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URLhttps://www.medigatenews.com/news/3506530139
Last Crawled2026-04-10 23:05:10 (11 days ago)
First Indexed2025-09-10 22:39:43 (7 months ago)
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Meta TitleMEDI:GATE NEWS κ³ ν˜ˆμ•• 치료 μƒˆ νŒ¨λŸ¬λ‹€μž„ μ•„λͺ¨ν”„렐, 1μ°¨ 치료제 μ‹œμž₯ 노린닀…5λ…„ λ‚΄ 500μ–΅ 맀좜 κΈ°λŒ€
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ν•œλ―Έμ•½ν’ˆΒ λ°•μž¬ν˜„ λŒ€ν‘œμ΄μ‚¬ [λ©”λ””κ²Œμ΄νŠΈλ‰΄μŠ€ 이지원 기자]Β ν•œλ―Έμ•½ν’ˆμ΄ 세계 졜초 μ €μš©λŸ‰ 3제 ν•­κ³ ν˜ˆμ••μ œ 'μ•„λͺ¨ν”„렐정'(μ„±λΆ„λͺ… μ•”λ‘œλ””ν•€ 1.67mg, λ‘œμ‚¬λ₯΄νƒ„ 16.67mg, 클둜λ₯΄νƒˆλ¦¬λˆ 4.17mg)을 μΆœμ‹œν•˜λ©° κ³ ν˜ˆμ•• 초기 치료 μ‹œμž₯ κ³΅λž΅μ— λ‚˜μ„ λ‹€. μ΄λŠ” λ‹¨μΌμ œμ™€ μœ μ‚¬ν•œ ν˜ˆμ•• κ°•ν•˜ 효과λ₯Ό λ³΄μ΄λŠ” λ™μ‹œμ— λΆ€μž‘μš©μ€ μ€„μ˜€λ‹€. νšŒμ‚¬λŠ” μ‹ ν™˜κ³Ό λ‹¨μΌμ œ 볡용 ν™˜μžλ₯Ό μ£Όμš” νƒ€κΉƒμœΌλ‘œ, 5λ…„ λ‚΄ 500얡원 맀좜 달성을 λͺ©ν‘œν•œλ‹€. ν•œλ―Έμ•½ν’ˆμ΄ 10일 μ„œμšΈ μ†‘νŒŒμ— μœ„μΉ˜ν•œ ν•œλ―Έμ•½ν’ˆ λ³Έμ‚¬μ—μ„œ μ €μš©λŸ‰ 3제 ν•­κ³ ν˜ˆμ••μ œ μ•„λͺ¨ν”„렐 μΆœμ‹œ 기념 κΈ°μžκ°„λ‹΄νšŒλ₯Ό κ°œμ΅œν–ˆλ‹€. κ΅­λ‚΄ κ³ ν˜ˆμ•• ν™˜μžκ°€ 맀년 μ¦κ°€ν•˜λ©΄μ„œ κ³ ν˜ˆμ•• 치료의 흐름이 λ‹¨μΌμ œμ—μ„œ λ³΅ν•©μ œ μ€‘μ‹¬μœΌλ‘œ λ³€ν™”ν•˜κ³  μžˆλ‹€. μ•½λ¬Ό κ°œμˆ˜κ°€ 늘수둝 λ³΅μ•½μˆœμ‘λ„λŠ” 떨어짐에 λ”°λ₯Έ λ³€ν™”λ‹€. 이날 λ°•μž¬ν˜„ λŒ€ν‘œλŠ” "ν•œλ―Έμ•½ν’ˆμ€ 세가지 성뢄을 3λΆ„μ˜ 1 μš©λŸ‰μœΌλ‘œ λ§Œλ“  졜초 μ €μš©λŸ‰ λ³΅ν•©μ œ 신약을 μΆœμ‹œν•œλ‹€"λ©° "이전에 μ—†λ˜ κ³ ν˜ˆμ•• μΉ˜λ£Œμ— λŒ€ν•œ μƒˆλ‘œμš΄ μ˜΅μ…˜μœΌλ‘œ, κ³ ν˜ˆμ•• 치료 μ‹œμž₯의 μƒˆλ‘œμš΄ 지평을 μ—΄ κ²ƒμœΌλ‘œ κΈ°λŒ€ν•œλ‹€"κ³  λ°ν˜”λ‹€. μ•„λͺ¨ν”„렐은 κΈ°μ‘΄ κ³ ν˜ˆμ•• 3제 λ³΅ν•©μ œ 'μ•„λͺ¨μž˜νƒ„ν”ŒλŸ¬μŠ€μ •'(5/50/12.5mg) λŒ€λΉ„ μš©λŸ‰μ„ 3λΆ„μ˜ 1둜 쀄인 μ œν’ˆμœΌλ‘œ, λ‹¨μΌμ œμ™€ μœ μ‚¬ν•œ ν˜ˆμ•• κ°•ν•˜ 효과λ₯Ό 보인닀. λ™μ‹œμ— μš©λŸ‰ 의쑴적인 μ΄μƒλ°˜μ‘ λ°œμƒ μœ„ν—˜μ€ 쀄이고, 볡용 νŽΈμ˜μ„±μ€ λ†’μ˜€λ‹€. λ°• λŒ€ν‘œλŠ” "μ•„λͺ¨ν”„렐을 μ‹œμž‘μœΌλ‘œ κ³ ν˜ˆμ•• 초기 μΉ˜λ£Œμ—μ„œμ˜ μ €μš©λŸ‰ λ³΅ν•©μ œ μš°μˆ˜μ„±μ„ μž…μ¦ν•  κ³„νš"이라며 "ν–₯ν›„ 이λ₯Ό μž‡λŠ” μ°¨μ„ΈλŒ€ μ œν’ˆμ„ μœ‘μ„±ν•  λ°©μΉ¨"이라고 λ§λΆ™μ˜€λ‹€. ν•œλ―Έμ•½ν’ˆ κΉ€λ‚˜μ˜ 전무, λ°•λͺ…희 전무. 사진=ν•œλ―Έμ•½ν’ˆ 세계 졜초 μ €μš©λŸ‰ 3제 λ³΅ν•©μ œβ€¦λ³΅μš© νŽΈμ˜μ„±κ³Ό 초기 경쟁λ ₯ 확보 μ‹ μ œν’ˆκ°œλ°œλ³ΈλΆ€ κΉ€λ‚˜μ˜ μ „λ¬΄λŠ” μ•„λͺ¨ν”„렐 개발 배경을 μ„€λͺ…ν–ˆλ‹€. ν•œλ―Έμ•½ν’ˆμ€ 2018λ…„λΆ€ν„° 7λ…„κ°„ 120얡원을 νˆ¬μž…ν•΄ μ•„λͺ¨ν”„렐을 κ°œλ°œν–ˆλ‹€. μ΄λŠ” 5μ›” μ‹ν’ˆμ˜μ•½ν’ˆμ•ˆμ „μ²˜λ‘œλΆ€ν„° ν’ˆλͺ©ν—ˆκ°€ μŠΉμΈλ°›μ•˜λ‹€. 이후 영ꡭ μ œμ•½μ‚¬μΈ μ‘°μ§€λ©”λ””μŠ¨μ˜ κ³ ν˜ˆμ•• 3제 λ³΅ν•©μ œ 'μœ„λ‹€ν”Œλ¦­'이 λ―Έκ΅­ μ‹ν’ˆμ˜μ•½κ΅­ FDA μŠΉμΈμ„ λ°›μ•˜μœΌλ©°, κ΅­λ‚΄μ™Έμ—μ„œ ν•­κ³ ν˜ˆμ•• μ €μš©λŸ‰ λ‹€μ œ λ³΅ν•©μ œ ν—ˆκ°€μ™€ 연ꡬ가 이어지고 μžˆλ‹€. κΉ€ μ „λ¬΄λŠ” "λ‹¨μΌμ œμ˜ ν•œκ³„λ₯Ό κ·Ήλ³΅ν•˜κΈ° μœ„ν•΄ μ €μš©λŸ‰ λ³΅ν•©μ œλ₯Ό μ„ νƒν–ˆλ‹€"λ©° "ν™˜μž 쀑심 치료λ₯Ό μœ„ν•œ μƒˆλ‘œμš΄ μ˜΅μ…˜μ΄ 될 것"이라고 κ°•μ‘°ν–ˆλ‹€. 이어 κ·ΈλŠ” 'μ•„λͺ¨ν”„렐 νŒ¨λ°€λ¦¬'λ₯Ό κ°œλ°œν•΄ ν™˜μž 증상에 λ”°λ₯Έ 치료 μ˜΅μ…˜μ„ λ§ˆλ ¨ν•  κ³„νšμ΄λΌκ³  λ°ν˜”λ‹€. 