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Pharmacology/Pharmaceutical Industry

Cohort Study: Metformin Safe for Many Patients with Chronic Kidney Disease

7 Jun, 2018 | 02:49h | UTC

Association of Metformin Use With Risk of Lactic Acidosis Across the Range of Kidney Function: A Community-Based Cohort Study – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: Study Supports Metformin Use at eGFRs as Low as 30 – NEJM Physician’s First Watch (free) AND Metformin safe for most diabetics with kidney disease – UPI (free) AND Evidence Growing Metformin Safe in Many With Diabetes and CKD – Medscape (free registration required)

Related Studies: Metformin Treatment in Patients With Type 2 Diabetes and Chronic Kidney Disease (link to abstract and commentaries) AND Metformin is linked to reduced mortality in type 2 diabetes with comorbid CKD and CHF – ACP Diabetes Monthly (free)

 


Short Review: Stimulants for ADHD in children

7 Jun, 2018 | 02:50h | UTC

Stimulants for ADHD in children: Revisited – Therapeutics Initiative (via @AllenFrancesMD)

“There is convincing evidence that a proportion of boys and girls treated with stimulants in BC and around the world are simply the youngest in their class”

 


ASCO 2018: Many Women with Early-Stage Breast Cancer Can Forgo Chemotherapy When Guided by a 21-Gene Expression Assay

7 Jun, 2018 | 02:23h | UTC

Adjuvant Chemotherapy Guided by a 21-Gene Expression Assay in Breast Cancer – New England Journal of Medicine (free)

Commentaries: 2018 ASCO: TAILORx: Most Women With Early-Stage Breast Cancer Can Forgo Chemotherapy When Guided by a Diagnostic Test – The ASCO Post (free) AND Many breast cancer patients can skip chemo, big study finds – STAT (free) AND Many women with early-stage breast cancer can skip chemotherapy: study – Reuters (free) AND For Some Breast Cancer Patients, The Chemo Decision Just Got Easier – NPR (free) AND Breast cancer: Test means fewer women will need chemotherapy – BBC (free) AND Good News for Women With Breast Cancer: Many Don’t Need Chemo – The New York Times (10 articles per month are free)

 


Research: Affordability and Price Increases of New Cancer Drugs in Clinical Guidelines

7 Jun, 2018 | 02:18h | UTC

Affordability and Price Increases of New Cancer Drugs in Clinical Guidelines, 2007–2016 – Cancer Spectrum (free) (via @oncology_bg see Tweet)

 


Case-Control Study: Possible Association of Hydrochlorothiazide Use and Risk of Melanoma

6 Jun, 2018 | 21:53h | UTC

Association of Hydrochlorothiazide Use and Risk of Malignant Melanoma – JAMA Internal Medicine (free)

Commentaries: Hydrochlorothiazide Associated with Melanoma Risk – NEJM Physician’s First Watch (free) AND Hydrochlorothiazide Tied to Increased Melanoma Risk – MedPage Today (free registration required)

This observational data suggests a possible association. Needs to be confirmed by other studies.

 


ASCO 2018: Matching Treatment to Genetic Changes in the Tumor Improves Survival Across Multiple Cancer Types

6 Jun, 2018 | 21:31h | UTC

Matching treatment to genetic changes in the tumour improves survival across multiple cancer types – ASCO, via eCancer News (free)

 


Research: Venous Thromboembolism Prophylaxis Overused in Hospitalized Patients

6 Jun, 2018 | 21:25h | UTC

Use of Venous Thromboembolism Prophylaxis in Hospitalized Patients – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentary: Study: Hospitals Overuse VTE Prophylaxis – MedPage Today (free registration required) AND Excess venous thromboembolism prophylaxis common among low-, high-risk patients – Healio (free registration required) AND Venous Thromboembolism Prophylaxis Over & Underutilized in Some Hospitalized Patients – MedicalResearch.com (free)

 


Meta-Analysis: Vitamin D Supplementation During Pregnancy and Offspring Growth, Morbidity, and Mortality

1 Jun, 2018 | 03:51h | UTC

Association Between Vitamin D Supplementation During Pregnancy and Offspring Growth, Morbidity, and Mortality: A Systematic Review and Meta-analysis – JAMA Pediatrics (free)

Editorial: Prenatal Vitamin D Supplementation to Improve Health in Offspring (free)

Commentary: Vitamin D Supplementation of Moms Linked to Better Outcomes for Newborns – Physician’s First Watch (free)

 


