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In summary, the available data about the effect of buffers on the sensation of pain suggest that, in some cases, it is a consequence of the particular drugbuffer combination, as occurs in the case of bicarbonate and local anesthetics in which the buffering capacity of bicarbonate at pH 7 increases the activity of the anesthetics, thus reducing pain associated with the SC injection [51]

An abstract of the study is online

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Overall, the study indicated that the TG4010 vaccine enhances the effects of chemotherapy in patients with advanced-stage NSCLC (Quoix et al., 2011)