20~30λŒ€ κ³ ν˜ˆμ•• μœ λ³‘λ₯ μ΄ μ¦κ°€ν•˜κ³  λ°œλ³‘ 원인이 닀양해짐에 λ”°λ₯Έ μ „λž΅μ΄λ‹€. κΉ€ μ „λ¬΄λŠ” "ν˜ˆμ••μ„ μ μ ˆν•˜κ²Œ κ΄€λ¦¬ν•˜κΈ° μœ„ν•΄μ„œλŠ” 치료제 μš©λŸ‰μ˜ 증감을 μ‘°μ ˆν•˜λŠ” 것이 μ€‘μš”ν•˜λ‹€. κ³ ν˜ˆμ•• 초기 μš”λ²•μœΌλ‘œ λ‹¨μΌμ œμ—μ„œ μ €μš©λŸ‰ 3제 λ³΅ν•©μ œ μ „ν™˜μ„ μ£Όλ„ν•˜κΈ° μœ„ν•΄ μ•„λͺ¨ν”„렐 λ‚΄μ—μ„œλ„ μš©λŸ‰ 쑰절이 ν•„μš”ν•  것"이라며 "μ•„λͺ¨ν”„렐 νŒ¨λ°€λ¦¬λ₯Ό ꡬ좕해 ν™˜μžμ˜ 증상과 μƒνƒœμ— 따라 μ„ΈλΆ„ν™”λœ 치료 μ˜΅μ…˜μ„ μ œκ³΅ν•˜κ² λ‹€. λ˜ν•œ μ €μš©λŸ‰ λ³΅ν•©μ œλ₯Ό μƒˆλ‘œμš΄ 치료 νŒ¨λŸ¬λ‹€μž„μœΌλ‘œ μ •μ°©μ‹œν‚€λŠ” 데 μ•žμž₯μ„œκ² λ‹€"κ³  μ„€λͺ…ν–ˆλ‹€. μ‹ ν™˜ μ‹œμž₯ 20%, λ‹¨μΌμ œ 5% 점유 λͺ©ν‘œβ€¦μ²«ν•΄ 100μ–΅, 5λ…„ μ°¨ 500μ–΅ 달성 κΈ°λŒ€ ꡭ내사업본뢀 λ°•λͺ…희 μ „λ¬΄λŠ” μ•žμœΌλ‘œμ˜ μ•„λͺ¨ν”„렐 λ§ˆμΌ€νŒ… μ „λž΅μ„ μ†Œκ°œν–ˆλ‹€. λ°• μ „λ¬΄λŠ” "전체 κ³ ν˜ˆμ•• μ‹œμž₯은 μ•½ 2μ‘°4000얡원 규λͺ¨λ‹€. ν•œλ―Έμ•½ν’ˆμ€ λ‹¨μΌμ œλΆ€ν„° λ³΅ν•©μ œκΉŒμ§€ 초기 ν™˜μžλΆ€ν„° 쀑증 ν™˜μžκΉŒμ§€μ˜ λͺ¨λ“  치료제 라인업을 λ³΄μœ ν•˜κ³  μžˆλ‹€"λ©° "μ•„λͺ¨ν”„렐은 특히 μ‹ ν™˜κ³Ό λ‹¨μΌμ œ μŠ€μœ„μΉ˜ μˆ˜μš”λ₯Ό 겨λƒ₯ν•΄ μ‹œμž₯을 ν™•λŒ€ν•  것"이라고 λ§ν–ˆλ‹€. 이어 κ·ΈλŠ” "μ•„λͺ¨ν”„렐은 λ³΅ν•©μ œλ‘œμ„œλŠ” μœ μΌν•˜κ²Œ 초기 μš”λ²• 라벨을 νšλ“ν•΄ μΉΌμŠ˜μ±„λ„μ°¨λ‹¨μ œ(CCB)와 μ•ˆμ§€μ˜€ν…μ‹  수용체 차단(ARB)의 λ‹¨μΌμš”λ²•μ—μ„œ μœ μš©ν•œ λŒ€μ•ˆμ΄ 될 수 μžˆλ‹€"λ©° "세계 졜초둜 μƒμ—…ν™”λœ μ €μš©λŸ‰ 3제 λ³΅ν•©μ œλ₯Ό 톡해 ν•œκ΅­μ΄ κΈ€λ‘œλ²Œ κ°€μ΄λ“œλΌμΈμ„ 선도할 기회λ₯Ό μž‘μ„ 것"이라고 μ–ΈκΈ‰ν–ˆλ‹€. λ°• μ „λ¬΄λŠ” 가격 경쟁λ ₯도 κ°•μ‘°ν–ˆλ‹€. μ•„λͺ¨ν”„렐은 ARB κ³ μš©λŸ‰ μ•½κ°€ λŒ€λΉ„ μ•½ 10%, λ³΅ν•©μ œ λŒ€λΉ„ 20% μ €λ ΄ν•˜λ‹€λŠ” μ„€λͺ…이닀. 이어 ꡬ체적인 λͺ©ν‘œλ₯Ό μ œμ‹œν–ˆλ‹€. "μ‹ ν™˜ μ‹œμž₯μ—μ„œ 20%, λ‹¨μΌμ œ μ‹œμž₯μ—μ„œ 5% 점유λ₯Ό λͺ©ν‘œλ‘œ ν•œλ‹€"λ©° "첫해 100얡원, 5λ…„ μ°¨ 500얡원 λ§€μΆœμ„ 달성할 κ³„νš"이라고 λ°ν˜”λ‹€. (μ™Όμͺ½λΆ€ν„°) 이무용 ꡐ수, μ‹ μ§„ν˜Έ ꡐ수 "μ €μš©λŸ‰ λ³΅ν•©μ œ, μ˜λ£Œμ§„ 처방 κ³ λ―Ό 덜고 λΆ€μž‘μš© 쀄인닀" 치료 νŒ¨λŸ¬λ‹€μž„ λ³€ν™” 예고 μž„μƒμ‹œν—˜ μ±…μž„μ—°κ΅¬μžμΈ λ™κ΅­μ˜λŒ€ 이무용 κ΅μˆ˜λŠ” "μ•„λͺ¨ν”„렐은 λ‘œμ‚¬λ₯΄νƒ„ λŒ€λΉ„ ν˜ˆμ•• κ°•ν•˜ νš¨κ³Όμ—μ„œ μš°μ›”μ„±μ„ μž…μ¦ν–ˆκ³ , μ•”λ‘œλ””ν•€ λ‹¨μΌμ œμ™€ λΉ„κ΅ν•΄μ„œλ„ 비열등성을 ν™•λ³΄ν–ˆλ‹€"λ©° "λΆ€μž‘μš© ν”„λ‘œνŒŒμΌμ—μ„œλ„ 차별성을 보여 초기 치료제 κ°€λŠ₯성을 ν™•μΈν–ˆλ‹€"κ³  μ„€λͺ…ν–ˆλ‹€. μ‹€μ œλ‘œ 경증·쀑등도 κ³ ν˜ˆμ•• ν™˜μžλ₯Ό λŒ€μƒμœΌλ‘œ μ•„λͺ¨ν”„렐과 ν‘œμ€€ λ‹¨μΌμ œ(μ•”λ‘œλ””ν•€ 5mg λ˜λŠ” λ‘œμ‚¬λ₯΄νƒ„ 50mg)의 8μ£Όκ°„ ν˜ˆμ•• κ°•ν•˜ 효과λ₯Ό λΉ„κ΅ν•œ μž„μƒ 3μƒμ—μ„œ μœ μ˜λ―Έν•œ κ²°κ³Όκ°€ 확인됐닀. μˆ˜μΆ•κΈ° ν˜ˆμ••(sitSBP) κ°μ†Œ νš¨κ³ΌλŠ” μ•„λͺ¨ν”„렐ꡰ이 μ•”λ‘œλ””ν•€ 5mgκ΅° λŒ€λΉ„ λΉ„μ—΄λ“±μ„±(-19.1 vs. -19.6mmHg, 두 κ΅°κ°„ 평균 차이에 λŒ€ν•œ 95% μ–‘μΈ‘ 신뒰ꡬ간 μƒν•œμΉ˜ 0 미만)을 μž…μ¦ν–ˆλ‹€. λ‘œμ‚¬λ₯΄νƒ„ 50mgκ³Ό λΉ„κ΅ν•΄μ„œλ„ μš°μ›”μ„±(-19.9 vs. -16.4mmHg, p=0.037)을 λ³΄μ˜€λ‹€. λ˜ν•œ 이완기 ν˜ˆμ••(sitDBP) κ°μ†Œ νš¨κ³Όλ„ μ•„λͺ¨ν”„렐ꡰ이 λ‘œμ‚¬λ₯΄νƒ„ 50mgκ΅° λŒ€λΉ„ 우수(-9.8 vs. -7.4mmHg, p=0.012)ν•œ κ²ƒμœΌλ‘œ λ‚˜νƒ€λ‚¬λ‹€. 8μ£Ό ν›„ ν˜ˆμ•• λ°˜μ‘λ₯ (κΈ°μ €μΉ˜ λŒ€λΉ„ SBPβ‰₯20mmHg κ°μ†Œ λ˜λŠ” DBPβ‰₯10mmHg κ°μ†Œ ν™˜μž λΉ„μœ¨)은 μ•„λͺ¨ν”„렐이 λ‘œμ‚¬λ₯΄νƒ„ 50mg λŒ€λΉ„ μœ μ˜ν•˜κ²Œ λ†’μ•˜λ‹€.(63.7% vs. 49.6%, p=0.017) SBP 130mmHg 미만 도달λ₯ λ„ μ•„λͺ¨ν”„렐ꡰ이 더 λ†’κ²Œ λ‚˜νƒ€λ‚¬λ‹€.(47% vs. 31%, p=0.017) 이뿐 μ•„λ‹ˆλΌ μ€‘λŒ€ν•œ μ΄μƒλ°˜μ‘μ€ λ³΄κ³ λ˜μ§€ μ•Šμ•„ 내약성도 μž…μ¦ν–ˆλ‹€. 이 κ΅μˆ˜λŠ” "κ³ ν˜ˆμ•• ν™˜μžμ˜ 1λ…„ λ‚΄ 치료 μ‹€νŒ¨μœ¨μ€ μ ˆλ°˜μ— λ‹¬ν•œλ‹€. μ΄λŠ” ν˜ˆμ•• 쑰절 미비와 λΆ€μž‘μš©μ— λ”°λ₯Έ κ²°κ³Όλ‹€. 