Review: Supplements Not Effective for CVD Prevention and Treatment

29 May, 2018 | 20:15h | UTC

Supplemental Vitamins and Minerals for CVD Prevention and Treatment – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentaries: Most vitamin, mineral supplements not shown to lower heart disease risk – American College of Cardiology, via ScienceDaily (free) AND Aside From Folate, Vitamins Appear Largely Ineffective For Prevention, Study Finds – Forbes (free) AND Most popular vitamin and mineral supplements provide no health benefit, study finds – St. Michael’s Hospital, via EurekAlert (free)

 


Review: Clinical Pharmacology of Oral Anticoagulants in Patients with Kidney Disease

29 May, 2018 | 18:39h | UTC

Clinical Pharmacology of Oral Anticoagulants in Patients with Kidney Disease – Clinical Journal of the American Society of Nephrology (free)

 


Randomized Trial: New Treatment for Prevention of Episodic Migraine Assessed

29 May, 2018 | 18:30h | UTC

Effect of Fremanezumab Compared With Placebo for Prevention of Episodic Migraine: A Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)

Commentary: Fremanezumab effective in preventing episodic migraine – 2 Minute Medicine (free)

“Among patients with episodic migraine in whom multiple medication classes had not previously failed, subcutaneous fremanezumab, compared with placebo, resulted in a statistically significant 1.3- to 1.5-day reduction in the mean number of monthly migraine days over a 12-week period”. (from JAMA)

“The small effect size in terms of reduction in number of days with migraine dampens enthusiasm for this medication, though without head-to-head comparison against other prophylactics, this is hard to assess” (from 2 Minute Medicine)

 


New Therapy Assessed for Children with X-Linked Hypophosphatemia

29 May, 2018 | 18:27h | UTC

Burosumab Therapy in Children with X-Linked Hypophosphatemia – New England Journal of Medicine (link to abstract – $ for full-text)

Quick Take Video Summary: Burosumab for X-Linked Hypophosphatemia (free)

 


Meta-Analysis: Pharmacological Therapies for the Treatment of Opioid-induced Constipation

29 May, 2018 | 17:50h | UTC

Efficacy of pharmacological therapies for the treatment of opioid-induced constipation: systematic review and network meta-analysis – Gut (link to abstract – $ for full-text)

Commentary: Naloxone, naldemedine appear best for opioid-induced constipation after laxatives – ACP Gastroenterology (free)

 


IDSA & AASLD Hepatitis C Guidance Updates

28 May, 2018 | 12:56h | UTC

HCV Guidance: Recommendations for Testing, Managing, and Treating Hepatitis C – American Association for the Study of Liver Diseases (AASLD) and the Infectious Diseases Society of America (IDSA) (free)

News Release: HCV Guidance Updates Recommendations for Screening and Treating Key Populations (free)

Related Guideline: EASL Recommendations on Treatment of Hepatitis C 2018 – Journal of Hepatology (free)

 


Cohort Study: Weight Gain with Antidepressant Utilization

28 May, 2018 | 12:38h | UTC

Antidepressant utilisation and incidence of weight gain during 10 years’ follow-up: population based cohort study – The BMJ (free)

Editorial: Antidepressant induced weight gain (free)

Commentaries: Antidepressant therapy and risk of weight gain – The BMJ Opinion (free) AND Taking antidepressants could be linked to weight gain, according to a new study — and some drugs heighten the risk more than others – Business Insider (free) AND Antidepressants linked to risk of weight gain, study shows – OnMedica (free) AND Antidepressant use linked with weight gain – NHS Choices (free)

 


Cohort Study: Incidence and Cost of Medication Harm in Older Adults Following Hospital Discharge

24 May, 2018 | 23:35h | UTC

Incidence and cost of medication harm in older adults following hospital discharge: A multicentre prospective study in the UK – British Journal of Clinical Pharmacy (free PDF)

Commentaries: Medication-related harm is common in older adults after hospital discharge – OnMedica (free) AND Medication-related harm found to be common among older adults, but preventable  – News Medical (free)

 


Review: Pitfalls on the Replacement Therapy for Hypothyroidism

24 May, 2018 | 23:13h | UTC

Pitfalls on the replacement therapy for primary and central hypothyroidism in adults – European Journal of Endocrinology (free)

 


Randomized Controlled Trial: Dupilumab in Glucocorticoid-Dependent Severe Asthma

23 May, 2018 | 12:39h | UTC

Efficacy and Safety of Dupilumab in Glucocorticoid-Dependent Severe Asthma – New England Journal of Medicine (free)

Related Article: Dupilumab Efficacy and Safety in Moderate-to-Severe Uncontrolled Asthma – New England Journal of Medicine (free)

