan, said Sandoz Valsartan and Valsartan/HCT film-coated tablets were being recalled because they did not meet “our high quality standards”.
A representative from Yousuf Mahmood Husain, the distributors for Novartis in Bahrain, said the safety of their products was attested by international regulators.
“We are the manufacturers of the original Valsartan, under the trade name Diovan in the market, which is supplied to all government healthcare facilities including Salmaniya Medical Complex, BDF Hospital and the King Hamad University Hospital,” he said.
“These drugs are safe, whereas the recalled drugs are a generic of this product.”
An official from a private hospital in Bahrain confirmed to the GDN yesterday that up to 20 per cent of their cardiac patients took Valsartan, which costs BD6 while Diovan costs BD11.
“Out of the more than 1,000 cardiac patients monthly, around 15 to 20pc used Valsartan, which has been taken off the shelf after the recall,” he said.
“This means they will have to resort to the original or other generics available, as guided by their doctors.”
The other countries where Valsartan has been recalled are Germany, Norway, Finland, Sweden, Hungary, the Netherlands, Austria, Ireland, Bulgaria, Italy, Spain, Portugal, Belgium, France, Poland, Croatia, Lithuania, Greece, Canada, Bosnia and Herzegovina, and Malta.
raji@gdn.com.bh



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药士
 楼主| 发表于 2018-7-9 07:18:07 | 显示全部楼层
降压药致癌!德国大量召回,源头在中国药厂,请立即查看告诉家人
德国华商2018-07-07 10:06
7月6日,德国媒体爆料,德国药剂师药品委员会(AMK)近期在分批召回含有缬沙坦的药品,原因是这些药品可能被化学物质N-二甲基亚硝胺(N-Nitrosodimethylamin)污染,有致癌的风险!
【知识拓展——缬沙坦】
缬沙坦是一款血管紧张素II受体拮抗剂抗高血压类药物,该药物是起到使血管紧张素Ⅱ的I型(AT1)受体封闭,血管紧张素Ⅱ血浆水平升高,刺激未封闭的AT2受体,同时抗衡AT1受体的作用,从而达到扩张血管降低血压的效果。在美国,缬沙坦是一款用于治疗高血压症、充血性心力衰竭、后心肌梗塞的药物。(来源:维基百科)
【知识拓展——N-二甲基亚硝胺】
N-二甲基亚硝胺是一种半挥发性有机化学品,气味很弱,易溶于水及醇、醚等有机溶剂,极易光解。N-二甲基亚硝胺具有强肝脏毒性,属IARC第2A类致癌物质。N-亚硝基二甲胺急性中毒可引起肝脏损伤、血液血小板计数下降、转氨酶浓度升高,还包括头痛,发烧,呕吐,腹痛,分散性皮下出血,嗜睡,恶心,腹泻等症状。较小剂量的长期暴露也可能增加肝癌风险。(来源:维基百科)
如今,已知的被召回的品牌有:1A-Pharma, Aliud, Basics, Hexal, Heumann, Dexcel, Zentiva 和 Hormosan。


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药士
 楼主| 发表于 2018-7-9 07:55:50 | 显示全部楼层

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韩国方面的具体情况节选: The ban first applied to 219 drugs containing Valsartan, but the ministry reduced the list to 115 products on Monday after a review. The ministry said its decision to ban  详情 回复 发表于 2018-7-9 20:33
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药徒
发表于 2018-7-9 09:24:45 | 显示全部楼层
这看研发阶段杂志研究怎么做的了
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药徒
发表于 2018-7-9 11:31:30 | 显示全部楼层
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药生
发表于 2018-7-9 13:50:22 | 显示全部楼层
kslam 发表于 2018-7-7 10:30
情况严重程度可以从股票行情看出来。股价下跌约7%。

截至发稿,华海药业报20.54元,跌幅9.99%。上周五(7月6日)收盘时,华海药业大跌7.20%,报22.82元。








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今天又跌停了。  发表于 2018-7-9 19:06
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药士
 楼主| 发表于 2018-7-9 19:11:09 | 显示全部楼层
本帖最后由 beiwei5du 于 2018-7-9 19:24 编辑

法国ansm召回中涉及到9家企业,其实其中sandoz的原料药是有部分来自华海的,,难怪诺华召回中说明含糊不清,不知道国内进口的诺华的产品是否有涉及呢?。@kslam
ANSM specifies on its website that nine laboratories are involved in the recall of much Valsartan. These are ARROW GENERIC, BIOGARAN, CRISTERS, EG LABO *, EVOLUPHARM, RANBAXY PHARMACIE GENERIQUES, SANDOZ, ZENTIVA and ZYDUS. All subcontracted, partially or completely, the manufacture of the molecule of Zhejiang Huahai Pharmaceuticals, a Chinese manufacturer. It is a standard model for generics, usually designed in China or India to reduce production costs.