치료λ₯Ό ν¬κΈ°ν•˜λŠ” 초기 ν™˜μžλ§Œ μž‘μ•„λ„ κ³ ν˜ˆμ•• ν™˜μž 증가λ₯Ό 쀄일 수 μžˆλ‹€"κ³  λ§ν–ˆλ‹€. 이어 "κ³ ν˜ˆμ••μ€ ν•œ 가지 κΈ°μ „μœΌλ‘œ μ„€λͺ…λ˜μ§€ μ•ŠλŠ”λ‹€. ν™˜μžκ°€ 왔을 λ•Œ μ–΄λ–€ 약이 λ§žμ„μ§€ 늘 κ³ λ―Όμ΄μ§€λ§Œ, μ•„λͺ¨ν”„렐은 μ„Έ 가지 μ£Όμš” 기전을 λ™μ‹œμ— 차단해 κ³ λ―Όν•˜μ§€ μ•Šκ³  두루두루 μ•ˆμ „ν•˜κ²Œ μ“Έ 수 μžˆλŠ” μ˜΅μ…˜μ΄ λœλ‹€"κ³  λΆ€μ—°ν–ˆλ‹€. 이 κ΅μˆ˜λŠ” "μ €μš©λŸ‰ λ³΅ν•©μ œλŠ” νš¨κ³Όκ°€ λΆ€μ‘±ν•˜κ±°λ‚˜ λΆ€μž‘μš©μœΌλ‘œ 치료λ₯Ό μ€‘λ‹¨ν•˜λŠ” ν™˜μžλ₯Ό 쀄이고, μ΄ˆκΈ°λΆ€ν„° λͺ©ν‘œ ν˜ˆμ•• 도달λ₯ μ„ 높일 수 μžˆλ‹€"λ©° "λ‹¨μˆœν•œ 약물이 μ•„λ‹ˆλΌ μƒˆλ‘œμš΄ 치료 νŒ¨λŸ¬λ‹€μž„"이라고 κ°•μ‘°ν–ˆλ‹€. 이어 이미 λ‹¨μΌμ œλ₯Ό 볡용 쀑인 ν™˜μžμ˜ μ „ν™˜ 여뢀에 λŒ€ν•œ μ§ˆμ˜μ— "ν˜ˆμ••μ΄ 잘 쑰절되고 λΆ€μž‘μš©μ΄ μ—†λ‹€λ©΄ ꡳ이 λ°”κΏ€ ν•„μš”λŠ” μ—†μ§€λ§Œ, νš¨κ³Όκ°€ λΆˆμΆ©λΆ„ν•˜κ±°λ‚˜ λΆ€μ’… 같은 λΆ€μž‘μš©μ΄ λ‚˜νƒ€λ‚  경우 μ•„λͺ¨ν”„λ λ‘œ μ „ν™˜ν•˜λŠ” 것이 μ μ ˆν•˜λ‹€"κ³  λ‹΅ν–ˆλ‹€. μ•„μšΈλŸ¬ ν–₯ν›„ κ³ ν˜ˆμ•• κ°€μ΄λ“œλΌμΈμ— 반영된 것이라고 μ „λ§ν–ˆλ‹€. 이 κ΅μˆ˜λŠ” "신약이 μ‹œμž₯에 λ‚˜μ™€ κ°€μ΄λ“œλΌμΈμ— λ“€μ–΄κ°€κΈ°κΉŒμ§€ 5μ—μ„œ 10년이 κ±Έλ¦°λ‹€. 아직 μ‹œκ°„μ΄ ν•„μš”ν•˜λ‹€. ν•˜μ§€λ§Œ λͺ‡ 가지 μž„μƒ μž…μ¦λ§Œ μΆ”κ°€ν•œλ‹€λ©΄ κ°€μ΄λ“œλΌμΈμ— μΆ©λΆ„νžˆ 반영될 수 μžˆλ‹€"λ©° "이 μ•½μ œλ₯Ό 1μ°¨ μ•½μ œλ‘œ λ“±μž¬ν•˜λŠ” 것이 λͺ©ν‘œ"라고 λ°ν˜”λ‹€. 이어 ν–₯ν›„ κΈ€λ‘œλ²Œ κ°€μ΄λ“œλΌμΈ λ“±μž¬λ„ μ „λ§ν–ˆλ‹€. λŒ€ν•œκ³ ν˜ˆμ••ν•™νšŒ 이사μž₯인 ν•œμ–‘μ˜λŒ€ μ‹ μ§„ν˜Έ κ΅μˆ˜λŠ” 보닀 μ‹ μ€‘ν•œ μž…μž₯을 λ³΄μ˜€λ‹€. κ·ΈλŠ” "μ €μš©λŸ‰ λ³΅ν•©μ œλŠ” 초기 μΉ˜λ£Œμ—μ„œ μƒˆλ‘œμš΄ κ°€λŠ₯성을 λ³΄μ—¬μ£Όμ§€λ§Œ, κ°€μ΄λ“œλΌμΈμ€ μ‹ μ•½ μΆœμ‹œ ν›„ ν•œμ°Έ 뒀에 λ”°λΌμ˜¨λ‹€"λ©° "μ–΄λ–€ 데이터 등을 μ œμ‹œν•œλ‹€κ³  κ°€μ΄λ“œλΌμΈμ— λ°”λ‘œ λ“±μž¬λ˜λŠ” 것이 μ•„λ‹ˆλ‹€. 이 λ•Œλ¬Έμ— μ•„λͺ¨ν”„λ μ˜ μž„μƒμ  증거가 μ•„λ‹Œ 컨셉을 μ†Œκ°œν•˜λŠ” 것이 μš°μ„ "이라고 λ°ν˜”λ‹€.
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[ENGLISH NEWS](https://www.medigatenews.com/category/english_news/list) - [μŠ¬λ¦½ν…Œν¬](https://www.medigatenews.com/section/sleep_health/list) - [μˆ˜λ©΄κ±΄κ°•](https://www.medigatenews.com/section/sleep_health/list) - [μˆ˜λ©΄μ‚°μ—…](https://www.medigatenews.com/section/sleep_industry/list) - [μˆ˜λ©΄κΈ°μˆ ν˜‘νšŒ(KSTA)](https://www.medigatenews.com/section/sleep_tech_association/list) κΈ°μ‚¬μž…λ ₯μ‹œκ°„ 25.09.11 07:14μ΅œμ’… μ—…λ°μ΄νŠΈ 25.09.11 07:14 [제보](https://www.medigatenews.com/givingInfo/giving_info) [곡유]() [URL λ³΅μ‚¬ν•˜κΈ°]() [λ©”λ””κ²Œμ΄νŠΈ(무찌마)]() [카카였 μŠ€ν† λ¦¬]() [페이슀뢁]() [νŠΈμœ„ν„°]() [넀이버 λ°΄λ“œ]() "κ³ ν˜ˆμ•• 치료 μƒˆ νŒ¨λŸ¬λ‹€μž„" μ•„λͺ¨ν”„렐, 1μ°¨ 치료제 μ‹œμž₯ 노린닀…5λ…„ λ‚΄ 500μ–΅ 맀좜 κΈ°λŒ€ λ‹¨μΌμ œ ν•œκ³„ λ„˜μ–΄ 볡용 νŽΈμ˜μ„±κ³Ό 효과 λͺ¨λ‘ μž‘μ•˜λ‹€β€¦μ‹ ν™˜ μ‹œμž₯ 20%, λ‹¨μΌμ œ μ‹œμž₯ 5% 점유 λͺ©ν‘œ ![](https://www.medigatenews.com/file/news/474686) ν•œλ―Έμ•½ν’ˆ λ°•μž¬ν˜„ λŒ€ν‘œμ΄μ‚¬ \[λ©”λ””κ²Œμ΄νŠΈλ‰΄μŠ€ 이지원 기자\] ν•œλ―Έμ•½ν’ˆμ΄ 세계 졜초 μ €μš©λŸ‰ 3제 ν•­κ³ ν˜ˆμ••μ œ 'μ•„λͺ¨ν”„렐정'(μ„±λΆ„λͺ… μ•”λ‘œλ””ν•€ 1.67mg, λ‘œμ‚¬λ₯΄νƒ„ 16.67mg, 클둜λ₯΄νƒˆλ¦¬λˆ 4.17mg)을 μΆœμ‹œν•˜λ©° κ³ ν˜ˆμ•• 초기 치료 μ‹œμž₯ κ³΅λž΅μ— λ‚˜μ„ λ‹€. μ΄λŠ” λ‹¨μΌμ œμ™€ μœ μ‚¬ν•œ ν˜ˆμ•• κ°•ν•˜ 효과λ₯Ό λ³΄μ΄λŠ” λ™μ‹œμ— λΆ€μž‘μš©μ€ μ€„μ˜€λ‹€. νšŒμ‚¬λŠ” μ‹ ν™˜κ³Ό λ‹¨μΌμ œ 볡용 ν™˜μžλ₯Ό μ£Όμš” νƒ€κΉƒμœΌλ‘œ, 5λ…„ λ‚΄ 500얡원 맀좜 달성을 λͺ©ν‘œν•œλ‹€. ν•œλ―Έμ•½ν’ˆμ΄ 10일 μ„œμšΈ μ†‘νŒŒμ— μœ„μΉ˜ν•œ ν•œλ―Έμ•½ν’ˆ λ³Έμ‚¬μ—μ„œ μ €μš©λŸ‰ 3제 ν•­κ³ ν˜ˆμ••μ œ μ•„λͺ¨ν”„렐 μΆœμ‹œ 기념 κΈ°μžκ°„λ‹΄νšŒλ₯Ό κ°œμ΅œν–ˆλ‹€. κ΅­λ‚΄ κ³ ν˜ˆμ•• ν™˜μžκ°€ 맀년 μ¦κ°€ν•˜λ©΄μ„œ κ³ ν˜ˆμ•• 치료의 흐름이 λ‹¨μΌμ œμ—μ„œ λ³΅ν•©μ œ μ€‘μ‹¬μœΌλ‘œ λ³€ν™”ν•˜κ³  μžˆλ‹€. μ•½λ¬Ό κ°œμˆ˜κ°€ 늘수둝 λ³΅μ•½μˆœμ‘λ„λŠ” 떨어짐에 λ”°λ₯Έ λ³€ν™”λ‹€. 