421. Contemporary, non-invasive imaging diagnosis of chronic coronary artery disease.
作者: Pieter van der Bijl.;Martha Gulati.;Antti Saraste.;Thomas Marwick.;Raymond Kwong.;Ron Blankstein.;Koen Nieman.;Partho P Sengupta.;Alexander van Rosendael.;Juhani Knuuti.;Sripal Bangalore.;Jeroen J Bax.
来源: Lancet. 2025年406卷10519期2577-2587页
Coronary artery disease is one of the leading causes of morbidity and mortality worldwide. Although it can present with an acute coronary syndrome, it is often characterised by long periods of stability, known as chronic coronary artery disease. This Review presents a comprehensive overview of the diagnosis of the disease, with a focus on cardiac imaging. We discuss various cardiac imaging modalities, including CT coronary angiography, stress echocardiogram, stress single-photon emission CT, PET, and stress cardiac magnetic resonance. We also compare the roles of anatomical (eg, CT coronary angiography) versus functional (eg, stress echocardiogram) tests and examine the potential utility of artificial intelligence in more detail.
434. Efficacy and safety of rocatinlimab for the treatment of moderate-to-severe atopic dermatitis in ROCKET-IGNITE and ROCKET-HORIZON: two global, double-blind, placebo-controlled, randomised phase 3 clinical trials.
作者: Emma Guttman-Yassky.;Kenji Kabashima.;Margitta Worm.;Paula C Luna.;H Chih-Ho Hong.;Raj Chovatiya.;Jonathan A Bernstein.;Johannes S Kern.;Benjamin D Ehst.;Nina Magnolo.;Pedro Herranz-Pinto.;Linda Stein Gold.;Howard Sofen.;Andrew E Pink.;Ehsanollah Esfandiari.;Takahiro Arai.;Yiping Yang.;Rebecca Shi.;Carolina Barragan.;Greg Kricorian.;Liat Schwartz-Sagi.;Robert Bissonnette.
来源: Lancet. 2026年407卷10523期53-66页
Rocatinlimab is a T cell rebalancing therapy that inhibits and reduces the number of pathogenic T cells by targeting the OX40 receptor expressed on the surface of activated T cells. Two global phase 3 studies were performed to assess the efficacy and safety of rocatinlimab for the treatment of moderate-to-severe atopic dermatitis in adults.
435. Chronic kidney disease.
作者: William G Herrington.;Parminder K Judge.;Morgan E Grams.;Christoph Wanner.
来源: Lancet. 2026年407卷10523期90-104页
Globally, the prevalence of chronic kidney disease is estimated to be approximately 850 million cases, with approximately 4 million individuals needing kidney replacement therapy for kidney failure. By 2050, chronic kidney disease is projected to become the fifth leading underlying cause of death worldwide. Despite its numerous causes, chronic kidney disease can be screened for, diagnosed, and staged with simple laboratory tests. Individuals with chronic kidney disease are at increased risk of kidney failure and many other health implications. Risk of premature cardiovascular disease is particularly noteworthy, as most patients with chronic kidney disease develop a disability or die from cardiovascular disease before ever progressing to kidney failure. Since 2019, large randomised trials have identified several effective treatments that both slow progressive kidney function decline and reduce cardiovascular risk, greatly expanding available treatments for chronic kidney disease. The wide range of complications associated with chronic kidney disease means that patients encounter many different specialties. Active engagement in chronic kidney disease identification and timely initiation of cost-effective interventions by all clinicians could now substantially reduce the global burden of complications of chronic kidney disease and kidney failure.
439. Efficacy and safety of nipocalimab in patients with moderate-to-severe Sjögren's disease (DAHLIAS): a randomised, phase 2, placebo-controlled, double-blind trial.
作者: Ghaith Noaiseh.;Kathy L Sivils.;Kim Campbell.;Jada Idokogi.;Kim Hung Lo.;Sophia G Liva.;Jocelyn H Leu.;Harman Dhatt.;Keying Ma.;Steven Leonardo.;He Li.;Jonathan J Hubbard.;Jacques-Eric Gottenberg.
来源: Lancet. 2025年406卷10518期2435-2448页
Sjögren's disease is characterised by mucosal dryness, fatigue, chronic pain, systemic organ involvement, and elevated autoreactive IgG antibodies. There are no approved disease-modifying treatments. Therefore, we aimed to evaluate nipocalimab, a neonatal Fc receptor blocker that reduces circulating IgG, including autoantibodies, in patients with Sjögren's disease.
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