4281. Acute myeloid leukaemia.
作者: Courtney D DiNardo.;Harry P Erba.;Sylvie D Freeman.;Andrew H Wei.
来源: Lancet. 2023年401卷10393期2073-2086页
Progress in acute myeloid leukaemia treatment is occurring at an unprecedented pace. The past decade has witnessed an increasingly improved scientific understanding of the underlying biology of acute myeloid leukaemia, leading to enhanced prognostication tools and refined risk assessments, and most especially incorporating measurable residual disease (MRD) into longitudinal risk assessments. The classification of acute myeloid leukaemia has recently been updated by WHO and the International Consensus Classification (ICC). Recommendations for prognostic stratification, response assessment, and MRD determination have also been updated by the European LeukemiaNet. Treatment options have evolved substantially in the last 5 years for patients with newly diagnosed acute myeloid leukaemia, leading to improved outcomes in intensively treated patients and those more appropriate for non-intensive chemotherapy. More effective targeted treatment options in the relapsed setting are also available, further advancing the treatment armamentarium and improving patient outcomes.
4282. Zolbetuximab plus mFOLFOX6 in patients with CLDN18.2-positive, HER2-negative, untreated, locally advanced unresectable or metastatic gastric or gastro-oesophageal junction adenocarcinoma (SPOTLIGHT): a multicentre, randomised, double-blind, phase 3 trial.
作者: Kohei Shitara.;Florian Lordick.;Yung-Jue Bang.;Peter Enzinger.;David Ilson.;Manish A Shah.;Eric Van Cutsem.;Rui-Hua Xu.;Giuseppe Aprile.;Jianming Xu.;Joseph Chao.;Roberto Pazo-Cid.;Yoon-Koo Kang.;Jianning Yang.;Diarmuid Moran.;Pranob Bhattacharya.;Ahsan Arozullah.;Jung Wook Park.;Mok Oh.;Jaffer A Ajani.
来源: Lancet. 2023年401卷10389期1655-1668页
Zolbetuximab, a monoclonal antibody targeting claudin-18 isoform 2 (CLDN18.2), has shown efficacy in patients with CLDN18.2-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced unresectable or metastatic gastric or gastro-oesophageal junction adenocarcinoma. We report the results of the SPOTLIGHT trial, which investigated the efficacy and safety of first-line zolbetuximab plus mFOLFOX6 (modified folinic acid [or levofolinate], fluorouracil, and oxaliplatin regimen) versus placebo plus mFOLFOX6 in patients with CLDN18.2-positive, HER2-negative, locally advanced unresectable or metastatic gastric or gastro-oesophageal junction adenocarcinoma.
4283. Efficacy and safety of ritlecitinib in adults and adolescents with alopecia areata: a randomised, double-blind, multicentre, phase 2b-3 trial.
作者: Brett King.;Xingqi Zhang.;Walter Gubelin Harcha.;Jacek C Szepietowski.;Jerry Shapiro.;Charles Lynde.;Natasha A Mesinkovska.;Samuel H Zwillich.;Lynne Napatalung.;Dalia Wajsbrot.;Rana Fayyad.;Amy Freyman.;Debanjali Mitra.;Vivek Purohit.;Rodney Sinclair.;Robert Wolk.
来源: Lancet. 2023年401卷10387期1518-1529页
Alopecia areata is characterised by non-scarring loss of scalp, face, or body hair. We investigated the efficacy and safety of ritlecitinib, an oral, selective dual JAK3/TEC family kinase inhibitor, in patients with alopecia areata.
4288. Anthracycline-containing and taxane-containing chemotherapy for early-stage operable breast cancer: a patient-level meta-analysis of 100 000 women from 86 randomised trials.
Anthracycline-taxane chemotherapy for early-stage breast cancer substantially improves survival compared with no chemotherapy. However, concerns about short-term and long-term side-effects of anthracyclines have led to increased use of taxane chemotherapy without anthracycline, which could compromise efficacy. We aimed to better characterise the benefits and risks of including anthracycline, and the comparative benefits of different anthracycline-taxane regimens.
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