이날 λ°•μž¬ν˜„ λŒ€ν‘œλŠ” "ν•œλ―Έμ•½ν’ˆμ€ 세가지 성뢄을 3λΆ„μ˜ 1 μš©λŸ‰μœΌλ‘œ λ§Œλ“  졜초 μ €μš©λŸ‰ λ³΅ν•©μ œ 신약을 μΆœμ‹œν•œλ‹€"λ©° "이전에 μ—†λ˜ κ³ ν˜ˆμ•• μΉ˜λ£Œμ— λŒ€ν•œ μƒˆλ‘œμš΄ μ˜΅μ…˜μœΌλ‘œ, κ³ ν˜ˆμ•• 치료 μ‹œμž₯의 μƒˆλ‘œμš΄ 지평을 μ—΄ κ²ƒμœΌλ‘œ κΈ°λŒ€ν•œλ‹€"κ³  λ°ν˜”λ‹€. μ•„λͺ¨ν”„렐은 κΈ°μ‘΄ κ³ ν˜ˆμ•• 3제 λ³΅ν•©μ œ 'μ•„λͺ¨μž˜νƒ„ν”ŒλŸ¬μŠ€μ •'(5/50/12.5mg) λŒ€λΉ„ μš©λŸ‰μ„ 3λΆ„μ˜ 1둜 쀄인 μ œν’ˆμœΌλ‘œ, λ‹¨μΌμ œμ™€ μœ μ‚¬ν•œ ν˜ˆμ•• κ°•ν•˜ 효과λ₯Ό 보인닀. λ™μ‹œμ— μš©λŸ‰ 의쑴적인 μ΄μƒλ°˜μ‘ λ°œμƒ μœ„ν—˜μ€ 쀄이고, 볡용 νŽΈμ˜μ„±μ€ λ†’μ˜€λ‹€. λ°• λŒ€ν‘œλŠ” "μ•„λͺ¨ν”„렐을 μ‹œμž‘μœΌλ‘œ κ³ ν˜ˆμ•• 초기 μΉ˜λ£Œμ—μ„œμ˜ μ €μš©λŸ‰ λ³΅ν•©μ œ μš°μˆ˜μ„±μ„ μž…μ¦ν•  κ³„νš"이라며 "ν–₯ν›„ 이λ₯Ό μž‡λŠ” μ°¨μ„ΈλŒ€ μ œν’ˆμ„ μœ‘μ„±ν•  λ°©μΉ¨"이라고 λ§λΆ™μ˜€λ‹€. ![](https://www.medigatenews.com/file/news/474688) ν•œλ―Έμ•½ν’ˆ κΉ€λ‚˜μ˜ 전무, λ°•λͺ…희 전무. 사진=ν•œλ―Έμ•½ν’ˆ **세계 졜초 μ €μš©λŸ‰ 3제 λ³΅ν•©μ œβ€¦λ³΅μš© νŽΈμ˜μ„±κ³Ό 초기 경쟁λ ₯ 확보** μ‹ μ œν’ˆκ°œλ°œλ³ΈλΆ€ κΉ€λ‚˜μ˜ μ „λ¬΄λŠ” μ•„λͺ¨ν”„렐 개발 배경을 μ„€λͺ…ν–ˆλ‹€. ν•œλ―Έμ•½ν’ˆμ€ 2018λ…„λΆ€ν„° 7λ…„κ°„ 120얡원을 νˆ¬μž…ν•΄ μ•„λͺ¨ν”„렐을 κ°œλ°œν–ˆλ‹€. μ΄λŠ” 5μ›” μ‹ν’ˆμ˜μ•½ν’ˆμ•ˆμ „μ²˜λ‘œλΆ€ν„° ν’ˆλͺ©ν—ˆκ°€ μŠΉμΈλ°›μ•˜λ‹€. 이후 영ꡭ μ œμ•½μ‚¬μΈ μ‘°μ§€λ©”λ””μŠ¨μ˜ κ³ ν˜ˆμ•• 3제 λ³΅ν•©μ œ 'μœ„λ‹€ν”Œλ¦­'이 λ―Έκ΅­ μ‹ν’ˆμ˜μ•½κ΅­ FDA μŠΉμΈμ„ λ°›μ•˜μœΌλ©°, κ΅­λ‚΄μ™Έμ—μ„œ ν•­κ³ ν˜ˆμ•• μ €μš©λŸ‰ λ‹€μ œ λ³΅ν•©μ œ ν—ˆκ°€μ™€ 연ꡬ가 이어지고 μžˆλ‹€. κΉ€ μ „λ¬΄λŠ” "λ‹¨μΌμ œμ˜ ν•œκ³„λ₯Ό κ·Ήλ³΅ν•˜κΈ° μœ„ν•΄ μ €μš©λŸ‰ λ³΅ν•©μ œλ₯Ό μ„ νƒν–ˆλ‹€"λ©° "ν™˜μž 쀑심 치료λ₯Ό μœ„ν•œ μƒˆλ‘œμš΄ μ˜΅μ…˜μ΄ 될 것"이라고 κ°•μ‘°ν–ˆλ‹€. 이어 κ·ΈλŠ” 'μ•„λͺ¨ν”„렐 νŒ¨λ°€λ¦¬'λ₯Ό κ°œλ°œν•΄ ν™˜μž 증상에 λ”°λ₯Έ 치료 μ˜΅μ…˜μ„ λ§ˆλ ¨ν•  κ³„νšμ΄λΌκ³  λ°ν˜”λ‹€. 20~30λŒ€ κ³ ν˜ˆμ•• μœ λ³‘λ₯ μ΄ μ¦κ°€ν•˜κ³  λ°œλ³‘ 원인이 닀양해짐에 λ”°λ₯Έ μ „λž΅μ΄λ‹€. κΉ€ μ „λ¬΄λŠ” "ν˜ˆμ••μ„ μ μ ˆν•˜κ²Œ κ΄€λ¦¬ν•˜κΈ° μœ„ν•΄μ„œλŠ” 치료제 μš©λŸ‰μ˜ 증감을 μ‘°μ ˆν•˜λŠ” 것이 μ€‘μš”ν•˜λ‹€. κ³ ν˜ˆμ•• 초기 μš”λ²•μœΌλ‘œ λ‹¨μΌμ œμ—μ„œ μ €μš©λŸ‰ 3제 λ³΅ν•©μ œ μ „ν™˜μ„ μ£Όλ„ν•˜κΈ° μœ„ν•΄ μ•„λͺ¨ν”„렐 λ‚΄μ—μ„œλ„ μš©λŸ‰ 쑰절이 ν•„μš”ν•  것"이라며 "μ•„λͺ¨ν”„렐 νŒ¨λ°€λ¦¬λ₯Ό ꡬ좕해 ν™˜μžμ˜ 증상과 μƒνƒœμ— 따라 μ„ΈλΆ„ν™”λœ 치료 μ˜΅μ…˜μ„ μ œκ³΅ν•˜κ² λ‹€. λ˜ν•œ μ €μš©λŸ‰ λ³΅ν•©μ œλ₯Ό μƒˆλ‘œμš΄ 치료 νŒ¨λŸ¬λ‹€μž„μœΌλ‘œ μ •μ°©μ‹œν‚€λŠ” 데 μ•žμž₯μ„œκ² λ‹€"κ³  μ„€λͺ…ν–ˆλ‹€. **μ‹ ν™˜ μ‹œμž₯ 20%, λ‹¨μΌμ œ 5% 점유 λͺ©ν‘œβ€¦μ²«ν•΄ 100μ–΅, 5λ…„ μ°¨ 500μ–΅ 달성 κΈ°λŒ€** ꡭ내사업본뢀 λ°•λͺ…희 μ „λ¬΄λŠ” μ•žμœΌλ‘œμ˜ μ•„λͺ¨ν”„렐 λ§ˆμΌ€νŒ… μ „λž΅μ„ μ†Œκ°œν–ˆλ‹€. λ°• μ „λ¬΄λŠ” "전체 κ³ ν˜ˆμ•• μ‹œμž₯은 μ•½ 2μ‘°4000얡원 규λͺ¨λ‹€. ν•œλ―Έμ•½ν’ˆμ€ λ‹¨μΌμ œλΆ€ν„° λ³΅ν•©μ œκΉŒμ§€ 초기 ν™˜μžλΆ€ν„° 쀑증 ν™˜μžκΉŒμ§€μ˜ λͺ¨λ“  치료제 라인업을 λ³΄μœ ν•˜κ³  μžˆλ‹€"λ©° "μ•„λͺ¨ν”„렐은 특히 μ‹ ν™˜κ³Ό λ‹¨μΌμ œ μŠ€μœ„μΉ˜ μˆ˜μš”λ₯Ό 겨λƒ₯ν•΄ μ‹œμž₯을 ν™•λŒ€ν•  것"이라고 λ§ν–ˆλ‹€. 