Результаты поиска

Cost-Effectiveness of Chimeric Antigen Receptor (CAR) T-Cell Therapy for Blood Cancers: An Updated Systematic Review.

BackgroundChimeric antigen receptor (CAR) T-cell therapy is an area of rapid development, showing the promise of curing blood cancers. While substantial health gains may justify high costs, it is currently unclear the extent to which the overall cost effectiveness of these therapies is driven by i) context-specific factors, such willingness-to-pay thresholds and study perspective, or ii) important subgroups such as line of treatment and therapy product.ObjectiveThis paper aims to critically review published evidence on the cost effectiveness of CAR T-cell therapies and assess the key factors t

Efficacy and safety of thalidomide in β-thalassaemia: a systematic review and meta-analysis.

Thalidomide has shown promise as an adjunct therapy for β-thalassaemia, yet its effectiveness and safety are uncertain. This systematic review and meta-analysis evaluate the efficacy and safety of thalidomide in β-thalassaemia; in both transfusion-dependent and non-transfusion-dependent patients. Scopus, PubMed and Cochrane databases were searched for studies assessing the efficacy and safety of thalidomide in β-thalassaemia. Primary outcomes included transfusion response and haemoglobin increases whereas adverse events and effects on serum ferritin and spleen size were secondary outcomes. Stu

Клинические характеристики, эмпирическая антибиотическая адекватность и результаты грам-позитивной гравитации-негативной бактерии у пациентов отделения скорой помощи с сепсисом.

Предыстория и цели: Бактеремия связана с худшими результатами в области сепсиса, однако сравнительных данных между " Грам-позитивной бактерией " (ГБ) и " Грам-негативной бактерией " (ГН) по-прежнему недостаточно. Мы сравнили клинические характеристики, эмпирическую антибиотичность и результаты GPB и GNB у пациентов скорой помощи (ЭД) с сепсисом. Материалы и методы: Мы ретроспективно изучали пациентов, получивших медицинскую помощь Sepsis-3 критерии с подтвержденным культурой ГПБ или ГНБ с декабря 2021 по август 2024. Главным результатом стало 28-day Смертность. Включены вто

Residential green spaces and neurodegenerative diseases in middle-aged and older adults: a systematic review and dose-response meta-analysis.

BackgroundThe potential protective role of residential green space against neurodegenerative diseases (NDs) is a topic of growing interest, yet evidence remains inconsistent. This systematic review and meta-analysis aimed to synthesize the current evidence on this association in middle-aged and older adults.MethodsWe searched PubMed, Embase, Web of Science, and the Cochrane Library through March 15, 2025, for observational studies that evaluated the association between objectively measured residential green space and the incidence of NDs in middle-aged and older adults. Risk of bias was assess

Modeling and addressing on-target/off-tumor toxicity of claudin 18.2 targeted immunotherapies.

Successfully extending immunotherapies to solid tumors involves addressing several key challenges, importantly the "antigen dilemma", the expression of a solid tumor target antigen on the normal tissue of tumor origin. Claudin 18.2 (CLDN18.2) has emerged as an important target for upper gastrointestinal (GI) cancer therapies (such as Zolbetuximab, a naked antibody, recently approved; or CT041, a second-generation chimeric antigen receptor (CAR) T cell therapy with promising clinical data). However, GI toxicities are reported from clinical use of both Zolbetuximab and CT041. Here, we describe c

GvHD prophylaxis with tacrolimus, sirolimus, and mycophenolate mofetil after reduced intensity conditioning hematopoietic stem cell allogeneic transplantation.

We present the largest prospective real-world experience in 159 patients who received the triple combination of tacrolimus/sirolimus/mycophenolate mofetil after reduced intensity conditioning allogeneic hematopoietic stem cell transplantation (RIC-alloHSCT) from matched-related (MRD), matched-unrelated (MUD) or mismatched-unrelated donors (MMURD). Despite the high-risk and elderly population, non-relapse mortality (NRM) at day +100 and 1 year was 5.1% and 8.6%. Grades 2-4 and 3-4 acute Graft-versus-host disease (GvHD) at day +180 was 30.3% and 13%, respectively. Chronic GvHD at 1 and 3 years w

Cystatin M/E Ameliorates Multiple Myeloma-Induced Hyper Osteolytic Bone Resorption.

