Daily Archives: November 11, 2022
M-A | SGLT2 inhibitors reduce the risk of kidney disease progression and AKI, irrespective of diabetes status.
11 Nov, 2022 | 14:04h | UTCCommentaries:
Meta-analysis backs SGLT2 inhibitors for kidney disease – medwire News
EMPA-KIDNEY: Empagliflozin a ‘Win’ for Patients With CKD – TCTMD
Commentary on Twitter
Our SGLT2 Trialists Consortium meta-analysis *the largest ever* in @TheLancet https://t.co/YlWkRQTDAW
Definitive evidence that SGLT2i ⬇️:
– Kidney failure
– AKI
– CV death
– All-cause deathRegardless of diabetes
Led by @NatalieStaplin @RichardHaynes3 @willkidney #AHA22 pic.twitter.com/uAX15mD9XY
— Brendon Neuen (@brendonneuen) November 6, 2022
Under a Creative Commons Attribution (CC BY 4.0) License
RCT | Indobufen vs. aspirin on top of clopidogrel after coronary drug-eluting stent implantation.
11 Nov, 2022 | 14:03h | UTC
Commentary on Twitter
#OriginalResearch simpub #AHA2022 #CIRCAHA22: In this #RCT, indobufen + clopidogrel DAPT compared with aspirin + clopidogrel DAPT significantly reduced the risk of 1-year net clinical outcomes, mainly driven by a reduction in bleeding events without an ….https://t.co/ctk1fwhXt2 pic.twitter.com/vFPS6gvpjN
— Circulation (@CircAHA) November 6, 2022
RCT | Early routine use of ECMO fails to improve outcomes in patients with cardiogenic shock.
11 Nov, 2022 | 14:01h | UTCCommentaries:
Early ECMO No Better Than Watch-and-Wait Approach in Cardiogenic Shock – TCTMD
Immediate Use of ECMO Did Not Improve Outcomes in Patients with Cardiogenic Shock – HCP Live
Commentary on Twitter
#OriginalResearch simpub #AHA2022: In this #RCT immediate implementation of VA-ECMO in patients with cardiogenic shock did not improve clinical outcomes compared with an early conservative strategy which allowed downstream use of… #CIRCAHA22 #AHAJournals https://t.co/03qVyC0Vgl pic.twitter.com/WRNDsAZfpD
— Circulation (@CircAHA) November 6, 2022
RCT | Helicobacter pylori eradication may prevent peptic ulcer bleeding in older patients prescribed aspirin in primary care.
11 Nov, 2022 | 14:00h | UTCNews Release: Cutting the risk of stomach bleeding, occasionally caused by regular aspirin use – University of Nottingham
Commentary on Twitter
New @TheLancet – the HEAT trial of H pylori eradication for primary prevention of peptic ulcer bleeding in older patients prescribed aspirin in primary care (1/4)https://t.co/9SlP3y6DGf #gitwitter #medtwitter
— Rob Brierley (@Rob__Brierley) November 4, 2022
RCT | Dual endothelin antagonist Aprocitentan is effective for resistant hypertension.
11 Nov, 2022 | 13:59h | UTCDual endothelin antagonist aprocitentan for resistant hypertension (PRECISION): a multicentre, blinded, randomised, parallel-group, phase 3 trial – The Lancet (link to abstract – $ for full-text)
Commentaries:
Endothelin Receptor Antagonist Effective in Resistant Hypertension: PRECISION – TCTMD
RCT | Shortened course of radiation therapy safe and effective for men with high-risk prostate cancer.
11 Nov, 2022 | 13:55h | UTC[News release – not published yet] Shortened course of radiation therapy safe and effective for men with high-risk prostate cancer – American Society for Radiation Oncology (ASTRO) Annual Meeting
Phase 2RCT | Baxdrostat reduces BP in patients with treatment-resistant hypertension.