이어 κ·ΈλŠ” "μ•„λͺ¨ν”„렐은 λ³΅ν•©μ œλ‘œμ„œλŠ” μœ μΌν•˜κ²Œ 초기 μš”λ²• 라벨을 νšλ“ν•΄ μΉΌμŠ˜μ±„λ„μ°¨λ‹¨μ œ(CCB)와 μ•ˆμ§€μ˜€ν…μ‹  수용체 차단(ARB)의 λ‹¨μΌμš”λ²•μ—μ„œ μœ μš©ν•œ λŒ€μ•ˆμ΄ 될 수 μžˆλ‹€"λ©° "세계 졜초둜 μƒμ—…ν™”λœ μ €μš©λŸ‰ 3제 λ³΅ν•©μ œλ₯Ό 톡해 ν•œκ΅­μ΄ κΈ€λ‘œλ²Œ κ°€μ΄λ“œλΌμΈμ„ 선도할 기회λ₯Ό μž‘μ„ 것"이라고 μ–ΈκΈ‰ν–ˆλ‹€. λ°• μ „λ¬΄λŠ” 가격 경쟁λ ₯도 κ°•μ‘°ν–ˆλ‹€. μ•„λͺ¨ν”„렐은 ARB κ³ μš©λŸ‰ μ•½κ°€ λŒ€λΉ„ μ•½ 10%, λ³΅ν•©μ œ λŒ€λΉ„ 20% μ €λ ΄ν•˜λ‹€λŠ” μ„€λͺ…이닀. 이어 ꡬ체적인 λͺ©ν‘œλ₯Ό μ œμ‹œν–ˆλ‹€. "μ‹ ν™˜ μ‹œμž₯μ—μ„œ 20%, λ‹¨μΌμ œ μ‹œμž₯μ—μ„œ 5% 점유λ₯Ό λͺ©ν‘œλ‘œ ν•œλ‹€"λ©° "첫해 100얡원, 5λ…„ μ°¨ 500얡원 λ§€μΆœμ„ 달성할 κ³„νš"이라고 λ°ν˜”λ‹€. ![](https://www.medigatenews.com/file/news/474690) (μ™Όμͺ½λΆ€ν„°) 이무용 ꡐ수, μ‹ μ§„ν˜Έ ꡐ수 **"μ €μš©λŸ‰ λ³΅ν•©μ œ, μ˜λ£Œμ§„ 처방 κ³ λ―Ό 덜고 λΆ€μž‘μš© 쀄인닀" 치료 νŒ¨λŸ¬λ‹€μž„ λ³€ν™” 예고** μž„μƒμ‹œν—˜ μ±…μž„μ—°κ΅¬μžμΈ λ™κ΅­μ˜λŒ€ 이무용 κ΅μˆ˜λŠ” "μ•„λͺ¨ν”„렐은 λ‘œμ‚¬λ₯΄νƒ„ λŒ€λΉ„ ν˜ˆμ•• κ°•ν•˜ νš¨κ³Όμ—μ„œ μš°μ›”μ„±μ„ μž…μ¦ν–ˆκ³ , μ•”λ‘œλ””ν•€ λ‹¨μΌμ œμ™€ λΉ„κ΅ν•΄μ„œλ„ 비열등성을 ν™•λ³΄ν–ˆλ‹€"λ©° "λΆ€μž‘μš© ν”„λ‘œνŒŒμΌμ—μ„œλ„ 차별성을 보여 초기 치료제 κ°€λŠ₯성을 ν™•μΈν–ˆλ‹€"κ³  μ„€λͺ…ν–ˆλ‹€. μ‹€μ œλ‘œ 경증·쀑등도 κ³ ν˜ˆμ•• ν™˜μžλ₯Ό λŒ€μƒμœΌλ‘œ μ•„λͺ¨ν”„렐과 ν‘œμ€€ λ‹¨μΌμ œ(μ•”λ‘œλ””ν•€ 5mg λ˜λŠ” λ‘œμ‚¬λ₯΄νƒ„ 50mg)의 8μ£Όκ°„ ν˜ˆμ•• κ°•ν•˜ 효과λ₯Ό λΉ„κ΅ν•œ μž„μƒ 3μƒμ—μ„œ μœ μ˜λ―Έν•œ κ²°κ³Όκ°€ 확인됐닀. μˆ˜μΆ•κΈ° ν˜ˆμ••(sitSBP) κ°μ†Œ νš¨κ³ΌλŠ” μ•„λͺ¨ν”„렐ꡰ이 μ•”λ‘œλ””ν•€ 5mgκ΅° λŒ€λΉ„ λΉ„μ—΄λ“±μ„±(-19.1 vs. -19.6mmHg, 두 κ΅°κ°„ 평균 차이에 λŒ€ν•œ 95% μ–‘μΈ‘ 신뒰ꡬ간 μƒν•œμΉ˜ 0 미만)을 μž…μ¦ν–ˆλ‹€. λ‘œμ‚¬λ₯΄νƒ„ 50mgκ³Ό λΉ„κ΅ν•΄μ„œλ„ μš°μ›”μ„±(-19.9 vs. -16.4mmHg, p=0.037)을 λ³΄μ˜€λ‹€. λ˜ν•œ 이완기 ν˜ˆμ••(sitDBP) κ°μ†Œ νš¨κ³Όλ„ μ•„λͺ¨ν”„렐ꡰ이 λ‘œμ‚¬λ₯΄νƒ„ 50mgκ΅° λŒ€λΉ„ 우수(-9.8 vs. -7.4mmHg, p=0.012)ν•œ κ²ƒμœΌλ‘œ λ‚˜νƒ€λ‚¬λ‹€. 8μ£Ό ν›„ ν˜ˆμ•• λ°˜μ‘λ₯ (κΈ°μ €μΉ˜ λŒ€λΉ„ SBPβ‰₯20mmHg κ°μ†Œ λ˜λŠ” DBPβ‰₯10mmHg κ°μ†Œ ν™˜μž λΉ„μœ¨)은 μ•„λͺ¨ν”„렐이 λ‘œμ‚¬λ₯΄νƒ„ 50mg λŒ€λΉ„ μœ μ˜ν•˜κ²Œ λ†’μ•˜λ‹€.(63.7% vs. 49.6%, p=0.017) SBP 130mmHg 미만 도달λ₯ λ„ μ•„λͺ¨ν”„렐ꡰ이 더 λ†’κ²Œ λ‚˜νƒ€λ‚¬λ‹€.(47% vs. 31%, p=0.017) 이뿐 μ•„λ‹ˆλΌ μ€‘λŒ€ν•œ μ΄μƒλ°˜μ‘μ€ λ³΄κ³ λ˜μ§€ μ•Šμ•„ 내약성도 μž…μ¦ν–ˆλ‹€. 이 κ΅μˆ˜λŠ” "κ³ ν˜ˆμ•• ν™˜μžμ˜ 1λ…„ λ‚΄ 치료 μ‹€νŒ¨μœ¨μ€ μ ˆλ°˜μ— λ‹¬ν•œλ‹€. μ΄λŠ” ν˜ˆμ•• 쑰절 미비와 λΆ€μž‘μš©μ— λ”°λ₯Έ κ²°κ³Όλ‹€. 치료λ₯Ό ν¬κΈ°ν•˜λŠ” 초기 ν™˜μžλ§Œ μž‘μ•„λ„ κ³ ν˜ˆμ•• ν™˜μž 증가λ₯Ό 쀄일 수 μžˆλ‹€"κ³  λ§ν–ˆλ‹€. 이어 "κ³ ν˜ˆμ••μ€ ν•œ 가지 κΈ°μ „μœΌλ‘œ μ„€λͺ…λ˜μ§€ μ•ŠλŠ”λ‹€. ν™˜μžκ°€ 왔을 λ•Œ μ–΄λ–€ 약이 λ§žμ„μ§€ 늘 κ³ λ―Όμ΄μ§€λ§Œ, μ•„λͺ¨ν”„렐은 μ„Έ 가지 μ£Όμš” 기전을 λ™μ‹œμ— 차단해 κ³ λ―Όν•˜μ§€ μ•Šκ³  두루두루 μ•ˆμ „ν•˜κ²Œ μ“Έ 수 μžˆλŠ” μ˜΅μ…˜μ΄ λœλ‹€"κ³  λΆ€μ—°ν–ˆλ‹€. 이 κ΅μˆ˜λŠ” "μ €μš©λŸ‰ λ³΅ν•©μ œλŠ” νš¨κ³Όκ°€ λΆ€μ‘±ν•˜κ±°λ‚˜ λΆ€μž‘μš©μœΌλ‘œ 치료λ₯Ό μ€‘λ‹¨ν•˜λŠ” ν™˜μžλ₯Ό 쀄이고, μ΄ˆκΈ°λΆ€ν„° λͺ©ν‘œ ν˜ˆμ•• 도달λ₯ μ„ 높일 수 μžˆλ‹€"λ©° "λ‹¨μˆœν•œ 약물이 μ•„λ‹ˆλΌ μƒˆλ‘œμš΄ 치료 νŒ¨λŸ¬λ‹€μž„"이라고 κ°•μ‘°ν–ˆλ‹€. 