Multiple myeloma (MM) is a malignancy of terminally differentiated B-cells that is localized primarily in the bone marrow (BM) but also can be present in peripheral blood and tissue/organs [...].

Совпадение в полном тексте источника
… Signed institutional review board-approved informed consent forms are kept on record in UAMS Tissue Biorepository and Procurement Service (TBAPS) under approved protocol IRB # 262254 and 260887. Peripheral blood from healthy donors was collected using UARK protocol 2009-88 under IRB# 5455. …

Clinical updates of B‑cell maturation antigen‑targeted therapy in multiple myeloma (MM) and relapsed/refractory MM (Review).

Despite significant progress in managing multiple myeloma (MM) in recent years, certain patients still have a short duration of therapeutic response, often relapsing within 18 months. These patients typically have high‑risk genetic mutations and may show little to no response to current treatments, highlighting the need for further exploration of optimal therapeutic targets for MM. B‑cell maturation antigen (BCMA), highly expressed in mature B lymphocytes and plasma cells and upregulated in MM, is a promising therapeutic target. Various BCMA‑targeted strategies, including antibody‑drug conjuga

Symptoms, Symptom Profiles, and Healthcare Utilization in Patients with Hematologic Malignancies: A Retrospective Observational Cohort Study and Latent Class Analysis.

Symptom burden is known to be high in patients with hematologic malignancies and can adversely impact patients' quality of life. The aims of this retrospective observational cohort study were to explore symptoms in patients with hematologic malignancies, including during the last year of life, to explore symptom profiles in patients with hematologic malignancies, and to explore associations among symptoms/symptom profiles and demographic, clinical, and treatment-related variables. Symptom prevalence and severity and symptom profiles were explored in patients with hematologic malignancies who c

Компендиум одноклеточных человеческих цереброспинных жидкостей идентифицирует популяции иммунных клеток, связанные с болезнями.

Одноклеточная транскриптомика, применяемая к цереброспинной жидкости (CSF) для разъяснения патофизиологии неврологических заболеваний, позволила получить лишь предварительную характеристику иммунных клеток CSF. CSF образуется из ткани центральной нервной системы (CNS) и граничит с ней, что позволяет проводить полный учет типов клеток наряду с их относительным изобилием и иммунологическими характеристиками, имеющими отношение к заболеваниям CNS. Используя методы интеграции, применяемые к общедоступным наборам данных в сочетании с нашими собственными исследованиями, мы подготовили компендиум, со

GWAS подчеркивает невральный вклад в подверженность множественным склерозам.

Множественный склероз (MS) — хроническое воспалительное и нейродегенеративное заболевание мозга и спинного мозга. Генетические исследования выявили множество рисковых лоси, которые, как считалось, в первую очередь влияют на иммунные клетки и микроглию. Здесь мы провели многокантрольное исследование генома связи с 20,831 МЗ и 729,220 контроль за участниками, выявление 236 Возможные варианты уязвимости за пределами основного комплекса four Роман-лочи. Мы вычислили полигенный балл для MS и, оптимизированный для европейского происхождения, он является информативным для афро-американских и латиноам

Conformal prediction enables disease course prediction and allows individualized diagnostic uncertainty in multiple sclerosis.

Accurate assessment of progression and disease course in multiple sclerosis (MS) is vital for timely and appropriate clinical intervention. The gradual transition from relapsing-remitting MS (RRMS) to secondary progressive MS (SPMS) is often diagnosed retrospectively with a typical delay of three years. To address this diagnostic delay, we developed a predictive model that uses electronic health records to distinguish between RRMS and SPMS at each individual visit. To enable reliable predictions, conformal prediction was implemented at the individual patient level with a confidence of 93%. Our

Всеобъемлющий анализ перенаселенности клеток В у пациентов с множественным склерозом в результате массовой цитометрии и протеомики.

Ocrelizumab, анти-CD20 антитела, истощает клетки CD20+B, которые впоследствии перенаселяются в течение месяцев. Мало что известно об изменениях в других популяциях иммунных клеток и молекулярных маркерах, связанных с перенаселенностью клеток В. Здесь мы провели всеобъемлющую характеристику иммунных клеток пациентов с множественным склерозом (MS) при помощи массовой цитометрии. Около 50% пациентов показали наивную перенаселенность клеток B через 6 месяцев, главным образом с фенотипом переходного периода, в то время как CD27+ памяти B клетки только редко перенаселялись. Эта перенаселенность была

Phase 1b/2a Study Assessing the Safety and Efficacy of Felzartamab in Anti-Phospholipase A2 Receptor Autoantibody-Positive Primary Membranous Nephropathy.