11 Nov, 2022 | 13:57h | UTCPhase 2 Trial of Baxdrostat for Treatment-Resistant Hypertension – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries:
Big Drops in Blood Pressure With Baxdrostat: BrigHTN Phase II Study – TCTMD
New Drug Helps Tame Uncontrolled High Blood Pressure – HealthDay
RCT | A small study tested Apixaban’s efficacy and safety versus a Vitamin K-antagonist in patients on chronic hemodialysis.
11 Nov, 2022 | 13:52h | UTCRelated Study: Apixaban for Patients with Atrial Fibrillation on Hemodialysis: A Multicenter Randomized Controlled Trial – Circulation
RCT | Efficacy of Safinamide as add-on therapy to Levodopa in patients with Parkinson’s disease with motor fluctuations.
11 Nov, 2022 | 13:53h | UTC
SR | Biomarkers as point‐of‐care tests to guide use of antibiotics in people with acute respiratory infections in primary care.
11 Nov, 2022 | 13:47h | UTC
SR | Not enough evidence for routine use of antifibrinolytic therapy (e.g., tranexamic acid) in aneurysmal subarachnoid hemorrhage.
11 Nov, 2022 | 13:50h | UTCAntifibrinolytic therapy for aneurysmal subarachnoid haemorrhage – Cochrane Library
RCT | No benefit from a model-informed precision dosing of beta-lactam antibiotics and ciprofloxacin in critically ill patients.
11 Nov, 2022 | 13:46h | UTC
Commentary on Twitter
Individualising beta-lactam ABTs/ciprofoxacin therapy in #ICU using model-informed precision dosing vs standard dosing, multicentre ?? RCT
No evidence for clinical effect of MIPD on LOS or other secondary outcomes in critically ill pts#FOAMcc @yourICM
?️https://t.co/6HzLBBnFdU pic.twitter.com/uErsHNAV5p— Intensive Care Medicine (@yourICM) November 9, 2022
Phase 2b RCT | Efficacy and safety of Bepirovirsen in chronic Hepatitis B infection.
11 Nov, 2022 | 13:44h | UTCEfficacy and Safety of Bepirovirsen in Chronic Hepatitis B Infection – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary on Twitter
In a phase 2 trial, bepirovirsen, an antisense oligonucleotide that targets all hep B virus (HBV) messenger RNAs, resulted in sustained loss of hep B surface antigen and HBV DNA in 9 to 10% of participants with chronic HBV infection. #TLM22 #LiverTwitter https://t.co/krJcMEDhIX pic.twitter.com/SistuAocZO
— NEJM (@NEJM) November 8, 2022
Matched cohort study | Long-term clinical and radiographic outcomes in patients with clinically isolated aortitis.
11 Nov, 2022 | 13:43h | UTC
M-A | Cardiovascular safety of febuxostat and allopurinol in patients with gout.
11 Nov, 2022 | 13:41h | UTC
Cohort Study | Association between dietary habits in midlife with dementia incidence over a 20-year period.
11 Nov, 2022 | 13:40h | UTCNews Release: Does the Mediterranean diet really decrease your risk of dementia? – American Academy of Neurology
Commentary: Study Casts Doubt on Mediterranean Diet’s Benefit to Brain – HealthDay
M-A | Head-to-head trials comparing sulfonylureas and low hypoglycemic risk antidiabetic drugs.
11 Nov, 2022 | 13:38h | UTC
M-A | The response of subgroups of patients with schizophrenia to different antipsychotic drugs.
11 Nov, 2022 | 13:13h | UTCThe response of subgroups of patients with schizophrenia to different antipsychotic drugs: a systematic review and meta-analysis – The Lancet Psychiatry (link to abstract – $ for full-text)
Commentary on Twitter (thread – click for more)
"Overall, these results suggest that the effectiveness and side-effect patterns of the [antipsychotic] drugs do not differ in the various subgroups of patients with schizophrenia."
