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Top Medical News
Stopping RAS inhibitors does not slow eGFR decline in advanced CKD
Yesterday
A recent study has found three baseline characteristics that can predict sustained acute kidney injury (AKI), and these include estimated glomerular filtration rate (eGFR), loop diuretic, and spironolactone use. For immune checkpoint inhibitor-related AKI, only baseline eGFR is predictive.
Original New Drug Application Approvals by US FDA (1-15 April 2024)
Yesterday
New drug applications approved by US FDA as of 1-15 April 2024 which includes New Molecular Entities (NMEs) and new biologics. It does not include Tentative Approvals. Supplemental approvals may have occurred since the original approval date.
Treating diseases with electrical impulses: A possible alternative in the near future?
Yesterday
For patients undergoing laparoscopic resection for colorectal cancer (CRC), two sessions of transcranial direct current stimulation (tDCS) help reduce perioperative anxiety, as reported in a study.
Pharmacist-driven program viable in patients taking antineoplastic agents
2 days ago
A pharmacist monitoring program is feasible and useful for patients receiving oral antineoplastic agents, reports a recent study.
Switching from cetuximab to bevacizumab associated with reduced derm toxicity in mCRC
Natalia Reoutova, 5 days ago

Switching from FOLFIRI plus cetuximab to FOLFIRI plus bevacizumab leads to acceptable survival outcomes and a reduction in severe dermatological toxicities in patients with RAS wild-type (RASwt) metastatic colorectal cancer (mCRC), according to the results of a single-arm phase II HYBRID trial.

Paediatric-onset immune-mediated inflammatory diseases raise mortality risk
5 days ago
People with paediatric-onset immune-mediated inflammatory diseases (pIMID) have a roughly fourfold increased risk of death in adulthood, as suggested in a study.
Maintenance olaparib + bevacizumab support long-term remission in HRD-positive ovarian cancer
Natalia Reoutova, 6 days ago

Post hoc analysis of the phase III PAOLA-1/ENGOT-ov25 trial reports respective 5-year progression-free survival (PFS) rates of 72 percent vs 28 percent and 5-year overall survival (OS) rates of 88 percent vs 61 percent for maintenance olaparib plus bevacizumab vs bevacizumab alone in lower-risk homologous recombination deficiency (HRD)–positive patients with newly diagnosed advanced ovarian cancer.

Special Reports
Treatment advances in relapsed/refractory large B-cell lymphoma
12 Mar 2024
Diffuse large B-cell lymphoma (DLBCL) is the most common aggressive subtype of non-Hodgkin’s lymphoma. Despite a high success rate associated with first-line immunochemotherapy, approximately 40% of patients relapse or demonstrate resistance to treatment, significantly reducing life expectancy.1
Approaches to diagnosis and management of invasive aspergillosis and mucormycosis
31 Aug 2023
Invasive aspergillosis and mucormycosis are two of the most common mould infections, and a growing problem worldwide, particularly amongst those who are immunocompromised. Despite recent advances in the clinical understanding of these mould infections, the mortality rate can increase significantly if these infections are left untreated. Therefore, there is a need for early diagnosis and timely therapeutic intervention. However, diagnosis remains a major challenge owing to atypical or insidious clinical presentation in patients. In this symposium, Professor Cornely shares his insights on the diagnosis and management of invasive aspergillosis and mucormycosis and his recommendations for optimising patient outcomes, including his preferred evidence-based treatment options.
Redefining survival in 3L+ large B-cell lymphoma with axicabtagene ciloleucel
Dr. Matthew Frank, 26 Jul 2023

Singapore’s Health Sciences Authority recently approved axicabtagene ciloleucel (Yescarta) for the treatment of relapsed or refractory large B-cell lymphoma (LBCL) in adults after ≥2 lines of systemic therapy. Shedding light on this innovative therapy, Dr Matthew Frank, Assistant Professor of Medicine specializing in Blood and Marrow Transplantation and Cellular Therapy at Stanford University, Stanford, California, US, discussed landmark trial data, some real-world evidence, and their implications for patient selection and adverse event management during the Yescarta Commercial Launch in Singapore in May.