이어 이미 λ‹¨μΌμ œλ₯Ό 볡용 쀑인 ν™˜μžμ˜ μ „ν™˜ 여뢀에 λŒ€ν•œ μ§ˆμ˜μ— "ν˜ˆμ••μ΄ 잘 쑰절되고 λΆ€μž‘μš©μ΄ μ—†λ‹€λ©΄ ꡳ이 λ°”κΏ€ ν•„μš”λŠ” μ—†μ§€λ§Œ, νš¨κ³Όκ°€ λΆˆμΆ©λΆ„ν•˜κ±°λ‚˜ λΆ€μ’… 같은 λΆ€μž‘μš©μ΄ λ‚˜νƒ€λ‚  경우 μ•„λͺ¨ν”„λ λ‘œ μ „ν™˜ν•˜λŠ” 것이 μ μ ˆν•˜λ‹€"κ³  λ‹΅ν–ˆλ‹€. μ•„μšΈλŸ¬ ν–₯ν›„ κ³ ν˜ˆμ•• κ°€μ΄λ“œλΌμΈμ— 반영된 것이라고 μ „λ§ν–ˆλ‹€. 이 κ΅μˆ˜λŠ” "신약이 μ‹œμž₯에 λ‚˜μ™€ κ°€μ΄λ“œλΌμΈμ— λ“€μ–΄κ°€κΈ°κΉŒμ§€ 5μ—μ„œ 10년이 κ±Έλ¦°λ‹€. 아직 μ‹œκ°„μ΄ ν•„μš”ν•˜λ‹€. ν•˜μ§€λ§Œ λͺ‡ 가지 μž„μƒ μž…μ¦λ§Œ μΆ”κ°€ν•œλ‹€λ©΄ κ°€μ΄λ“œλΌμΈμ— μΆ©λΆ„νžˆ 반영될 수 μžˆλ‹€"λ©° "이 μ•½μ œλ₯Ό 1μ°¨ μ•½μ œλ‘œ λ“±μž¬ν•˜λŠ” 것이 λͺ©ν‘œ"라고 λ°ν˜”λ‹€. 이어 ν–₯ν›„ κΈ€λ‘œλ²Œ κ°€μ΄λ“œλΌμΈ λ“±μž¬λ„ μ „λ§ν–ˆλ‹€. λŒ€ν•œκ³ ν˜ˆμ••ν•™νšŒ 이사μž₯인 ν•œμ–‘μ˜λŒ€ μ‹ μ§„ν˜Έ κ΅μˆ˜λŠ” 보닀 μ‹ μ€‘ν•œ μž…μž₯을 λ³΄μ˜€λ‹€. κ·ΈλŠ” "μ €μš©λŸ‰ λ³΅ν•©μ œλŠ” 초기 μΉ˜λ£Œμ—μ„œ μƒˆλ‘œμš΄ κ°€λŠ₯성을 λ³΄μ—¬μ£Όμ§€λ§Œ, κ°€μ΄λ“œλΌμΈμ€ μ‹ μ•½ μΆœμ‹œ ν›„ ν•œμ°Έ 뒀에 λ”°λΌμ˜¨λ‹€"λ©° "μ–΄λ–€ 데이터 등을 μ œμ‹œν•œλ‹€κ³  κ°€μ΄λ“œλΌμΈμ— λ°”λ‘œ λ“±μž¬λ˜λŠ” 것이 μ•„λ‹ˆλ‹€. 이 λ•Œλ¬Έμ— μ•„λͺ¨ν”„λ μ˜ μž„μƒμ  증거가 μ•„λ‹Œ 컨셉을 μ†Œκ°œν•˜λŠ” 것이 μš°μ„ "이라고 λ°ν˜”λ‹€. μ €μž‘κΆŒμžΒ© λ©”λ””κ²Œμ΄νŠΈλ‰΄μŠ€, 무단 μ „μž¬ 및 재배포 κΈˆμ§€ 0 0 [μ˜€νƒˆμž μ‹ κ³ ]() [슀크랩]() [인쇄]() [제보](https://www.medigatenews.com/givingInfo/giving_info) [곡유]() [URL λ³΅μ‚¬ν•˜κΈ°]() [λ©”λ””κ²Œμ΄νŠΈ(무찌마)]() [카카였 μŠ€ν† λ¦¬]() [페이슀뢁]() [νŠΈμœ„ν„°]() [넀이버 λ°΄λ“œ]() 이지원 기자 (jwlee@medigatenews.com) [이 기자의 λ‹€λ₯Έ 기사 보기](https://www.medigatenews.com/reporter/dissimilarNews/list/23) 라이브리 λŒ“κΈ€ μž‘μ„±μ„ μœ„ν•΄ JavaScriptλ₯Ό ν™œμ„±ν™” ν•΄μ£Όμ„Έμš” [![](https://www.medigatenews.com/file/banner/464)](http://www.raonpharma.co.kr/main/index.html) 전체 λ‰΄μŠ€ μˆœμœ„ μ΅œλ‹€λ·° - 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![](https://www.medigatenews.com/file/news/474686) ν•œλ―Έμ•½ν’ˆ λ°•μž¬ν˜„ λŒ€ν‘œμ΄μ‚¬ \[λ©”λ””κ²Œμ΄νŠΈλ‰΄μŠ€ 이지원 기자\] ν•œλ―Έμ•½ν’ˆμ΄ 세계 졜초 μ €μš©λŸ‰ 3제 ν•­κ³ ν˜ˆμ••μ œ 'μ•„λͺ¨ν”„렐정'(μ„±λΆ„λͺ… μ•”λ‘œλ””ν•€ 1.67mg, λ‘œμ‚¬λ₯΄νƒ„ 16.67mg, 클둜λ₯΄νƒˆλ¦¬λˆ 4.17mg)을 μΆœμ‹œν•˜λ©° κ³ ν˜ˆμ•• 초기 치료 μ‹œμž₯ κ³΅λž΅μ— λ‚˜μ„ λ‹€. μ΄λŠ” λ‹¨μΌμ œμ™€ μœ μ‚¬ν•œ ν˜ˆμ•• κ°•ν•˜ 효과λ₯Ό λ³΄μ΄λŠ” λ™μ‹œμ— λΆ€μž‘μš©μ€ μ€„μ˜€λ‹€. νšŒμ‚¬λŠ” μ‹ ν™˜κ³Ό λ‹¨μΌμ œ 볡용 ν™˜μžλ₯Ό μ£Όμš” νƒ€κΉƒμœΌλ‘œ, 5λ…„ λ‚΄ 500얡원 맀좜 달성을 λͺ©ν‘œν•œλ‹€. ν•œλ―Έμ•½ν’ˆμ΄ 10일 μ„œμšΈ μ†‘νŒŒμ— μœ„μΉ˜ν•œ ν•œλ―Έμ•½ν’ˆ λ³Έμ‚¬μ—μ„œ μ €μš©λŸ‰ 3제 ν•­κ³ ν˜ˆμ••μ œ μ•„λͺ¨ν”„렐 μΆœμ‹œ 기념 κΈ°μžκ°„λ‹΄νšŒλ₯Ό κ°œμ΅œν–ˆλ‹€. κ΅­λ‚΄ κ³ ν˜ˆμ•• ν™˜μžκ°€ 맀년 μ¦κ°€ν•˜λ©΄μ„œ κ³ ν˜ˆμ•• 치료의 흐름이 λ‹¨μΌμ œμ—μ„œ λ³΅ν•©μ œ μ€‘μ‹¬μœΌλ‘œ λ³€ν™”ν•˜κ³  μžˆλ‹€. μ•½λ¬Ό κ°œμˆ˜κ°€ 늘수둝 λ³΅μ•½μˆœμ‘λ„λŠ” 떨어짐에 λ”°λ₯Έ λ³€ν™”λ‹€. 이날 λ°•μž¬ν˜„ λŒ€ν‘œλŠ” "ν•œλ―Έμ•½ν’ˆμ€ 세가지 성뢄을 3λΆ„μ˜ 1 μš©λŸ‰μœΌλ‘œ λ§Œλ“  졜초 μ €μš©λŸ‰ λ³΅ν•©μ œ 신약을 μΆœμ‹œν•œλ‹€"λ©° "이전에 μ—†λ˜ κ³ ν˜ˆμ•• μΉ˜λ£Œμ— λŒ€ν•œ μƒˆλ‘œμš΄ μ˜΅μ…˜μœΌλ‘œ, κ³ ν˜ˆμ•• 치료 μ‹œμž₯의 μƒˆλ‘œμš΄ 지평을 μ—΄ κ²ƒμœΌλ‘œ κΈ°λŒ€ν•œλ‹€"κ³  λ°ν˜”λ‹€. μ•„λͺ¨ν”„렐은 κΈ°μ‘΄ κ³ ν˜ˆμ•• 3제 λ³΅ν•©μ œ 'μ•„λͺ¨μž˜νƒ„ν”ŒλŸ¬μŠ€μ •'(5/50/12.5mg) λŒ€λΉ„ μš©λŸ‰μ„ 3λΆ„μ˜ 1둜 쀄인 μ œν’ˆμœΌλ‘œ, λ‹¨μΌμ œμ™€ μœ μ‚¬ν•œ ν˜ˆμ•• κ°•ν•˜ 효과λ₯Ό 보인닀. λ™μ‹œμ— μš©λŸ‰ 의쑴적인 μ΄μƒλ°˜μ‘ λ°œμƒ μœ„ν—˜μ€ 쀄이고, 볡용 νŽΈμ˜μ„±μ€ λ†’μ˜€λ‹€. λ°• λŒ€ν‘œλŠ” "μ•„λͺ¨ν”„렐을 μ‹œμž‘μœΌλ‘œ κ³ ν˜ˆμ•• 초기 μΉ˜λ£Œμ—μ„œμ˜ μ €μš©λŸ‰ λ³΅ν•©μ œ μš°μˆ˜μ„±μ„ μž…μ¦ν•  κ³„νš"이라며 "ν–₯ν›„ 이λ₯Ό μž‡λŠ” μ°¨μ„ΈλŒ€ μ œν’ˆμ„ μœ‘μ„±ν•  λ°©μΉ¨"이라고 λ§λΆ™μ˜€λ‹€. ![](https://www.medigatenews.com/file/news/474688) ν•œλ―Έμ•½ν’ˆ κΉ€λ‚˜μ˜ 전무, λ°•λͺ…희 전무. 