Editorial: New Biologics for Asthma (free)

Commentary: Dupilumab Improves Severe Asthma – NEJM Physician’s First Watch (free)


Meta-Analysis: Aldosterone Antagonists for ST-Segment Elevation Myocardial Infarction Without Heart Failure

23 May, 2018 | 12:28h | UTC

Aldosterone Antagonist Therapy and Mortality in Patients With ST-Segment Elevation Myocardial Infarction Without Heart Failure: A Systematic Review and Meta-analysis – JAMA Internal Medicine (free for a limited period)

Invited Commentary: Mineralocorticoid Receptor Antagonists in ST-Segment Elevation Myocardial Infarction – JAMA Internal Medicine (free for a limited period)

Aldosterone antagonists are beneficial for patients with STEMI and reduced ejection fraction. This meta-analysis suggests that patients with STEMI and LVEF greater than 40% or without heart failure also have improved outcomes with aldosterone antagonists.

 


Randomized Trial: Cannabidiol Reduces Seizures in Patients with Lennox–Gastaut Syndrome

23 May, 2018 | 12:22h | UTC

Effect of Cannabidiol on Drop Seizures in the Lennox–Gastaut Syndrome – New England Journal of Medicine (link to abstract – $ for full-text)

Commentaries: Cannabidiol significantly reduces seizures in patients with severe form of epilepsy – NYU School of Medicine (free) AND Cannabis Drug Reduces Drop Seizures in Severe Epilepsy – Medscape (free registration required) AND Cannabidiol Significantly Reduces Seizures in Patients with Lennox-Gastaut Syndrome – MD Magazine (free)

 


Register-based Retrospective Study: Pediatric Exposures to ADHD Medications are an Increasing Problem

23 May, 2018 | 12:15h | UTC

Pediatric ADHD Medication Exposures Reported to US Poison Control Centers – Pediatrics (link to abstract – $ for full-text)

Commentaries: Unnecessary and accidental use of ADHD drugs increases over 60%, study suggests – CNN (free) AND Add ADHD Meds To Call Burden For Poison Control Centers – American Council on Science and Health (free) AND As ADHD Diagnoses Increased, So Did Calls to Poison Control – U.S. News (free) AND More U.S. kids overdosing on ADHD drugs – Reuters (free)

 


Randomized Controlled Trial: Canakinumab for the Treatment of Autoinflammatory Recurrent Fever Syndromes

23 May, 2018 | 12:13h | UTC

Canakinumab for the Treatment of Autoinflammatory Recurrent Fever Syndromes – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: Autoinflammatory Syndromes Show Dramatic Response to Canakinumab – RheumNow (free)

 


Meta-Analysis: Dose Increase vs. Unchanged Continuation of Antidepressants After Initial Treatment Failure

21 May, 2018 | 13:11h | UTC

Dose Increase Versus Unchanged Continuation of Antidepressants After Initial Antidepressant Treatment Failure in Patients With Major Depressive Disorder: A Systematic Review and Meta-Analysis of Randomized, Double-Blind Trials – The Journal of Clinical Psychiatry (link to abstract – $ for full-text)

Commentary: Depression: boosting SSRIs doesn’t work – Univadis (free registration required)

“Meta-analysis: there is evidence from RCTs against increasing the dose of SSRIs (with the possible exception of citalopram) in adult patients with major depression and antidepressant treatment failure” (via @psychopharmacol see Tweet)

 


Review: Pitfalls on the Replacement Therapy for Hypothyroidism

21 May, 2018 | 13:03h | UTC

Pitfalls on the replacement therapy for primary and central hypothyroidism in adults – European Journal of Endocrinology (free)

 


Randomized Trial: Shortening Adjuvant Trastuzumab to 6 Months in Selected Patients with Breast Cancer

18 May, 2018 | 02:44h | UTC

ASCO 2018: Shortening Adjuvant Trastuzumab to 6 Months in Patients With HER2-Positive Early Breast Cancer Is Effective and Reduces Cardiac Toxicities – The ASCO Post (free)

Commentaries: Test of Herceptin Finds Briefer Treatment Can Work, With Fewer Side Effects – NPR (free) AND Shorter drug treatment OK for many breast cancer patients – Associated Press (free) AND For Women With Early Breast Cancer, Herceptin Treatment Can Be Much Shorter – The New York Times (10 articles per month are free)

““For women with early-stage breast cancer who needed the drug Herceptin, 6 months of treatment were as good as 12, a major study found. Less risk of side effects, less cost, less time “being a patient.”” (via @NYTHealth see Tweet)

 


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