IntroductionPrimary membranous nephropathy (PMN) is most often caused by autoantibodies to phospholipase A2 receptor (PLA2R). M-PLACE (NCT04145440) is an open-label, phase 1b/2a study that assessed the safety and efficacy of the fully human anti-CD38 monoclonal antibody felzartamab in high-risk anti-PLA2R+ PMN.MethodsPatients with newly diagnosed or relapsed PMN (cohort 1 [C1]; n = 18) or PMN refractory to immunosuppressive therapy (IST) (cohort 2 [C2]; n = 13) received 9 infusions of felzartamab 16 mg/kg in the 24-week treatment period, followed by a 28-week follow-up. The primary end point w

Safety, tolerability, and pharmacokinetics/pharmacodynamics of JMT103 in patients with bone metastases from solid tumors.

Bone metastases are common complications of solid tumors. The outcome is poor despite major progress in cancer therapies. We describe a multicenter, open-label, phase 1, dose escalation and expansion trial of JMT103, a novel fully humanized receptor activator of nuclear factor kappa-B ligand (RANKL)-targeting monoclonal antibody, in adults with bone metastases from solid tumors. The study assessed the safety, tolerability, and pharmacokinetics/pharmacodynamics of JMT103. Patients received JMT103 at doses of 0.5, 1.0, 2.0, and 3.0 mg/kg every 4 weeks for 3 cycles. Among 59 patients enrolled, 20

Primary tumours of the calcaneus.

The calcaneus is a rare location for the occurrence and development of primary tumour types. Clinicians are unfamiliar with calcaneal tumour types, which may result in a delay in diagnosis or a missed diagnosis, resulting in unnecessary morbidity and amputation. Heel pain and localized swelling of the ankle are the most common symptoms. X-ray is the first choice for a tentative diagnosis of a calcaneal tumour. The final diagnosis depends on a histological examination. The treatment of calcaneal tumour types varies depending on the Enneking system. The majority of patients with benign tumours h

Perspectives in immunotherapy: meeting report from the “Immunotherapy Bridge”, Napoli, December 5th 2015

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Evaluation of salivary flow in patients following hematopoietic stem cell transplantation: a retrospective study.

INTRODUCTION: Hematopoietic stem cell transplantation is an effective treatment for hematological diseases but it is frequently associated with oral complications such as hyposalivation and xerostomia, particularly in cases of chronic Graft-versus-Host Disease. The objective of this study was to evaluate unstimulated salivary flow in patients who underwent transplantations at least five years previously and to investigate possible associations between hyposalivation and systemic and oral chronic Graft-versus-Host Disease. METHODS: This retrospective cross-sectional study included 27 patients

Навигация Прогнозного диалога во время серьёзных болезнетворных споров.

ВАЖНОСТЬ: Двойное осознание, способность жить конструктивно, готовясь к концу жизни, имеет ключевое значение для разговоров о серьезных заболеваниях. В гематологии прогнозируемая неопределенность и ожидания новых методов лечения часто задерживают прогнозируемый диалог, ограничивая возможности для развития у пациентов и лиц, обеспечивающих уход, двойного понимания. ЦЕЛЬ: Изучение вопроса о том, каким образом пациенты, те, кто ухаживает за больными, и гематологические врачи, обученные разговорам о серьезных заболеваниях, ведут перспективный диалог и как это может способствовать двойному осознани

Physical Recovery After CAR-T Cell Therapy vs. Autologous Stem Cell Transplantation Assessed Through Quantitative Rehabilitation Measures.

Introduction: Chimeric Antigen Receptor T (CAR-T) cell therapy and autologous stem cell transplantation (ASCT) are both associated with significant physical and psychological challenges during post-transfusion recovery. To date, most assessments of physical recovery rely on subjective measures, which are prone to individual perception and bias. Direct comparative data on objective physical function between these therapies remain lacking. Objective: The study aims to compare physical recovery trajectories following CAR-T cell therapy and ASCT using objective and standardized rehabilitation asse