Benefits of 1L ribociclib extend across MONALEESA studies
Dr. Erika Hamilton, 22 Jul 2023
First-line (1L) treatment with the CDK4/6 inhibitor ribociclib plus endocrine therapy (RIB + ET) confers consistent benefits in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2−) advanced breast cancer in the pooled analysis of the MONALEESA-2, -3, and -7 studies presented at the San Antonio Breast Cancer Symposium (SABCS) 2022.
CAR T-cell therapy for relapsed/refractory diffuse large B-cell lymphoma
Dr. Joshua Sasine, 15 Jul 2023
Diffuse large B-cell lymphoma (DLBCL) is the most frequently occurring subtype of non-Hodgkin lymphoma. Although curability is high following first-line immunochemotherapy, around 40 percent of patients will relapse or exhibit refractory disease, which dramatically reduces life expectancy. [Best Pract Res Clin Haematol 2018;31:209-216] Despite salvage chemo-immunotherapy and stem cell transplantation, patients with relapsed/refractory (R/R) DLBCL have a dismal prognosis. In the SCHOLAR-1 study, the median overall survival (OS) for refractory DLBCL was 6.3 months, the complete response rate was 7 percent, and the 1-year OS rate was 28 percent. [Blood 2017;130:1800-1808]
SARS-CoV-2 Variants: Everything you need to know
01 Feb 2023
The COVID-19 pandemic continues to evolve with the emergence of new SARS-CoV-2 variants. The variants of concern have the potential to impact the transmissibility, virulence, and clinical presentation of the disease, affecting the epidemiology, public health measures, and diagnostic and therapeutic options. Mutations in the spike protein of the virus have increased its ability to infect humans and evade neutralization by natural or immunisation-induced antibodies. The highly mutated Omicron variant of SARS-CoV-2 has multiple sublineages with varying transmissibility and immune evasion potential. Pre-exposure prophylaxis plays a crucial role in protecting the immunocompromised populations against severe disease; however, the rapidly changing landscape of the variants poses a major challenge to the current and future effectiveness of pre-exposure prophylactic monoclonal antibodies.
The Emerging Role of Biosimilars in Value-Based Medicine
01 Dec 2022
Biologic medicines and biosimilars
Biologic medicines are a category of very specific, highly effective medicines produced by a sophisticated and complex process involving living system1. Most of them are very large, complex molecules or mixtures of molecules, and many are produced using recombinant DNA technology. These medicines have revolutionised the treatment and prevention of many disabling and life-threatening diseases including cancers, Crohn’s disease, ulcerative colitis, diabetes, rheumatoid arthritis, osteoporosis, psoriasis, human immunodeficiency virus, multiple sclerosis, growth deficiencies, and more1.
Conference Reports
Neoadjuvant nivolumab plus chemo: New SoC in resectable NSCLC
Jairia Dela Cruz, 19 Apr 2024
Treatment with nivolumab plus chemotherapy before surgery followed by nivolumab after surgery yields superior outcomes for patients with resectable nonsmall cell lung cancer (NSCLC) as compared with placebo plus chemotherapy, regardless of the number of completed neoadjuvant cycles, according to an exploratory analysis of the CHECKMATE 77T trial.
Injectable atezolizumab favoured over intravenous infusion
Jairia Dela Cruz, 18 Apr 2024
Nonsmall cell lung cancer (NSCLC) patients with high PD-L1 expression appear to show a strong preference for receiving atezolizumab subcutaneously rather than intravenously.
Amivantamab plus chemo tied to better outcomes in NSCLC
Stephen Padilla, 17 Apr 2024
Treatment with amivantamab (ami) in combination with chemotherapy (chemo) results in substantially longer time to treatment discontinuation (TTD), time to subsequent therapy (TTST), and progression-free survival (PFS) after first subsequent therapy (PFS2) in patients with EGFR-mutant advanced nonsmall cell lung cancer (NSCLC) following progression on osimertinib, as shown in a postprogression analysis.
Apixaban cheaper, on par with enoxaparin as VTE prophylaxis in gynaecologic cancer patients
Stephen Padilla, 12 Apr 2024
Patients with gynaecologic cancer who used apixaban for postoperative venous thromboembolism (VTE) prophylaxis achieve similar 90-day and lower 30-day rates of VTE when compared with those who used enoxaparin, reports a study presented at SGO 2024.
Maintenance fuzuloparib prolongs survival in ovarian cancer
Stephen Padilla, 12 Apr 2024
Maintenance therapy with fuzuloparib results in significant improvements in progression-free survival (PFS) in patients newly diagnosed with advanced ovarian cancer, who showed response to first-line platinum-based chemotherapy (PBC), reports a study (FZOCUS-1) presented at SGO 2024.
Niraparib maintenance yields favourable OS trend in patients with ovarian cancer
Elaine Soliven, 12 Apr 2024

Maintenance treatment with niraparib, a potent, highly selective PARP* inhibitor, provides a favourable overall survival (OS) trend compared with placebo in Chinese patients with platinum-sensitive recurrent ovarian cancer (PSROC), regardless of germline BRCA (gBRCA) mutation status, according to the final analysis of the NORA trial presented at SGO 2024.

Survival outcomes similar between minimally invasive interval debulking surgery and laparotomy
Jairia Dela Cruz, 05 Apr 2024
A minimally invasive approach to interval debulking surgery appears to be just as effective as the use of an open technique for epithelial ovarian cancer, with no significant difference in overall survival (OS) when complete tumour resection is achieved, according to a study.
NGS could guide ovarian cancer treatment
Roshini Claire Anthony, 30 Mar 2020

The use of next generation sequencing (NGS) could help identify patients with ovarian cancer who would benefit from targeted therapies, according to a small retrospective study from Korea.