选自:What are the laboratories involved?                      
           Spécialités Valsartan et Valsartan Hydrochlorothiazide - 9 laboratoires concernés - Rappel de lots

Commonly prescribed heart drug is recalled in 22 countries
Valsartan is off-patent and is used as a component of other generic medicines. Novartis, the company that originally developed the drug, said Sandoz valsartan and valsartan/HCT film-coated tablets are being recalled since they “do not meet our high quality standards.” Pharmacies in the UK are advised to recall valsartan batches containing medicines made by Dexcel Pharma Ltd and Accord Healthcare.
1.png
2.png

法国ANSM受影响和未受影响名单09-07-2018.pdf

239.84 KB, 下载次数: 3

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关于诺华制药产品不受缬沙坦制剂召回事件影响的声明 星期一, 2018, 7月 9 - 06:42 就近日发生的欧盟药品管理局要求召回部分缬沙坦类制剂的事件,诺华已经向医疗机构进行如下澄清:  详情 回复 发表于 2018-7-10 07:09
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药士
 楼主| 发表于 2018-7-9 19:43:58 | 显示全部楼层
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药士
 楼主| 发表于 2018-7-9 19:49:01 | 显示全部楼层
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药士
 楼主| 发表于 2018-7-9 20:10:12 | 显示全部楼层
巴林患者使用可能被迫从仿制药转到使用更贵的原研药,其中涉及到的2300批次的产品应该是没有出口到美国,这 是美国迄今暂时没有开展召回的原因??那么为什么华海的回复公告中会专门提到和FDA的沟通??
Those from China will be withdrawn and destroyed in Bahrain, while others, from Switzerland, will be returned to the market.”
Bahrain is one of 22 countries that received about 2,300 batches of the drug with manufacturing defects, supplied from Zhejiang Huahai Pharmaceuticals in Linhai, China.
Though products in the United States are so far unaffected by the recall, 2,300 batches of valsartan sent to Austria, Belgium, Bulgaria, Bahrain, Bosnia and Herzegovina, Canada, Croatia, France, Finland, Germany, Greece, Hungary, Ireland, Italy, Lithuania, Malta, The Netherlands, Norway, Poland, Portugal, Sweden, and Spain are involved.
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药士
 楼主| 发表于 2018-7-9 20:17:55 | 显示全部楼层
following a failed health check.是什么意思???

Quarantined
The Medicines Agency (ANSM) has announced Friday of the withdrawal of certain generic drugs based on valsartan (or valsartan / hydrochlorothiazide). The criminals will no longer be delivered to pharmacies and will be quarantined throughout Europe because of possible contamination.
The failure has been reported to the European Health Care Bodies by one of the manufacturers of valsartan, the Chinese generator Zhejiang Huahai Pharmaceuticals, following a failed health check. Due to changes in the manufacturing process, certain batches may contain traces of N-nitrosodimethylamine (NDMA), a potentially carcinogenic substance with prolonged exposure. What entitles the recall of boxes, as a precautionary measure.

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药士
 楼主| 发表于 2018-7-9 20:33:20 | 显示全部楼层
beiwei5du 发表于 2018-7-9 07:55
식약처, 불순물 함유 우려 고혈 ...

韩国方面的具体情况节选:

The ban first applied to 219 drugs containing Valsartan, but the ministry reduced the list to 115 products on Monday after a review. The ministry said its decision to ban the hypertension drug came after the European Medicines Agency, the drug regulator for the European Union, announced it had found NDMA in Valsartan made by Zhejiang Huahai Pharmaceutical in China last Thursday.

Not all products containing Valsartan, however, contain NDMA. First created and sold as Diovan by the Swiss pharmaceutical company Novartis, Valsartan is now present in hundreds of generic drugs after Novartis’ patent expired in 2012. The original, Diovan, is currently the third-most popular hypertension drug in Korea.

“Out of the 2,690 hypertension drugs that are licensed for sale domestically, 571 of them contain Valsartan,” said Kim Yu-mi, head of the Drug Review and Management Division at the ministry, “and 219 out of these contain Chinese-made Valsartan, but if we conduct a review of available data and on-site investigations, we may discover that the problematic drugs are fewer than this number.”

Over 484,682 kilograms of Valsartan have been imported to Korea over the last three years, according to the ministry, but only 2.8 percent, or 13,770 kilograms, contain ingredients from China. After its announcement on Saturday, the ministry launched on-site investigations of 82 pharmaceutical companies to check whether the drugs contain NDMA.


选自:Blood pressure drugs end up on ban list

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