• Pancreatic carcinoma: adjuvant mFolfirinox prolongs survival by nearly 20 months compared to gemcitabine

    With a modified folfirinox regimen, patients with non-metastatic pancreatic ductal carcinoma in adjuvant chemotherapy achieved a survival of 54.5 months compared to the previous gemcitabine standard of 35 months.

  • Baricitinib: a potential therapy for SLE patients

    Recent data has shown that once-daily oral 4 mg of baricitinib for patients with systemic lupus erythematosus (SLE) who receive standard background therapy, is associated with significant clinical improvements compared to placebo.

  • Advanced NSCLC: First line pembrolizumab, better than chemotherapy

    Immunotherapy with the PD1 inhibitor pembrolizumab acts as first-line therapy in patients with advanced NSCLC and PD-L1 expression ≥ 1% better than standard chemotherapy. Patients lived 4 to 8 months longer in the median, with fewer side effects.

  • Is a complete remission in many type 2 diabetes cases a possibility?

    The results of a Scottish cluster-randomized study on Type-2 diabetes indicate that the illness could be reversed without anti-diabetic medicines.

  • Switching to biosimilar bDMARDs, safe and effective?

    Biosimilars use has taken off in the past few years and is expected to increase further. Recent findings add to the increasing evidence that switching from originator to bDMARDs is safe and efficacious.

  • Revolutionary non-addictive painkiller might be the solution to the growing opioid epidemic

    Blue-181 molecule acts on spinal cord pain receptors instead of the brain, and arguably produces no narcotic or addiction side effects

  • Nephrectomy partially dispensable in advanced renal carcinoma

    Treatment with sunitinib alone was not inferior to nephrectomy followed by sunitinib in patients with advanced renal cell carcinoma and intermediate to high risk in effect on overall survival.

  • Synergistic effect NSAIDs + TNFi in slowing AS patients’ radiographic progression

    Dose-related NSAIDs with TNFi use in ankylosing spondylitis patients have a synergistic effect in slowing radiographic progression. The greatest effect is seen in those using both high-dose NSAIDs and TNFi.

  • Hospital cybersecurity: CT-scanners may be vulnerable to attacks

    In May 2018, Philips’ ICS-CERT unit released tips on the safety issues that could breach its Brilliance CT scanner. How severe and which other safety gaps are there in medical imaging systems?

  • New blood pressure guidelines in the USA

    At the last cardiology congress of the American Heart Association (AHA), new high blood pressure guidelines were presented. Values of 120/80 mmHg and above have been deemed high in the USA.

  • High-risk rhabdomyosarcoma: maintenance chemotherapy can improve survival rates

    Vinorelbine and low-dose cyclophosphamide therapies significantly increase overall 5-year survival in high-risk children with RMS, from 73.3% without maintenance therapy to 86.5%

  • A closer look at the role of bDMARDs in psoriatic arthritis

    Infliximab, etanercept, adalimumab, ixekizumab, ustekinumab, secukinumab, and certolizumab pegol provided improvements in health assessment questionnaire-disability index scores from baseline.

  • The role of microsatellite instability as a marker for Lynch syndrome

    Tumors with high microsatellite instability (MSI) are often associated with Lynch syndrome. Tumor patients with high MSI, and mutations in DNA mismatch repair genes should be checked for the syndrome.

  • No significant differences when tapering TNF blockers vs csDMARDs

    Tapering csDMARDs or anti-TNF showed no significant differences in flare ratios, disease activity, functional ability and quality of life between both tapering strategies in the first 12 months of follow-up.

  • Early breast cancer: adjuvant chemotherapy often unnecessary

    A study concludes that if a mean recurrence score of 11-25 is found in women with early hormone-receptor-positive HER2-negative breast carcinoma without axillary lymph nodes using a 21 gene expression test, adjuvant chemotherapy may be dispensed with.

  • A Parisian mayor launches a rat monitoring site

    Paris is seeing an exponential population explosion of rats. A local elected official has taken on the internet and the public to tackle the issue.

  • Early, intensive RA treatment normalises mortality rates

    Data from the Dutch COBRA study show a normalization of rheumatoid arthritis (RA) mortality when compared to the general population after 23 years of follow-up. These findings confirm that early, intensive treatment of RA offers long-term benefits and strongly suggest these benefits include normalization of mortality.

  • Nelarabine achieves a 4-year survival of 90% in T-cell Acute Lymphoblastic Leukemia

    Unprecedented 4-year survival rates can be achieved with first-line therapy in children and adolescents with T-cell Acute Lymphoblastic Leukemia (T-ALL) with the additional administration of nelarabine to COG’s augmented Berlin-Frankfurt-Münster (aBFM) chemotherapy regime.

  • Do methotrexate and other treatment agents protect rheumatic patients against dementia?

    Can conventional rheumatism drugs halve the risk of dementia in patients with rheumatoid arthritis? A large cohort study data hints at this and gives a particular protective potential for methotrexate.

  • Could ibrutinib become the new therapy standard for Waldenström's macroglobulinemia (WM)?

    In patients with Waldenström's macroglobulinemia (WM), the additional administration of ibrutinib to rituximab can reduce the risk of progression or death by relatively 80% compared to rituximab-only treatment.

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