사진=ν•œλ―Έμ•½ν’ˆ **세계 졜초 μ €μš©λŸ‰ 3제 λ³΅ν•©μ œβ€¦λ³΅μš© νŽΈμ˜μ„±κ³Ό 초기 경쟁λ ₯ 확보** μ‹ μ œν’ˆκ°œλ°œλ³ΈλΆ€ κΉ€λ‚˜μ˜ μ „λ¬΄λŠ” μ•„λͺ¨ν”„렐 개발 배경을 μ„€λͺ…ν–ˆλ‹€. ν•œλ―Έμ•½ν’ˆμ€ 2018λ…„λΆ€ν„° 7λ…„κ°„ 120얡원을 νˆ¬μž…ν•΄ μ•„λͺ¨ν”„렐을 κ°œλ°œν–ˆλ‹€. μ΄λŠ” 5μ›” μ‹ν’ˆμ˜μ•½ν’ˆμ•ˆμ „μ²˜λ‘œλΆ€ν„° ν’ˆλͺ©ν—ˆκ°€ μŠΉμΈλ°›μ•˜λ‹€. 이후 영ꡭ μ œμ•½μ‚¬μΈ μ‘°μ§€λ©”λ””μŠ¨μ˜ κ³ ν˜ˆμ•• 3제 λ³΅ν•©μ œ 'μœ„λ‹€ν”Œλ¦­'이 λ―Έκ΅­ μ‹ν’ˆμ˜μ•½κ΅­ FDA μŠΉμΈμ„ λ°›μ•˜μœΌλ©°, κ΅­λ‚΄μ™Έμ—μ„œ ν•­κ³ ν˜ˆμ•• μ €μš©λŸ‰ λ‹€μ œ λ³΅ν•©μ œ ν—ˆκ°€μ™€ 연ꡬ가 이어지고 μžˆλ‹€. κΉ€ μ „λ¬΄λŠ” "λ‹¨μΌμ œμ˜ ν•œκ³„λ₯Ό κ·Ήλ³΅ν•˜κΈ° μœ„ν•΄ μ €μš©λŸ‰ λ³΅ν•©μ œλ₯Ό μ„ νƒν–ˆλ‹€"λ©° "ν™˜μž 쀑심 치료λ₯Ό μœ„ν•œ μƒˆλ‘œμš΄ μ˜΅μ…˜μ΄ 될 것"이라고 κ°•μ‘°ν–ˆλ‹€. 이어 κ·ΈλŠ” 'μ•„λͺ¨ν”„렐 νŒ¨λ°€λ¦¬'λ₯Ό κ°œλ°œν•΄ ν™˜μž 증상에 λ”°λ₯Έ 치료 μ˜΅μ…˜μ„ λ§ˆλ ¨ν•  κ³„νšμ΄λΌκ³  λ°ν˜”λ‹€. 20~30λŒ€ κ³ ν˜ˆμ•• μœ λ³‘λ₯ μ΄ μ¦κ°€ν•˜κ³  λ°œλ³‘ 원인이 닀양해짐에 λ”°λ₯Έ μ „λž΅μ΄λ‹€. κΉ€ μ „λ¬΄λŠ” "ν˜ˆμ••μ„ μ μ ˆν•˜κ²Œ κ΄€λ¦¬ν•˜κΈ° μœ„ν•΄μ„œλŠ” 치료제 μš©λŸ‰μ˜ 증감을 μ‘°μ ˆν•˜λŠ” 것이 μ€‘μš”ν•˜λ‹€. κ³ ν˜ˆμ•• 초기 μš”λ²•μœΌλ‘œ λ‹¨μΌμ œμ—μ„œ μ €μš©λŸ‰ 3제 λ³΅ν•©μ œ μ „ν™˜μ„ μ£Όλ„ν•˜κΈ° μœ„ν•΄ μ•„λͺ¨ν”„렐 λ‚΄μ—μ„œλ„ μš©λŸ‰ 쑰절이 ν•„μš”ν•  것"이라며 "μ•„λͺ¨ν”„렐 νŒ¨λ°€λ¦¬λ₯Ό ꡬ좕해 ν™˜μžμ˜ 증상과 μƒνƒœμ— 따라 μ„ΈλΆ„ν™”λœ 치료 μ˜΅μ…˜μ„ μ œκ³΅ν•˜κ² λ‹€. λ˜ν•œ μ €μš©λŸ‰ λ³΅ν•©μ œλ₯Ό μƒˆλ‘œμš΄ 치료 νŒ¨λŸ¬λ‹€μž„μœΌλ‘œ μ •μ°©μ‹œν‚€λŠ” 데 μ•žμž₯μ„œκ² λ‹€"κ³  μ„€λͺ…ν–ˆλ‹€. **μ‹ ν™˜ μ‹œμž₯ 20%, λ‹¨μΌμ œ 5% 점유 λͺ©ν‘œβ€¦μ²«ν•΄ 100μ–΅, 5λ…„ μ°¨ 500μ–΅ 달성 κΈ°λŒ€** ꡭ내사업본뢀 λ°•λͺ…희 μ „λ¬΄λŠ” μ•žμœΌλ‘œμ˜ μ•„λͺ¨ν”„렐 λ§ˆμΌ€νŒ… μ „λž΅μ„ μ†Œκ°œν–ˆλ‹€. λ°• μ „λ¬΄λŠ” "전체 κ³ ν˜ˆμ•• μ‹œμž₯은 μ•½ 2μ‘°4000얡원 규λͺ¨λ‹€. ν•œλ―Έμ•½ν’ˆμ€ λ‹¨μΌμ œλΆ€ν„° λ³΅ν•©μ œκΉŒμ§€ 초기 ν™˜μžλΆ€ν„° 쀑증 ν™˜μžκΉŒμ§€μ˜ λͺ¨λ“  치료제 라인업을 λ³΄μœ ν•˜κ³  μžˆλ‹€"λ©° "μ•„λͺ¨ν”„렐은 특히 μ‹ ν™˜κ³Ό λ‹¨μΌμ œ μŠ€μœ„μΉ˜ μˆ˜μš”λ₯Ό 겨λƒ₯ν•΄ μ‹œμž₯을 ν™•λŒ€ν•  것"이라고 λ§ν–ˆλ‹€. 이어 κ·ΈλŠ” "μ•„λͺ¨ν”„렐은 λ³΅ν•©μ œλ‘œμ„œλŠ” μœ μΌν•˜κ²Œ 초기 μš”λ²• 라벨을 νšλ“ν•΄ μΉΌμŠ˜μ±„λ„μ°¨λ‹¨μ œ(CCB)와 μ•ˆμ§€μ˜€ν…μ‹  수용체 차단(ARB)의 λ‹¨μΌμš”λ²•μ—μ„œ μœ μš©ν•œ λŒ€μ•ˆμ΄ 될 수 μžˆλ‹€"λ©° "세계 졜초둜 μƒμ—…ν™”λœ μ €μš©λŸ‰ 3제 λ³΅ν•©μ œλ₯Ό 톡해 ν•œκ΅­μ΄ κΈ€λ‘œλ²Œ κ°€μ΄λ“œλΌμΈμ„ 선도할 기회λ₯Ό μž‘μ„ 것"이라고 μ–ΈκΈ‰ν–ˆλ‹€. λ°• μ „λ¬΄λŠ” 가격 경쟁λ ₯도 κ°•μ‘°ν–ˆλ‹€. μ•„λͺ¨ν”„렐은 ARB κ³ μš©λŸ‰ μ•½κ°€ λŒ€λΉ„ μ•½ 10%, λ³΅ν•©μ œ λŒ€λΉ„ 20% μ €λ ΄ν•˜λ‹€λŠ” μ„€λͺ…이닀. 이어 ꡬ체적인 λͺ©ν‘œλ₯Ό μ œμ‹œν–ˆλ‹€. "μ‹ ν™˜ μ‹œμž₯μ—μ„œ 20%, λ‹¨μΌμ œ μ‹œμž₯μ—μ„œ 5% 점유λ₯Ό λͺ©ν‘œλ‘œ ν•œλ‹€"λ©° "첫해 100얡원, 5λ…„ μ°¨ 500얡원 λ§€μΆœμ„ 달성할 κ³„νš"이라고 λ°ν˜”λ‹€. ![](https://www.medigatenews.com/file/news/474690) (μ™Όμͺ½λΆ€ν„°) 이무용 ꡐ수, μ‹ μ§„ν˜Έ ꡐ수 **"μ €μš©λŸ‰ λ³΅ν•©μ œ, μ˜λ£Œμ§„ 처방 κ³ λ―Ό 덜고 λΆ€μž‘μš© 쀄인닀" 치료 νŒ¨λŸ¬λ‹€μž„ λ³€ν™” 예고** μž„μƒμ‹œν—˜ μ±…μž„μ—°κ΅¬μžμΈ λ™κ΅­μ˜λŒ€ 이무용 κ΅μˆ˜λŠ” "μ•„λͺ¨ν”„렐은 λ‘œμ‚¬λ₯΄νƒ„ λŒ€λΉ„ ν˜ˆμ•• κ°•ν•˜ νš¨κ³Όμ—μ„œ μš°μ›”μ„±μ„ μž…μ¦ν–ˆκ³ , μ•”λ‘œλ””ν•€ λ‹¨μΌμ œμ™€ λΉ„κ΅ν•΄μ„œλ„ 비열등성을 ν™•λ³΄ν–ˆλ‹€"λ©° "λΆ€μž‘μš© ν”„λ‘œνŒŒμΌμ—μ„œλ„ 차별성을 보여 초기 치료제 κ°€λŠ₯성을 ν™•μΈν–ˆλ‹€"κ³  μ„€λͺ…ν–ˆλ‹€. μ‹€μ œλ‘œ 경증·쀑등도 κ³ ν˜ˆμ•• ν™˜μžλ₯Ό λŒ€μƒμœΌλ‘œ μ•„λͺ¨ν”„렐과 ν‘œμ€€ λ‹¨μΌμ œ(μ•”λ‘œλ””ν•€ 5mg λ˜λŠ” λ‘œμ‚¬λ₯΄νƒ„ 50mg)의 8μ£Όκ°„ ν˜ˆμ•• κ°•ν•˜ 효과λ₯Ό λΉ„κ΅ν•œ μž„μƒ 3μƒμ—μ„œ μœ μ˜λ―Έν•œ κ²°κ³Όκ°€ 확인됐닀. μˆ˜μΆ•κΈ° ν˜ˆμ••(sitSBP) κ°μ†Œ νš¨κ³ΌλŠ” μ•„λͺ¨ν”„렐ꡰ이 μ•”λ‘œλ””ν•€ 5mgκ΅° λŒ€λΉ„ λΉ„μ—΄λ“±μ„±(-19.1 vs. -19.6mmHg, 두 κ΅°κ°„ 평균 차이에 λŒ€ν•œ 95% μ–‘μΈ‘ 신뒰ꡬ간 μƒν•œμΉ˜ 0 미만)을 μž…μ¦ν–ˆλ‹€. λ‘œμ‚¬λ₯΄νƒ„ 50mgκ³Ό λΉ„κ΅ν•΄μ„œλ„ μš°μ›”μ„±(-19.9 vs. -16.4mmHg, p=0.037)을 λ³΄μ˜€λ‹€. λ˜ν•œ 이완기 ν˜ˆμ••(sitDBP) κ°μ†Œ νš¨κ³Όλ„ μ•„λͺ¨ν”„렐ꡰ이 λ‘œμ‚¬λ₯΄νƒ„ 50mgκ΅° λŒ€λΉ„ 우수(-9.8 vs. -7.4mmHg, p=0.012)ν•œ κ²ƒμœΌλ‘œ λ‚˜νƒ€λ‚¬λ‹€. 8μ£Ό ν›„ ν˜ˆμ•• λ°˜μ‘λ₯ (κΈ°μ €μΉ˜ λŒ€λΉ„ SBPβ‰₯20mmHg κ°μ†Œ λ˜λŠ” DBPβ‰₯10mmHg κ°μ†Œ ν™˜μž λΉ„μœ¨)은 μ•„λͺ¨ν”„렐이 λ‘œμ‚¬λ₯΄νƒ„ 50mg λŒ€λΉ„ μœ μ˜ν•˜κ²Œ λ†’μ•˜λ‹€.(63.7% vs. 49.6%, p=0.017) SBP 130mmHg 미만 도달λ₯ λ„ μ•„λͺ¨ν”„렐ꡰ이 더 λ†’κ²Œ λ‚˜νƒ€λ‚¬λ‹€.(47% vs. 31%, p=0.017) 이뿐 μ•„λ‹ˆλΌ μ€‘λŒ€ν•œ μ΄μƒλ°˜μ‘μ€ λ³΄κ³ λ˜μ§€ μ•Šμ•„ 내약성도 μž…μ¦ν–ˆλ‹€. 이 κ΅μˆ˜λŠ” "κ³ ν˜ˆμ•• ν™˜μžμ˜ 1λ…„ λ‚΄ 치료 μ‹€νŒ¨μœ¨μ€ μ ˆλ°˜μ— λ‹¬ν•œλ‹€. μ΄λŠ” ν˜ˆμ•• 쑰절 미비와 λΆ€μž‘μš©μ— λ”°λ₯Έ κ²°κ³Όλ‹€. 치료λ₯Ό ν¬κΈ°ν•˜λŠ” 초기 ν™˜μžλ§Œ μž‘μ•„λ„ κ³ ν˜ˆμ•• ν™˜μž 증가λ₯Ό 쀄일 수 μžˆλ‹€"κ³  λ§ν–ˆλ‹€. 이어 "κ³ ν˜ˆμ••μ€ ν•œ 가지 κΈ°μ „μœΌλ‘œ μ„€λͺ…λ˜μ§€ μ•ŠλŠ”λ‹€. ν™˜μžκ°€ 왔을 λ•Œ μ–΄λ–€ 약이 λ§žμ„μ§€ 늘 κ³ λ―Όμ΄μ§€λ§Œ, μ•„λͺ¨ν”„렐은 μ„Έ 가지 μ£Όμš” 기전을 λ™μ‹œμ— 차단해 κ³ λ―Όν•˜μ§€ μ•Šκ³  두루두루 μ•ˆμ „ν•˜κ²Œ μ“Έ 수 μžˆλŠ” μ˜΅μ…˜μ΄ λœλ‹€"κ³  λΆ€μ—°ν–ˆλ‹€. 이 κ΅μˆ˜λŠ” "μ €μš©λŸ‰ λ³΅ν•©μ œλŠ” νš¨κ³Όκ°€ λΆ€μ‘±ν•˜κ±°λ‚˜ λΆ€μž‘μš©μœΌλ‘œ 치료λ₯Ό μ€‘λ‹¨ν•˜λŠ” ν™˜μžλ₯Ό 쀄이고, μ΄ˆκΈ°λΆ€ν„° λͺ©ν‘œ ν˜ˆμ•• 도달λ₯ μ„ 높일 수 μžˆλ‹€"λ©° "λ‹¨μˆœν•œ 약물이 μ•„λ‹ˆλΌ μƒˆλ‘œμš΄ 치료 νŒ¨λŸ¬λ‹€μž„"이라고 κ°•μ‘°ν–ˆλ‹€. 이어 이미 λ‹¨μΌμ œλ₯Ό 볡용 쀑인 ν™˜μžμ˜ μ „ν™˜ 여뢀에 λŒ€ν•œ μ§ˆμ˜μ— "ν˜ˆμ••μ΄ 잘 쑰절되고 λΆ€μž‘μš©μ΄ μ—†λ‹€λ©΄ ꡳ이 λ°”κΏ€ ν•„μš”λŠ” μ—†μ§€λ§Œ, νš¨κ³Όκ°€ λΆˆμΆ©λΆ„ν•˜κ±°λ‚˜ λΆ€μ’… 같은 λΆ€μž‘μš©μ΄ λ‚˜νƒ€λ‚  경우 μ•„λͺ¨ν”„λ λ‘œ μ „ν™˜ν•˜λŠ” 것이 μ μ ˆν•˜λ‹€"κ³  λ‹΅ν–ˆλ‹€. μ•„μšΈλŸ¬ ν–₯ν›„ κ³ ν˜ˆμ•• κ°€μ΄λ“œλΌμΈμ— 반영된 것이라고 μ „λ§ν–ˆλ‹€. 이 κ΅μˆ˜λŠ” "신약이 μ‹œμž₯에 λ‚˜μ™€ κ°€μ΄λ“œλΌμΈμ— λ“€μ–΄κ°€κΈ°κΉŒμ§€ 5μ—μ„œ 10년이 κ±Έλ¦°λ‹€. 아직 μ‹œκ°„μ΄ ν•„μš”ν•˜λ‹€. ν•˜μ§€λ§Œ λͺ‡ 가지 μž„μƒ μž…μ¦λ§Œ μΆ”κ°€ν•œλ‹€λ©΄ κ°€μ΄λ“œλΌμΈμ— μΆ©λΆ„νžˆ 반영될 수 μžˆλ‹€"λ©° "이 μ•½μ œλ₯Ό 1μ°¨ μ•½μ œλ‘œ λ“±μž¬ν•˜λŠ” 것이 λͺ©ν‘œ"라고 λ°ν˜”λ‹€. 이어 ν–₯ν›„ κΈ€λ‘œλ²Œ κ°€μ΄λ“œλΌμΈ λ“±μž¬λ„ μ „λ§ν–ˆλ‹€. λŒ€ν•œκ³ ν˜ˆμ••ν•™νšŒ 이사μž₯인 ν•œμ–‘μ˜λŒ€ μ‹ μ§„ν˜Έ κ΅μˆ˜λŠ” 보닀 μ‹ μ€‘ν•œ μž…μž₯을 λ³΄μ˜€λ‹€. κ·ΈλŠ” "μ €μš©λŸ‰ λ³΅ν•©μ œλŠ” 초기 μΉ˜λ£Œμ—μ„œ μƒˆλ‘œμš΄ κ°€λŠ₯성을 λ³΄μ—¬μ£Όμ§€λ§Œ, κ°€μ΄λ“œλΌμΈμ€ μ‹ μ•½ μΆœμ‹œ ν›„ ν•œμ°Έ 뒀에 λ”°λΌμ˜¨λ‹€"λ©° "μ–΄λ–€ 데이터 등을 μ œμ‹œν•œλ‹€κ³  κ°€μ΄λ“œλΌμΈμ— λ°”λ‘œ λ“±μž¬λ˜λŠ” 것이 μ•„λ‹ˆλ‹€. 이 λ•Œλ¬Έμ— μ•„λͺ¨ν”„λ μ˜ μž„μƒμ  증거가 μ•„λ‹Œ 컨셉을 μ†Œκ°œν•˜λŠ” 것이 μš°μ„ "이라고 λ°ν˜”λ‹€.
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