New research Article @StefanLeucht https://t.co/sjcRN5nH0T
— The Lancet Psychiatry (@TheLancetPsych) October 11, 2022
Retrospective Cohort Study | Perinatal outcomes associated with ICP in twin pregnancies were worse than singletons.
11 Nov, 2022 | 13:36h | UTC
Single-arm P1/2 study | Iberdomide plus dexamethasone in heavily pretreated late-line relapsed or refractory multiple myeloma.
11 Nov, 2022 | 13:05h | UTCIberdomide plus dexamethasone in heavily pretreated late-line relapsed or refractory multiple myeloma (CC-220-MM-001): a multicentre, multicohort, open-label, phase 1/2 trial – The Lancet Haematology (link to abstract – $ for full-text)
Commentaries on Twitter
In a phase I trial of the novel cereblon E3 ligase modulator iberdomide+dexamethasone in pts with RRMM, SAEs occurred in 53%, with one treatment-related death. The ORRs were 32% in the dose-escalation (n=90) & 26% in the dose-expansion (n=107) cohorts: https://t.co/rfRCUfCABb
— NatureRevClinOncol (@NatRevClinOncol) October 14, 2022
NEW research: iberdomide plus dexa was generally safe and showed meaningful clinical activity in heavily pretreated patients with multiple myeloma, including in disease that was refractory to immunomodulatory drugs in this ph 1-2 trial #mmsmhttps://t.co/x1ta31eKtk pic.twitter.com/2URVIoFIAi
— The Lancet Haematology (@TheLancetHaem) October 7, 2022
SR | The availability, cost, and affordability of essential medicines for asthma and COPD in low- and middle-income countries.
11 Nov, 2022 | 13:04h | UTCInvited Commentary: Access to essential respiratory medications remains elusive in LMICs – The Lancet Global Health
Phase 2 RCT | Efficacy of Bemarituzumab in patients with FGFR2b-selected gastric or gastro-esophageal junction adenocarcinoma.
11 Nov, 2022 | 13:02h | UTCBemarituzumab in patients with FGFR2b-selected gastric or gastro-oesophageal junction adenocarcinoma (FIGHT): a randomised, double-blind, placebo-controlled, phase 2 study – The Lancet Oncology (link to abstract – $ for full-text)
Commentary on Twitter
?Targeting FGFR2b in gastric & gastro-oesophageal junction adenocarcinoma?@TheLancetOncolhttps://t.co/Rc6AGRIf4a
✅FIGHT: FOLFOX6 + plc. vs bemarituzumab
?mPFS: 9.5 vs 7.5 mo, n.s.
?mOS: 19.2 vs 13.5 mo
⛔️eye tox & stomatitis
✅FORTITUDE-101/102 ongoing@myESMO @OncoAlert pic.twitter.com/JTL23o23dY— Arndt Vogel (@ArndtVogel) October 17, 2022
Cohort Study | Premenopausal bilateral oophorectomy linked to increased risk of Parkinsonism and Parkinson Disease.
11 Nov, 2022 | 12:56h | UTCNews Release: Removal of Both Ovaries in Younger Women Associated with Increased Risk of Parkinson’s – Discovery’s Edge
RCT | Volatile anesthesia did not significantly reduce postoperative delirium compared to IV anesthesia in cardiac valve surgery.
11 Nov, 2022 | 12:59h | UTCVolatile Versus Total Intravenous Anesthesia on Postoperative Delirium in Adult Patients Undergoing Cardiac Valve Surgery: A Randomized Clinical Trial – Anesthesia & Analgesia (link to abstract – $ for full-text)
Single-arm phase 1b study | Chronic convection-enhanced delivery of topotecan for patients with recurrent glioblastoma.
11 Nov, 2022 | 13:00h | UTCChronic convection-enhanced delivery of topotecan for patients with recurrent glioblastoma: a first-in-patient, single-centre, single-arm, phase 1b trial – The Lancet Oncology (link to abstract – $ for full-text)